Treatment adherence
How might atropine slow experimental myopia?
Open access · cc by · source: Europe PMC
In form-deprived mice, atropine drops cut axial elongation and ECM remodeling, restored choroid/sclera thickness and CVI, lowered HIF-1α, and protected hypoxic scleral fibroblasts via P53/β-catenin pathways.
Study at a glance
- Design
- Animal / in-vitro — Form-deprivation myopia in C57BL/6 mice ± 10 mg/mL atropine drops TID; plus hypoxic MSF culture with Na2S2O4 then atropine
- N
- N=16 · N=4 mice per group × 4 groups (mock, atropine, FDM, FDM+atropine); in-vitro MSFs additional
- Population
- Male C57BL/6 mice (3 weeks) with monocular form deprivation and primary mouse scleral fibroblasts
- Outcome
- Axial length, ECM/collagen, choroid/sclera thickness, CVI, HIF-1α, and fibroblast signaling
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Key findings
Atropine reduced FDM axial elongation and scleral collagen-volume-fraction remodeling, restored choroidal and scleral thickness, increased CVI (central/intermediate), reduced HIF-1α, and in vitro preserved fibroblast cytoskeleton while modulating P53 and β-catenin.
Methodology
Covered one eye of 3-week C57BL/6 males (N=4/group) and gave saline or 10 mg/mL atropine TID for 21 days; measured ocular morphology, CVF, CVI, and ECM/HIF-1α. In vitro, MSFs were made hypoxic with Na2S2O4 then treated with atropine.
Limitations
N=4/group is small; 10 mg/mL in mice is not the 0.01% pediatric drop used clinically, and human choroidal-flow causality is not proven here.
How this study connects
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