Caspase-14 expression impairs retinal pigment epithelium barrier function: potential role in diabetic macular edema

Selina Beasley1, Mohamed El-Sherbiny2, Sylvia Megyerdi3

  • 1Cellular Biology and Anatomy, Medical College of Georgia, Georgia Regents University (GRU), Augusta, GA 30912, USA ; Oral Biology/Anatomy, College of Dental Medicine, GRU, Augusta, GA 30912, USA ; Culver Vision Discovery Institute and Department of Ophthalmology, Medical College of Georgia, GRU, Augusta, GA 30912, USA.

Insights

High glucose increases caspase-14 in retinal cells, disrupting their barrier function. Reducing caspase-14 prevents this damage, suggesting a role in diabetic macular edema.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Endocrinology

Background:

  • Diabetic retinopathy (DR) involves vascular cell death.
  • Caspase-14 was identified as a novel molecule in the retina.
  • Its role in retinal pigment epithelial (RPE) cell dysfunction under hyperglycemia was unexplored.

Purpose of the Study:

  • To investigate the role of caspase-14 in RPE cell dysfunction under high glucose conditions.
  • To determine if caspase-14 modulates RPE barrier integrity and caspase activation.
  • To assess the therapeutic potential of targeting caspase-14 in diabetic eye disease.

Main Methods:

  • Human RPE (ARPE-19) cells were exposed to high glucose (HG) or normal glucose.
  • Caspase-14 expression was modulated using transfection with plasmid or siRNA.
  • RPE barrier function was assessed via FITC-dextran flux and electric cell substrate impedance sensing (ECIS).
  • Activation of other caspases (caspase-1, caspase-9) and phagocytic activity were evaluated.

Main Results:

  • High glucose significantly increased caspase-14 expression in ARPE-19 cells.
  • Elevated caspase-14 mimicked HG effects, increasing RPE cell layer permeability and decreasing transcellular electrical resistance (TER).
  • Caspase-14 knockdown prevented HG-induced barrier disruption and activation of caspase-1 and caspase-9.
  • Phagocytic activity remained unaffected by caspase-14 modulation.

Conclusions:

  • Caspase-14 contributes to retinal pigment epithelial cell barrier disruption under hyperglycemic conditions.
  • Targeting caspase-14 may offer a therapeutic strategy for preventing diabetic macular edema.
  • Caspase-14 is a key mediator of RPE dysfunction in diabetic eye disease.