The high-density corneal innervation plays a pivotal role in sustaining the integrity of the ocular surface. We have previously demonstrated that pigment epithelium-derived factor (PEDF) plus docosahexaenoic acid (DHA) promotes corneal nerve regeneration; here, we report the mechanism involved and the discovery of a stereospecific Resolvin D6-isomer (RvD6si) that drives the process. RvD6si promotes corneal wound healing and functional recovery by restoring corneal innervation after injury. RvD6si applied to the eye surface elicits a specific transcriptome signature in the trigeminal ganglion (TG) that includes Rictor, the rapamycin-insensitive complex-2 of mTOR (mTORC2), and genes involved in axon growth, whereas genes related to neuropathic pain are decreased. As a result, attenuation of ocular neuropathic pain and dry eye will take place. Thus, RvD6si opens up new therapeutic avenues for pathologies that affect corneal innervation.model of refractive surgery 20 . Herein, we report the discovery of a novel lipid mediator that is part of the signaling mechanism exerted by PEDF + DHA on the ocular surface. Furthermore, we uncovered that the TG genes sense corneal injury and respond to corneal stereospecific Resolvin D6-isomer (RvD6si) treatment with a specific transcriptomic signature. We demonstrate that the topical application of RvD6si is cornea protective, revealing novel mechanisms and potential therapeutic avenues for dry eye and ocular neuropathic pain.
ResultsIdentification of novel RvD6si in mouse tears. The biological activities of PEDF + DHA have been revealed previously by our laboratory [20][21][22][23][24] . A mechanistic link of PEDF + DHA action on corneal nerve regeneration has been uncovered with the activation of the iPLA2ζ and the increased expression of the neurotrophic factors, brain-derived growth factor (BDNF) and nerve growth factor (NGF), and the axon growth guidance semaphorin 7a (Sema7A) released in tears 25 . To define which docosanoids are produced after the release of DHA by PEDF activation, mouse corneas were injured and treated, tears collected, and lipids extracted and analyzed by LC-MS/MS (Fig. 1A). The total ion chromatogram (TIC) of 359 m/z represented all di-hydroxy DHA isomers in tears after 4 h of treatment, and three peaks were well defined with retention times (RT) 8.20, 8.74, and 9.20 min (Fig. 1B). The internal standard LTB 4 -d4 (green) eluted at 8.25 min. We focused on the peak eluted at 8.20 min (Peak 1) that displays a parent ion 359 m/z upon full fragmentation, showing at least 6 matched product ions (daughter ions) compared to the RvD6 standard (Fig. 1C) with two hydroxy-groups at Carbon number 4 and 17 (Fig. 1D). When Peak 1 was co-injected with RvD6 at the same concentration, Peak 1 eluted 0.27 min earlier than RvD6 at 6 major multiple reaction monitoring (MRM) channels 359 −> 297, 279, 239, 199, 159, and 101 (Fig. 1E). The UV spectra for Peak 1 and RvD6 showed maxima absorbance (λ max ) at 238 nm, revealing that both compounds have a conjugated diene structure (...