Dihydromyricetin Attenuates Age-Related Macular Degeneration: Pharmacological Effects and Exploration of Putative Targets

Hongyu Zhou¹Jianhui Pang²Baiyang Wu¹Yanan Zhuang²Shenjun Li²Jing Jiang^1*

• ¹College of Pharmacy, Binzhou Medical University, Binzhou, China
• ²RemeGen Co., Ltd, Yantai, Shandong Province, China

Age-related macular degeneration (AMD) is a leading cause of vision loss in older adults, with limited effective treatments available. This study aimed to investigate the pharmacological effects of dihydromyricetin (DHM) on AMD and to identify its putative pharmacological targets through network analysis and molecular docking approaches. In vitro experiments established an AMD model using sodium iodate (SI)induced ARPE-19 cells, with CCK-8 assays determining 15 mM SI as the optimal modeling concentration and 100 μM DHM as the optimal treatment concentration. RT-qPCR analysis revealed that DHM reversed SI-induced aberrant expression of AMDassociated biomarkers (ICAM-1, APOE, HTRA1, ABCA4), while light microscopy and flow cytometry demonstrated DHM's significant mitigation of SI-triggered cellular morphological alterations and apoptosis (35% reduction). Western blot analysis further confirmed DHM-mediated suppression of apoptosis through regulation of p53, Bax, cleaved caspase-3, and Bcl-2 expression. For in vivo validation, an AMD model was generated in C57 mice via tail vein injection of SI (30 mg/kg). Subsequent oral gavage with DHM (50 or 100 mg/kg) showed that high-dose DHM significantly attenuated retinal thinning (10.7% reduction), decreased pigment loss, and ameliorated structural disorganization in the outer nuclear layer (ONL). Integrated network analysis, molecular docking, and RT-qPCR validation predicted seven putative targets implicated in functional categories including neurodegeneration, apoptosis, and DNA modification.Subsequent PPI network construction and GO/KEGG enrichment analyses revealed these targets' involvement in biological processes such as angiogenesis and extracellular matrix organization. In conclusion, the present study demonstrates that DHM can mitigate AMD-related damage in both in vitro and in vivo models, while predicting putative targets and signaling pathways through which DHM may exert its effects against AMD. These findings offer promising directions for the development of AMD therapies and lay the groundwork for further investigation into DHM as a candidate drug for treating and preventing AMD.