Evidence map›Paper›PMID 40581139›Full record

ArticleExperimental eye research2025

L-carnitine partially restores adherens junction integrity and promotes wound healing in human corneal epithelial cells exposed to hyperosmolar stress.

Richard Kontoh-Twumasi, Antonella Aliste, Alex Scheid, Joshua Glass, Ashok Sharma, Shruti Sharma

Abstract read
In one paragraph

Article in Experimental eye research, 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
  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

6 authors.

Richard Kontoh-TwumasiCenter for Biotechnology and Genomic Medicine, Augusta University, Augusta, GA, USA; Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA.
Antonella AlisteCenter for Biotechnology and Genomic Medicine, Augusta University, Augusta, GA, USA; Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA.
Alex ScheidCenter for Biotechnology and Genomic Medicine, Augusta University, Augusta, GA, USA; Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA.
Joshua GlassCenter for Biotechnology and Genomic Medicine, Augusta University, Augusta, GA, USA; Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA.
Ashok SharmaCenter for Biotechnology and Genomic Medicine, Augusta University, Augusta, GA, USA; Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA; Department of Ophthalmology, Augusta University, Augusta, GA, USA.
Shruti SharmaCenter for Biotechnology and Genomic Medicine, Augusta University, Augusta, GA, USA; Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA; Department of Ophthalmology, Augusta University, Augusta, GA, USA. Electronic address: shsharma@augusta.edu.

Funding

Sex-specific Influences on tear microRNAs in dry eye diseaseR01EY036114 · NEI · AUGUSTA UNIVERSITY · PI Ashok Sharma, Shruti Sharma · 2024 to 2026
$1.6M
NEI NIH HHS R01 EY036114
6 · The paper itself

Abstract

Disruption of tear film homeostasis and increased osmolarity are key features of dry eye disease (DED), leading to inflammation, epithelial barrier dysfunction, and ocular surface damage. Adherens junctions, primarily composed of cadherins and catenins, are essential for maintaining epithelial integrity and modulating signaling pathways that regulate cell proliferation and migration. This study investigates the effects of hyperosmolarity on adherens junction proteins and wound healing, as well as the therapeutic potential of L-carnitine (LCAR) in mitigating these effects. To induce hyperosmolar stress, telomerase-immortalized human corneal epithelial cells (hTCEpi) were treated with 70, 90, and 120 mM NaCl, resulting in final osmolarities of approximately 450, 490, and 550 mOsM, respectively. LCAR supplementation (200 mM) was evaluated as a potential osmoprotective therapy. Hyperosmolarity caused a dose-dependent reduction in trans-epithelial resistance (TER), with a 30-69 % decline across treatment groups, along with significantly impaired cell migration. Adherens junction proteins (E-cadherin, β-catenin, and p120-catenin) were downregulated, while α-catenin was upregulated. Notably, L-carnitine treatment alleviated these effects, significantly restoring TER and adherens junction protein levels to near-normal. These findings demonstrate that hyperosmolarity impairs corneal epithelial barrier function and delays wound healing by altering adherens junction complex. Our results highlight the potential of L-carnitine as a therapeutic agent to restore epithelial barrier integrity and mitigate hyperosmolarity-induced damage in DED.

Indexed as

Adherens JunctionsCarnitineDry Eye SyndromesEpithelium, CornealOsmotic PressureWound HealingBlotting, WesternCadherinsCell MovementCells, CulturedHumansOsmolar ConcentrationCadherinsCarnitineAdherens junctionsCorneal epitheliumDry eye diseaseHyperosmolarityL-carnitine

Identifiers

PMID40581139
PMCPMC13270672

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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 OpenQuestion graph.