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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1082997</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2022.1082997</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The adenosine A<sub>2A</sub> receptor antagonist KW6002 distinctly regulates retinal ganglion cell morphology during postnatal development and neonatal inflammation</article-title>
<alt-title alt-title-type="left-running-head">Hu et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2022.1082997">10.3389/fphar.2022.1082997</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Hu</surname>
<given-names>Shisi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Li</surname>
<given-names>Yaoyao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2133404/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Yuanjie</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shi</surname>
<given-names>Ruyi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tang</surname>
<given-names>Ping</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Di</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kuang</surname>
<given-names>Xiuli</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Jiangfan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/389197/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Qu</surname>
<given-names>Jia</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1588792/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Gao</surname>
<given-names>Ying</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1985016/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>The Molecular Neuropharmacology Laboratory and the Eye-Brain Research Center</institution>, <institution>State Key Laboratory of Ophthalmology</institution>, <institution>Optometry and Visual Science</institution>, <institution>Wenzhou Medical University</institution>, <addr-line>Wenzhou</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>State Key Laboratory of Ophthalmology</institution>, <institution>Optometry and Visual Science</institution>, <institution>Wenzhou Medical University</institution>, <addr-line>Wenzhou</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>School of Ophthalmology and Optometry and Eye Hospital</institution>, <institution>Wenzhou Medical University</institution>, <addr-line>Wenzhou</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Hainan Eye Hospital and Key Laboratory of Ophthalmology</institution>, <institution>Zhongshan Ophthalmic Center</institution>, <institution>Sun Yat-sen University</institution>, <addr-line>Haikou</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/563292/overview">Yong Tang</ext-link>, Chengdu University of Traditional Chinese Medicine, China</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/6818/overview">Ana Raquel Santiago</ext-link>, University of Coimbra, Portugal</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/515530/overview">Paulo Fernando Santos</ext-link>, University of Coimbra, Portugal</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Ying Gao, <email>gaoying105@163.com</email>; Jia Qu, <email>jia.qu@163.com</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work and share first authorship</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Experimental Pharmacology and Drug Discovery, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>1082997</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>10</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>12</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Hu, Li, Zhang, Shi, Tang, Zhang, Kuang, Chen, Qu and Gao.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Hu, Li, Zhang, Shi, Tang, Zhang, Kuang, Chen, Qu and Gao</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Adenosine A<sub>2A</sub> receptors (A<sub>2A</sub>Rs) appear early in the retina during postnatal development, but the roles of the A<sub>2A</sub>Rs in the morphogenesis of distinct types of retinal ganglion cells (RGCs) during postnatal development and neonatal inflammatory response remain undetermined. As the RGCs are rather heterogeneous in morphology and functions in the retina, here we resorted to the Thy1-YFPH transgenic mice and three-dimensional (3D) neuron reconstruction to investigate how A<sub>2A</sub>Rs regulate the morphogenesis of three morphologically distinct types of RGCs (namely Type I, II, III) during postnatal development and neonatal inflammation. We found that the A<sub>2A</sub>R antagonist KW6002 did not change the proportion of the three RGC types during retinal development, but exerted a bidirectional effect on dendritic complexity of Type I and III RGCs and cell type-specifically altered their morphologies with decreased dendrite density of Type I, decreased the dendritic field area of Type II and III, increased dendrite density of Type III RGCs. Moreover, under neonatal inflammation condition, KW6002 specifically increased the proportion of Type I RGCs with enhanced the dendrite surface area and volume and the proportion of Type II RGCs with enlarged the soma area and perimeter. Thus, A<sub>2A</sub>Rs exert distinct control of RGC morphologies to cell type-specifically fine-tune the RGC dendrites during normal development but to mainly suppress RGC soma and dendrite volume under neonatal inflammation.</p>
</abstract>
<kwd-group>
<kwd>adenosine A<sub>2A</sub> receptor</kwd>
<kwd>retinal ganglion cell</kwd>
<kwd>morphology</kwd>
<kwd>3D reconstruction</kwd>
<kwd>development</kwd>
<kwd>neonatal inflammation</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Adenosine, an endogenous nucleoside, is a neuromodulator and intracellular messenger, which is widely present in the central nervous system, including the retina. Adenosine can modulate neuronal excitability, neurotransmitter release and synaptic activity by acting at four subtypes of adenosine receptors, namely A1, A<sub>2A</sub>, A<sub>2B</sub>, and A3 receptors (<xref ref-type="bibr" rid="B12">Chen et al., 2013</xref>). Among them, adenosine A<sub>2A</sub> receptor (A<sub>2A</sub>R) appears early in the retina during development, which is detected at embryonic day 6 in chick embryo retina (<xref ref-type="bibr" rid="B10">Brito et al., 2012</xref>) and is also expressed widely in the retina, such as photoreceptors, inner nuclear layer neurons, starburst amacrine cells and retinal ganglion cells (RGCs). Previous studies have shown that the retinal A<sub>2A</sub>Rs exert control of dark-adaption in regulating photoreceptor coupling (<xref ref-type="bibr" rid="B24">Li et al., 2013</xref>), expression of rod opsin mRNA in tiger salamander (<xref ref-type="bibr" rid="B4">Alfinito et al., 2002</xref>), the release of glutamate from rod photoreceptors (<xref ref-type="bibr" rid="B36">Stella et al., 2003</xref>), the generation of the electroretinogram a- and b-waves and oscillatory potentials (OPs) (<xref ref-type="bibr" rid="B21">Jonsson and Eysteinsson, 2017</xref>) and the generation and modulation of retinal waves (<xref ref-type="bibr" rid="B19">Huang et al., 2014</xref>).</p>
<p>Both <italic>in vitro</italic> and <italic>in vivo</italic> studies have revealed that A<sub>2A</sub>Rs play important roles in brain development (<xref ref-type="bibr" rid="B34">Silva et al., 2013</xref>; <xref ref-type="bibr" rid="B30">Ribeiro et al., 2016</xref>; <xref ref-type="bibr" rid="B3">Alcada-Morais et al., 2021</xref>). Our previous study has found that A<sub>2A</sub>Rs modulate microglia-mediated synaptic pruning of the retinogeniculate pathway in the dorsal lateral geniculate during postnatal development (<xref ref-type="bibr" rid="B28">Miao et al., 2021</xref>). However, the exact role of the A<sub>2A</sub>Rs on the development of retinal neurons including different RGC types is still not known. The RGCs are rather heterogeneous and have been classified into over 30 different types, based on their dendritic anatomies, functional characteristics or transcriptomic features (<xref ref-type="bibr" rid="B5">Baden et al., 2016</xref>; <xref ref-type="bibr" rid="B6">Bae et al., 2018</xref>; <xref ref-type="bibr" rid="B18">Goetz et al., 2022</xref>; <xref ref-type="bibr" rid="B20">Huang et al., 2022</xref>). Furthermore, retinal A<sub>2A</sub>Rs also participate in not only the normal retinal development but also the development under pathological processes in the retina, such as neuroinflammation and inflammation-associated retinal degeneration. While the involvement of adenosine and A<sub>2A</sub>R in the regulation of brain microglia in two neonatal rat models of neuroinflammation (<xref ref-type="bibr" rid="B13">Colella et al., 2018</xref>) has been studied, much less attention has been paid to the effects of A<sub>2A</sub>Rs on the development of RGCs after neonatal inflammation.</p>
<p>In the present study, we investigated how A<sub>2A</sub>Rs regulate the morphology of RGCs during retinal development and neonatal inflammation, using the Thy1-YFPH transgenic mice coupled with three-dimensional (3D) neuron reconstruction method. We demonstrated that during normal development, the A<sub>2A</sub>R antagonist KW6002 mainly decreased RGC morphogenesis as evident by the reduced dendritic field area of Type II and III RGCs, and the reduced dendrite density of Type I but with the increased the dendrite density of Type III RGCs. Moreover, under neonatal inflammation, KW6002 specifically increased the proportion of Type I RGCs with enhanced the dendrite surface area and volume and the proportion of Type II RGCs with enlarged the soma area and perimeter. Thus, A<sub>2A</sub>Rs distinctly regulate RGC morphologies by fine-tuning the RGC dendrites in a cell type-specific manner during normal development, but mainly suppressing RGC soma and dendrite volume under neonatal inflammation.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<sec id="s2-1">
<title>2.1 Animals</title>
<p>All animal protocols were approved by the Animal Care Committee of Wenzhou Medical University. The YFPH line of transgenic mice was obtained from the Jackson Laboratory (strain: B6. Cg-Tg (Thy1-YFPH) 2Jrs/J; Bar Harbor, Maine). All mice were given <italic>ad libitum</italic> access to food and water under a 12&#xa0;h light/dark cycle with 50&#x2013;60% humidity. The day of birth was counted as postnatal day 0 (P0).</p>
<p>The littermates of the Thy1-YFPH mice were randomly divided into two groups. Pups received intraperitoneal (IP) injections of the A<sub>2A</sub>R antagonist KW6002 (10&#xa0;mg/kg body weight, freshly prepared in dimethyl sulfoxide (DMSO, Sigma), ethoxylated castor oil (Sigma), and phosphate-buffered saline (PBS) with a proportion of 15%:15%:70% (<xref ref-type="bibr" rid="B28">Miao et al., 2021</xref>)) every day from P4 to P6. The control group was administered the corresponding vehicle in the same volume. The neonatal inflammation was induced in Thy1-YFPH mice by an intraperitoneal injection of lipopolysaccharide (LPS, 1&#xa0;mg/kg, <italic>E. coli</italic> 055: B5; Sigma) 4&#xa0;min after KW6002 treatment at P4.</p>
</sec>
<sec id="s2-2">
<title>2.2 Immunohistochemistry of retinal whole-mounts</title>
<p>Immunohistochemistry experiments were carried out as previously described (<xref ref-type="bibr" rid="B17">Gao et al., 2018</xref>). Briefly, after the Thy1-YFPH mice were anesthetized, the eyes were enucleated on P21 and fixed in 4% paraformaldehyde (PFA) for 30&#xa0;min. The retinas were isolated from eyeballs, fixed in 4% PFA for additional 10&#xa0;min, and incubated with 3% H<sub>2</sub>O<sub>2</sub> for 20&#xa0;min. After being blocked in a blocking solution (5% normal donkey serum plus 1% BSA, 0.2% glycine, 0.2% lysine, and 0.3% Triton X-100) for 2&#xa0;h at room temperature, retinas were incubated with goat polyclonal antibodies against GFP (1:500, NB100-1770, Novus Biologicals) for 2&#xa0;days at 4&#xb0;C. Then the retinas were sequentially incubated with the biotinylated donkey anti-goat antibodies, the avidin-biotin complex (Vectastain ABC Elite Kit; Vector Laboratories, USA), the 3,3&#x2032;-diaminobenzidine (DAB tablets, Sigma), and finally flat-mounted on glass slides with aqueous mounting medium (IMMCO Diagnostics, Inc).</p>
</sec>
<sec id="s2-3">
<title>2.3 3D reconstruction and quantitative morphometry</title>
<p>The fully and strongly stained YFP-positive RGCs (that achieve the standard for the detailed morphological analyses) were randomly selected and reconstructed, while those with faint staining and uncompleted structure were discarded. The morphology of RGCs was reconstructed by using Neurolucida system (MicroBrightField Inc., USA) and a bright-field light microscope (Zeiss, Germany) at a magnification of &#xd7;63, as previously described (<xref ref-type="bibr" rid="B17">Gao et al., 2018</xref>). A battery of morphological parameters were extracted from 251 fully reconstructed RGCs by the NeuroExplorer (MicroBrightField Inc., USA). Sholl analysis on dendrites of RGCs was also performed using &#x201c;Sholl Analysis&#x201d; in Neuroexplorer (<xref ref-type="bibr" rid="B33">Sholl, 1953</xref>). The spatial distributions of dendritic intersection with the concentric circles were quantified in terms of stepped distance circle regions (10&#xa0;&#x3bc;m) from the soma.</p>
</sec>
<sec id="s2-4">
<title>2.4 Statistical analysis</title>
<p>Results were expressed as mean &#xb1; standard error of mean (SEM). Kruskal-Wallis one-way ANOVA (k samples), independent Student&#x2019;s <italic>t</italic>-test and chi-square test were performed by SPSS 26. The significant level was set at <italic>p</italic> &#x3c; 0.05 for all comparisons.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 The A<sub>2A</sub>R antagonist KW6002 did not alter the proportion of RGC morphological types during the development</title>
<p>Since the RGCs are rather heterogeneous in the retina, we take advantage of the Thy-1 YFPH transgenic line, which expresses the yellow fluorescent protein (YFP) only in a fraction of RGCs (<xref ref-type="bibr" rid="B7">Barnstable and Dr&#xe4;ger, 1984</xref>; <xref ref-type="bibr" rid="B16">Feng et al., 2000</xref>), to study the effect of A<sub>2A</sub>R on the development of RGCs. During retinal development, Thy-1 YFPH neonates received intraperitoneal injections of the A<sub>2A</sub>R antagonist KW6002 from P4 to P6 and were sacrificed at P21 <bold>(</bold>
<xref ref-type="fig" rid="F1">Figure 1A</xref>). 3D reconstruction of well-stained YFP<sup>&#x2b;</sup> cells (n &#x3d; 120 cells) for detailed morphometric analyses was performed in the retina at P21 <bold>(</bold>
<xref ref-type="fig" rid="F1">Figure 1B</xref>). As described previously, we classified these Thy1-positive RGCs labeled with YFP into three major morphological classes (Type I, II and III), based on the morphological features of the dendritic field and dendrite density (<xref ref-type="bibr" rid="B17">Gao et al., 2018</xref>). Type I had a small dendritic field area and high dendrite density, whereas Type III had a large dendritic field area but low dendrite density. Type II was just between Type I and III <bold>(</bold>
<xref ref-type="fig" rid="F1">Figure 1C</xref>). The quantitative analysis further confirmed the significant differences among the three RGC types (&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001, <xref ref-type="fig" rid="F1">Figures 1D,E</xref>). Compositions of the three RGC types were similar between the KW6002-treated and control groups (Type I: control, n &#x3d; 12, 22.22% vs. KW6002, n &#x3d; 22, 33.33%; Type II: control, n &#x3d; 26, 48.15% vs. KW6002, n &#x3d; 30, 45.45%; Type III: control, n &#x3d; 16, 29.63% vs. KW6002, n &#x3d; 14, 21.21%; <italic>p</italic> &#x3e; 0.05; <xref ref-type="fig" rid="F1">Figure 1F</xref>). Therefore, KW6002 had no effect on the proportion of these RGC morphological types during retinal development.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>The effect of A<sub>2A</sub>R antagonist KW6002 on the proportion of different morphological types of RGCs during the development. <bold>(A)</bold> Timeline of KW6002 (or vehicle) administration in transgenic Thy-1 YFPH mice. <bold>(B)</bold> Representative flat-mounted whole retina showing three different morphological types of RGCs in different colors from transgenic Thy-1 YFPH mice (red, Type I; blue, Type II; green, Type III). The morphology of an individual RGC was revealed by immunohistochemistry and reconstructed by the Neurolucida system. Scale bar, 500&#xa0;&#x3bc;m. <bold>(C)</bold> Representative 3D reconstructions of the three morphological types of RGCs as shown in B. Scale bar, 100&#xa0;&#x3bc;m.<bold>(D,E)</bold> Quantitative evaluation of dendritic field area <bold>(D)</bold> and dendrite density <bold>(E)</bold> among different morphological types of RGCs. <bold>(F)</bold> The proportion of different morphological types of RGCs from the control and KW6002-treated mice during the development. Values are mean &#xb1; SEM; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001. 54 RGCs from six retinas (3 vehicle-treated mice) and 66 RGCs from eight retinas (4 KW6002-treated mice) were analyzed in the control and KW6002-treated group, respectively. On average, nine RGCs were analyzed in each eye in the control group, while 8.25 RGCs per eye were analyzed in KW6002-treated group.</p>
</caption>
<graphic xlink:href="fphar-13-1082997-g001.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 KW6002 mainly decreased RGC morphogenesis by the reduced dendritic field area of Type II and III RGCs, and the reduced dendrite density of Type I but with the increased dendrite density of Type III RGCs</title>
<p>The RGC somata have different shapes, such as triangular, round, and oval. RGCs with different morphological shapes are used to the different parameters. We firstly studied the somatic development of RGCs and found that KW6002 significantly increased the soma area by 18.69% in Type I (control, 244.04 &#xb1; 15.10&#xa0;&#x3bc;m<sup>2</sup> vs. KW6002, 289.66 &#xb1; 13.04&#xa0;&#x3bc;m<sup>2</sup>; &#x2a;<italic>p</italic> &#x3c; 0.05; <xref ref-type="fig" rid="F2">Figures 2A,B</xref> and <xref ref-type="sec" rid="s11">Supplementary Table S1</xref>), while no significant effect was found on Type II and III (<italic>p</italic> &#x3e; 0.05; <xref ref-type="fig" rid="F2">Figures 2A,B</xref>). Meanwhile, no significant difference was found in the soma perimeter of the three morphological types of RGCs by KW6002 (<italic>p</italic> &#x3e; 0.05; <xref ref-type="fig" rid="F2">Figures 2A,C</xref>). These results indicate that A<sub>2A</sub>Rs can differentially modulate the somatic development of RGCs during retinal development.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>The effect of KW6002 on the somatic morphology of the three RGC types during the development. <bold>(A)</bold> Representative pictures of somata in each RGC type examined from vehicle -treated and KW6002-treated group. Scale bar, 20&#xa0;&#x3bc;m. <bold>(B</bold>,<bold>C)</bold> Comparative analysis of soma area <bold>(B)</bold> and perimeter <bold>(C)</bold> of different RGC types between vehicle-treated and KW6002-treated mice. Data represent mean &#xb1; SEM. &#x2a;<italic>p</italic> &#x3c; 0.05.</p>
</caption>
<graphic xlink:href="fphar-13-1082997-g002.tif"/>
</fig>
<p>We further compared the morphological features of dendrites, such as dendritic field area, dendrite density, segment number, length, surface area and volume etc, between the two groups (<xref ref-type="fig" rid="F3">Figure 3</xref>). The dendritic field area was diminished by 10.13% and 10.99%, respectively, in Type II (control, 78,610.04 &#xb1; 2295.94&#xa0;&#x3bc;m<sup>2</sup> vs. KW6002, 70,646.83 &#xb1; 2472.02&#xa0;&#x3bc;m<sup>2</sup>; &#x2a;<italic>p</italic> &#x3c; 0.05; <xref ref-type="fig" rid="F3">Figures 3A,B</xref>) and Type III RGCs (control, 123,035.42 &#xb1; 4269.09&#xa0;&#x3bc;m<sup>2</sup> vs. KW6002, 109,513.94 &#xb1; 2438.7&#xa0;&#x3bc;m<sup>2</sup>; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01; <xref ref-type="fig" rid="F3">Figures 3A,B</xref>) after KW6002 treatment, whereas no significant effect was found in Type I (<italic>p &#x3e;</italic> 0.05; <xref ref-type="fig" rid="F3">Figure 3B</xref>). Compared to the control group, KW6002 attenuated the dendrite density by 12.00% (control, 9.50 &#xb1; 0.48 (&#xd7;10<sup>&#x2013;2</sup>, 1/&#xb5;m) vs. KW6002, 8.36 &#xb1; 0.28 (&#xd7;10<sup>&#x2013;2</sup>, 1/&#xb5;m); &#x2a;<italic>p</italic> &#x3c; 0.05; <xref ref-type="fig" rid="F3">Figure 3C</xref>) in Type I RGCs, but induced 19.62% enhancement of the dendrite density (control, 3.72 &#xb1; 0.14 (&#xd7;10<sup>&#x2013;2</sup>, 1/&#xb5;m) vs. KW6002, 4.45 &#xb1; 0.24 (&#xd7;10<sup>&#x2013;2</sup>, 1/&#xb5;m); &#x2a;<italic>p</italic> &#x3c; 0.05; <xref ref-type="fig" rid="F3">Figure 3C</xref>) in Type III RGCs. KW6002 didn&#x2019;t change the dendrite segment number and total dendrite length of all three RGC types during normal development (<italic>p &#x3e;</italic> 0.05; <xref ref-type="fig" rid="F3">Figures 3D,E</xref>). As to the dendrite surface area and volume, no significant effect was found in each RGC type after KW6002 treatment during normal development (<italic>p &#x3e;</italic> 0.05; <xref ref-type="fig" rid="F3">Figures 3F,G</xref>). These results implied that A<sub>2A</sub>Rs can reorganize the dendritic architecture of RGCs in the retina, which is dependent on the RGC types.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>KW6002 differentially affected the dendritic morphology of RGCs during the development. <bold>(A)</bold> Representative 3D reconstructions of the three RGC types from the vehicle-treated and KW6002-treated mice. <bold>(B&#x2013;G)</bold> Comparative analysis of dendritic field area <bold>(B)</bold>, dendrite density <bold>(C)</bold>, dendrite segment number <bold>(D)</bold>, dendrite length <bold>(E)</bold>, dendrite surface area <bold>(F)</bold> and dendrite volume <bold>(G)</bold> in each RGC type between the vehicle-treated and KW6002-treated group. Data represent mean &#xb1; SEM. &#x2a;<italic>p</italic> &#x3c; 0.05; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01. Scale bar, 100&#xa0;&#x3bc;m.</p>
</caption>
<graphic xlink:href="fphar-13-1082997-g003.tif"/>
</fig>
<p>To further investigate the effect of KW6002 on the spatial distribution of dendritic morphology, Sholl analyses were performed on quantifications of the distribution of dendritic intersections and revealed that KW6002 had a dual effect on Type I and III RGCs. KW6002 significantly decreased the dendritic intersection of Type I RGCs at 30&#x2013;50&#xa0;&#x3bc;m, but increased them at 110&#x2013;160&#xa0;&#x3bc;m from the soma (&#x2a;<italic>p</italic> &#x3c; 0.05 or &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01; <xref ref-type="fig" rid="F4">Figure 4A</xref>) On the contrary, as to the Type III RGCs, the dendritic intersections were significantly increased at 50&#x2013;70&#xa0;&#x3bc;m and 100&#xa0;&#x3bc;m but decreased at 180&#x2013;200&#xa0;&#x3bc;m from the soma (&#x2a;<italic>p</italic> &#x3c; 0.05 or &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01; <xref ref-type="fig" rid="F4">Figure 4C</xref>) after KW6002 treatment. Meanwhile, KW6002 significantly decreased the dendritic intersection of Type II RGCs mainly at 120&#x2013;170&#xa0;&#x3bc;m, which is far from the soma (&#x2a;<italic>p</italic> &#x3c; 0.05 or &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01; <xref ref-type="fig" rid="F4">Figure 4B</xref>). These results indicate the fine-tune effect of A<sub>2A</sub>Rs on the dendritic development of RGCs during the retinal development.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>The dendritic complexity of RGCs was differentially altered by KW6002 during the development.<bold>(A&#x2013;C)</bold> Quantitative Sholl analysis of dendrite intersection numbers in each RGC type from the vehicle-treated and KW6002-treated group during the development. Inset, a series of concentric circles with increasing radius at a 10&#xa0;&#x3bc;m step were superimposed on the RGC. Data represent mean &#xb1; SEM. &#x2a;<italic>p</italic> &#x3c; 0.05; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphar-13-1082997-g004.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 KW6002 changed the proportion of RGC morphological types after neonatal inflammation</title>
<p>Apart from its physiological role, we further studied the effects of A<sub>2A</sub>R on the development of RGCs after the neonatal inflammation. To induce the neonatal inflammation, neonates received a single intraperitoneal injection of LPS immediately after KW6002 treatment at P4. Then they were administrated with KW6002 in the same manner as that in the normal condition and were sacrificed at P21 (<xref ref-type="fig" rid="F5">Figure 5A</xref>). The well-stained YFP<sup>&#x2b;</sup> cells (n &#x3d; 131 cells) in the retina were 3D reconstructed for detailed morphometric analyses at P21. We found that after neonatal LPS exposure, the compositions of Type I and Type II RGCs significantly increased, but Type III decreased in the KW6002-treated groups, compared to the control groups (Type I: control, n &#x3d; 9, 14.29% vs. KW6002, n &#x3d; 16, 23.53%; Type II: control, n &#x3d; 37, 58.73% vs. KW6002, n &#x3d; 45, 66.18%; Type III: control, n &#x3d; 17, 26.98% vs. KW6002, n &#x3d; 7, 10.29%; &#x2a;<italic>p &#x3c;</italic> 0.05; <xref ref-type="fig" rid="F5">Figure 5B</xref>). These results indicate that A<sub>2A</sub>Rs altered the compositions of the three RGC types after neonatal inflammation.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>KW6002 changed the proportion of RGC morphological types after neonatal inflammation. <bold>(A)</bold> Timeline of KW6002 (or vehicle) administration with an intraperitoneal injection of LPS in transgenic Thy-1 YFPH mice. <bold>(B)</bold> The proportion of different morphological types of RGCs from the control and KW6002-treated mice after neonatal LPS exposure. &#x2a;<italic>p</italic> &#x3c; 0.05. 63 RGCs from 14 retinas (7 vehicle-treated mice) and 68 RGCs from 12 retinas (6 KW6002-treated mice) in the control and KW6002-treated group after neonatal LPS exposure, respectively. On average, 4.5 and 5.67 RGCs per eye were analyzed in each group.</p>
</caption>
<graphic xlink:href="fphar-13-1082997-g005.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>3.4 KW6002 increased the proportion of Type I RGCs with enhanced the dendrite surface area and volume and Type II RGCs with enlarged soma after neonatal inflammation</title>
<p>After LPS treatment, KW6002 significantly enlarged the soma area by 19.10% (control, 303.54 &#xb1; 16.96&#xa0;&#x3bc;m<sup>2</sup> vs. KW6002, 361.51 &#xb1; 18.69&#xa0;&#x3bc;m<sup>2</sup>; &#x2a;<italic>p</italic> &#x3c; 0.05; <xref ref-type="fig" rid="F6">Figures 6A,B</xref> and <xref ref-type="sec" rid="s11">Supplementary Table S2</xref>) and the soma perimeter by 10.73% (control, 69.64 &#xb1; 1.79&#xa0;&#x3bc;m vs. KW6002, 77.11 &#xb1; 2.01&#xa0;&#x3bc;m; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01; <xref ref-type="fig" rid="F6">Figure 6C</xref>) in Type II. However, KW6002 had no significant effect on the soma area and perimeter of Type I and III after neonatal LPS exposure(<italic>p &#x3e;</italic> 0.05; <xref ref-type="fig" rid="F6">Figures 6B,C</xref>). Beside the soma, we also examined the dendritic morphology and found that the dendritic field area and total dendrite length of the three morphological types of RGCs were not affected by KW6002 after neonatal LPS exposure (<italic>p &#x3e;</italic> 0.05; <xref ref-type="fig" rid="F7">Figures 7A, B,E</xref>). Interestingly, KW6002 significantly augmented the dendrite density (control, 5.73 &#xb1; 0.17 (&#xd7;10<sup>&#x2013;2</sup>, 1/&#xb5;m) vs. KW6002, 6.32 &#xb1; 0.19 (&#xd7;10<sup>&#x2013;2</sup>, 1/&#xb5;m); &#x2a;<italic>p</italic> &#x3c; 0.05; <xref ref-type="fig" rid="F7">Figure 7C</xref>) and segment number (control, 79.16 &#xb1; 3.50 vs. KW6002, 92.29 &#xb1; 4.03; &#x2a;<italic>p</italic> &#x3c; 0.05; <xref ref-type="fig" rid="F7">Figure 7D</xref>) of Type II RGCs, but didn&#x2019;t affect those of Type I and Type III RGCs after neonatal LPS exposure. Moreover, KW6002 significantly enhanced the dendrite surface area and volume of Type I RGCs (control, 3861.30 &#xb1; 227.05&#xa0;&#x3bc;m<sup>2</sup> vs. KW6002, 4700.80 &#xb1; 283.86&#xa0;&#x3bc;m<sup>2</sup>; &#x2a;<italic>p</italic> &#x3c; 0.05; <xref ref-type="fig" rid="F7">Figure 7F</xref>; control, 474.82 &#xb1; 31.88&#xa0;&#x3bc;m<sup>3</sup> vs. KW6002, 629.75 &#xb1; 40.26&#xa0;&#x3bc;m<sup>3</sup>; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01; <xref ref-type="fig" rid="F7">Figure 7G</xref>) after neonatal exposure to LPS, while no significant change was found in the other two RGC types. These results suggest that A<sub>2A</sub>Rs induced differential alterations in the soma and dendritic architecture of RGCs after neonatal inflammation.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>KW6002 enlarged the soma of Type II RGCs after neonatal LPS exposure. <bold>(A)</bold> Representative pictures of somata in each RGC type examined from vehicle -treated and KW6002-treated group after neonatal LPS exposure. Scale bar, 20&#xa0;&#x3bc;m. <bold>(B</bold>,<bold>C)</bold> Comparative analysis of soma area <bold>(B)</bold> and perimeter <bold>(C)</bold> of different RGC types between vehicle-treated and KW6002-treated mice after neonatal LPS exposure. Data represent mean &#xb1; SEM. &#x2a;<italic>p</italic> &#x3c; 0.05; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphar-13-1082997-g006.tif"/>
</fig>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>The effect of KW6002 on the dendritic morphology of RGCs after neonatal LPS exposure. <bold>(A)</bold> Representative 3D reconstructions of the three RGC types from the vehicle-treated and KW6002-treated mice after neonatal LPS exposure. <bold>(B&#x2013;G)</bold> Comparative analysis of dendritic field area <bold>(B)</bold>, dendrite density <bold>(C)</bold>, dendrite segment number <bold>(D)</bold>, dendrite length <bold>(E)</bold>, dendrite surface area <bold>(F)</bold> and dendrite volume <bold>(G)</bold> in each RGC type between the vehicle-treated and KW6002-treated group after neonatal LPS exposure. Data represent mean &#xb1; SEM. &#x2a;<italic>p</italic> &#x3c; 0.05; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01. Scale bar, 100&#xa0;&#x3bc;m.</p>
</caption>
<graphic xlink:href="fphar-13-1082997-g007.tif"/>
</fig>
<p>We further performed Sholl analyses to study the effect of KW6002 on the spatial distribution of dendritic morphology after neonatal LPS exposure. We found that KW6002 only significantly decline dendritic intersections at 110 and 130&#xa0;&#x3bc;m from the soma in Type III RGCs (&#x2a;<italic>p</italic> &#x3c; 0.05 or &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01; <xref ref-type="fig" rid="F8">Figure 8C</xref>), while no significant difference was found either in Type I or Type II RGCs (<italic>p</italic> &#x3e; 0.05; <xref ref-type="fig" rid="F8">Figures 8A,B</xref>). These results suggest that A<sub>2A</sub>Rs only had slight effect on dendritic complexity after neonatal LPS exposure.</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>KW6002 decreased the dendritic complexity of Type III RGCs after neonatal LPS exposure. <bold>(A&#x2013;C)</bold> Quantitative Sholl analysis of dendrite intersection numbers in each RGC type from the vehicle-treated and KW6002-treated group after neonatal LPS exposure. Data represent mean &#xb1; SEM. &#x2a;<italic>p</italic> &#x3c; 0.05; &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01.</p>
</caption>
<graphic xlink:href="fphar-13-1082997-g008.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>The A<sub>2A</sub>R is recently proposed as a potential therapeutic target for retinal diseases (<xref ref-type="bibr" rid="B32">Santiago et al., 2020</xref>). However, what exact role of A<sub>2A</sub>R plays in retinal development, especially RGC morphogenesis, is still not be fully elucidated. To simplify the framework for analysis of rather heterogenous RGC types in the retina, here we classified the Thy1-positive RGCs from Thy-1 YFPH transgenic mouse strain into three major morphological types (Type I, II and III) as our previous study (<xref ref-type="bibr" rid="B17">Gao et al., 2018</xref>). We found that A<sub>2A</sub>R antagonist KW6002 produced mainly decreased RGC morphogenesis as evident by the reduced dendritic field area of Type II and III, and the reduced dendrite density of Type I but with the increased dendrite density of Type III (<xref ref-type="fig" rid="F9">Figure 9</xref>). The dendritic field represents the input receptive area, while dendrite density represents the intensity of bipolar and amacrine axonal input that RGCs receive within their covered region. Thus A<sub>2A</sub>Rs may modulate the RGC input receptive area and input from bipolar and amacrine in a cell-type specific manner during development. Furthermore, KW6002 had a bidirectional effect on dendritic complexity of Type I and Type III RGCs, suggesting that the fine-tune ability of the A<sub>2A</sub>Rs on the dendritic development of RGCs. Due to lack of an appropriate A<sub>2A</sub>R antibody that reliably and specifically detects A<sub>2A</sub>R in RGCs, whether the different density of A<sub>2A</sub>Rs in the three types of RGCs leads to the distinct effects of KW6002 on the morphology of RGCs remains to be studied in the future. Given the morphology similarity of Type I cells with W3B-RGC (<xref ref-type="bibr" rid="B22">Kim et al., 2010</xref>), which is postulated as a selective feature detector (<xref ref-type="bibr" rid="B40">Zhang et al., 2012</xref>), Type II cells with ON-sustained alpha RGCs (<xref ref-type="bibr" rid="B8">Bleckert et al., 2014</xref>; <xref ref-type="bibr" rid="B23">Krieger et al., 2017</xref>; <xref ref-type="bibr" rid="B35">Smeds et al., 2019</xref>), and Type III cells with melanopsin M2 cell (<xref ref-type="bibr" rid="B31">Sanes and Masland, 2015</xref>), we speculate that A<sub>2A</sub>R activity may potentially modulate local edge detecting (Type I RGC), single-photon visual signal transmission to the brain (Type II RGC) and the function of intrinsically photosensitive melanopsin-containing RGC (Type III RGC). The exact function of three RGCs affected by A<sub>2A</sub>R needs to be characterized by further functional studies.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>Summary of RGC morphological changes by KW6002 under physiological and pathological conditions The A<sub>2A</sub>R antagonist KW6002 differentially altered these morphological parameters of different RGC types during normal and neonatal inflammation. The arrow means significant up or down-regulation by KW6002, while horizontal line means no significant difference.</p>
</caption>
<graphic xlink:href="fphar-13-1082997-g009.tif"/>
</fig>
<p>We further studied the effect of A<sub>2A</sub>R on RGC morphology after neonatal LPS exposure and found that antagonism of A<sub>2A</sub>R changed the compositions of the three RGC types, while no composition change was found in normal development or after neonatal inflammation (<xref ref-type="sec" rid="s11">Supplementary Figure S1</xref>) (<xref ref-type="bibr" rid="B17">Gao et al., 2018</xref>). Previous studies have reported that the A<sub>2A</sub>R antagonist prevents RGC loss in retinal organotypic cultures upon exposure to LPS (<xref ref-type="bibr" rid="B27">Madeira et al., 2015</xref>) and in several models of retinal neurodegeneration (<xref ref-type="bibr" rid="B26">Madeira et al., 2016</xref>; <xref ref-type="bibr" rid="B9">Boia et al., 2017</xref>; <xref ref-type="bibr" rid="B1">Aires et al., 2019a</xref>; <xref ref-type="bibr" rid="B2">Aires et al., 2019b</xref>). It may be possible that A<sub>2A</sub>R antagonists preferrentially protect Type I and II RGCs from death after neonatal inflammation, thus upregulating the proportion of the two types. Notably, after neonatal inflammation, A<sub>2A</sub>R antagonist KW6002 specifically increased the proportion of Type I RGCs with enhanced the dendrite surface area and volume and the proportion of Type II RGCs with enlarged the soma area and perimeter, indicating that the A<sub>2A</sub>R activation exerts mainly suppression on RGC soma and dendrite volume under neonatal inflammation. The increased RGC size of Type I and II by KW6002 may be associated with the upregulation of cell processes such as mitochondrial dynamics to resist cell loss (<xref ref-type="bibr" rid="B29">Miettinen and Bjorklund, 2016</xref>). Furthermore, the modulation pattern of A<sub>2A</sub>R antagonist on RGC morphology is quite different from that during normal development (<xref ref-type="fig" rid="F9">Figure 9</xref>), which indicating that A<sub>2A</sub>Rs have distinct effects on RGC morphological development under physiological and pathological conditions. These distinct effects on RGC morphology by KW6002 treatment may attribute to the different local environmental changes. Indeed, different glutamate concentration has been shown to switch the effect of A<sub>2A</sub>R from anti-inflammatory to proinflammatory (<xref ref-type="bibr" rid="B15">Dai et al., 2010</xref>). In addition, these distinct effects of A<sub>2A</sub>Rs on RGC morphology may be attributed to different cell types targeted by KW6002. During the normal retinal development, KW6002 may mainly block the A<sub>2A</sub>R on the RGCs, thus affecting the morphological development of RGCs. However, after neonatal inflammation KW6002 may act on the A<sub>2A</sub>R on microglia or both on microglia and RGCs to modulate the morphology of RGCs, since previous studies have found that inflammation can cause a marked increase in microglial A<sub>2A</sub>R (<xref ref-type="bibr" rid="B11">Canas et al., 2004</xref>; <xref ref-type="bibr" rid="B37">Wittendorp et al., 2004</xref>). Whether the direct effect of KW6002 on microglia or not remains to be determined by future experiment with genetic deleption of the microglial A<sub>2A</sub>R. Our results are in notably agreement with previous studies showing that the complex and differential roles of A<sub>2A</sub>R play under physiological and pathological conditions. For example, we recently found that genetic inactivation of A<sub>2A</sub>R attenuates pathologic angiogenesis in the development of retinopathy of prematurity, but it does not affect developmental angiogenesis in the mouse retina (<xref ref-type="bibr" rid="B25">Liu et al., 2010</xref>; <xref ref-type="bibr" rid="B39">Zhang et al., 2017</xref>; <xref ref-type="bibr" rid="B38">Zhang et al., 2022</xref>). The effect of A<sub>2A</sub>R on the control of peripheral inflammation and chronic neuroinflammation is also opposite (<xref ref-type="bibr" rid="B14">Cunha, 2005</xref>). Therefore, A<sub>2A</sub>R signaling may distinctly regulate RGC development under normal and pathological conditions in the retina and the underlying mechanisms need to be further investigated in the future.</p>
<p>Collectively, during development A<sub>2A</sub>R activation can modulate the RGC morphology in a cell type-specific manner and fine-tune the dendritic development by bidirectionally regulating the dendritic complexity of Type I and III RGCs. After neonatal inflammation, A<sub>2A</sub>R activation mainly reduces the soma and dendrites of Type I and II RGCs and diminishes their proportions, which is totally different from the roles it plays during the development. These findings may provide an integrated view of the multi-faced effects of A<sub>2A</sub>R signaling on the morphology of RGCs, which is depending on the cell-types and conditions.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s11">Supplementary Material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6">
<title>Ethics statement</title>
<p>The animal study was reviewed and approved by Animal Care Committee of Wenzhou Medical University.</p>
</sec>
<sec id="s7">
<title>Author contributions</title>
<p>YG and JQ designed the study and coordinated the experiments. SH and YL conducted the experiments and analyzed the data. YZ, RS, PT, and DZ contributed to acquire the 3D reconstruction dataset. XK made constructive suggestions for imaging. YG wrote the manuscript. JQ modified the manuscript. JC helped with editing the manuscript and assisted with funding acquisition. All authors commented on the manuscript.</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>This work was supported by the Natural Science Foundation of Zhejiang Province of China (Grant Number LY21H090014), the National Natural Science Foundation of China (Grant Numbers 81600991 and 82151308), the Research Fund for International Senior Scientists (Grant Number 82150710558), and Funds from Wenzhou Medical University (Grant Number KYYW202106) and Hainan Province Clinical Medical Center.</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s11">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2022.1082997/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2022.1082997/full&#x23;supplementary-material</ext-link>
</p>
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<supplementary-material xlink:href="Image1.TIF" id="SM2" mimetype="application/TIF" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="DataSheet1.PDF" id="SM3" mimetype="application/PDF" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table1.XLSX" id="SM4" mimetype="application/XLSX" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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