CN118436670A - Application of cGAMP in establishing animal models of retinal vascular diseases - Google Patents

Application of cGAMP in establishing animal models of retinal vascular diseases Download PDF

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CN118436670A
CN118436670A CN202410580370.0A CN202410580370A CN118436670A CN 118436670 A CN118436670 A CN 118436670A CN 202410580370 A CN202410580370 A CN 202410580370A CN 118436670 A CN118436670 A CN 118436670A
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龚莉莉
祝杏菲
葛翔宇
刘威
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Abstract

The application relates to the technical field of biological medicines, in particular to an application of cGAMP in constructing an animal model of retinal vascular diseases, a model construction method and an animal model related to the model construction method. The application successfully constructs the retina vascular disease animal model by injecting cGAMP into the vitreous cavity in a single eye for the first time, has the advantages of simple and convenient molding time period, reliable result and the like, and also solves the problems that mature retina cannot be simulated and the like compared with the prior art.

Description

cGAMP在构建视网膜血管性疾病动物模型中的应用Application of cGAMP in establishing animal models of retinal vascular diseases

技术领域Technical Field

本申请涉及生物医药领域,具体涉及一种cGAMP在构建视网膜血管性疾病动物模型中的应用、动物模型及其模型构建方法。The present application relates to the field of biomedicine, and specifically to an application of cGAMP in constructing an animal model of retinal vascular disease, an animal model and a method for constructing the model.

背景技术Background technique

视网膜血管性疾病(Retinal vascular disease,RVD)是一类常见的眼底血管性病变,是眼科严重的致盲性疾病之一。视网膜血管性疾病引起的视网膜血管渗出,出血以及视网膜血管炎等严重影响患者视力,目前针对视网膜血管性疾病常用的治疗方法包括激光治疗,抗血管生成药物治疗以及手术治疗等。但是激光治疗可能引起视力减退、色觉异常等并发症,抗血管生成药物需要频繁眼内注射且治疗效果个体差异较大,所以目前针对视网膜血管性疾病缺乏相对有效的治疗措施。因此,寻找视网膜血管疾病治疗的新靶点在临床医学研究上有重要的意义。Retinal vascular disease (RVD) is a common type of fundus vascular lesion and one of the serious blinding diseases in ophthalmology. Retinal vascular exudation, hemorrhage, and retinal vasculitis caused by RVD seriously affect patients' vision. Currently, the commonly used treatments for retinal vascular diseases include laser therapy, anti-angiogenic drug therapy, and surgical treatment. However, laser therapy may cause complications such as vision loss and color vision abnormalities. Anti-angiogenic drugs require frequent intraocular injections and the treatment effects vary greatly from person to person. Therefore, there is currently a lack of relatively effective treatment measures for retinal vascular diseases. Therefore, finding new targets for the treatment of retinal vascular diseases is of great significance in clinical medical research.

动物模型为寻找视网膜性血管疾病治疗的新靶点提供了便捷有效的手段,目前现有的比较成熟的模拟视网膜血管性疾病的动物模型有以下几种:链脲佐菌素(Streptozotocin,STZ)诱导的糖尿病小鼠模型,高氧诱导的早产婴儿视网膜病变(ROP)等,但是这些方法普遍存在靶点不明确的问题。而且STZ诱导的糖尿病小鼠模型造模周期较长(8-10周);而ROP模型是在小鼠出生后第七天开始造模,此时视网膜未发育完全,因此无法模拟成熟视网膜。本申请中,cGAMP直接结合并激活下游STING信号,靶点明确;同时缩短造模时间,并可在新生和成年小鼠中进行。Animal models provide a convenient and effective means to find new targets for the treatment of retinal vascular diseases. Currently, there are several relatively mature animal models for simulating retinal vascular diseases: Streptozotocin (STZ)-induced diabetic mouse model, hyperoxia-induced retinopathy of prematurity (ROP), etc., but these methods generally have the problem of unclear targets. Moreover, the modeling cycle of the STZ-induced diabetic mouse model is relatively long (8-10 weeks); and the ROP model is modeled on the seventh day after the mouse is born, at which time the retina is not fully developed, so it is impossible to simulate a mature retina. In this application, cGAMP directly binds to and activates the downstream STING signal, and the target is clear; at the same time, the modeling time is shortened, and it can be performed in newborn and adult mice.

在经典cGAS-STING信号转导过程中,异常暴露在细胞质的双链DNA能够被cGAS所识别,催化GTP和ATP形成第二信使2’-3’-cGAMP(简称cGAMP)。cGAMP进而结合位于内质网膜的受体蛋白二聚体即STING(stimulator of interferon genes,干扰素基因刺激蛋白),从而启动STING二聚体构象变化并因此激活。随着STING蛋白沿内质网-内质网高尔基体中间体-高尔基体这个方向的转运,STING的羧基末端招募并激活TBK1(TANK-binding kinase1,TANK结合激酶),使IRF3(interferon regulatory factor 3,干扰素调节因子3)磷酸化,磷酸化的IRF3二聚化并进入细胞核。STING也激活激酶Ikk,使NF-κB(nuclear factor-kappa B,核因子κB)的抑制剂IκB家族磷酸化,磷酸化的IκB蛋白通过泛素-蛋白酶体途径被降解,此时NF-κB进入细胞核,与IRF3等干扰素调节因子共同作用,诱导一型干扰素和炎性细胞因子如TNFβ、IL-1β和IL-6的表达。cGAS-STING是一条关键的固有免疫信号通路,是响应组织损伤和病原体入侵的天然防线。但是在视网膜中,异常激活的cGAS-STING信号可以引起炎性细胞因子的大量释放,免疫细胞的浸润,进而造成神经炎症。现已证实cGAS-STING信号通路的异常激活与多种视网膜疾病如年龄相关性黄斑变性,糖尿病视网膜病变等相关。然而现有技术中并不知晓可以基于上述通路构建视网膜血管性疾病小鼠模型,更没有启示如何进行模型构建以及构建后的效果。In the classical cGAS-STING signal transduction process, double-stranded DNA abnormally exposed in the cytoplasm can be recognized by cGAS, catalyzing GTP and ATP to form the second messenger 2’-3’-cGAMP (cGAMP for short). cGAMP then binds to the receptor protein dimer located in the endoplasmic reticulum membrane, namely STING (stimulator of interferon genes), thereby initiating conformational changes in the STING dimer and thus activating it. As the STING protein is transported along the endoplasmic reticulum-endoplasmic reticulum-Golgi intermediate-Golgi body, the carboxyl terminus of STING recruits and activates TBK1 (TANK-binding kinase1, TANK binding kinase), phosphorylating IRF3 (interferon regulatory factor 3, interferon regulatory factor 3), and the phosphorylated IRF3 dimerizes and enters the cell nucleus. STING also activates the kinase Ikk, phosphorylating the IκB family of inhibitors of NF-κB (nuclear factor-kappa B). The phosphorylated IκB protein is degraded through the ubiquitin-proteasome pathway. At this time, NF-κB enters the nucleus and works with interferon regulatory factors such as IRF3 to induce the expression of type I interferon and inflammatory cytokines such as TNFβ, IL-1β and IL-6. cGAS-STING is a key innate immune signaling pathway and a natural line of defense in response to tissue damage and pathogen invasion. However, in the retina, abnormally activated cGAS-STING signals can cause a large amount of inflammatory cytokines to be released, infiltrate immune cells, and then cause neuroinflammation. It has been confirmed that abnormal activation of the cGAS-STING signaling pathway is associated with a variety of retinal diseases such as age-related macular degeneration and diabetic retinopathy. However, the prior art does not know that a mouse model of retinal vascular disease can be constructed based on the above pathway, and there is no inspiration on how to construct the model and the effect after construction.

有鉴于此,提出本申请。In view of this, this application is filed.

发明概述SUMMARY OF THE INVENTION

为解决上述技术问题,本申请发现cGAMP眼内注射后视网膜出现明显的血液渗出、新生血管、淋巴细胞粘附血管以及强烈的血管炎等与视网膜血管性疾病发生、发展过程相似的病理现象,证实成功构建了视网膜血管性疾病动物模型,该模型可作为研究视网膜血管性疾病的工具。另外,该模型构建方法不仅缩短了造模时间,并可在成年动物中进行。因此,本申请至少包括了如下几个目的:To solve the above technical problems, the present application found that after intraocular injection of cGAMP, the retina showed obvious blood exudation, new blood vessels, lymphocyte adhesion to blood vessels, and strong vasculitis, which are similar to the occurrence and development process of retinal vascular diseases. It was confirmed that an animal model of retinal vascular diseases was successfully constructed, and the model can be used as a tool for studying retinal vascular diseases. In addition, the model construction method not only shortens the modeling time, but also can be carried out in adult animals. Therefore, the present application includes at least the following purposes:

本申请的第一目的是提供了一种视网膜血管性疾病动物模型的构建方法;The first purpose of this application is to provide a method for constructing an animal model of retinal vascular disease;

本申请的第二目的是提供了一种视网膜血管性疾病动物模型;The second purpose of this application is to provide an animal model of retinal vascular disease;

本申请的第三目的是提供了cGAMP在构建视网膜血管性疾病动物模型中的应用。The third objective of the present application is to provide the application of cGAMP in constructing an animal model of retinal vascular diseases.

为实现上述目的,本申请具体采用如下技术方案:To achieve the above purpose, this application specifically adopts the following technical solutions:

根据本说明书的一个方面,本申请首先提供一种视网膜血管性疾病动物模型的构建方法,所述构建方法包括对动物体内给予cGAMP的步骤。According to one aspect of the present specification, the present application first provides a method for constructing an animal model of retinal vascular disease, the construction method comprising the step of administering cGAMP to the animal.

在一些实施方式中,所述体内给予为体内注射。In some embodiments, the in vivo administration is in vivo injection.

在一些实施方式中,所述体内注射为眼内注射。In some embodiments, the in vivo injection is an intraocular injection.

在一些实施方式中,所述眼内注射为眼内玻璃体腔注射。In some embodiments, the intraocular injection is an intraocular vitreous cavity injection.

在一些实施方式中,所述眼内玻璃体腔注射包括:动物麻醉后,将动物瞳孔散开,沿角膜缘开口处向眼内玻璃体腔注射cGAMP溶液。In some embodiments, the intraocular vitreous cavity injection comprises: after the animal is anesthetized, the animal's pupil is dilated, and the cGAMP solution is injected into the intraocular vitreous cavity along the corneal limbus opening.

在另一些实施方式中,所述眼内玻璃体腔注射包括:动物麻醉后,将动物瞳孔散开,角膜缘处戳出开口,沿角膜缘开口处斜向向眼内玻璃体腔注射cGAMP溶液。In other embodiments, the intraocular vitreous cavity injection comprises: after the animal is anesthetized, the animal's pupil is dilated, an opening is made at the corneal limbus, and the cGAMP solution is injected obliquely into the intraocular vitreous cavity along the corneal limbus opening.

在另一些更为具体的实施方式中,所述眼内玻璃体腔注射包括:动物麻醉后,使用托吡卡酰胺苯肾上腺素将瞳孔散开,使用凝胶润滑角膜;使用针在角膜缘处戳开一小口,以不出血为宜,使用注射器沿角膜缘开口处斜向45度左右缓慢进针,以不刺破视网膜和不划伤晶状体深度为宜;缓缓推进药物后,针头在玻璃体腔停留约5秒。In other more specific embodiments, the intraocular vitreous cavity injection includes: after the animal is anesthetized, using tropicamide phenylephrine to dilate the pupil and using gel to lubricate the cornea; using a needle to poke a small hole at the corneal edge, preferably without bleeding, using a syringe to slowly insert the needle at an angle of about 45 degrees along the corneal edge opening, preferably without puncturing the retina or scratching the depth of the lens; after slowly pushing the drug in, the needle stays in the vitreous cavity for about 5 seconds.

在一些实施方式中,所述动物为鼠;优选为小鼠或大鼠;更优选为新生鼠或成年鼠;In some embodiments, the animal is a mouse; preferably a mouse or a rat; more preferably a newborn mouse or an adult mouse;

在一些实施方式中,所述成年鼠比如为5-8周龄成年小鼠。In some embodiments, the adult mouse is, for example, a 5-8 week old adult mouse.

在一些实施方式中,所述cGAMP溶液的浓度可以为1-25mM;In some embodiments, the concentration of the cGAMP solution may be 1-25 mM;

在一些实施方式中,所述溶液的溶剂可以包括水、PBS或生理盐水。In some embodiments, the solvent of the solution may include water, PBS or physiological saline.

根据本说明书的另一个方面,本申请进一步提供所述动物模型在治疗视网膜血管性疾病药物评价或筛选中的应用;优选的,所述药物包含STING抑制剂类药物。According to another aspect of the present specification, the present application further provides the use of the animal model in the evaluation or screening of drugs for treating retinal vascular diseases; preferably, the drug comprises a STING inhibitor drug.

根据本说明书的另一个方面,本申请还提供一种视网膜血管性疾病动物模型,是由上述任一所述方法构建而得。According to another aspect of the specification, the present application also provides an animal model of retinal vascular disease, which is constructed by any of the above methods.

根据本说明书的一个方面,所述动物模型的视网膜具备出现明显血液渗出、新生血管及强烈血管炎等与视网膜血管性疾病发生相关的特征。According to one aspect of the present specification, the retina of the animal model has the characteristics associated with the occurrence of retinal vascular diseases, such as obvious blood exudation, neovascularization and severe vasculitis.

在一些实施方式中,所述动物为鼠;优选为小鼠或大鼠;更优选为新生鼠或成年鼠。In some embodiments, the animal is a mouse; preferably a mouse or a rat; more preferably a newborn mouse or an adult mouse.

在一些实施方式中,所述成年鼠比如为5-8周龄成年小鼠。In some embodiments, the adult mouse is, for example, a 5-8 week old adult mouse.

根据本说明书的一个方面,本申请进一步提供所述动物模型在治疗视网膜血管性疾病药物筛选中的应用;优选的,所述药物包括STING抑制剂类药物。According to one aspect of the present specification, the present application further provides the use of the animal model in screening drugs for treating retinal vascular diseases; preferably, the drugs include STING inhibitor drugs.

根据本说明书的一个方面,本申请还涉及cGAMP在视网膜血管性疾病动物模型构建中的应用,所述构建方法包括对动物体内给予cGAMP的步骤。According to one aspect of the specification, the present application also relates to the use of cGAMP in constructing an animal model of retinal vascular disease, and the construction method includes the step of administering cGAMP to the animal.

在一些实施方式中,所述体内给予为体内注射。In some embodiments, the in vivo administration is in vivo injection.

在一些实施方式中,所述体内注射为眼内注射。In some embodiments, the in vivo injection is an intraocular injection.

在一些实施方式中,所述眼内注射为眼内玻璃体腔注射。In some embodiments, the intraocular injection is an intraocular vitreous cavity injection.

在一些实施方式中,所述玻璃体腔注射为:动物麻醉后,将动物瞳孔散开,沿角膜缘开口处向眼内玻璃体腔注射cGAMP溶液。In some embodiments, the intravitreal injection is: after the animal is anesthetized, the animal's pupil is dilated, and the cGAMP solution is injected into the intraocular vitreous cavity along the opening of the corneal limbus.

在一些实施方式中,所述玻璃体腔注射为:动物麻醉后,将动物瞳孔散开,角膜缘处戳出开口,沿角膜缘开口处斜向向眼内玻璃体腔注射cGAMP溶液。In some embodiments, the intravitreal injection is as follows: after the animal is anesthetized, the animal's pupil is dilated, an opening is made at the limbus, and the cGAMP solution is injected obliquely into the intraocular vitreous cavity along the limbus opening.

在一些实施方式中,所述动物为鼠,优选为小鼠或大鼠,更优选为新生鼠或成年鼠;在一些实施方式中,所述成年鼠比如为5-8周龄成年小鼠。In some embodiments, the animal is a mouse, preferably a mouse or a rat, more preferably a newborn mouse or an adult mouse; in some embodiments, the adult mouse is, for example, a 5-8 week old adult mouse.

在一些实施方式中,所述cGAMP溶液的浓度可以为1-25mM;In some embodiments, the concentration of the cGAMP solution may be 1-25 mM;

在一些实施方式中,所述溶液的溶剂可以包括水、pbs或生理盐水。In some embodiments, the solvent of the solution may include water, PBS or saline.

相比于现有技术,本申请至少具有如下技术优势:Compared with the prior art, this application has at least the following technical advantages:

1)cGAMP是cGAS-STING免疫信号通路的关键激活分子,以往未有靶向cGAS-STING激活的分子直接用于建立视网膜血管性疾病鼠模型。本申请首次提出了基于cGAMP建立视网膜血管性疾病鼠模型的手段,并首次提出通过眼内玻璃体腔注射cGAMP溶液来实现模型构建。1) cGAMP is a key activating molecule of the cGAS-STING immune signaling pathway. Previously, no molecule targeting cGAS-STING activation has been directly used to establish a mouse model of retinal vascular disease. This application first proposed a method for establishing a mouse model of retinal vascular disease based on cGAMP, and for the first time proposed to achieve model construction by intravitreal injection of cGAMP solution.

2)本申请通过单次玻璃体腔注射,3天后即可观察到视网膜明显的血细胞渗出、新生血管以及强烈的血管炎,极大缩短造模时间。2) In the present application, through a single intravitreal injection, obvious retinal blood cell exudation, neovascularization and severe vasculitis can be observed 3 days later, which greatly shortens the modeling time.

3)本申请的眼内注射在新生和成年鼠中均可进行,可作为研究发育和成熟视网膜血管性疾病的工具。3) The intraocular injection of the present application can be performed in both newborn and adult mice and can be used as a tool to study developmental and mature retinal vascular diseases.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

为了更清楚地说明本申请具体实施方式或现有技术中的技术方案,下面将对具体实施方式或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图是本申请的一些实施方式,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the specific implementation methods of the present application or the technical solutions in the prior art, the drawings required for use in the specific implementation methods or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are some implementation methods of the present application. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying any creative work.

图1、眼内注射示意图;Figure 1. Schematic diagram of intraocular injection;

图2、视网膜铺片白光图,展示对照组和实验组小鼠的新鲜离体视网膜出血情况:其中,A为视网膜铺片白光图展示对照组(PBS)和实验组(cGAMP,10、25mM,配置在PBS中)小鼠的新鲜离体视网膜出血情况;B为视网膜铺片白光图展示对照组(无菌水,1μl)和实验组(cGAMP,10mM,1μl,配置在无菌水中);C为视网膜铺片白光图展示对照组(生理盐水(0.9%氯化钠水溶液),1μl)和实验组(cGAMP,10mM,1μl,配置在生理盐水中)小鼠的新鲜离体视网膜出血情况。Figure 2. Retinal flat mount white light images showing fresh ex vivo retinal hemorrhages in mice in the control group and experimental group: A is a retinal flat mount white light image showing fresh ex vivo retinal hemorrhages in mice in the control group (PBS) and experimental group (cGAMP, 10, 25mM, prepared in PBS); B is a retinal flat mount white light image showing the control group (sterile water, 1μl) and experimental group (cGAMP, 10mM, 1μl, prepared in sterile water); C is a retinal flat mount white light image showing fresh ex vivo retinal hemorrhages in mice in the control group (normal saline (0.9% sodium chloride aqueous solution), 1μl) and experimental group (cGAMP, 10mM, 1μl, prepared in normal saline).

图3、视网膜铺片血管标记IB4和TER119免疫荧光染色展示不同浓度下(0.1、1、10mM)血管的渗漏情况。Figure 3. Immunofluorescence staining of vascular markers IB4 and TER119 in retinal flat mounts shows vascular leakage at different concentrations (0.1, 1, 10 mM).

图4、对照组(PBS)和实验组(cGAMP,10mM,配置在PBS中)小鼠的视网膜形态HE染色结果;比例尺:上两图为500μm,下四图为50μm;GCL,神经节细胞层,IPL:内丛状层,INL:内核层,OPL:外丛状层,ONL:外核层,RPE:视网膜色素上皮层。Fig. 4. HE staining results of retinal morphology of mice in the control group (PBS) and experimental group (cGAMP, 10 mM, prepared in PBS); Scale bar: 500 μm for the upper two figures, 50 μm for the lower four figures; GCL, ganglion cell layer, IPL: inner plexiform layer, INL: inner nuclear layer, OPL: outer plexiform layer, ONL: outer nuclear layer, RPE: retinal pigment epithelium.

图5、OCT结果展示对照组(PBS)和实验组(cGAMP,10mM,配置在PBS中)小鼠的活体视网膜结构,统计图为0.375mm和0.7mm处对照组和实验组小鼠的中心视网膜厚度的量化结果;ns表示无统计学意义,*表示p<0.05,**表示p<0.01,***表示p<0.001。Fig. 5. OCT results show the in vivo retinal structure of mice in the control group (PBS) and experimental group (cGAMP, 10 mM, prepared in PBS). The statistical graphs are the quantification results of the central retinal thickness of the control group and experimental group mice at 0.375 mm and 0.7 mm; ns indicates no statistical significance, * indicates p<0.05, ** indicates p<0.01, and *** indicates p<0.001.

图6、对照组(PBS)和实验组(cGAMP,10mM,配置在PBS中)小鼠的活体视网膜血管的眼底照相图(上图)及荧光造影图(下图)。FIG6 . Fundus photography (upper panel) and fluorescence angiography (lower panel) of living retinal blood vessels of mice in the control group (PBS) and experimental group (cGAMP, 10 mM, prepared in PBS).

图7、视网膜铺片血管标记IB4免疫荧光染色结果,展示对照组(PBS)和实验组(cGAMP,10mM,配置在PBS中)小鼠的视网膜血管,统计图为两组小鼠的视网膜血管覆盖面积的量化结果。Figure 7. The results of immunofluorescence staining of retinal flat mount vascular marker IB4 show the retinal blood vessels of mice in the control group (PBS) and the experimental group (cGAMP, 10 mM, prepared in PBS). The statistical graph is the quantitative results of the retinal blood vessel coverage area of the two groups of mice.

图8、FITC-con A灌注(绿)展示对照组和实验组小鼠的血管白细胞黏附情况,白细胞标记CD45(红)免疫荧光染色展示两组小鼠视网膜血管白细胞浸润及渗出情况。Figure 8. FITC-con A perfusion (green) shows the vascular leukocyte adhesion of the control and experimental group mice, and immunofluorescence staining of the leukocyte marker CD45 (red) shows the retinal vascular leukocyte infiltration and exudation of the two groups of mice.

图9、RNA测序分析展示对照组(PBS)和实验组(cGAMP,10mM,配置在PBS中)小鼠的基因表达变化。其中,A为总体显著上调和下调的基因数量和与视网膜血管疾病相关基因;B为GO聚类分析展示上调和下调的信号通路。C为Gene set enrichment analysis(GSEA)分析展示上调基因在细胞粘附和抗原呈递系统的富集。Figure 9. RNA sequencing analysis shows the changes in gene expression in mice in the control group (PBS) and the experimental group (cGAMP, 10mM, prepared in PBS). A shows the number of genes that are significantly upregulated and downregulated overall and genes related to retinal vascular diseases; B shows the upregulated and downregulated signal pathways in GO cluster analysis. C shows the enrichment of upregulated genes in cell adhesion and antigen presentation systems by Gene set enrichment analysis (GSEA).

图10、视网膜眼底血管荧光造影图,展示野生型和STING敲除小鼠的活体视网膜血管,cGAMP注射量为10mM,。FIG10 . Retinal fundus vascular fluorescence angiography images showing the living retinal vessels of wild-type and STING knockout mice, with a cGAMP injection dose of 10 mM.

图11、视网膜铺片白光图,展示野生型和STING敲除小鼠的新鲜离体视网膜出血情况。统计图为两组小鼠的视网膜出血点的量化结果,cGAMP注射量为10mM。Figure 11. Retinal flat mount white light images showing fresh ex vivo retinal hemorrhages in wild-type and STING knockout mice. The statistical graph is the quantification of retinal hemorrhages in the two groups of mice, and the cGAMP injection volume was 10mM.

图12、视网膜铺片血管标记IB4免疫荧光染色,展示野生型和STING敲除小鼠的视网膜血管。统计图为两组小鼠的视网膜血管覆盖面积的量化结果,cGAMP注射量为10mM。Figure 12. Immunofluorescence staining of retinal flat mounts with vascular marker IB4, showing retinal blood vessels of wild-type and STING knockout mice. The statistical graph is the quantification of retinal blood vessel coverage area of the two groups of mice, and the cGAMP injection volume was 10mM.

图13、FITC-con A灌注(绿)展示野生型和STING敲除小鼠的血管白细胞黏附情况,白细胞标记CD45(红)免疫荧光染色展示两组小鼠视网膜血管白细胞浸润及渗出情况,cGAMP注射量为10mM。Figure 13. FITC-con A perfusion (green) shows the vascular leukocyte adhesion of wild-type and STING knockout mice. Immunofluorescence staining of leukocyte marker CD45 (red) shows the retinal vascular leukocyte infiltration and exudation of the two groups of mice. The cGAMP injection volume is 10mM.

发明详述DETAILED DESCRIPTION OF THE INVENTION

虽然本申请可以以许多不同的形式来实施,但在此公开的是验证本申请原理的其具体的举例说明性实施方式。应该强调的是,本申请不限于所举例说明的具体实施方式。此外,本文使用的任何章节标题仅用于组织目的,并不被解释为限制所描述的主题。Although the present application can be implemented in many different forms, what is disclosed here is its specific illustrative implementation that verifies the principle of the present application. It should be emphasized that the present application is not limited to the specific implementations illustrated. In addition, any section headings used herein are only used for organizational purposes and are not to be interpreted as limiting the subject matter described.

以下术语或定义仅仅是为了帮助理解本申请而提供。这些定义不应被理解为具有小于本领域技术人员所理解的范围。The following terms or definitions are provided only to help understand the present application. These definitions should not be construed as having a scope less than that understood by those skilled in the art.

除非在下文中另有定义,本申请具体实施方式中所用的所有技术术语和科学术语的含义意图与本领域技术人员通常所理解的相同。虽然相信以下术语对于本领域技术人员很好理解,但仍然阐述以下定义以更好地解释本申请。Unless otherwise defined below, the meaning of all technical terms and scientific terms used in the specific embodiments of the present application is intended to be the same as that commonly understood by those skilled in the art. Although it is believed that the following terms are well understood by those skilled in the art, the following definitions are still set forth to better explain the present application.

术语“包括”、“包含”、“具有”、“含有”或“涉及”为包含性的(inclusive)或开放式的,且不排除其它未列举的元素或方法步骤。术语“由…组成”被认为是术语“包含”的优选实施方式。如果在下文中某一组被定义为包含至少一定数目的实施方式,这也应被理解为揭示了一个优选地仅由这些实施方式组成的组。The terms "comprise", "include", "have", "contain" or "involve" are inclusive or open-ended and do not exclude other unlisted elements or method steps. The term "consisting of" is considered a preferred embodiment of the term "comprising". If a group is defined below as comprising at least a certain number of embodiments, this should also be understood to disclose a group that preferably consists of only these embodiments.

在提及单数形式名词时使用的不定冠词或定冠词例如“一个”或“一种”,“所述”,包括该名词的复数形式。When referring to a singular noun an indefinite or definite article e.g. "a" or "an", "the" or "an" is used, this includes a plural of that noun.

此外,说明书和权利要求书中的术语第一、第二、第三、(a)、(b)、(c)以及诸如此类,是用于区分相似的元素,不是描述顺序或时间次序必须的。应理解,如此应用的术语在适当的环境下可互换,并且本申请描述的实施方式能以不同于本申请描述或举例说明的其它顺序实施。In addition, the terms first, second, third, (a), (b), (c), and the like in the specification and claims are used to distinguish similar elements and are not necessarily required to describe a sequential or chronological order. It should be understood that the terms so used are interchangeable under appropriate circumstances, and the embodiments described in this application can be implemented in other sequences than those described or illustrated in this application.

术语“和/或”视为具有或不具有另一个的两个指定特征或组件中的每一个的具体公开。因此,如在本文中的短语例如“A和/或B”中所使用的术语“和/或”旨在包括A和B;A或B;A(单独);和B(单独)。同样地,如在短语例如“A、B和/或C”中所使用的术语“和/或”旨在涵盖以下方面的每一个:A、B和C;A、B或C;A或C;A或B;B或C;A和C;A和B;B和C;A(单独);B(单独);和C(单独)。The term "and/or" is considered a specific disclosure of each of the two specified features or components with or without the other. Thus, the term "and/or" as used in phrases such as "A and/or B" herein is intended to include A and B; A or B; A (alone); and B (alone). Similarly, the term "and/or" as used in phrases such as "A, B, and/or C" is intended to cover each of the following: A, B, and C; A, B, or C; A or C; A or B; B or C; A and C; A and B; B and C; A (alone); B (alone); and C (alone).

术语“例如”和“即”仅作为实例使用,而无意于限制,并且不应当诠释为仅涉及在说明书中明确列举的那些项目。The terms "such as" and "ie" are used merely as examples and are not intended to be limiting, and should not be construed as referring only to those items explicitly listed in the specification.

术语“或更多”、“至少”、“超过”等,例如“至少一种”应当理解为包括但不限于至少1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19 20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36、37、38、39、40、41、42、43、44、45、46、47、48、49、50、51、52、53、54、55、56、57、58、59、60、61、62、63、64、65、66、67、68、69、70、71、72、73、74、75、76、77、78、79、80、81、82、83、84、85、86、87、88、89、90、91、92、93、94、95、96、97、98、99、100或200、300、400、500、600、700、800、900、1000、2000、3000、4000、5000或超过所述值。还包括其间任何更大的数字或分数。47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106,107,108,109,110 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100 or 200, 300, 400, 500, 600, 700, 800, 900, 1000, 2000, 3000, 4000, 5000 or more of the above values. Also included are any larger numbers or fractions therebetween.

相反地,术语“不超过”包括小于所述值的每个值。例如,“不超过100个核苷酸”包括100、99、98、97、96、95、94、93、92、91、90、89、88、87、86、85、84、83、82、81、80、79、78、77、76、75、74、73、72、71、70、69、68、67、66、65、64、63、62、61、60、59、58、57、56、55、54、53、52、51、50、49、48、47、46、45、44、43、42、41、40、39、38、37、36、35、34、33、32、31、30、29、28、27、26、25、24、23、22、21、20、19、18、17、16、15、14、13、12、11、10、9、8、7、6、5、4、3、2、1和0个核苷酸。还包括其间任何更小的数字或分数。Conversely, the term "no more than" includes every value less than the stated value. For example, "no more than 100 nucleotides" includes 100, 99, 98, 97, 96, 95, 94, 93, 92, 91, 90, 89, 88, 87, 86, 85, 84, 83, 82, 81, 80, 79, 78, 77, 76, 75, 74, 73, 72, 71, 70, 69, 68, 67, 66, 65, 64, 63, 62, 61, 60, 59, 58, 57, 56, 55, 56, 57, 58, 59 ... 7, 6, 5, 4, 3, 2, 1, and 0 nucleotides. Also included are any smaller numbers or fractions therebetween.

术语“多个”、“至少两个”、“两个或更多个”、“至少第二个”等应当理解为包括但不限于至少2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19 20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36、37、38、39、40、41、42、43、44、45、46、47、48、49、50、51、52、53、54、55、56、57、58、59、60、61、62、63、64、65、66、67、68、69、70、71、72、73、74、75、76、77、78、79、80、81、82、83、84、85、86、87、88、89、90、91、92、93、94、95、96、97、98、99、100或200、300、400、500、600、700、800、900、1000、2000、3000、4000、5000或更多。还包括其间任何更大的数字或分数。The terms "plurality", "at least two", "two or more", "at least a second", etc., should be understood to include, but are not limited to, at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70 , 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100 or 200, 300, 400, 500, 600, 700, 800, 900, 1000, 2000, 3000, 4000, 5000 or more. Also includes any larger number or fraction therebetween.

术语“大约”、“大体”表示本领域技术人员能够理解的仍可保证论及特征的技术效果的准确度区间。该术语通常表示偏离指示数值的±10%,优选±5%。The terms "approximately" and "substantially" represent the accuracy range that can be understood by those skilled in the art to still ensure the technical effect of the characteristic in question. The term usually represents ±10%, preferably ±5%, of the indicated value.

如文本所述,除非另有说明,否则任何浓度范围、百分比范围、比率范围或整数范围应当理解为包括所叙述范围内的任何整数的值,并且在适当时包括其分数(例如整数的十分之一和百分之一)。As described herein, unless otherwise indicated, any concentration range, percentage range, ratio range or integer range should be understood to include the value of any integer within the recited range and, where appropriate, fractions thereof (e.g., tenths and hundredths of integers).

本公开的各种方面进一步详细描述:Various aspects of the present disclosure are further described in detail:

本申请的视网膜血管性疾病小鼠模型的构建方法,包括对动物体内给予cGAMP的步骤。The method for constructing a retinal vascular disease mouse model of the present application comprises the step of administering cGAMP to the animal.

在一些实施方式中,所述体内给予为体内注射。In some embodiments, the in vivo administration is in vivo injection.

在一些实施方式中,所述体内注射为眼内注射。In some embodiments, the in vivo injection is an intraocular injection.

在一些实施方式中,所述眼内注射为眼内玻璃体腔注射。In some embodiments, the intraocular injection is an intraocular vitreous cavity injection.

本申请中的“cGAMP”为2'-3'-cyclic GMP-AMP,其结构式为:"cGAMP" in this application is 2'-3'-cyclic GMP-AMP, and its structural formula is:

在本申请之前,虽然现有技术中已知cGAMP与视网膜血管性疾病存在机理上关联,但并不知晓cGAMP可直接用于眼内注射从而实现疾病鼠模型的构建。本申请首次发现可基于眼内注射cGAMP即可成功构建疾病鼠模型,不仅提出了cGAMP的新应用,同时提出了新的注射手段。因此,但凡基于“眼内玻璃体腔注射cGAMP”的方法都属于本申请的保护范围,本领域技术人员可以根据具体需要,实际调整注射过程中的参数等。Prior to this application, although it was known in the prior art that cGAMP was mechanistically related to retinal vascular diseases, it was not known that cGAMP could be directly used for intraocular injection to achieve the construction of a disease mouse model. This application discovered for the first time that a disease mouse model could be successfully constructed based on intraocular injection of cGAMP, and not only proposed a new application of cGAMP, but also a new injection method. Therefore, any method based on "intravitreal injection of cGAMP" falls within the scope of protection of this application, and those skilled in the art can actually adjust the parameters during the injection process according to specific needs.

在一些具体实施方式中,所述眼内玻璃体腔注射包括:动物麻醉后,将动物瞳孔散开,沿角膜缘开口处向眼内玻璃体腔注射cGAMP溶液。In some specific embodiments, the intraocular vitreous cavity injection comprises: after the animal is anesthetized, the animal's pupil is dilated, and the cGAMP solution is injected into the intraocular vitreous cavity along the opening of the corneal limbus.

在另一些具体的实施方式中,所述眼内玻璃体腔注射包括:动物麻醉后,将动物瞳孔散开,角膜缘处戳出开口,沿着角膜缘开口处斜向向眼内玻璃体腔注射cGAMP溶液。In other specific embodiments, the intraocular vitreous cavity injection comprises: after the animal is anesthetized, the animal's pupil is dilated, an opening is made at the corneal limbus, and the cGAMP solution is injected obliquely into the intraocular vitreous cavity along the corneal limbus opening.

在一些更进一步具体的实施方式中,所述眼内玻璃体腔注射包括:动物麻醉后,使用托吡卡酰胺苯肾上腺素将动物瞳孔散开,使用凝胶润滑角膜;使用针在角膜缘处戳开一小口,以不出血为宜,使用注射器沿角膜缘开口处斜向45度左右缓慢进针,以不刺破视网膜和不划伤晶状体深度为宜;缓缓推进药物后,针头在玻璃体腔停留约5秒。In some further specific embodiments, the intraocular vitreous cavity injection includes: after the animal is anesthetized, using tropicamide phenylephrine to dilate the animal's pupil and using gel to lubricate the cornea; using a needle to poke a small hole at the corneal edge, preferably without bleeding, using a syringe to slowly insert the needle at an angle of about 45 degrees along the corneal edge opening, preferably without puncturing the retina and scratching the depth of the lens; after slowly pushing the drug in, the needle stays in the vitreous cavity for about 5 seconds.

在一些实施方式中,所述动物为鼠。而在一些优选的实施方式中,所述鼠为小鼠或大鼠。本领域已知的是,现有技术中已有充分活体动物眼底照和组织学证据表明小鼠和大鼠眼睛内的血管结构和功能表现出高度相似性。(比如参见文献Transnational VisionScience and Technology,2022,1;11(8):11.doi:10.1167/tvst.11.8.11.),因此可以理解的是本申请方法同样适用大鼠。In some embodiments, the animal is a mouse. In some preferred embodiments, the mouse is a mouse or a rat. It is known in the art that there is sufficient fundus photography and histological evidence of living animals in the prior art to show that the vascular structure and function in the eyes of mice and rats show a high degree of similarity. (For example, see the document Transnational Vision Science and Technology, 2022, 1; 11 (8): 11. doi: 10.1167/tvst.11.8.11.), so it can be understood that the method of the present application is also applicable to rats.

在一些实施方式中,所述小鼠或大鼠为新生鼠或成年鼠;In some embodiments, the mouse or rat is a newborn mouse or an adult mouse;

在一些实施方式中,所述成年鼠为5-8周龄成年小鼠。In some embodiments, the adult mouse is a 5-8 week old adult mouse.

在一些实施方式中,所述cGAMP溶液的浓度可以为1-25mM;In some embodiments, the concentration of the cGAMP solution may be 1-25 mM;

在一些实施方式中,所述溶液的溶剂可以包括水、PBS或生理盐水等,可以理解这些常规溶剂既不会过分影响小鼠机体生理活性,也不会过分改变cGAMP活性,因此都适于本申请。In some embodiments, the solvent of the solution may include water, PBS or physiological saline, etc. It can be understood that these conventional solvents will neither excessively affect the physiological activity of the mouse body nor excessively change the cGAMP activity, and therefore are suitable for this application.

本申请的视网膜血管性疾病动物模型,是具备视网膜血管性疾病相关特性的小鼠,可由上述任一所述方法构建而得。The retinal vascular disease animal model of the present application is a mouse with retinal vascular disease-related characteristics, which can be constructed by any of the above-mentioned methods.

根据本说明书的一个方面,所述视网膜血管性疾病相关特性包括:具备出现明显血液渗出、新生血管及强烈血管炎等与视网膜血管性疾病发生相关的特征。According to one aspect of the present specification, the characteristics related to retinal vascular diseases include: having features related to the occurrence of retinal vascular diseases, such as obvious blood exudation, new blood vessels and severe vasculitis.

本申请的用途:Purpose of this application:

一方面应用:本申请动物模型的基础应用。可以理解,本申请所述的动物模型能够应用于治疗视网膜血管性疾病药物的评价或筛选;所述药物种类并不限制,作为疾病模型能够用于各类相关药物的评价和筛选;On the one hand, the application is the basic application of the animal model of the present application. It can be understood that the animal model described in the present application can be used to evaluate or screen drugs for treating retinal vascular diseases; the types of drugs are not limited, and as a disease model, it can be used for the evaluation and screening of various related drugs;

在一些实施方式中,所述药物尤其可以是STING抑制剂类药物,比如本申请在实施例5中所证实。In some embodiments, the drug may be a STING inhibitor drug, such as demonstrated in Example 5 of the present application.

另一方面应用:cGAMP在视网膜血管性疾病动物模型构建中的应用,所述构建方法包括对动物体内给予cGAMP的步骤。Another application is the use of cGAMP in constructing an animal model of retinal vascular disease, wherein the construction method comprises the step of administering cGAMP to the animal.

在一些实施方式中,所述体内给予为体内注射。In some embodiments, the in vivo administration is in vivo injection.

在一些实施方式中,所述体内注射为眼内注射。In some embodiments, the in vivo injection is an intraocular injection.

在一些实施方式中,所述眼内注射为眼内玻璃体腔注射。In some embodiments, the intraocular injection is an intraocular vitreous cavity injection.

在一些具体实施方式中,所述眼内玻璃体腔注射包括:动物麻醉后,将动物瞳孔散开,沿角膜缘开口处向眼内玻璃体腔注射cGAMP溶液。In some specific embodiments, the intraocular vitreous cavity injection comprises: after the animal is anesthetized, the animal's pupil is dilated, and the cGAMP solution is injected into the intraocular vitreous cavity along the opening of the corneal limbus.

在另一些具体的实施方式中,所述眼内玻璃体腔注射包括:动物麻醉后,将动物瞳孔散开,角膜缘处戳出开口,沿着角膜缘开口处斜向向眼内玻璃体腔注射cGAMP溶液。In other specific embodiments, the intraocular vitreous cavity injection comprises: after the animal is anesthetized, the animal's pupil is dilated, an opening is made at the corneal limbus, and the cGAMP solution is injected obliquely into the intraocular vitreous cavity along the corneal limbus opening.

在一些更进一步具体的实施方式中,所述眼内玻璃体腔注射包括:动物麻醉后,使用托吡卡酰胺苯肾上腺素将动物瞳孔散开,使用凝胶润滑角膜;使用针在角膜缘处戳开一小口,以不出血为宜,使用注射器沿角膜缘开口处斜向45度左右缓慢进针,以不刺破视网膜和不划伤晶状体深度为宜;缓缓推进药物后,针头在玻璃体腔停留约5秒。In some further specific embodiments, the intraocular vitreous cavity injection includes: after the animal is anesthetized, using tropicamide phenylephrine to dilate the animal's pupil and using gel to lubricate the cornea; using a needle to poke a small hole at the corneal edge, preferably without bleeding, using a syringe to slowly insert the needle at an angle of about 45 degrees along the corneal edge opening, preferably without puncturing the retina and scratching the depth of the lens; after slowly pushing the drug in, the needle stays in the vitreous cavity for about 5 seconds.

在一些实施方式中,所述动物为鼠,优选为小鼠或大鼠;In some embodiments, the animal is a mouse, preferably a mouse or a rat;

在一些具体的实施方式中,所述鼠为新生鼠或者为成年鼠;In some specific embodiments, the mouse is a newborn mouse or an adult mouse;

在一些更为具体的实施方式中,所述成年鼠比如为5-8周龄成年小鼠。In some more specific embodiments, the adult mouse is, for example, a 5-8 week old adult mouse.

在一些实施方式中,所述cGAMP溶液的浓度可以为1-25mM;In some embodiments, the concentration of the cGAMP solution may be 1-25 mM;

在一些实施方式中,所述溶液的溶剂可以包括水、PBS或生理盐水等,可以理解这些常规溶剂既不会过分影响鼠机体生理活性,也不会过分改变cGAMP活性,因此都适于本申请。In some embodiments, the solvent of the solution may include water, PBS or physiological saline, etc. It can be understood that these conventional solvents will neither excessively affect the physiological activity of the mouse body nor excessively change the cGAMP activity, and therefore are suitable for this application.

本申请通过附图和如下实施例进一步描述,所述的附图和实施例只是为了例证本申请的特定实施方案,不应理解为以任何方式限制本申请范围之意。The present application is further described by the accompanying drawings and the following examples. The accompanying drawings and examples are only intended to illustrate specific embodiments of the present application and should not be construed as limiting the scope of the present application in any way.

实施例1、cGAMP眼内给药制备疾病小鼠模型Example 1: Preparation of disease mouse model by intraocular administration of cGAMP

本实施例通过对小鼠进行单次眼内玻璃体腔注射cGAMP(购买于selleck,货号为:S7904),cGAMP配置溶剂分别为1x无菌磷酸盐缓冲液(PBS)、无菌水或生理盐水;cGAMP浓度设定为0.1mM、1mM、10mM或25mM等梯度,小鼠优选5-8周龄c57BL/6J小鼠(中山大学实验动物中心,广州)。In this example, mice were injected with a single intravitreal injection of cGAMP (purchased from selleck, item number: S7904). The solvents for preparing cGAMP were 1x sterile phosphate buffered saline (PBS), sterile water or normal saline. The concentration of cGAMP was set to a gradient of 0.1 mM, 1 mM, 10 mM or 25 mM. The mice were preferably 5-8 week old c57BL/6J mice (Experimental Animal Center of Sun Yat-sen University, Guangzhou).

给药设置实验组和照组:The experimental group and the control group were set up for drug administration:

1)实验组:玻璃体腔注射cGAMP(溶剂为1xPBS);1) Experimental group: intravitreal injection of cGAMP (solvent: 1xPBS);

2)对照组:玻璃体腔注射等体积的1xPBS。2) Control group: an equal volume of 1xPBS was injected into the vitreous cavity.

具体方法步骤如下:The specific steps are as follows:

用1%戊巴比妥钠将小鼠麻醉后,首先使用托吡卡酰胺苯肾上腺素滴眼液将小鼠瞳孔散开,使用凝胶润滑角膜;玻璃体腔注射时,先使用胰岛素针在角膜缘处戳开一小口,以不出血为宜,再使用微量注射器沿角膜缘开口处斜向45度左右缓慢进针,不宜过深,避免刺破视网膜,也不可划伤晶状体(详细参见图1所示)。缓缓推进药物,注射后针头在玻璃体腔停留约5秒,防止药物溢出,再缓慢抽出针头。After the mice were anesthetized with 1% sodium pentobarbital, tropicamide phenylephrine eye drops were first used to dilate the pupils of the mice, and the cornea was lubricated with gel; when injecting into the vitreous cavity, an insulin needle was first used to poke a small hole at the corneal margin to prevent bleeding, and then a micro-syringe was used to slowly insert the needle at an angle of about 45 degrees along the opening of the corneal margin, not too deep to avoid puncturing the retina and scratching the lens (see Figure 1 for details). The drug was slowly pushed in, and the needle stayed in the vitreous cavity for about 5 seconds after injection to prevent drug overflow, and then the needle was slowly withdrawn.

3天后,小鼠安乐死,将眼球取出,将视网膜解离进行铺片并在显微镜下拍摄获取图像。对于免疫染色,小鼠安乐死后将眼球取出在4%多聚甲醛(PFA)中固定10分钟。固定后,解剖眼球,然后分离神经视网膜,神经视网膜分离后继续在4%多聚甲醛(PFA)中固定5分钟,固定结束后用PBS洗涤3次,除去多余的PFA。视网膜在室温下用0.3%PBST(PBS中含有0.3%Triton X-100)通透20分钟,并在室温下用2.5%BSA(在PBST中制备)封闭30分钟。然后将视网膜与一抗在4℃下孵育过夜,第二天与二抗在室温下孵育2小时。用PBS洗涤后,用抗淬灭封片剂封片。使用LSM980共聚焦显微镜(Carl Zeiss,德国)获取图像。After 3 days, the mice were euthanized, the eyeballs were removed, the retinas were dissociated and spread, and the images were taken under a microscope. For immunostaining, the eyeballs were removed after the mice were euthanized and fixed in 4% paraformaldehyde (PFA) for 10 minutes. After fixation, the eyeballs were dissected, and the neural retina was separated. After the neural retina was separated, it was fixed in 4% paraformaldehyde (PFA) for 5 minutes. After fixation, it was washed 3 times with PBS to remove excess PFA. The retina was permeabilized with 0.3% PBST (PBS containing 0.3% Triton X-100) at room temperature for 20 minutes and blocked with 2.5% BSA (prepared in PBST) at room temperature for 30 minutes. The retina was then incubated with the primary antibody at 4°C overnight and incubated with the secondary antibody at room temperature for 2 hours the next day. After washing with PBS, the slides were sealed with antifade sealing agent. Images were acquired using a LSM980 confocal microscope (Carl Zeiss, Germany).

结果如图2所示:图2A为视网膜铺片白光图展示对照组(PBS)和实验组(cGAMP,10、25mM,配置在PBS中)小鼠的新鲜离体视网膜出血情况可见,与玻璃体腔注射PBS相比,注射105mM或25mM cGAMP的相应小鼠视网膜都有明显的出血点;2B为视网膜铺片白光图展示对照组(无菌水,1μl)和实验组(cGAMP,10mM,1μl,配置在无菌水中);2C为视网膜铺片白光图展示对照组(生理盐水,1μl)和实验组(cGAMP,10mM,1μl,配置在生理盐水中)小鼠的新鲜离体视网膜出血情况,每组小鼠数量为5只。可见,与玻璃体腔注射PBS、无菌水和生理盐水等正常对照组小鼠相比,注射了cGAMP的相应小鼠视网膜都有明显的出血点。The results are shown in Figure 2: Figure 2A is a retinal flat-mount white light image showing the fresh ex vivo retinal hemorrhage of mice in the control group (PBS) and the experimental group (cGAMP, 10, 25mM, prepared in PBS). It can be seen that compared with the intravitreal injection of PBS, the corresponding mice injected with 105mM or 25mM cGAMP have obvious hemorrhage spots in the retina; 2B is a retinal flat-mount white light image showing the control group (sterile water, 1μl) and the experimental group (cGAMP, 10mM, 1μl, prepared in sterile water); 2C is a retinal flat-mount white light image showing the fresh ex vivo retinal hemorrhage of mice in the control group (normal saline, 1μl) and the experimental group (cGAMP, 10mM, 1μl, prepared in normal saline), and the number of mice in each group is 5. It can be seen that compared with the normal control group mice such as intravitreal injection of PBS, sterile water and normal saline, the corresponding mice injected with cGAMP have obvious hemorrhage spots in the retina.

而为了进一步测试cGAMP的最低使用浓度,本实施例还对小鼠玻璃体腔注射了不同浓度(0.1、1、10mM)的cGAMP,以此观察小鼠血管的渗漏情况。通过视网膜铺片荧光染色结果可以观察到(图3),在注射1mM cGAMP小鼠视网膜血管出现了轻微的红细胞渗漏,注射10mM cGAMP小鼠视网膜血管就能出现明显的红细胞渗漏,可见在大于1mM cGAMP基础上可实现本申请目的。综合出血结果,本申请选定了10mM作为后续实验的浓度基础。In order to further test the minimum concentration of cGAMP, this embodiment also injected different concentrations (0.1, 1, 10mM) of cGAMP into the vitreous cavity of mice to observe the leakage of mouse blood vessels. It can be observed from the results of retinal flat-mount fluorescence staining (Figure 3) that there was slight red blood cell leakage in the retinal blood vessels of mice injected with 1mM cGAMP, and obvious red blood cell leakage in the retinal blood vessels of mice injected with 10mM cGAMP. It can be seen that the purpose of this application can be achieved on the basis of greater than 1mM cGAMP. Based on the bleeding results, this application selected 10mM as the concentration basis for subsequent experiments.

实施例2、玻璃体腔注射cGAMP后引起小鼠视网膜水肿、渗出及新生血管生成等病理改变Example 2: Intravitreal injection of cGAMP induces pathological changes such as retinal edema, exudation and neovascularization in mice

基于实施例1类似方法进行小鼠玻璃体腔注射,设计对照组和实验组,每组小鼠3-5只。Based on the method similar to Example 1, intravitreal injection was performed on mice, and a control group and an experimental group were designed, with 3-5 mice in each group.

1)实验组:玻璃体腔注射cGAMP(溶剂为1xPBS、无菌水或生理盐水);1) Experimental group: intravitreal injection of cGAMP (solvent: 1xPBS, sterile water or normal saline);

2)对照组:玻璃体腔注射等体积的溶剂:1xPBS、无菌水或生理盐水。2) Control group: Intravitreal injection of an equal volume of solvent: 1xPBS, sterile water or normal saline.

对玻璃体腔注射cGAMP后的小鼠分别进行如下分析:The following analyses were performed on mice after intravitreal injection of cGAMP:

眼球组织HE染色分析:小鼠进行玻璃体腔注射,3天后取材,采用HE染色进行视网膜结构分析。HE staining analysis of eyeball tissue: Mice were injected into the vitreous cavity, and samples were collected 3 days later for HE staining to analyze the retinal structure.

视网膜形态分析:OCT(Optical coherence tomography,光学相干断层扫描)是一种非侵入式、可在活体上对视网膜进行高分辨率断层成像的手段;其非侵入式的特点为动态记录视网膜病变的诊断、评估药物疗效提供了良好的技术支持。玻璃体腔注射cGAMP后第3天,用1%戊巴比妥钠麻醉小鼠(70μl/10g),托吡卡胺散瞳后,采用小动物OCT(HeidelbergEngineering)对各组小鼠视网膜形态进行活体观察和比较。Retinal morphology analysis: OCT (Optical coherence tomography) is a non-invasive method that can perform high-resolution tomographic imaging of the retina in vivo; its non-invasive characteristics provide good technical support for the dynamic recording of the diagnosis of retinal lesions and the evaluation of drug efficacy. On the third day after intravitreal injection of cGAMP, mice were anesthetized with 1% sodium pentobarbital (70μl/10g) and mydriasis was performed with tropicamide. Small animal OCT (Heidelberg Engineering) was used to observe and compare the retinal morphology of each group of mice in vivo.

眼底照相:玻璃体腔注射cGAMP后第3天,用1%戊巴比妥钠麻醉小鼠(70μl/10g),托吡卡胺散瞳后,使用Micron IV视网膜成像系统(Phoenix Research Laboratories,Pleasanton,CA)获得眼底图像。向小鼠注射2%荧光素钠溶液(Alcon laboratories,TX,USA)(5μl/g),并立即记录荧光素血管造影图像。Fundus photography: On the third day after intravitreal injection of cGAMP, mice were anesthetized with 1% sodium pentobarbital (70 μl/10 g), and fundus images were obtained using a Micron IV retinal imaging system (Phoenix Research Laboratories, Pleasanton, CA) after mydriasis with tropicamide. Mice were injected with 2% sodium fluorescein solution (Alcon laboratories, TX, USA) (5 μl/g), and fluorescein angiography images were immediately recorded.

视网膜铺片及免疫荧光染色:小鼠安乐死后,将眼球取出,并在4%多聚甲醛(PFA)中固定10分钟。固定后,解剖眼球,然后分离神经视网膜,神经视网膜分离后继续在4%多聚甲醛(PFA)中固定5分钟,固定结束后用PBS洗涤3次,除去多余的PFA。对于免疫染色,视网膜在室温下用0.3%PBST(PBS中含有0.3%Triton X-100)通透20分钟,并在室温下用2.5%BSA(在PBST中制备)封闭30分钟。然后将视网膜与一抗在4℃下孵育过夜,第二天与二抗在室温下孵育2小时。用PBS洗涤后,用抗淬灭封片剂封片。使用LSM980共聚焦显微镜(CarlZeiss,德国)获取图像。Retinal flat mount and immunofluorescence staining: After euthanasia of mice, the eyeballs were removed and fixed in 4% paraformaldehyde (PFA) for 10 minutes. After fixation, the eyeballs were dissected and the neural retina was isolated. After the neural retina was isolated, it was fixed in 4% paraformaldehyde (PFA) for 5 minutes. After fixation, it was washed 3 times with PBS to remove excess PFA. For immunostaining, the retina was permeabilized with 0.3% PBST (PBS containing 0.3% Triton X-100) at room temperature for 20 minutes and blocked with 2.5% BSA (prepared in PBST) at room temperature for 30 minutes. The retina was then incubated with the primary antibody overnight at 4°C and incubated with the secondary antibody at room temperature for 2 hours the next day. After washing with PBS, the slides were mounted with antifade mounting medium. Images were acquired using a LSM980 confocal microscope (CarlZeiss, Germany).

数据统计:数据呈现形式为平均值+标准方差,数据分析采用student t test方法.*:P<0.05,**:P<0.001,***:P<0.0001。Data statistics: Data were presented in the form of mean + standard deviation, and data were analyzed using the student t test method. *: P < 0.05, **: P < 0.001, ***: P < 0.0001.

实验结果:Experimental results:

小鼠进行玻璃体腔注射cGAMP或PBS 3天后取材,采用HE染色进行视网膜结构分析,结果如图4所示,玻璃体腔注射PBS的正常对照组小鼠视网膜各层结构完整,而注射cGAMP小鼠表现为视网膜整体增厚,水肿,视网膜血管管腔变大,有部分血管可见充血现象。Three days after intravitreal injection of cGAMP or PBS, samples were collected from mice and retinal structure was analyzed by HE staining. The results are shown in Figure 4. The retinal structures of all layers of the normal control group mice injected with PBS were intact, while the cGAMP-injected mice showed overall retinal thickening and edema, enlarged retinal blood vessel lumen, and visible congestion in some blood vessels.

OCT结果如图5所示,采用OCT可对小鼠活体视网膜各层组织进行高分辨率观察,可见与玻璃体腔注射PBS的正常对照组小鼠相比,注射cGAMP小鼠表现为视网膜整体增厚,水肿,玻璃体腔内有大量呈高反射性的渗出物。The OCT results are shown in Figure 5. OCT can be used to perform high-resolution observation of the various layers of retinal tissue in living mice. Compared with the normal control group mice injected with PBS into the vitreous cavity, the mice injected with cGAMP showed overall retinal thickening and edema, and a large amount of highly reflective exudates in the vitreous cavity.

采用眼底照相和荧光素造影进行眼底血管观察结构如图6所示:可见,与玻璃体腔注射PBS的正常对照组小鼠相比,注射cGAMP小鼠视网膜血管管径变大,荧光渗漏。The fundus blood vessel structure was observed by fundus photography and fluorescein angiography as shown in Figure 6: It can be seen that compared with the normal control group mice injected with PBS into the vitreous cavity, the retinal blood vessels of the cGAMP-injected mice became larger in diameter and had fluorescence leakage.

从视网膜铺片血管标志IB4免疫荧光染色结果(图7)可以看到注射cGAMP小鼠视网膜出现明显的渗漏以及新生血管的生成。The results of immunofluorescence staining of the vascular marker IB4 in retinal flat mounts (Figure 7) showed that obvious leakage and new blood vessel formation occurred in the retina of cGAMP-injected mice.

实施例3、玻璃体腔注射cGAMP后引起血管周围白细胞增多Example 3: Increase in perivascular leukocytosis after intravitreal injection of cGAMP

对玻璃体腔注射cGAMP后的小鼠进行视网膜血管灌注荧光染色,具体的,对小鼠进行麻醉,并通过左心室灌注含有40μg/ml FITC-Con A的生理盐水溶液。收集眼球并将神经视网膜解离用4%多聚甲醛(PFA)固定后,用抗CD45抗体进行免疫荧光染色。Retinal vascular perfusion fluorescence staining was performed on mice injected with cGAMP intravitreally. Specifically, the mice were anesthetized and perfused through the left ventricle with a saline solution containing 40 μg/ml FITC-Con A. The eyeballs were collected and the neural retina was dissociated and fixed with 4% paraformaldehyde (PFA), and then immunofluorescence staining was performed using anti-CD45 antibody.

数据统计:数据呈现形式为平均值+标准方差,数据分析采用student t test方法.*:P<0.05,**:P<0.001,***:P<0.0001。Data statistics: Data were presented in the form of mean + standard deviation, and data were analyzed using the student t test method. *: P < 0.05, **: P < 0.001, ***: P < 0.0001.

血管炎症是许多视网膜血管疾病如糖尿病视网膜病变,年龄相关性黄斑变性,青光眼等共有的病理改变和疾病进展的重要因素。通过视网膜血管灌注荧光染色结果(如图8所示)可以观察到,与玻璃体腔注射PBS的正常对照组小鼠相比,注射cGAMP小鼠视网膜血管周围有大量的CD45阳性的白细胞浸润。Vascular inflammation is an important factor in the pathological changes and disease progression of many retinal vascular diseases such as diabetic retinopathy, age-related macular degeneration, glaucoma, etc. Through the results of retinal vascular perfusion fluorescence staining (as shown in Figure 8), it can be observed that compared with the normal control group mice injected with PBS in the vitreous cavity, there are a large number of CD45-positive leukocytes infiltrating around the retinal blood vessels in the mice injected with cGAMP.

实施例4、cGAMP引起视网膜血管疾病相关基因显著增高Example 4: cGAMP causes a significant increase in retinal vascular disease-related genes

玻璃体腔注射cGAMP后第3天收集视网膜,用TRIZOL法提取总RNA,纯化后外送测序。The retina was collected on the 3rd day after intravitreal injection of cGAMP, and total RNA was extracted using TRIZOL method and sent for sequencing after purification.

测序数据采用Trim Galore v1.18删除Aadapters,使用HISAT2 v2.2.1将原始测序数据定位到GRCm39基因组上,通过featureCounts v2.0.1计算了每千碱基外显子的片段(FPKM),利用DESeq2鉴定对照组和光损伤组之间的差异表达基因(DEGs)(fold change≥2和FDR≤0.05),使用R包“聚类分析器”对基因进行功能富集分析。Trim Galore v1.18 was used to delete Aadapters from the sequencing data. HISAT2 v2.2.1 was used to locate the raw sequencing data to the GRCm39 genome. FeatureCounts v2.0.1 was used to calculate the fragments per kilobase of exon (FPKM). DESeq2 was used to identify differentially expressed genes (DEGs) between the control group and the light-damaged group (fold change ≥ 2 and FDR ≤ 0.05). The R package “cluster analyzer” was used to perform functional enrichment analysis on the genes.

分析结果如图9所示,该结果表明,cGAMP处理激活了先天免疫应答,也导致了涉及抗原呈递(H2-Q6,Cd74,Sh2d1b1)、趋化因子产生(Ccr1,Ccr2)和T细胞激活(Gimap3,Cd3e)的基因上调(图9A);Gene Ontology(GO)分析也表明,cGAMP上调的基因集中在先天免疫、炎症反应、细胞粘附以及抗原呈现和递送通路(图9B-C)。此外,像Ccr1,Tlr8,Icam1,Icam2等基因都已被证实在糖尿病视网膜病变,年龄相关性黄斑变性,青光眼,黄斑中心凹旁毛细血管扩张症,黄斑水肿中高表达,并与疾病进展相关。The analysis results are shown in Figure 9, which show that cGAMP treatment activated the innate immune response and also led to the upregulation of genes involved in antigen presentation (H2-Q6, Cd74, Sh2d1b1), chemokine production (Ccr1, Ccr2) and T cell activation (Gimap3, Cd3e) (Figure 9A); Gene Ontology (GO) analysis also showed that cGAMP-upregulated genes were concentrated in innate immunity, inflammatory response, cell adhesion, and antigen presentation and delivery pathways (Figure 9B-C). In addition, genes such as Ccr1, Tlr8, Icam1, and Icam2 have been confirmed to be highly expressed in diabetic retinopathy, age-related macular degeneration, glaucoma, foveal telangiectasia, and macular edema, and are associated with disease progression.

实施例5、cGAMP诱导小鼠视网膜血管反应的特异性Example 5. Specificity of cGAMP-induced retinal vascular response in mice

cGAS-cGAMP-STING信号通路是2013年首次发现的感知胞质DNA的一条关键固有免疫信号通路,其主要功能是检测细胞质中的DNA,并进而触发干扰素和白介素等促炎基因的表达。其中,外源或内源(细胞核或线粒体)DNA泄露到胞质后,可被cGAS识别并产生第二信使cGAMP,进而激活下游的STING和TBK1并最终导致IRF3、NF-κB等转录因子的激活,诱导促炎因子如Interferonβ,IL6,IL1β的转录表达。The cGAS-cGAMP-STING signaling pathway is a key innate immune signaling pathway that senses cytoplasmic DNA and was first discovered in 2013. Its main function is to detect DNA in the cytoplasm and then trigger the expression of pro-inflammatory genes such as interferon and interleukin. Among them, after exogenous or endogenous (nuclear or mitochondrial) DNA leaks into the cytoplasm, it can be recognized by cGAS and produce the second messenger cGAMP, which in turn activates downstream STING and TBK1 and ultimately leads to the activation of transcription factors such as IRF3 and NF-κB, inducing the transcriptional expression of pro-inflammatory factors such as Interferonβ, IL6, and IL1β.

cGAMP分子的下游是STING,为了验证cGAMP诱导的视网膜血管反应的特异性,本实施例在野生型和STING敲除小鼠玻璃体腔分别注射10mM cGAMP,观察视网膜血管反应。采用眼底照相和荧光素造影进行眼底血管观察。The downstream of cGAMP molecule is STING. In order to verify the specificity of cGAMP-induced retinal vascular response, this example injected 10mM cGAMP into the vitreous cavity of wild-type and STING knockout mice respectively to observe the retinal vascular response. Fundus photography and fluorescein angiography were used to observe the fundus blood vessels.

结果如图10所示,与STING敲除小鼠相比,野生型小鼠视网膜血管管径变大,荧光渗漏。从离体的新鲜的视网膜铺片(图11)可以观察到,与STING敲除小鼠相比,野生型小鼠视网膜有明显的出血点。从视网膜铺片血管标志IB4免疫荧光染色结果(图12)可以看到野生型小鼠视网膜视网膜出现明显的渗漏以及新生血管的生成,而STING敲除小鼠则没有。通过视网膜血管灌注荧光染色结果(图13)可以观察到,STING敲除小鼠视网膜血管周围有大量的CD45阳性的白细胞明显减少。The results are shown in Figure 10. Compared with STING knockout mice, the retinal blood vessels of wild-type mice have larger diameters and fluorescent leakage. From the fresh retinal flat mounts isolated from the body (Figure 11), it can be observed that compared with STING knockout mice, the wild-type mouse retina has obvious hemorrhage spots. From the results of immunofluorescence staining of the vascular marker IB4 in the retinal flat mounts (Figure 12), it can be seen that the retina of wild-type mice has obvious leakage and neovascularization, while STING knockout mice do not. Through the results of retinal vascular perfusion fluorescent staining (Figure 13), it can be observed that the number of CD45-positive leukocytes around the retinal blood vessels of STING knockout mice is significantly reduced.

综上所述,实验结果表明,本申请方法制备得到的视网膜血管性疾病模型小鼠视网膜出现明显的渗出、水肿、新生血管以及血管炎症现象,可将其作为研究视网膜血管性疾病的工具和药物筛选平台。以上结果证明了本发明的方法可在相对短期内得到视网膜血管性疾病的动物疾病模型。In summary, the experimental results show that the retina of the retinal vascular disease model mouse prepared by the method of the present application shows obvious exudation, edema, neovascularization and vascular inflammation, and can be used as a tool for studying retinal vascular diseases and a drug screening platform. The above results prove that the method of the present invention can obtain an animal disease model of retinal vascular diseases in a relatively short period of time.

前述对本申请的具体示例性实施方案的描述是为了说明和例证的目的。这些描述并非想将本申请限定为所公开的精确形式,并且很显然,根据上述教导,可以进行很多改变和变化。对示例性实施例进行选择和描述的目的在于解释本申请的特定原理及其实际应用,从而使得本领域的技术人员能够实现并利用本申请的各种不同的示例性实施方案以及各种不同的选择和改变。本申请的范围意在由权利要求书及其等同形式所限定。The foregoing description of the specific exemplary embodiments of the present application is for the purpose of illustration and illustration. These descriptions are not intended to limit the present application to the precise form disclosed, and it is clear that many changes and variations can be made based on the above teachings. The purpose of selecting and describing the exemplary embodiments is to explain the specific principles of the present application and its practical application, so that those skilled in the art can realize and utilize the various exemplary embodiments of the present application and various selections and changes. The scope of the present application is intended to be limited by the claims and their equivalents.

Claims (10)

1. A method of constructing an animal model of retinal vascular disease, comprising the step of administering cGAMP to an animal.
2. The method of claim 1, wherein the in vivo administration is in vivo injection.
3. The method of claim 2, wherein the in vivo injection is an intraocular injection.
4. A method of construction according to claim 3, wherein the intraocular injection is an intraocular vitreous cavity injection.
5. The method of claim 4, wherein the intravitreal injection is: after the animals were anesthetized, the pupils of the animals were dispersed and cGAMP solution was injected into the vitreous cavity of the eye along the limbal opening.
6. The method of claim 1-5, wherein the animal is a mouse.
7. An animal model of retinal vascular disease, characterized in that the animal model is constructed by the method of any one of claims 1-6.
8. Use of the animal model of claim 7 in the evaluation or screening of a medicament for the treatment of retinal vascular diseases.
Use of cGAMP in the construction of an animal model of retinal vascular disease, comprising the step of administering cGAMP to the animal in vivo.
10. The use according to claim 9, wherein said in vivo administration is an in vivo injection. Preferably, the in vivo injection is an intraocular injection; more preferably, the intraocular injection is an intraocular vitreous cavity injection.
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