“…On the other hand, DEX-induced ECM remodeling deemed responsible for increased resistance to aqueous outflow encompasses aberrant changes to its structural, matricellular, crosslinking, and turnover components typically resulting in increased ECM deposition and/or stiffness. 7,25,[36][37][38][39][40][41][42][43] Specific cell-matrix mechanoreceptors, like integrin subunits/integrin adhesomes 38,[44][45][46] and caveolins, 32,47 and key intracellular cytoskeletal-related proteins, [48][49][50][51][52][53] have been identified as critical mediators in these DEX-induced TM cell and/or ECM changes. For instance, β1, 52,54,55 β3, 30,40,54 and αVβ3 40,46,56 integrins, and integrin linked kinase 44 have all been implicated in aberrant remodeling of the actin cytoskeleton (such as CLANs formation) and/or ocular hypertension.…”