Delay of Diabetic Cataract Progression by a Chemical Chaperone Trimethylamine N-Oxide through Alleviating Unfolded-Protein-Induced ER Stress
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ABSTRACT: Diabetic cataract (DC), characterized by lens cloudiness, is a leading cause of visual impairment in diabetic individulas. This study aims to investigate the protective effects of trimethylamine N-oxide (TMAO), a natural occurring chaperone, on delaying diabetic cataract (DC) progression. In vivo and ex vivo, TMAO reduced high glucose (HG)-induced lens opacity and EMT in rat lens epithelial cells (LECs). In vitro experiments demonstrated that HG resulted in enhanced apoptosis, migration, ROS and EMT-related genes in HLE-B3 cells while TMAO addition diminished these effects. RNA-seq revealed that the inhibition of ER stress was the key factor to reverse the impacts of HG on LECs by TMAO and mechanistic investigations suggested that ER stress-related pathway were significantly inhibited in TMAO treated LECs under HG or tunicamycin-induced ER stress. Moreover, TMAO improved the solubility of lens protein in DC rats. Our study pioneered the confirmation of the protective role of TMAO in DC through inhibiting lens protein unfolding, suppressing ER stress, and alleviating ER stress-induced apoptosis, ROS and EMT in LECs.
ORGANISM(S): Homo sapiens
PROVIDER: GSE338786 | GEO | 2026/09/24
REPOSITORIES: GEO
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