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Sustainable poly (lactic acid) (PLA) with excellent strength, toughness, heat resistance, transparency, and biodegradability was achieved by uniaxial pre-stretching at 70 °C. The effect of pre-stretched ratio (PSR) on the microstructure and properties of the PLA was investigated. The undrawn PLA was brittle. However, after pre-stretching, the elongation at break was increased significantly. The maximum value of 161.2 % was obtained at pre-stretching ratio (PSR) of 1.0. With the increase of PSR, the modulus and strength were improved obviously (from 1601 MPa and 60.2 MPa for undrawn PLA to 2932 MPa and 106.3 MPa for the ps-PLA at PSR =3.0). Meanwhile, the heat resistance of PLA was improved obviously with the increase of PSR. For the ps-PLA3.0, there were almost no deformation and shrink at 140 °C. Interestingly, after pre-stretching, the PLA still maintained the good transparency and biodegradability. The brittleness for undrawn PLA was attributed to the network structure of cohesional entanglements. After pre-stretching, the destruction of the network structure and formation of the orientation, mesophase and oriented nanosized crystalline phase lead to the increased the toughness, strength and heat resistance without sacrificing the transparency and biodegradability. This work provides a significant guidance for the fabrication of PLA material with excellent comprehensive performance including strength, toughness, heat resistance, transparency, and biodegradability., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

A novel rare earth complex, Eu(IAA) 2 (phen) 2 (EuIP), was synthesized by solution-based synthesis method. Then, EuIP and polylactic acid (PLA) were melt-blended at 190 °C to obtain a multifunctional PLA/EuIP composite. The incorporation of EuIP provided PLA/EuIP composites with good light conversion ability. Under UV irradiation, PLA/EuIP composites converted the absorbed UV light into red light. Moreover, the PLA/1.0EuIP composite exhibited excellent light transmittance of 88 % in the visible region and showed strong red emission under UV light. After UV irradiation for 96 h, the molecular weights and mechanical properties of neat PLA decreased dramatically. Interestingly, the molecular weights and mechanical properties of PLA/EuIP composites did not deteriorate after 96 h of UV irradiation. The reason was that EuIP could absorb UV light and utilize the absorbed energy to emit red fluorescence. Furthermore, PLA/EuIP composites showed good antibacterial activities against E. coli and S. aureus. In addition, in vitro cell experiments showed that PLA/EuIP composites was suitable for the growth of murine breast cancer (4 T1) cells. Besides, enzymatic degradation testing also proved that PLA/EuIP composites had good biodegradability. This work provides an ingenious design strategy for the preparation of PLA/EuIP composites possessing light conversion ability, UV resistance, and antibacterial properties., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier B.V.)

High-performance biosourced polylactic acid (PLA)/poly(butylene succinate) (PBS) blends with small amounts of compatibilizer, epoxy-functionalized methyl methacrylate-co-glycidyl methacrylate copolymer (PMMA-GMA), were fabricated by melt compounding. The properties of the modified PLA/PMMA-GMA, PBS/PMMA-GMA, and PLS(PLA/PBS)/PMMA-GMA blends were investigated systematically. DSC combined with X-ray diffraction revealed a low-order semi-crystalline structure for all samples. SEM and DMA showed that the compatibility between PLA and PBS was improved after addition of PMMA-GMA. Rheological behavior of blends showed that the addition of PMMA-GMA resulted in a significant improvement in the viscoelasticity. FT-IR spectra confirmed that the interfacial compatibilization between PLA and PBS phases was improved due to the reaction of epoxy groups with terminal groups of PLA and PBS. Finally, the toughness and notched impact strength of the PLA materials were increased significantly. The elongation at break and notched impact strength of PLS/PMMA-GMA was about 55.7 and 6.2 times than neat PLA after incorporation of 7 wt% PMMA-GMA, respectively., Competing Interests: Declaration of competing interest No conflict of interest exits in the submission of this manuscript, and manuscript is approved by all authors for publication., (Copyright © 2023 Elsevier B.V. All rights reserved.)

Background: Functional complete revascularization (FCR) after percutaneous coronary intervention (PCI) as determined by the residual functional SYNTAX score (rFSS) based on pressure wire fractional flow reserve assessment has been associated with an improved prognosis., Objectives: This study sought to determine the rates and clinical implications of FCR as assessed by the quantitative flow ratio (QFR), and to determine the outcomes of pre-PCI QFR guidance compared with standard angiography guidance in patients achieving and not achieving FCR after PCI., Methods: In the randomized, sham-controlled, blinded, multicenter FAVOR (Comparison of Quantitative Flow Ratio Guided and Angiography Guided Percutaneous Intervention in Patients with Coronary Artery Disease) III China trial, QFR-guided PCI reduced the 1-year rate of major adverse cardiac events (MACE) compared with angiography-guided PCI. In the present prespecified substudy, the incidence of MACE was compared according to the presence of post-PCI FCR (rFSS = 0 based on core laboratory-assessed QFR) in the QFR-guided and angiography-guided groups., Results: Among 3,781 patients with available rFSS assessments, 3,221 (85.2%) achieved FCR, including 88.1% after QFR guidance and 82.2% after angiography guidance (P < 0.001). Patients with FCR had a markedly lower rate of 1-year MACE compared with those with functional incomplete revascularization (FIR) (rFSS ≥1) (5.1% vs 19.7%; P < 0.001). Prognostic models including the rFSS had higher discrimination and reclassification ability than those with the anatomic residual SYNTAX score. The relative risks for 1-year MACE with QFR-guided compared with the angiography-guided lesion selection were consistent in patients achieving FCR (4.1% vs 6.3%; HR: 0.65; 95% CI: 0.47-0.88) and in those with FIR (18.7% vs 20.4%; HR: 0.90; 95% CI: 0.61-1.32) (P interaction  = 0.19)., Conclusions: In this large-scale trial, achieving FCR after PCI was associated with markedly lower 1-year rates of MACE. Compared with standard angiography guidance, QFR-guided PCI lesion selection improved the likelihood of achieving FCR and improved 1-year clinical outcomes in patients with both FCR and FIR., Competing Interests: Funding Support and Author Disclosures The study group received grant support by the Beijing Municipal Science and Technology Commission (Z191100006619107), the National Clinical Research Center for Cardiovascular Diseases, Fuwai Hospital (NCRC2020001), the National High Level Hospital Clinical Research Funding (2022-GSP-GG-20), and the CAMS Innovation Fund for Medical Sciences (2021-I2M-1-008). Dr Tu is the co-founder of Pulse Medical; and has received grant support from and served as a consultant for Pulse Medical. Dr Stone has received speaker honoraria from Medtronic, Pulnovo, and Infraredx; has served as a consultant to Valfix, TherOx, Robocath, HeartFlow, Ablative Solutions, Vectorious, Miracor, Neovasc, Abiomed, Ancora, Elucid Bio, Occlutech, CorFlow, Apollo Therapeutics, Impulse Dynamics, Vascular Dynamics, Shockwave, V-Wave, Cardiomech, Gore, and Amgen; owns equity/options from Ancora, Cagent, Applied Therapeutics, Biostar family of funds, SpectraWave, Orchestra Biomed, Aria, Cardiac Success, Valfix, and Xenter; has a daughter who is an employee at Medtronic; and his employer, Mount Sinai Hospital, has received research support from Abbott, Abiomed, Bioventrix, Cardiovascular Systems, Phillips, Biosense Webster, Shockwave, Vascular Dynamics, and V-wave. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose., (Copyright © 2022 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.)

Poly(butylene succinate-co-terephthalate) (PBST) copolyester, is a new type of biodegradable synthetic polymer material that has emerged in recent years, but it cannot meet the market requirements, because of its low strength. The high-strength and high-modulus polylactic acid (PLA) was blended with PBST to increase its strength, and the chain extender ADR-4370 was used to modify PBST/PLA films by reaction and compatibilization. Compared with the 80/20 wt% PBST/PLA films, the tensile strength after modification with 0.3 wt% ADR was increased by 21.8 % and 44.3 % in the machine direction (MD) and in the transverse direction (TD), respectively. The Water Vapor Permeability (WVP) was decreased from 10.0 × 10 -14 to 3.09 × 10 -14  g·cm/cm 2 ·s·Pa. The compatibilization mechanism was studied by gel permeation chromatography, infrared spectroscopy, dynamic mechanical analysis, rheological analysis, and other characterization methods. The formation of the copolymer PLA-g-PBST is the most important factor to improve the compatibility of the system and the mechanical properties of the films., (Copyright © 2022 Elsevier B.V. All rights reserved.)

Poly (lactic acid) (PLA) blends with different toughening agents were prepared by melt compounding, and the effects of toughening agents on the toughness of PLA, especially the low-temperature toughness, were investigated. All blends were immiscible systems, but the rheological Cole-Cole diagram showed that the blends had certain compatibility, and the interfacial bonding of PLA/Ethylene/butyl methacrylate/Glycidyl Methacrylate Terpolymer (GEBMA) blend was the best. With addition of the toughening agents, all blends showed improvement of the tensile and impact toughness both at room temperature and low temperature. GEBMA was the best toughening agent, the elongation at break and impact strength at room temperature and low temperature were greatly improved. The elongation at break, tensile strength and impact strength of PLA blend with 20 wt% GEBMA at -20 °C was 55.8 MPa, 195.9% and 18.8 kJ/m 2 , respectively, which showed the reinforcement and super ductility at low temperature. However, the toughening effect of Poly (propylene carbonate) polyurethane (PPCU) at low temperature was poor. The T g and interfacial bonding were the main factors affecting the toughness of the blends, especially at low temperature. The lower the T g and the better the interfacial bonding, the better the toughness of the blends., (Copyright © 2022 Elsevier B.V. All rights reserved.)

Background: Compared with visual angiographic assessment, pressure wire-based physiological measurement more accurately identifies flow-limiting lesions in patients with coronary artery disease. Nonetheless, angiography remains the most widely used method to guide percutaneous coronary intervention (PCI). In FAVOR III China, we aimed to establish whether clinical outcomes might be improved by lesion selection for PCI using the quantitative flow ratio (QFR), a novel angiography-based approach to estimate the fractional flow reserve., Methods: FAVOR III China is a multicentre, blinded, randomised, sham-controlled trial done at 26 hospitals in China. Patients aged 18 years or older, with stable or unstable angina pectoris or patients who had a myocardial infarction at least 72 h before screening, who had at least one lesion with a diameter stenosis of 50-90% in a coronary artery with a reference vessel of at least 2·5 mm diameter by visual assessment were eligible. Patients were randomly assigned to a QFR-guided strategy (PCI performed only if QFR ≤0·80) or an angiography-guided strategy (PCI based on standard visual angiographic assessment). Participants and clinical assessors were masked to treatment allocation. The primary endpoint was the 1-year rate of major adverse cardiac events, a composite of death from any cause, myocardial infarction, or ischaemia-driven revascularisation. The primary analysis was done in the intention-to-treat population. The trial was registered with ClinicalTrials.gov (NCT03656848)., Findings: Between Dec 25, 2018, and Jan 19, 2020, 3847 patients were enrolled. After exclusion of 22 patients who elected not to undergo PCI or who were withdrawn by their physicians, 3825 participants were included in the intention-to-treat population (1913 in the QFR-guided group and 1912 in the angiography-guided group). The mean age was 62·7 years (SD 10·1), 2699 (70·6%) were men and 1126 (29·4%) were women, 1295 (33·9%) had diabetes, and 2428 (63·5%) presented with an acute coronary syndrome. The 1-year primary endpoint occurred in 110 (Kaplan-Meier estimated rate 5·8%) participants in the QFR-guided group and in 167 (8·8%) participants in the angiography-guided group (difference, -3·0% [95% CI -4·7 to -1·4]; hazard ratio 0·65 [95% CI 0·51 to 0·83]; p=0·0004), driven by fewer myocardial infarctions and ischaemia-driven revascularisations in the QFR-guided group than in the angiography-guided group., Interpretation: In FAVOR III China, among patients undergoing PCI, a QFR-guided strategy of lesion selection improved 1-year clinical outcomes compared with standard angiography guidance., Funding: Beijing Municipal Science and Technology Commission, Chinese Academy of Medical Sciences, and the National Clinical Research Centre for Cardiovascular Diseases, Fuwai Hospital., Competing Interests: Declaration of interests ST is the co-founder of Pulse Medical Imaging Technology and reports grants from Pulse medical imaging technology. XF is an employee of Shanghai Jiao Tong University-Pulse Medical Imaging Technology Joint Laboratory. JE reports consulting or speaker fees from Abbott, Philips, and Boston Scientific, outside the submitted work. WFF reports grants from Abbott Vascular, Boston Scientific, and Medtronic; consulting fees from CathWorks; and minor stock options from HeartFlow, outside the submitted work. AJK reports grants and travel or meal reimbursements from Medtronic, Abbott Vascular/St Jude, Boston Scientific, Abiomed, Siemens/Corindus, Philips/Spectranetics, ReCor Medical, and Cardiovascular Systems; grants from CathWorks; travel or meal reimbursements from Chiesi, Opsens, Zoll, and Regeneron; and consulting fees from IMDS, outside the submitted work. WW reports grants and consulting fees from MicroPort, outside the submitted work; is a medical advisor for Rede Optimus; and is a co-founder of Argonauts, an innovation facilitator. MBL is on an advisory board of a coronary physiology start-up of Cathworks; and reports grants from Abbott, BSC, and Medtronic. GWS reports consulting or speaker fees from Cook, TherOx, Reva, Vascular Dynamics, Robocath, HeartFlow, Gore, Ablative Solutions, Miracor, Neovasc, V-wave, Abiomed, Shockwave, MAIA Pharmaceuticals, Vectorious, Cardiomech, Elucid Bio, Occlutech, Infraredx, CorFlow, and Apollo Therapeutics; equity or options from Applied Therapeutics, Biostar family of funds, MedFocus family of funds, Aria, Cardiac Success, Cagent, SpectraWave, and Orchestra Biomed; and consulting or speaker fees and equity or options from Valfix and Ancora, outside the submitted work. All other authors declare no competing interests., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

Poly(L-lactic acid) (PLLA) blends with excellent low-temperature toughness and strength were prepared by melt compounding with acrylic ester based impact resistance agent (AEIR). The morphology, thermal properties, mechanical properties and biodegradability of the blends were investigated. Morphology observations revealed the blend was immiscible but had good compatibility with the dispersed phase size of about 200-300 nm. With the addition of AEIR, dramatic improvement in toughness of PLLA was achieved in a wide temperature range, especially at low temperatures the tensile strength was effectively remained. For the blend with 20 wt% AEIR, the tensile strength, elongation at break and impact strength were 51.6 MPa, 72% and 77.1 KJ/m 2 at -20 °C, respectively, much greater than that reported. The calculated T g of AEIR was lower than the test temperatures, and the brittle-tough transition occurred. The PLLA matrix demonstrated obvious shear yielding which induced energy dissipation and therefore lead to excellent toughness of the blends. Moreover, the biodegradation of PLLA was enhanced after blends preparation., (Copyright © 2021 Elsevier B.V. All rights reserved.)

The poly(lactic acid) (PLA) composites with the silane coupling agent treated basalt fiber (SBF) and basalt fiber powder (SBFP) were prepared. The crystalline morphology, mechanical properties, and heat resistance of PLA/SBF/SBFP composites were investigated. The results indicated that SBF or SBFP not only acted as heterogeneous nucleating agents for PLA crystallization but also improved the mechanical properties and heat resistance of PLA. Morphological analyses showed that SBFP could play nucleating role to reduce the spherulites size of PLA, and SBF could restrict the mobility of PLA chains and construct interface crystallization for PLA during isothermal crystallization process. The composites with higher SBF loading, the "Transcrystalline-network" built in the composites significantly improved the heat resistance properties of PLA. Due to the synergistic effect of SBF and SBFP, the PLA/SBF/SBFP composites showed high heat deformation temperature (HDT), especially after isothermal crystallization, the HDT increased to 150.5 °C for the PLA/SBF/SBFP 50/10/40 composite, much higher (about 190%) than that of pure PLA (71.7 °C)., (Copyright © 2021 Elsevier B.V. All rights reserved.)

Objectives: The aim of this study was to determine whether an active side branch protection (SB-P) strategy is superior to the conventional strategy in reducing side branch (SB) occlusion in high-risk bifurcation treatment., Background: Accurate prediction of SB occlusion after main vessel stenting followed by the use of specific strategies to prevent occlusion would be beneficial during bifurcation intervention., Methods: Eligible patients who had a bifurcation lesions with high risk for occlusion as determined using the validated V-RESOLVE (Visual Estimation for Risk Prediction of Side Branch Occlusion in Coronary Bifurcation Intervention) score were randomized to an active SB-P strategy group (elective 2-stent strategy for large SBs and jailed balloon technique for small SBs) or a conventional strategy group (provisional stenting for large SBs and jailed wire technique for small SBs) in a 1:1 ratio stratified by SB vessel size. The primary endpoint of SB occlusion was defined as an angiography core laboratory-assessed decrease in TIMI (Thrombolysis In Myocardial Infarction) flow grade or absence of flow in the SB immediately after full apposition of the main vessel stent to the vessel wall., Results: A total of 335 subjects at 16 sites were randomized to the SB-P group (n = 168) and conventional group (n = 167). Patients in the SB-P versus conventional strategy group had a significantly lower rate of SB occlusion (7.7% [13 of 168] vs. 18.0% [30 of 167]; risk difference: -9.1%; 95% confidence interval: -13.1% to -1.8%; p = 0.006), driven mainly by the difference in the small SB subgroup (jailed balloon technique vs. jailed wire technique: 8.1% vs. 18.5%; p = 0.01)., Conclusions: An active SB-P strategy is superior to a conventional strategy in reducing SB occlusion when treating high-risk bifurcation lesions. (Conventional Versus Intentional Strategy in Patients With High Risk Prediction of Side Branch Occlusion in Coronary Bifurcation Intervention [CIT-RESOLVE]; NCT02644434)., (Copyright © 2020 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.)

In the work, the poly(lactic acid) (PLA)/poly (ethylene-butylacrylate-glycidyl methacrylate) (PTW) blends were prepared by melt compounding. PTW as a toughening agent for PLA, the PLA/PTW blends had good compatibility due to the chemical reaction between the epoxy groups of PTW and the end group of PLA during the blending process. With increasing PTW content from 0 to 20%, the impact strength of PLA/PTW blends was enhanced from 4.6 to 54.1 kJ/m 2 and the elongation at break was increased from 5.6% to 270%. The scanning electron microscopy (SEM) images of the impact fracture surfaces showed a large amount of cavities and plastic deformation, which caused by the elastomer and the interfacial adhesion enhanced through the interaction of the terminal functional groups. That was the reason that the toughness of PLA was increased. Finally, proteinase K-catalyzed degradation tests shown that the addition of PTW was beneficial to the biodegradation of PLA and reduced environmental pollution., (Copyright © 2019. Published by Elsevier B.V.)

A comparative study on interfacial crystallization of poly(l-lactic acid) (PLLA) with different stereoregularity (PLLA2003D 96.0%, PLLA4032D 98.5%, and PLLA290 99.2%) surrounding macroscopic basalt fibers (BF) has been carried out in polymer composites. The effect of stereoregularity on the interface crystallization was systemically studied by microstructure. From polarized optical microscopy (POM) analysis, it was found that the transcrystallinity of PLLA was influenced by temperature. Moreover, stereoregularity significantly affects the crystallization kinetics. It was also found that increased molecular mobility providing faster orientation with high stereoregularity and low molecular weight. It might be the reason for the observation that the PLLA290 samples crystallized more rapidly than the PLLA4032D samples. Appropriate molecular stereoregularity exhibits a clear increase in extensional stress that is directly correlated with the crystalline orientation of the crystallization samples. The mechanism of formation of transcrystallinity underwent the process of "a mismatch in thermal expansion coefficients" with the extensional stress., (Copyright © 2019 Elsevier B.V. All rights reserved.)

Polylactide (PLA), as a biodegradable packing material, has attracted plenty of attention. However, some problems still limit the application of PLA in packing industry such as the inherent brittleness and low crack propagation resistance. In order to overcome these challenges, we blended PLA with a reactive toughening agent (Ethylene-Acrylic ester-Glycidyl methacrylate terpolymer) during extrusion and film processing. The glycidyl methacrylate groups in toughening agent offered some sites to react with COOH and OH groups of PLA thus leaded to a great interfacial compatibility. The proper compatibility was the premise of adjusting the phase structure of blend and film based on different processing methods. The blend had a sea-island structure after melting extrusion and heat pressed technologies while film formed annular layer structure after film blowing. The structure determined properties. Both the toughness and melt strength of blends had been improved. Moreover, it was interesting to found that tear strength of film with 10% toughening agent dramatically increased to 197.8 KN/m and 137.7 KN/m in the transverse direction (TD) and in the machine direction (MD), respectively. Besides, the elongation at break of film could reach 242.2% in MD. This work exhibited that phase morphology was significant for mechanical performances., (Copyright © 2019 Elsevier B.V. All rights reserved.)

In this work, rare earth europium was combined with different organic ligands to obtain two kinds of rare earth conversion agents, Eu(DBM) 4 CPC and Eu(TTA) 3 (TPPO) 2 . Two kinds of conversion films were successfully prepared by combining them with polylactide and poly(butylene adipate-co-terephthalate). Results showed that the film has excellent light conversion ability and high color purity, and rare earth complexes improved melt flowing property and decreased melt viscosity of blend. At the same time, the elongation at break of the film increased greatly, which could up to 595.0/460.9% in the both machine direction (MD) and transverse direction (TD). The results of GPC show that rare earth complexes can make main chain of PLA scission, which causes rapid molecular weight reduction, and the effect of Eu(DBM) 4 CPC on the molecular weight of PLA was more significant than Eu(TTA) 3 (TPPO) 2 . SEM shows that the complicity of PLA and PBAT has been improved, the dispersed phase of the blend is more uniform. DSC shows that both rare earth complexes can improve the crystallization capacity of PLA. And with the addition of cetylpyridinium chloride could improve the compatibility of rare earth complexes and polymer materials, the light transmittance and hydrophilicity of the film also increased obviously., (Copyright © 2019 Elsevier B.V. All rights reserved.)

In this work, the heat resistance and thermomechanical properties of biodegradable poly(l‑lactide) (PLLA) was improved greatly by using short basalt fibers (SBF). The heat deformation temperature (HDT) of PLLA/SBF composites was markedly improved from 62.5 to158.8 °C when its crystallinity was increased from 44.3% to 67.7% after appropriate thermal treatment. Fibers reinforcement and interface crystalline morphology were the two important reasons for the change of in heat deformation and storage modulus of PLLA before and after crystallization. Polarized optical microscopy (POM) demonstrated that the transcrystalline and shish-kebab were successfully induced by SBF, and the "crystalline-network" structure was formed in the composites after isothermal treatment. The PLLA/SBF composites with the formation of interface crystalline had a significantly higher overall heat resistance compared with the common PLLA. As the scanning electron microscope (SEM) analysis, the low values of impact strength might be due to the presence of large spherulites cracks and weak interfacial adhesion., (Copyright © 2018. Published by Elsevier B.V.)

Inflammation and reepithelialization after corneal abrasion are critical for the rapid restoration of vision and the prevention of microbial infections. However, the endogenous regulatory mechanisms are not completely understood. Here we report that the manipulation of autonomic nervous system (ANS) regulates the inflammation and healing processes. The activation of sympathetic nerves inhibited reepithelialization after corneal abrasion but increased the influx of neutrophils and the release of inflammatory cytokines. Conversely, the activation of parasympathetic nerves promoted reepithelialization and inhibited the influx of neutrophils and the release of inflammatory cytokines. Furthermore, we observed that CD64 + CCR2 + macrophages in the cornea preferentially expressed the β-2 adrenergic receptor (AR), whereas CD64 + CCR2 - macrophages preferentially expressed the α-7 nicotinic acetylcholine receptor (α7nAChR). After abrasion, the topical administration of a β2AR agonist further enhanced the expression of the proinflammatory genes in the CD64 + CCR2 + cell subset sorted from injured corneas. In contrast, the topical administration of an α7nAChR agonist further enhanced the expression of the anti-inflammatory genes in the CD64 + CCR2 - subset. Thus crosstalk between the ANS and local macrophage populations is necessary for the progress of corneal wound repair. Manipulation of ANS inputs to the wounded cornea may represent an alternative approach to the treatment of impaired wound healing.

Corneal injuries and infections are the leading cause of blindness worldwide. Thus, understanding the mechanisms that control healing of the damaged cornea is critical for the development of new therapies to promptly restore vision. Innate lymphoid cells (ILCs) are a recently identified heterogeneous cell population that has been reported to orchestrate immunity and promote tissue repair in the lungs and skin after injury. However, whether ILCs can modulate the repair process in the cornea remains poorly understood. We identified a population of cornea-resident group 2 ILCs (ILC2s) in mice that express CD127, T1/ST2, CD90, and cKit. This cell population was relatively rare in corneas at a steady state but increased after corneal epithelial abrasion. Moreover, ILC2s were maintained and expanded locally at a steady state and after wounding. Depletion of this cell population caused a delay in corneal wound healing, whereas supplementation of ILC2s through adoptive transfer partially restored the healing process. Further investigation revealed that IL-25, IL-33, and thymic stromal lymphopoietin had critical roles in corneal ILC2 responses and that CCR2 - corneal macrophages were an important producer of IL-33 in the cornea. Together, these results reveal the critical role of cornea-resident ILC2s in the restoration of corneal epithelial integrity after acute injury and suggest that ILC2 responses depend on local induction of IL-25, IL-33, and thymic stromal lymphopoietin., (Copyright © 2017 American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved.)