iPSC-derived ITGA6-positive cells restore aqueous humor outflow in glaucoma eyes

Decreased trabecular meshwork (TM) cellularity is a critical pathogenic cause of primary open-angle glaucoma, yet therapies to regenerate the decellularized TM are very limited. Induced pluripotent stem cell-derived TM-like cells (iPSC-TM) can efficiently restore aqueous humor outflow. Here, we conducted a multi-modal RNA sequencing analysis to characterize the molecular mechanisms underlying TM regeneration. Our clustering analysis identified a group of iPSC-derived alpha6 integrin-positive (iPSC-ITGA6<sup>+</sup>) cells with a distinct transcriptome that wasn't observed in primary TM (pTM) cells. These iPSC-ITGA6<sup>+</sup> cells not only stimulate pTM proliferation but also facilitate the repopulation of the TM and Schlemm's canal in glaucoma, with a much higher efficiency than other iPSC-TM subtypes. Interaction with iPSC-ITGA6<sup>+</sup> cells is characterized by the proliferation and rejuvenation of endogenous pTM cells, primarily through the transcription of long non-coding RNA nuclear paraspeckle assembly transcript1 and the abundance of paraspeckles within iPSC-ITGA6<sup>+</sup> cells. Enhancing paraspeckle assembly by MEN β-associated RNA promotes the rejuvenation and proliferation of pTM, suggesting a novel and promising approach for TM regeneration.

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Publication Details

Journal
Nature Communications
Published
2025-10-27
DOI
https://doi.org/10.1038/s41467-025-65475-8
Citations
2
Primary Topic
Glaucoma and retinal disorders
Type
article
Field-Weighted Citation Impact
3.41

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article

iPSC-derived ITGA6-positive cells restore aqueous humor outflow in glaucoma eyes

Jingxue Zhang, Markus H. Kuehn, Jie Kang, Pengchao Feng et al.
2 citations
Nature Communications
Glaucoma and retinal disorders
3.41
article

iPSC-derived ITGA6-positive cells restore aqueous humor outflow in glaucoma eyes

Jingxue Zhang, Markus H. Kuehn, Jie Kang, Pengchao Feng, Sejiro Littleton, Bingqiang Zhang, Yanan Wang, Wei Zhu, X H Wang, Qilong Cao, Susu Chen, Zhi‐Xin Yuan, Zengyi Chang, Xiaoyan Zhang, Ningli Wang, Wenhua Xu, Yu Chen, Wenyan Wang, Xinyu Ge, Bin Xu, Xin‐Hui Xing, Jinshan Tan, Gaiping Xi, Shen Wu, Chen Xin, Shaoshuai Liang
article en
2 citations

Abstract

Decreased trabecular meshwork (TM) cellularity is a critical pathogenic cause of primary open-angle glaucoma, yet therapies to regenerate the decellularized TM are very limited. Induced pluripotent stem cell-derived TM-like cells (iPSC-TM) can efficiently restore aqueous humor outflow. Here, we conducted a multi-modal RNA sequencing analysis to characterize the molecular mechanisms underlying TM regeneration. Our clustering analysis identified a group of iPSC-derived alpha6 integrin-positive (iPSC-ITGA6<sup>+</sup>) cells with a distinct transcriptome that wasn't observed in primary TM (pTM) cells. These iPSC-ITGA6<sup>+</sup> cells not only stimulate pTM proliferation but also facilitate the repopulation of the TM and Schlemm's canal in glaucoma, with a much higher efficiency than other iPSC-TM subtypes. Interaction with iPSC-ITGA6<sup>+</sup> cells is characterized by the proliferation and rejuvenation of endogenous pTM cells, primarily through the transcription of long non-coding RNA nuclear paraspeckle assembly transcript1 and the abundance of paraspeckles within iPSC-ITGA6<sup>+</sup> cells. Enhancing paraspeckle assembly by MEN β-associated RNA promotes the rejuvenation and proliferation of pTM, suggesting a novel and promising approach for TM regeneration.

Nature CommunicationsVol. 16(1)
Qingdao University (CN), University of Iowa (US), Beijing Tongren Hospital (CN), Qingdao Agricultural University (CN), Duke University (US), Capital Medical University (CN), Veterans Health Administration (US), Henan Academy of Sciences (CN), Chinese Institute for Brain Research (CN), Shandong Entry-Exit Inspection and Quarantine Bureau (CN), Haier Group (China) (CN), Qingdao Center of Resource Chemistry and New Materials (CN), Ocean University of China (CN), Tsinghua University (CN)
Natural Science Foundation of Shandong Province, Qingdao University, National Key Research and Development Program of China
Openalex Percentile: Top 7%
Glaucoma and retinal disorders
3.41
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