Evidence map›Paper›PMID 41980459›Full record

ArticleRedox biology2026

Quercetin improves retinal glycolysis to slow myopia progression through orchestrating the AKT/FOXO/HK2 axis.

Ruixue Zhang, Miao Zhang, Yunxiao Xie, Huixia Wei, Zhaohui Yang, Ying Wen, Jiawen Hao, Yongle Du, Yuanting Yang, Xuewei Yin and 4 more

Abstract read
In one paragraph

Article in Redox biology, 2026. 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. Role of Autophagy in Scleral Remodeling During Form-Deprivation Myopia.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  2. Article
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

14 authors.

Ruixue ZhangShandong University of Traditional Chinese Medicine, Jinan, 250002, China; School of Ophthalmology, Shandong First Medical University & Shandong Academy of Medical Science, Jinan, 250000, China.
Miao ZhangShandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Yunxiao XieAffiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Huixia WeiAffiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Zhaohui YangShandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Ying WenAffiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Jiawen HaoShandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Yongle DuShandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Yuanting YangShandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Xuewei YinAffiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Yinqiao ZhangAffiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Wenjun JiangMedical College of Optometry and Ophthalmology, Shandong University of Traditional Chinese Medicine, Jinan, 250002, China.
Hongsheng BiAffiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250002, China; Medical College of Optometry and Ophthalmology, Shandong University of Traditional Chinese Medicine, Jinan, 250002, China. Electronic address: azuresky1999@163.com.
Dadong GuoMedical College of Optometry and Ophthalmology, Shandong University of Traditional Chinese Medicine, Jinan, 250002, China; Shandong Provincial Key Laboratory of Integrated Traditional Chinese and Western Medicine for Prevention and Therapy of Ocular Diseases, Shandong Academy of Eye Disease Prevention and Therapy, Jinan, 250002, China. Electronic address: dadonggene@sdutcm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMyopia is a major global public health issue. The retina relies on glycolysis to maintain its normal physiological functions and is vulnerable to oxidative damage. However, the effects of altered glycolysis on myopia progression remain poorly understood. This study aimed to explore how oxidative damage caused by changes in retinal glycolysis promotes myopia and evaluate the potential of quercetin in alleviating this process.

methodsWe used single-cell RNA sequencing to analyze the retinas of myopic guinea pigs, followed by proteomic and phosphoproteomic profiling to identify differentially expressed proteins. We investigated the regulatory role of the AKT/FOXO/HK2 pathway in glycolysis via coimmunoprecipitation and dual-luciferase assays. Additionally, we assessed the role of glycolysis in myopia by overexpressing HK2 and using 2-deoxy-d-glucose (2DG). The effects of neuronal injury on myopia progression were explored using Fos overexpression and knockdown. Finally, after quercetin intervention, we conducted metabolomic analysis and measured retinal mitochondrial pressure and glycolysis rate to evaluate their effects on retinal metabolism.

resultsMultiomics analysis showed that the AKT/FOXO/HK2 pathway suppresses glycolysis during myopia progression. Protein interaction and dual-luciferase assays confirmed that reduced glycolysis promotes oxidative phosphorylation, leading to retinal oxidative damage and accelerating the progression of myopia. Quercetin treatment inhibited the AKT/FOXO/HK2 axis, restored mitochondrial oxygen consumption and glycolysis rates, and mitigated oxidative damage, which subsequently suppressed the activation of stress-responsive Fos. Furthermore, Fos overexpression amplified retinal neuronal injury, apoptosis, and mitochondrial damage to drive myopia progression. Inhibiting Fos expression or quercetin treatment alleviated neuronal injury and apoptosis, thereby inhibiting myopia progression.

conclusionOur findings suggest that quercetin may attenuate myopia progression, at least in part, by modulating the AKT/FOXO/HK2 axis to restore retinal glycolysis, thereby reducing oxidative stress and mitigating retinal neuronal damage and apoptosis. This study lays the groundwork for further exploration metabolic reprogramming in myopia pathogenesis.

Indexed as

Forkhead Transcription FactorsGlycolysisHexokinaseMyopiaProto-Oncogene Proteins c-aktQuercetinRetinaAnimalsDisease Models, AnimalDisease ProgressionGuinea PigsHumansMaleOxidative StressProteomicsSignal TransductionForkhead Transcription FactorsHexokinaseProto-Oncogene Proteins c-aktQuercetinGlycolysisMyopiaNeuronOxidative damageSingle-cell RNA sequencing

Identifiers

PMID41980459
PMCPMC13092674

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.