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R-28 cell-derived extracellular vesicles protect retinal ganglion cells in glaucoma

Durmaz, Esmahan, Esmaelli, Maryam, Lewis, Philip ORCID: https://orcid.org/0000-0002-3353-0708, Cimaglia, Gloria, Clayton, Aled ORCID: https://orcid.org/0000-0002-3087-9226 and Mead, Benjamin ORCID: https://orcid.org/0000-0001-5855-0097 2025. R-28 cell-derived extracellular vesicles protect retinal ganglion cells in glaucoma. Neural Regeneration Research 10 , 4103. 10.4103/NRR.NRR-D-24-00709

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Abstract

Glaucoma is characterized by chronic progressive optic nerve damage and retinal ganglion cell death. Although extensive research has been conducted on neuroprotection for retinal ganglion cells, there is still no treatment for clinical use. Recent evidence shows that extracellular vesicles isolated from a variety of stem cells are efficacious in retinal ganglion cell neuroprotection. In this study, we tested the novel extracellular vesicle source of the retinal progenitor R-28 cell line in vitro and in vivo. We isolated and characterized extracellular vesicles from R-28 cells and tested their therapeutic efficacy in terms of retinal ganglion cell survival in vitro and in an in vivo glaucoma model, measuring retinal ganglion cell survival and preservation of their axons. Additionally, we tested extracellular vesicles for their neuroprotective capacity in retinal ganglion cells differentiated from human embryonic stem cells. Finally, we investigated miRNA changes in retinal ganglion cells with R-28 extracellular vesicle treatment, and predicted possible pathways that may be modulated. R-28 extracellular vesicles improved retinal ganglion cell survival but failed to preserve axons significantly. Moreover, the results also illustrated the neuroprotection of R-28 extracellular vesicles on human retinal ganglion cells. Finally, we also showed changes in hsa-miRNA-4443, hsa-miRNA-216a-5p, hsa-let-7e-5p, hsa-miRNA-374b-5p, hsa-miRNA-331-3p, and hsa-miRNA-421 expressions, which may have neuroprotective potential on retinal ganglion cell degeneration. This study will pave the way for miRNA and extracellular vesicle-based neuroprotective therapies for glaucoma.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Schools > Medicine
Schools > Optometry and Vision Sciences
Publisher: Medknow Publications
ISSN: 1673-5374
Date of First Compliant Deposit: 4 April 2025
Date of Acceptance: 4 March 2025
Last Modified: 04 Apr 2025 14:56
URI: https://orca.cardiff.ac.uk/id/eprint/177405

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