Age-related macular degeneration (AMD) is a multi-factorial disease that is the leading cause of irreversible and severe vision loss in the developed countries. It has been suggested that the pathogenesis of dry AMD involves impaired protein degradation in retinal pigment epithelial cells (RPE). RPE cells are constantly exposed to oxidative stress that may lead to the accumulation of damaged cellular proteins, DNA and lipids and evoke tissue deterioration during the aging process. The ubiquitin-proteasome pathway and the lysosomal/autophagosomal pathway are the two major proteolytic systems in eukaryotic cells. NRF-2 (nuclear factor-erythroid 2-related factor-2) and PGC-1α (peroxisome proliferator-activated receptor gamma coactivator-1 alpha) are master transcription factors in the regulation of cellular detoxification. We investigated the role of NRF-2 and PGC-1α in the regulation of RPE cell structure and function by using global double knockout (dKO) mice. The NRF-2/PGC-1α dKO mice exhibited significant age-dependent RPE degeneration, accumulation of the oxidative stress marker, 4-HNE (4-hydroxynonenal), the endoplasmic reticulum stress markers GRP78 (glucose-regulated protein 78) and ATF4 (activating transcription factor 4), and damaged mitochondria. Moreover, levels of protein ubiquitination and autophagy markers p62/SQSTM1 (sequestosome 1), Beclin-1 and LC3B (microtubule associated protein 1 light chain 3 beta) were significantly increased together with the Iba-1 (ionized calcium binding adaptor molecule 1) mononuclear phagocyte marker and an enlargement of RPE size. These histopathological changes of RPE were accompanied by photoreceptor dysmorphology and vision loss as revealed by electroretinography. Consequently, these novel findings suggest that the NRF-2/PGC-1α dKO mouse is a valuable model for investigating the role of proteasomal and autophagy clearance in the RPE and in the development of dry AMD.
Bibliographical noteFunding Information:
This work was supported by the Kuopio University Hospital (KK) (Grant Number 5503743 ), the Finnish Eye Foundation (JJP, KK), the Finnish Funding Agency for Technology and Innovation (AK, KK), the Health Research Council of the Academy of Finland (KK, HS) (Grant Numbers 218050 and 296840 ), the Päivikki and Sakari Sohlberg Foundation (KK, HS), the Evald and Hilda Nissi Foundation and the Finnish Cultural Foundation-North-Savo (AKoi), the Lindsay Family Foundation and an anonymous donor for AMD research (DAF), National Science Centre, Poland (JB) (Grant number 2017/27/B/NZ3/00872 ). The researchers are very grateful to Mrs. Anne Seppänen, Mrs. Anne Karppinen, Mrs Virpi Miettinen, Mr. Anthony Rodriguez and Mr. Eric Barron for their skillful technical assistance.
- Oxidative stress
- Protein aggregation
PubMed: MeSH publication types
- Journal Article
- Research Support, Non-U.S. Gov't