Evidence mapPaperPMID 41400316Full record

ArticleInvestigative ophthalmology & visual science2025

Chronic Restraint Stress Misaligns Corneal Clock via β-Adrenergic and Glucocorticoid Signaling, Altering Epithelial, Neural, Immune, Metabolic States.

Shuting Xuan, Tingting Yang, Mengru Ba, Wenxiao Zhang, Jingwen Yang, Xiaoting Pei, Di Qi, Dingli Lu, Shenzhen Huang, Zhijie Li

Abstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Shuting XuanDepartment of Ophthalmology, People's Hospital of Henan University, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Tingting YangDepartment of Ophthalmology, People's Hospital of Henan University, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Mengru BaDepartment of Ophthalmology, People's Hospital of Zhengzhou University, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Wenxiao ZhangDepartment of Ophthalmology, People's Hospital of Zhengzhou University, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Jingwen YangHenan Eye Institute, Henan Eye Hospital, and Henan Key Laboratory of Ophthalmology and Visual Science, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, China.
Xiaoting PeiHenan Eye Institute, Henan Eye Hospital, and Henan Key Laboratory of Ophthalmology and Visual Science, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, China.
Di QiHenan Eye Institute, Henan Eye Hospital, and Henan Key Laboratory of Ophthalmology and Visual Science, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, China.
Dingli LuHenan Eye Institute, Henan Eye Hospital, and Henan Key Laboratory of Ophthalmology and Visual Science, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, China.
Shenzhen HuangHenan Eye Institute, Henan Eye Hospital, and Henan Key Laboratory of Ophthalmology and Visual Science, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, Henan, China.
Zhijie LiDepartment of Ophthalmology, People's Hospital of Henan University, Henan Provincial People's Hospital, Zhengzhou, Henan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To determine whether chronic restraint stress (RS), a validated model of chronic psychological stress, disrupts the corneal circadian transcriptome and alters epithelial, neural, immune, and metabolic outputs, and to distinguish the relative contributions of β-adrenergic and glucocorticoid signaling. Methods: Male C57BL/6J mice were subjected to RS for 2 h/day at ZT3 (Zeitgeber Time 3) for 14 consecutive days. Cohorts received either propranolol, metyrapone, or no intervention; non-stressed littermates served as controls. Systemic stress activation was confirmed via plasma levels of adrenocorticotropic hormone, corticosterone, epinephrine, and norepinephrine, along with superior cervical ganglion and adrenal gene expression. Whole corneas were collected every three hours over a 24-hour cycle (ZT0-ZT21) and analyzed by bulk RNA sequencing. Rhythmic transcripts were identified using JTK_CYCLE; differential gene screening was performed using DESeq2. Epithelial mitoses, immune-cell counts, ZO-1/occludin expression, subbasal nerve architecture, and Cochet-Bonnet corneal sensitivity were assessed. Results: RS induced a broad phase advance and amplitude attenuation of rhythmic genes, with downstream reprogramming of immune, proliferative, and metabolic pathways. Phenotypically, RS increased corneal mechanical sensitivity, reduced neutrophil and γδ T-cell counts, elevated epithelial mitotic activity, and diminished ZO-1/occludin expression, whereas subbasal nerve length remained unaffected. Propranolol partially restored circadian phase alignment and improved epithelial and metabolic parameters; metyrapone preferentially enhanced immune-related gene activity and immune-cell abundance. Conclusions: RS disrupts corneal circadian output and impairs epithelial, immune, and metabolic homeostasis via β-adrenergic and glucocorticoid mechanisms. Temporal targeting of these neuroendocrine pathways may represent a strategy to mitigate stress-induced ocular-surface dysfunction.

Indexed as

Circadian ClocksCircadian RhythmCorneaEpithelium, CornealGlucocorticoidsReceptors, Adrenergic, betaStress, PsychologicalAdrenergic beta-AntagonistsAnimalsDisease Models, AnimalMaleMiceMice, Inbred C57BLRestraint, PhysicalSignal TransductionAdrenergic beta-AntagonistsGlucocorticoidsReceptors, Adrenergic, beta

Identifiers

PMID41400316
PMCPMC12720190

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.