Deficient RPE mitochondrial energetics leads to subretinal fibrosis in age-related neovascular macular degeneration

Subretinal fibrosis permanently impairs the vision of patients with neovascular age-related macular degeneration. Despite emerging evidence revealing the association between disturbed metabolism in retinal pigment epithelium (RPE) and subretinal fibrosis, the underlying mechanism remains unclear. In...

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主要な著者: Ma, X, Wu, W, Hara, M, Zhou, J, Panzarin, C, Schafer, CM, Griffin, CT, Cai, J, Ma, J, Takahashi, Y
フォーマット: Journal article
言語:English
出版事項: Nature Research 2024
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author Ma, X
Wu, W
Hara, M
Zhou, J
Panzarin, C
Schafer, CM
Griffin, CT
Cai, J
Ma, J
Takahashi, Y
author_facet Ma, X
Wu, W
Hara, M
Zhou, J
Panzarin, C
Schafer, CM
Griffin, CT
Cai, J
Ma, J
Takahashi, Y
author_sort Ma, X
collection OXFORD
description Subretinal fibrosis permanently impairs the vision of patients with neovascular age-related macular degeneration. Despite emerging evidence revealing the association between disturbed metabolism in retinal pigment epithelium (RPE) and subretinal fibrosis, the underlying mechanism remains unclear. In the present study, single-cell RNA sequencing revealed, prior to subretinal fibrosis, genes in mitochondrial fatty acid oxidation are downregulated in the RPE lacking very low-density lipoprotein receptor (VLDLR), especially the rate-limiting enzyme carnitine palmitoyltransferase 1A (CPT1A). We found that overexpression of CPT1A in the RPE of Vldlr−/− mice suppresses epithelial-to-mesenchymal transition and fibrosis. Mechanistically, TGFβ2 induces fibrosis by activating a Warburg-like effect, i.e. increased glycolysis and decreased mitochondrial respiration through ERK-dependent CPT1A degradation. Moreover, VLDLR blocks the formation of the TGFβ receptor I/II complex by interacting with unglycosylated TGFβ receptor II. In conclusion, VLDLR suppresses fibrosis by attenuating TGFβ2-induced metabolic reprogramming, and CPT1A is a potential target for treating subretinal fibrosis.
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spelling oxford-uuid:f928b5a0-f99c-41e0-bd1e-7c2d17053b972024-09-11T20:03:49ZDeficient RPE mitochondrial energetics leads to subretinal fibrosis in age-related neovascular macular degenerationJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f928b5a0-f99c-41e0-bd1e-7c2d17053b97EnglishJisc Publications RouterNature Research2024Ma, XWu, WHara, MZhou, JPanzarin, CSchafer, CMGriffin, CTCai, JMa, JTakahashi, YSubretinal fibrosis permanently impairs the vision of patients with neovascular age-related macular degeneration. Despite emerging evidence revealing the association between disturbed metabolism in retinal pigment epithelium (RPE) and subretinal fibrosis, the underlying mechanism remains unclear. In the present study, single-cell RNA sequencing revealed, prior to subretinal fibrosis, genes in mitochondrial fatty acid oxidation are downregulated in the RPE lacking very low-density lipoprotein receptor (VLDLR), especially the rate-limiting enzyme carnitine palmitoyltransferase 1A (CPT1A). We found that overexpression of CPT1A in the RPE of Vldlr−/− mice suppresses epithelial-to-mesenchymal transition and fibrosis. Mechanistically, TGFβ2 induces fibrosis by activating a Warburg-like effect, i.e. increased glycolysis and decreased mitochondrial respiration through ERK-dependent CPT1A degradation. Moreover, VLDLR blocks the formation of the TGFβ receptor I/II complex by interacting with unglycosylated TGFβ receptor II. In conclusion, VLDLR suppresses fibrosis by attenuating TGFβ2-induced metabolic reprogramming, and CPT1A is a potential target for treating subretinal fibrosis.
spellingShingle Ma, X
Wu, W
Hara, M
Zhou, J
Panzarin, C
Schafer, CM
Griffin, CT
Cai, J
Ma, J
Takahashi, Y
Deficient RPE mitochondrial energetics leads to subretinal fibrosis in age-related neovascular macular degeneration
title Deficient RPE mitochondrial energetics leads to subretinal fibrosis in age-related neovascular macular degeneration
title_full Deficient RPE mitochondrial energetics leads to subretinal fibrosis in age-related neovascular macular degeneration
title_fullStr Deficient RPE mitochondrial energetics leads to subretinal fibrosis in age-related neovascular macular degeneration
title_full_unstemmed Deficient RPE mitochondrial energetics leads to subretinal fibrosis in age-related neovascular macular degeneration
title_short Deficient RPE mitochondrial energetics leads to subretinal fibrosis in age-related neovascular macular degeneration
title_sort deficient rpe mitochondrial energetics leads to subretinal fibrosis in age related neovascular macular degeneration
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