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Published on: October 27, 2017
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.
Abstract:
Inherited retinal degenerations, affecting more than 2 million people worldwide, are caused by mutations in over 200 genes. This suggests that the most efficient therapeutic strategies would be mutation independent, i.e., targeting common pathological conditions arising from many disease-causing mutations. Previous studies revealed that one such condition is an insufficiency of the ubiquitin-proteasome system to process misfolded or mistargeted proteins in affected photoreceptor cells. We now report that retinal degeneration in mice can be significantly delayed by increasing photoreceptor proteasomal activity. The largest effect is observed upon overexpression of the 11S proteasome cap subunit, PA28α, which enhanced ubiquitin-independent protein degradation in photoreceptors. Applying this strategy to mice bearing one copy of the P23H rhodopsin mutant, a mutation frequently encountered in human patients, quadruples the number of surviving photoreceptors in the inferior retina of 6-month-old mice. This striking therapeutic effect demonstrates that proteasomes are an attractive target for fighting inherited blindness.
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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