FOXC1 Regulates Cytokine Signaling, Inflammatory Pathways, and Retinoid Metabolism to Maintain Limbal Epithelial Cell Homeostasis In Vitro

This study aimed to evaluate FOXC1-mediated regulatory mechanisms on gene and protein expression profiles in primary human limbal epithelial cells (pLECs) using siRNA-mediated FOXC1 knockdown under basal conditions and following lipopolysaccharide (LPS) and interleukin-1β (IL-1β)-induced inflammatory conditions. The gene expression related to inflammation, epithelial differentiation, cell proliferation and remodeling, and retinoic acid metabolism was analyzed using qPCR. Corresponding protein levels were assessed through Western blotting and ELISA. FOXC1 silencing significantly downregulated epithelial differentiation markers KRT12 and KRT13 at the mRNA and protein levels (<i>p</i> ≤ 0.045), whereas KRT3 and KRT19 were unaffected. Inflammatory signaling was markedly altered, with a reduced <i>IL-6</i> and <i>IL-8</i> mRNA expression (<i>p</i> ≤ 0.029), increased IL-1α expression (<i>p</i> ≤ 0.015), and condition-dependent changes in IL-6 and IL-8 protein secretion. <i>CCL2</i> was increased at the mRNA level only (<i>p</i> = 0.007). <i>VEGFA</i> mRNA was consistently reduced (<i>p</i> ≤ 0.022) without corresponding protein changes, while TGF-β protein was increased under non-inflammatory and LPS conditions (<i>p</i> ≤ 0.011). Genes involved in retinoid metabolism, including <i>CYP1B1</i>, <i>FABP5</i>, <i>CRABP2</i>, <i>RDH10</i>, <i>STRA6</i>, and <i>ALDH3A1</i>, were significantly downregulated (<i>p</i> ≤ 0.037), with reduced CRABP2 and RDH10 protein levels (<i>p</i> ≤ 0.017) and a decreased FABP5/CRABP2 ratio under IL-1β stimulation (<i>p</i> = 0.006). FOXC1 knockdown affected proliferation-related genes, with decreased <i>FOSL2</i> (<i>p</i> = 0.048) and increased <i>MKi67</i> (<i>p</i> = 0.006). FOXC1 silencing disrupts epithelial differentiation, inflammatory signaling, retinoid metabolism, and selected proliferation-related pathways at the transcriptional level, with more selective effects on protein levels. Such changes may potentially predispose the ocular surface to lineage instability, fibrosis, and impaired regenerative capacity.