P23H小鼠中通过联合抑制Fas和自噬途径对光感受器的神经保护作用。
Neuroprotection of photoreceptors by combined inhibition of both Fas and autophagy pathways in P23H mice.
作者信息
Yang Mengling, Yao Jingyu, Jia Lin, Kocab Andrew J, Zacks David N
机构信息
Department of Ophthalmology and Visual Sciences, University of Michigan, Kellogg Eye Center, Ann Arbor, MI, USA.
Department of Ophthalmology, Xiangya Hospital, Xiangya School of Medicine, Central South University, Changsha, Hunan, China.
出版信息
Cell Death Dis. 2025 Jul 1;16(1):469. doi: 10.1038/s41419-025-07793-9.
The P23H variant of rhodopsin (RHO) is a common cause of autosomal dominant retinitis pigmentosa (adRP). Our previous data have shown that both the Fas (CD95) death receptor and hyperactivation of autophagy contribute to photoreceptor (PR) death in a mouse model of P23H-RHO adRP. Individually, inhibition of Fas or suppression of autophagy flux improves PR survival and function. The purpose of this study is to examine whether combined inhibition of Fas receptor activation and reducing autophagy flux would have an additive effect on PR survival and function in the P23H mouse. We crossed the Lpr mouse (which contains a functional knockout of the Fas receptor) with the P23H mouse to generate the Lpr/P23H mouse. Hydroxychloroquine (HCQ) was given in the drinking water at P21 to reduce autophagy flux. As an alternative to genetic inhibition of the Fas receptor, pharmacological blockade of the Fas receptor was achieved using intravitreal injections of the Fas inhibitor, ONL1204, administered via intravitreal injection at P14 and 2 months of age. Fellow eyes were injected with vehicle solution as controls. PR cell death, structure and function of the retina, as well as the activation of immune cells, were evaluated. Consistent with previous data, the Lpr/P23H mice exhibited a decreased rate of photoreceptor degeneration and reduced inflammation compared with P23H. Treatment of these mice with HCQ further preserved photoreceptor survival and function lowered the activation of immune cells, and resulted in reduced production of inflammatory cytokines in the retina. These results were recapitulated in HCQ-treated P23H mice receiving intravitreal injections of ONL1204. Our data suggest that in the mouse model of P23H adRD, inhibition of both the Fas pathway and autophagy pathways results in a greater protective effect, demonstrating the potential multipronged therapeutic approach to reduce PR death and improve retinal function in patients with P23H.
视紫红质(RHO)的P23H变体是常染色体显性遗传性视网膜色素变性(adRP)的常见病因。我们之前的数据表明,在P23H-RHO adRP小鼠模型中,Fas(CD95)死亡受体和自噬的过度激活均导致光感受器(PR)死亡。单独而言,抑制Fas或抑制自噬通量可改善PR的存活和功能。本研究的目的是检验联合抑制Fas受体激活和降低自噬通量是否会对P23H小鼠的PR存活和功能产生累加效应。我们将Lpr小鼠(其Fas受体功能敲除)与P23H小鼠杂交,以生成Lpr/P23H小鼠。在出生后第21天,通过在饮用水中添加羟氯喹(HCQ)来降低自噬通量。作为对Fas受体进行基因抑制的替代方法,通过在出生后第14天和2个月龄时玻璃体内注射Fas抑制剂ONL1204来实现Fas受体的药理学阻断。对侧眼注射溶媒溶液作为对照。评估了PR细胞死亡、视网膜的结构和功能以及免疫细胞的激活情况。与之前的数据一致,与P23H小鼠相比,Lpr/P23H小鼠的光感受器退化速率降低且炎症减轻。用HCQ处理这些小鼠可进一步保护光感受器的存活和功能,降低免疫细胞的激活,并导致视网膜中炎性细胞因子的产生减少。在接受玻璃体内注射ONL1204的HCQ处理的P23H小鼠中也得到了类似结果。我们的数据表明,在P23H adRD小鼠模型中,抑制Fas途径和自噬途径可产生更大的保护作用,这表明了一种潜在的多管齐下的治疗方法,可减少P23H患者的PR死亡并改善视网膜功能。
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