AUTHOR=Huang Xiaosheng , Chou Tiansheng , Liu Xinhua , Zeng Kun , Sun Liangnan , Yan Zonghui , Mei Shaoyi , Xi Wenqun , Zhan Zongyi , Liu Yi , Dong Songguo , Liu Siqi , Zhao Jun TITLE=Revealing age-related changes in the intraocular microenvironment and senescence modulators using aqueous humor proteomics and machine learning JOURNAL=Frontiers in Cell and Developmental Biology VOLUME=Volume 13 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/cell-and-developmental-biology/articles/10.3389/fcell.2025.1583330 DOI=10.3389/fcell.2025.1583330 ISSN=2296-634X ABSTRACT=BackgroundIn conjunction with age, aqueous humor (AH) proteomics can affect the occurrence and development of age-related eye diseases, which are poorly understood.ObjectiveWe characterized the proteomic changes in AH throughout the aging process to better understand the aging mechanisms of the intraocular environment.MethodsWe analyzed the AH proteomes of 33 older and 19 younger individuals using liquid chromatography–tandem mass spectrometry, from which we clustered similar expression trajectories of AH proteomics using local regression analysis. Aging proteins (APs) and their functional enrichment were evaluated using various statistical and bioinformatics methods, while aging modulators were predicted using multiple machine-learning models.ResultsAH proteomic expression patterns exhibited various types of linear and nonlinear changes across the age groups. A set of 179 proteins identified as significant APs were enriched in various eye processes, such as detoxification, eye development, negative regulation of hydrolase activity, and humoral immune response. According to AH proteomics, hallmarks of aging include oxidative damage, defective extracellular matrices, and loss of proteostasis. A total of 11 APs were considered senescence signatures for predicting AH age with strong predictive ability. Furthermore, 22 APs were classified as modulators that may affect the aging process in the eye.ConclusionThese findings establish a framework for age-related changes in the AH proteome and provide potential senescence biomarkers and therapeutic targets for age-related eye diseases.