TNF-α released from retinal Müller cells aggravates retinal pigment epithelium cell apoptosis by upregulating

Yu Liu1, Lele Li2, Ningxin Pan1

  • 1Department of Ophthalmology, Affiliated Hospital of Nantong University, Nantong, China.

Insights

Diabetic retinopathy (DR) involves retinal pigment epithelium (RPE) cell damage. Müller cells trigger RPE apoptosis via TNF-α, activating the EGFR/p38/NF-κB pathway, suggesting new DR treatment targets.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Molecular Medicine

Background:

  • Diabetic retinopathy (DR) is a leading cause of blindness, characterized by retinal pigment epithelium (RPE) cell damage and apoptosis.
  • Mitophagy, a key cellular process, is implicated in RPE cell death during DR pathogenesis.
  • Müller cells contribute to DR by releasing pro-inflammatory cytokines like tumor necrosis factor α (TNF-α), which affect RPE cells.

Purpose of the Study:

  • To investigate the molecular mechanisms by which Müller cell-derived TNF-α induces mitophagy-associated apoptosis in RPE cells under high glucose conditions.
  • To elucidate the role of the epidermal growth factor receptor (EGFR)/p38 mitogen-activated protein kinase (p38)/nuclear factor kappa B (NF-κB) signaling pathway in RPE cells during DR.
  • To explore the therapeutic potential of targeting the TNF-α/EGFR axis for DR treatment.

Main Methods:

  • Utilized cell culture models with high glucose exposure to mimic DR conditions.
  • Investigated the activation of the EGFR/p38/NF-κB/p62 signaling pathway in RPE cells.
  • Examined the effects of TNF-α on mitophagy and apoptosis in RPE cells.
  • Assessed the impact of blocking the TNF-α/EGFR axis on the blood-retina barrier in a mouse model of diabetes.

Main Results:

  • Tumor necrosis factor α (TNF-α) released from Müller cells activated the EGFR/p38/NF-κB/p62 pathway in RPE cells.
  • This activation led to increased mitophagy and apoptosis in RPE cells under high glucose conditions.
  • Blocking the TNF-α/EGFR interaction ameliorated blood-retina barrier disruption in diabetic mice.

Conclusions:

  • Müller cell inflammation significantly impacts RPE cell survival in DR.
  • The EGFR/p38/NF-κB pathway is a critical mediator of TNF-α-induced RPE cell death.
  • Targeting the TNF-α/EGFR axis presents a promising therapeutic strategy for managing diabetic retinopathy.

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