Evidence map›Paper›PMID 40856653›Full record

ArticleInvestigative ophthalmology & visual science2025

Single-Cell Transcriptomics Reveals Effects of Long-Term Contact Lens Wearing on the Human Corneal Epithelium.

Xiaowen Zhang, Di Sun, Ting Liu, Ning Wang, Shengqian Dou, Qun Wang, Dewei Li, Yi Song, Le Tian, Luqin Wan and 1 more

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
  2. Review
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

11 authors.

Xiaowen ZhangEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Di SunEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Ting LiuEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Ning WangEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Shengqian DouEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Qun WangEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Dewei LiEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Yi SongEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Le TianEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Luqin WanEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Min ChenEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Corneal contact lenses (CLs) are increasingly used as a treatment for myopia correction. This study aimed to elucidate the molecular mechanisms underlying corneal epithelial pathological changes induced by long-term CL wear, thereby providing potential targets for the prevention and management of CL-related corneal complications. Methods: We initially conducted single-cell RNA sequencing on intact corneal epithelium samples obtained from myopic patients with prolonged CL wear and nonwearing controls. Differential expression analysis and functional enrichment systematically characterized cell type-specific transcriptional changes between the two groups. Additionally, gene set expression scoring analysis, combined with experimental validation, revealed distinct pathological signatures associated with long-term CL use. Results: Our analysis revealed a significant increase in epithelial keratinization and enhanced chronic inflammatory response in the CL group. All epithelial cell types exhibited elevated senescence scores following prolonged CL wear. Furthermore, we detected a significant upregulation of hypoxia-related genes in the corneal epithelium of CL wearers, accompanied by metabolic impairment and dysfunction. Moreover, most typical angiogenesis- and neurodegeneration-related genes showed significantly higher expression levels in the corneal epithelium after extended CL use. Conclusions: Long-term wear of CLs may induce various manifestations in corneal epithelial cells, including keratinization, inflammatory response, aerobic metabolic impairment, cellular senescence, neovascularization, and corneal sensory abnormalities. These changes could compromise ocular surface barrier function and increase the risk of infectious keratitis.

Indexed as

Contact LensesContact Lenses, Extended-WearEpithelium, CornealGene Expression RegulationMyopiaTranscriptomeAdultFemaleGene Expression ProfilingHumansMaleMiddle AgedSingle-Cell AnalysisYoung Adult

Identifiers

PMID40856653
PMCPMC12395845

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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.