Evidence map›Paper›PMID 42545197›Full record

ArticleFASEB journal : official publication of the Federation of American Societies for Experimental Biology2026

Role of Autophagy in Scleral Remodeling During Form-Deprivation Myopia.

Jing Wen, Shibo Tang, Xiaoxiao Zhang

Abstract read
In one paragraph

Article in FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Jing WenAier Eye Hospital, Jinan University, Guangzhou, China.ORCID https://orcid.org/0009-0004-7775-9688
Shibo TangAier Eye Hospital, Jinan University, Guangzhou, China.
Xiaoxiao ZhangAier Eye Hospital, Jinan University, Guangzhou, China.

Funding

Guangzhou Aier Eye Hospital Scientific Research Fund GAZD2024003HSTD | Natural Science Foundation of Hunan Province () 2024JJ9009Jinan University (JNU) 2023A03J0586
6 · The paper itself

Abstract

Autophagy has been implicated in tissue remodeling, but its role in scleral remodeling during myopia development and in atropine-mediated myopia control remains unclear. We investigated this issue using complementary in vitro and in vivo models. Human scleral fibroblasts (HSFs) were exposed to hypoxia and treated with rapamycin (RAPA) or 3-methyladenine (3-MA). Beclin-1 knockdown and bafilomycin A1 (BafA1)-based LC3B II accumulation assays were used to assess the functional contribution of autophagy and autophagic flux. In vivo, form-deprivation myopia (FDM) was induced in guinea pigs, followed by atropine, RAPA, or 3-MA intervention. Refractive error, axial length, scleral histology, extracellular matrix remodeling, autophagy-related markers, and AMPK/mTOR/P70S6K signaling were evaluated. Hypoxia induced a remodeling phenotype in HSFs, characterized by decreased COL1A1 and increased MMP2/α-SMA, accompanied by increased autophagy. 3-MA attenuated these changes, whereas RAPA aggravated them. Beclin-1 knockdown similarly suppressed hypoxia and RAPA-associated remodeling changes and reduced autophagic flux, supporting a functional role of autophagy in hypoxia-induced scleral fibroblast remodeling. In FDM guinea pigs, scleral tissue showed increased HIF-1α expression, autophagy activation, and extracellular matrix remodeling. Both 0.05% and 1% atropine slowed myopia progression and axial elongation, improved scleral structural abnormalities, and suppressed autophagy-related changes, with no significant difference between the two concentrations. Subconjunctival RAPA exacerbated, whereas 3-MA alleviated, myopia progression and scleral remodeling. These findings suggest that excessive scleral autophagy links hypoxic stress to scleral extracellular matrix remodeling in experimental myopia. This process may also contribute to the anti-myopic action of atropine.

Indexed as

AutophagyMyopiaScleraAdenineAnimalsAtropineBeclin-1FibroblastsGuinea PigsHumansMaleSignal TransductionSirolimus3-methyladenineAdenineAtropineBeclin-1SirolimusAMPK/mTORatropineautophagymyopiascleral remodeling

Identifiers

PMID42545197
PMCPMC13431143

What Socratic holds

Textmetadata
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.