Retinal pigment epithelial cell expression of active Rap 1a by scAAV2 inhibits choroidal neovascularization

Haibo Wang1, Xiaokun Han2, Colin A Bretz1

  • 1The John Moran Eye Center, University of Utah , Salt Lake City, Utah, USA.

Insights

Increased Rap1a activity in retinal pigment epithelial cells effectively reduces choroidal neovascularization (CNV). This occurs by protecting RPE cell junctions, offering a potential therapeutic strategy for CNV.

Area of Science:

  • Ophthalmology
  • Molecular Biology
  • Cell Biology

Background:

  • Choroidal neovascularization (CNV) is a major cause of vision loss.
  • Retinal pigment epithelial (RPE) cells play a critical role in maintaining the blood-retinal barrier.
  • Rap1a, a small GTPase, is implicated in cell adhesion and barrier function.

Purpose of the Study:

  • To investigate if enhanced Rap1a activity in RPE cells can prevent CNV.
  • To elucidate the molecular mechanisms by which Rap1a influences RPE cell integrity and CNV.

Main Methods:

  • Generated self-complementary adeno-associated virus 2 (scAAV2) vectors expressing constitutively active Rap1a (CARap1a) under the RPE65 promoter.
  • Subretinally injected vectors into Rap1b-deficient mice and induced CNV using laser photocoagulation.
  • Analyzed RPE/choroidal lysates for Rap1 activity, junctional protein expression, and measured CNV volume.
  • Assessed RPE cell barrier function and choroidal endothelial cell (CEC) transmigration in vitro.

Main Results:

  • Subretinal injection of scAAV2-CARap1a increased Rap1 activity in RPE/choroidal lysates and significantly reduced CNV volume.
  • CARap1a expression preserved RPE junctional complexes (pan-cadherin/β-catenin) and increased transepithelial electrical resistance.
  • Active Rap1a inhibited TNFα-induced RPE barrier disruption and CEC transmigration.
  • Increased Rap1a activity in RPE cells was comparable in efficacy to anti-VEGF treatment in reducing CNV.

Conclusions:

  • Specific enhancement of Rap1a activity in RPE cells is sufficient to resist CNV development.
  • Rap1a protects RPE barrier integrity by stabilizing junctional complexes, involving IQGAP1.
  • Targeting Rap1a in RPE cells presents a novel therapeutic avenue for treating CNV.