Fungal
keratitis (FK) is one of the main causes of
blindness in China. People with diabetes are susceptible to corneal epithelial disease, even fungal
keratitis. At present, there are few studies on this disease. Resolvins (Rv) has been reported as a mediators that exert crucial anti-inflammatory and immune regulation roles in serval diseases. In order to investigate the roles and underlying mechanism of Resolvins D1 (RvD1) on the Aspergillus fumigatus (A. fumigatus)
keratitis in diabetes, we established in vivo and in vitro models of A. fumigatus
keratitis, which were then exposed to high
glucose. The expression levels of RvD1,
5-lipoxygenase (5-LOX), and
15-lipoxygenase (15-LOX) in A. fumigatus
keratitis patients with diabetes were determined through
Enzyme Linked
Immunosorbent Assay (ELISA), Western blot and immunohistochemistry.
Reactive Oxygen Species (ROS) production, ELISA, flow cytometry,
Hematoxylin-
Eosin (HE) staining and fungal loading determination were conducted to evaluate the severity of A. fumigatus
infection. Lymphangiogenesis and angiogenesis were examined by immunofluorescence assay. Western blot was applied to detect the
proteins of the MAPK-NF-κB pathway. The results showed that RvD1 diminished the high
glucose-induced oxidative stress and inflammatory response, as evidenced by the reduction of ROS production,
Interleukin-6 (IL-6),
Interleukin-8 (IL-8),
Heme Oxygenase-1 (HMOX-1), and the elevation of
Cyclooxygenase-2 (COX2),
Superoxide Dismutase (SOD-1), and
Glutathione Peroxidase-2 (GPX2) levels in A. fumigatus-infected Human Corneal Endothelial Cells (HCECs). Additionally, lymphangiogenesis and angiogenesis prominently decreased after intervention with RvD1. Furthermore, RvD1 significantly reduced the levels of p-MEK1/2 and p-ERK1/2, and restrained the NF-κB and GPR32 activation. The above results showed that RvD1 protects against A. fumigatus
keratitis in diabetes by suppressing oxidative stress, inflammatory response, fungal growth, and immunoreaction via modulating MAPK-NF-κB pathway. RvD1 provides clues for the therapeutic targets of Fungal
keratitis complicated with diabetes.