Vasoactive intestinal peptide reduces ocular hypertension by regulating tight junction of trabecular meshwork through Rab13/PKA signalling complex

Ann Med. 2025 Dec;57(1):2534527. doi: 10.1080/07853890.2025.2534527. Epub 2025 Jul 26.

Abstract

Background: Schlemm's canal and trabecular meshwork (TM) are conventional outflow pathway of aqueous humour, which play an important role in maintaining intraocular pressure (IOP) homeostasis. Our previous research has implied that vasoactive intestinal peptide (VIP) reduces high IOP by regulating the distribution of F-actin in the endothelial cells of Schlemm's canal. In this study, we investigated the mechanism by which VIP affects tight junction (TJ) of TM.

Methods: Burning three episcleral veins in the eye of rats and pressure-stimulating human trabecular meshwork cells (HTMCs) were respectively employed to establish high IOP animal and cell models. The IOP of the rats was measured by TonoLab during the period of 1-2 min after isoflurane anaesthesia at 10:00 to 11:00 a.m. on the measurement day. The tissue density of TM was observed by haematoxylin-eosin staining. Western blotting, qRT-PCR, immunofluorescence and immunohistochemistry were utilized to assess the levels of ZO-1, Claudin-1, Rab13 and PKA in TM tissue or cells.

Results: The expression of TJ-related proteins ZO-1 and Claudin-1 increased significantly in high IOP rat models and pressure-stimulated HTMCs. Furthermore, both VIP and the overexpression of Rab13 reduced the expression of TJ-related proteins ZO-1 and Claudin-1 in pressure-stimulated HTMCs. However, the knockdown of Rab13 reversed the effect of VIP on TJ in vitro. In high IOP rat models, VIP reduced the expression of TJ-related proteins ZO-1 and Claudin-1 and the tissue density of TM, thereby reducing ocular hypertension.

Conclusions: VIP inhibited TJ of TM cells by regulating the Rab13-PKA signalling complex, leading to the reduction of ocular hypertension in rats. This study provides new sights for the treatment of ocular hypertension.

Keywords: Ocular hypertension; Rab13–PKA signalling complex; tight junction; trabecular meshwork; vasoactive intestinal peptide.

MeSH terms

  • Animals
  • Cells, Cultured
  • Claudin-1 / metabolism
  • Cyclic AMP-Dependent Protein Kinases / metabolism
  • Disease Models, Animal
  • Humans
  • Intraocular Pressure / drug effects
  • Male
  • Ocular Hypertension* / drug therapy
  • Ocular Hypertension* / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Signal Transduction / drug effects
  • Tight Junctions* / drug effects
  • Tight Junctions* / metabolism
  • Trabecular Meshwork* / drug effects
  • Trabecular Meshwork* / metabolism
  • Vasoactive Intestinal Peptide* / metabolism
  • Vasoactive Intestinal Peptide* / pharmacology
  • Zonula Occludens-1 Protein / metabolism
  • rab GTP-Binding Proteins* / metabolism

Substances

  • Vasoactive Intestinal Peptide
  • Cyclic AMP-Dependent Protein Kinases
  • rab GTP-Binding Proteins
  • Zonula Occludens-1 Protein
  • Claudin-1