视网膜色素上皮细胞自噬途径的年龄相关性衰退及局部应用海藻糖对小鼠光诱导性视网膜外层变性的保护作用
Age-Associated Decline in Autophagy Pathways in the Retinal Pigment Epithelium and Protective Effects of Topical Trehalose in Light-Induced Outer Retinal Degeneration in Mice.
作者信息
Cox Katherine, Shi Gongyu, Read Neve, Patel Mohamed T, Ou Kepeng, Liu Zijia, Wu Jiahui, Cendanawati Suci, Le Brun Powell Jenna, Oppenheimer Pola Goldberg, Hill Lisa J, Nicholson Lindsay B, Dick Andrew D, Liu Jian
机构信息
Academic Unit of Ophthalmology, Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
School of Cellular and Molecular Medicine, University of Bristol, Bristol, UK.
出版信息
Aging Cell. 2025 Jul;24(7):e70081. doi: 10.1111/acel.70081. Epub 2025 Apr 28.
Age is a primary risk factor for chronic conditions, including age-related macular degeneration (AMD). Impairments in autophagy processes are implicated in AMD progression, but the extent of autophagy's contribution and its therapeutic potential remain ambiguous. This study investigated age-associated transcriptomic changes in autophagy pathways in the retinal pigment epithelium (RPE) and evaluated the protective effects of topical trehalose, an autophagy-enhancing small molecule, against light-induced outer retinal degeneration in mice. Transcriptomic analysis of human RPE/choroid and mouse RPE revealed consistent downregulation of autophagy pathways with age, alongside variable changes as AMD severity progressed. Given the age- and AMD-associated perturbation of autophagy pathways, we examined trehalose treatment in vitro, which enhanced autophagic flux and restored mitochondrial respiratory function in primary murine RPE cells exposed to oxidative stress. In vivo, topical trehalose improved autophagy-lysosome activity in mouse RPE, as demonstrated by elevated LC3B turnover and SQSTM1/p62 degradation. Furthermore, trehalose eyedrops protected mice from light-induced damage to the RPE and photoreceptors, preserving outer nuclear layer thickness, RPE morphology, and junctional F-actin organization. Taken together, the data support that age-related decline and severe dysregulation in autophagy contributed to AMD progression. By restoring autophagic flux, topical trehalose demonstrates therapeutic potential to address early autophagy-related pathological changes in AMD.
年龄是包括年龄相关性黄斑变性(AMD)在内的慢性疾病的主要风险因素。自噬过程受损与AMD的进展有关,但其自噬作用的程度及其治疗潜力仍不明确。本研究调查了视网膜色素上皮(RPE)中自噬途径与年龄相关的转录组变化,并评估了自噬增强小分子海藻糖局部给药对小鼠光诱导的视网膜外层变性的保护作用。对人RPE/脉络膜和小鼠RPE的转录组分析显示,随着年龄增长,自噬途径持续下调,同时随着AMD严重程度的进展出现可变变化。鉴于自噬途径与年龄和AMD相关的扰动,我们在体外研究了海藻糖治疗,其增强了原代小鼠RPE细胞暴露于氧化应激时的自噬通量并恢复了线粒体呼吸功能。在体内,局部海藻糖改善了小鼠RPE中的自噬-溶酶体活性,这通过升高的LC3B周转和SQSTM1/p62降解得以证明。此外,海藻糖滴眼液保护小鼠免受光诱导的RPE和光感受器损伤,保留了外核层厚度、RPE形态和连接性F-肌动蛋白组织。综上所述,数据支持与年龄相关的自噬下降和严重失调促成了AMD的进展。通过恢复自噬通量,局部海藻糖显示出解决AMD早期自噬相关病理变化的治疗潜力。