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Graph showing the age-related change (mean value (line) and standard deviation (shadow)) in the thickness of retinal outer nuclear layer (ONL), ellipsoid zone (EZ), and photoreceptor outer segment band (POS).

Graph showing the age-related change (mean value (line) and standard deviation (shadow)) in the thickness of retinal outer nuclear layer (ONL), ellipsoid zone (EZ), and photoreceptor outer segment band (POS).

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Abstract The study aims to assess the thickness of the retinal outer nuclear layer (ONL), ellipsoid zone (EZ) and photoreceptor outer segment (POS) band in various macular regions and its associations with axial length and other parameters. Participants of the Beijing Eye Study 2011 underwent a series of examinations including spectral-domain optic...

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... Further analysis using an insulin microarray resulted that the levels of insulin and those related factors including IGF2, IGF-2R, IGF binding protein 1 (IGFBP-1), IGFBP-2, IGFBP-3, IGFBP-4 and IGFBP-6 were markedly increased in patients with pathogenic myopia as compared with the controls [59]. Alternatively, the multivariable analysis using 2213 participants without retinal or optic nerve diseases underwent a series of measurements including spectral-domain optical coherence tomography, which indicated that a thicker retinal outer nuclear layer was associated (correlation coefficient r: 0.40) with shorter axial length and shorter disc-fovea distance after adjusting for younger age, male sex (beta: 0.24; p < 0.001), lower serum cholesterol concentration (beta: −0.05; p = 0.04) and thicker subfoveal choroidal thickness [60]. Therefore, this collective evidence rationally supported not only that systemic glycemic regulation factors were indeed involved in the pathogenesis of myopia but also the current investigation suggesting that SREBP-related regulation of FA, TG and cholesterol synthesis may be one of the critical factors to induce AL elongation via HSSFs in myopic eyes. ...
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The purpose of the current investigation was to elucidate what kinds of responsible mechanisms induce elongation of the sclera in myopic eyes. To do this, two-dimensional (2D) cultures of human scleral stromal fibroblasts (HSSFs) obtained from eyes with two different axial length (AL) groups, <26 mm (low AL group, n = 2) and >27 mm (high AL group, n = 3), were subjected to (1) measurements of Seahorse mitochondrial and glycolytic indices to evaluate biological aspects and (2) analysis by RNA sequencing. Extracellular flux analysis revealed that metabolic indices related to mitochondrial and glycolytic functions were higher in the low AL group than in the high AL group, suggesting that metabolic activities of HSSF cells are different depending the degree of AL. Based upon RNA sequencing of these low and high AL groups, the bioinformatic analyses using gene ontology (GO) enrichment analysis and ingenuity pathway analysis (IPA) of differentially expressed genes (DEGs) identified that sterol regulatory element-binding transcription factor 2 (SREBF2) is both a possible upstream regulator and a causal network regulator. Furthermore, SREBF1, insulin-induced gene 1 (INSIG1), and insulin-like growth factor 1 (IGF1) were detected as upstream regulators, and protein tyrosine phosphatase receptor type O (PTPRO) was detected as a causal network regulator. Since those possible regulators were all pivotally involved in lipid metabolisms including fatty acid (FA), triglyceride (TG) and cholesterol (Chol) biosynthesis, the findings reported here indicate that FA, TG and Chol biosynthesis regulation may be responsible mechanisms inducing AL elongation via HSSF.
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