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ORIGINAL RESEARCH article

Front. Med.

Sec. Ophthalmology

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1523211

This article is part of the Research Topic Differences Between Emmetropic and Myopic Eyes: Implications for Myopia Development, its Progression, and Ocular Health View all 9 articles

Proteomic signatures of retinal pigment epithelium-derived exosomes in myopic and non-myopic tree shrew eyes

Provisionally accepted
  • University of Alabama at Birmingham, Birmingham, United States

The final, formatted version of the article will be published soon.

    Purpose: The retinal pigment epithelium (RPE) transmits growth signals from the neural retina to the choroid in the emmetropization pathway, but the underlying molecular mechanisms remain poorly understood. Here, we compared the proteomic profiles of RPE-derived exosomes between myopic and non-myopic eyes of tree shrews, dichromatic mammals closely related to primates. Methods: Four myopic (159-210 days of visual experience, DVE) and seven non-myopic eyes (156-210 DVE) of tree shrews were included. Non-cycloplegic refractive error was measured with Nidek autorefractor, and axial ocular component dimensions were recorded with LenStar. Tissue was collected, yielding RPE-lined eyecups, which were subsequently incubated in L-15 culture media for two hours. The RPE-derived exosomes were then enriched and purified from the incubation media by double ultracentrifugation and characterized by imaging and molecular methods. Exosomal proteins were identified and quantified with mass spectrometry, analyzed using Gene Ontology (GO), and compared between myopic and non-myopic samples.Results: Out of 506 RPE exosomal proteins identified, 48 and 41 were unique to the myopic and nonmyopic samples, respectively. There were 286 differentially expressed proteins in the myopic samples, including 79 upregulated and 70 downregulated. The top three upregulated proteins were Histone H4 (FC=3.04, p=0.09), PTB 1 (FC=2.59, p=0.08) and Histone H3.1 (FC=2.59, p=0.13), while the top three downregulated proteins were RPS5 (FC=-2.41, p=0.004), ACOT7 (FC=-2.15, p=0.04) and CRYBB2 (FC=-2.14, p=0.05). Other differentially expressed proteins included LUM, VCL, SEPTIN11, GPX3, SPTBN1, SEPTIN7, RPL10A, KCTD12, FGG, and FMOD. Proteomic analysis revealed a low abundance of ATP6V1B2, crystallin beta B2, and Arrestin-C proteins, and a significant depletion of the crystallin protein family (crystallin A2, A3, and B3 subunits) in the myopic samples. Conclusion: Using standard molecular and imaging techniques, this study provides the first demonstration of the ex-vivo RPE exosome biogenesis from tree shrew eyes. The results showed distinct differential expressions of the RPE exosomal proteins between the myopic and non-myopic eyes, with several proteins unique to each group. Future targeted proteomic studies of identified candidate exosomal protein signatures could elucidate the molecular mechanism of RPE exosomemediated growth signal transmission in the emmetropization pathway.

    Keywords: Myopia, Exosomes, Retinal Pigment Epithelium, tree shrews, Emmetropization

    Received: 05 Nov 2024; Accepted: 17 Mar 2025.

    Copyright: © 2025 Sanchez, Roig-Lopez, Mobley and Khanal. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Safal Khanal, University of Alabama at Birmingham, Birmingham, United States

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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