CFH Loss in Human RPE Cells Leads to Inflammation and Complement System Dysregulation via the NF-κB Pathway

Age-related macular degeneration (AMD), the leading cause of vision loss in the elderly, is a degenerative disease of the macula, where retinal pigment epithelium (RPE) cells are damaged in the early stages of the disease, and chronic inflammatory processes may be involved. Besides aging and lifesty...

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Main Authors: Angela Armento, Tiziana L. Schmidt, Inga Sonntag, David A. Merle, Mohamed Ali Jarboui, Ellen Kilger, Simon J. Clark, Marius Ueffing
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/16/8727
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author Angela Armento
Tiziana L. Schmidt
Inga Sonntag
David A. Merle
Mohamed Ali Jarboui
Ellen Kilger
Simon J. Clark
Marius Ueffing
author_facet Angela Armento
Tiziana L. Schmidt
Inga Sonntag
David A. Merle
Mohamed Ali Jarboui
Ellen Kilger
Simon J. Clark
Marius Ueffing
author_sort Angela Armento
collection DOAJ
description Age-related macular degeneration (AMD), the leading cause of vision loss in the elderly, is a degenerative disease of the macula, where retinal pigment epithelium (RPE) cells are damaged in the early stages of the disease, and chronic inflammatory processes may be involved. Besides aging and lifestyle factors as drivers of AMD, a strong genetic association to AMD is found in genes of the complement system, with a single polymorphism in the complement factor H gene (<i>CFH</i>), accounting for the majority of AMD risk. However, the exact mechanism of <i>CFH</i> dysregulation confers such a great risk for AMD and its role in RPE cell homeostasis is unclear. To explore the role of endogenous <i>CFH</i> locally in RPE cells, we silenced <i>CFH</i> in human hTERT-RPE1 cells. We demonstrate that endogenously expressed <i>CFH</i> in RPE cells modulates inflammatory cytokine production and complement regulation, independent of external complement sources, or stressors. We show that loss of the factor H protein (FH) results in increased levels of inflammatory mediators (e.g., IL-6, IL-8, GM-CSF) and altered levels of complement proteins (e.g., <i>C3, CFB</i> upregulation, and <i>C5</i> downregulation) that are known to play a role in AMD. Moreover, our results identify the NF-κB pathway as the major pathway involved in regulating these inflammatory and complement factors. Our findings suggest that in RPE cells, FH and the NF-κB pathway work in synergy to maintain inflammatory and complement balance, and in case either one of them is dysregulated, the RPE microenvironment changes towards a proinflammatory AMD-like phenotype.
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spelling doaj.art-96ad3800f3394486ac0f73b5f22636942023-11-22T07:59:33ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-08-012216872710.3390/ijms22168727CFH Loss in Human RPE Cells Leads to Inflammation and Complement System Dysregulation via the NF-κB PathwayAngela Armento0Tiziana L. Schmidt1Inga Sonntag2David A. Merle3Mohamed Ali Jarboui4Ellen Kilger5Simon J. Clark6Marius Ueffing7Institute for Ophthalmic Research, Department for Ophthalmology, Eberhard Karls University of Tübingen, 72076 Tübingen, GermanyInstitute for Ophthalmic Research, Department for Ophthalmology, Eberhard Karls University of Tübingen, 72076 Tübingen, GermanyInstitute for Ophthalmic Research, Department for Ophthalmology, Eberhard Karls University of Tübingen, 72076 Tübingen, GermanyInstitute for Ophthalmic Research, Department for Ophthalmology, Eberhard Karls University of Tübingen, 72076 Tübingen, GermanyInstitute for Ophthalmic Research, Department for Ophthalmology, Eberhard Karls University of Tübingen, 72076 Tübingen, GermanyInstitute for Ophthalmic Research, Department for Ophthalmology, Eberhard Karls University of Tübingen, 72076 Tübingen, GermanyInstitute for Ophthalmic Research, Department for Ophthalmology, Eberhard Karls University of Tübingen, 72076 Tübingen, GermanyInstitute for Ophthalmic Research, Department for Ophthalmology, Eberhard Karls University of Tübingen, 72076 Tübingen, GermanyAge-related macular degeneration (AMD), the leading cause of vision loss in the elderly, is a degenerative disease of the macula, where retinal pigment epithelium (RPE) cells are damaged in the early stages of the disease, and chronic inflammatory processes may be involved. Besides aging and lifestyle factors as drivers of AMD, a strong genetic association to AMD is found in genes of the complement system, with a single polymorphism in the complement factor H gene (<i>CFH</i>), accounting for the majority of AMD risk. However, the exact mechanism of <i>CFH</i> dysregulation confers such a great risk for AMD and its role in RPE cell homeostasis is unclear. To explore the role of endogenous <i>CFH</i> locally in RPE cells, we silenced <i>CFH</i> in human hTERT-RPE1 cells. We demonstrate that endogenously expressed <i>CFH</i> in RPE cells modulates inflammatory cytokine production and complement regulation, independent of external complement sources, or stressors. We show that loss of the factor H protein (FH) results in increased levels of inflammatory mediators (e.g., IL-6, IL-8, GM-CSF) and altered levels of complement proteins (e.g., <i>C3, CFB</i> upregulation, and <i>C5</i> downregulation) that are known to play a role in AMD. Moreover, our results identify the NF-κB pathway as the major pathway involved in regulating these inflammatory and complement factors. Our findings suggest that in RPE cells, FH and the NF-κB pathway work in synergy to maintain inflammatory and complement balance, and in case either one of them is dysregulated, the RPE microenvironment changes towards a proinflammatory AMD-like phenotype.https://www.mdpi.com/1422-0067/22/16/8727age-related macular degeneration (AMD)retinal pigment epithelium (RPE) cellscomplement factor H (CFH)inflammationcytokinesNF-κB pathway
spellingShingle Angela Armento
Tiziana L. Schmidt
Inga Sonntag
David A. Merle
Mohamed Ali Jarboui
Ellen Kilger
Simon J. Clark
Marius Ueffing
CFH Loss in Human RPE Cells Leads to Inflammation and Complement System Dysregulation via the NF-κB Pathway
International Journal of Molecular Sciences
age-related macular degeneration (AMD)
retinal pigment epithelium (RPE) cells
complement factor H (CFH)
inflammation
cytokines
NF-κB pathway
title CFH Loss in Human RPE Cells Leads to Inflammation and Complement System Dysregulation via the NF-κB Pathway
title_full CFH Loss in Human RPE Cells Leads to Inflammation and Complement System Dysregulation via the NF-κB Pathway
title_fullStr CFH Loss in Human RPE Cells Leads to Inflammation and Complement System Dysregulation via the NF-κB Pathway
title_full_unstemmed CFH Loss in Human RPE Cells Leads to Inflammation and Complement System Dysregulation via the NF-κB Pathway
title_short CFH Loss in Human RPE Cells Leads to Inflammation and Complement System Dysregulation via the NF-κB Pathway
title_sort cfh loss in human rpe cells leads to inflammation and complement system dysregulation via the nf κb pathway
topic age-related macular degeneration (AMD)
retinal pigment epithelium (RPE) cells
complement factor H (CFH)
inflammation
cytokines
NF-κB pathway
url https://www.mdpi.com/1422-0067/22/16/8727
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