Increased proteasomal activity supports photoreceptor survival in inherited retinal degeneration

Ekaterina S Lobanova1,2, Stella Finkelstein1, Jing Li3,4

  • 1Department of Ophthalmology, Duke University School of Medicine, Durham, NC, 27510, USA.

Insights

Targeting proteasome activity offers a promising therapeutic strategy for inherited retinal degenerations. Enhancing photoreceptor proteasomal function, particularly with PA28α, significantly delays vision loss and preserves photoreceptor cells.

Area of Science:

  • Ophthalmology
  • Molecular Biology
  • Genetics

Background:

  • Inherited retinal degenerations affect over 2 million people globally, caused by mutations in more than 200 genes.
  • A common pathological pathway involves impaired ubiquitin-proteasome system function in photoreceptor cells, leading to protein processing issues.
  • Mutation-independent therapeutic strategies are needed to address the diverse genetic causes of these conditions.

Purpose of the Study:

  • To investigate the potential of enhancing photoreceptor proteasomal activity as a therapeutic strategy for inherited retinal degenerations.
  • To determine if increasing proteasome function can delay retinal degeneration.
  • To evaluate the efficacy of overexpressing the 11S proteasome cap subunit, PA28α, in a mouse model.

Main Methods:

  • Utilized a mouse model of inherited retinal degeneration.
  • Overexpressed the 11S proteasome cap subunit, PA28α, in photoreceptor cells.
  • Assessed the impact on proteasomal activity and photoreceptor survival, particularly in mice with the P23H rhodopsin mutation.

Main Results:

  • Increasing photoreceptor proteasomal activity significantly delayed retinal degeneration in mice.
  • Overexpression of PA28α enhanced ubiquitin-independent protein degradation in photoreceptors.
  • Mice with the P23H rhodopsin mutation showed a quadrupled increase in surviving photoreceptors when treated with this strategy.

Conclusions:

  • Proteasomes represent an attractive therapeutic target for inherited blindness.
  • Enhancing proteasomal activity, specifically via PA28α, offers a potent mutation-independent approach to combat inherited retinal degenerations.
  • This strategy holds significant promise for preserving vision in patients with various forms of inherited blindness.

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