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               Anti-senolytic engineered phosphorous nanosheets and resveratrol for age-

               related macular degeneration treatment


                                              ,1
               Y a -Chih Huang,  #,1  Wei Chen*

               1  Genomics Research Center, Academia Sinica, Taipei 11529, Taiwan
               * E-mail: wchen123@as.edu.tw

               Abstract
                  Dry age-related macular degeneration (AMD) is a major ocular degenerative disorder that
               affects the macular region and leads to progressive vision loss in the elderly. Currently, no
               effective  therapeutic  strategies  are  available  for  dry  AMD.  Here,  we  developed  a
               multifunctional therapeutic platform by integrating the antioxidative nanomaterial engineered
               phosphorus nanosheets (EPNSs) with resveratrol, an FDA-approved small molecule known to
               inhibit cellular senescence. In vitro studies showed that this formulation not only exhibited
               potent  antioxidative  and  anti-inflammatory  properties  but  also  possessed  anti-senescence
               activities, thereby significantly attenuating sodium iodate (SI)-induced aging in human retinal
               pigment epithelial cells (ARPE-19). Moreover, targeted peptide-modified EPNS formulations
               enhanced delivery to the retinal pigment epithelium (RPE) layer, further augmenting their anti-
               senescence  efficacy.  In  vivo  studies  showed  that  administration  of  EPNS-based  treatments
               effectively alleviated retinal degeneration and preserved retinal electrophysiological responses
               in SI-induced AMD mouse model. Collectively, these findings highlight the potential of EPNS-
               based therapeutics as a promising strategy to prevent AMD progression and suggest broader
               applications in other aging-related diseases.

               Keywords: Age-related  macular  degeneration  (AMD);  Engineered  phosphorus  nanosheets;
                          Anti-aging; Retinal pigment epithelium (RPE); Anti-oxidation
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