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Updated: Oct 3, 2025

Author Spotlight: Unraveling the Pathogenesis of Age-Related Macular Degeneration and Discovering Potential Therapies
Published on: July 28, 2023
Lipid Droplet Accumulation Promotes RPE Dysfunction
Tomohiro Yako1, Wataru Otsu2, Shinsuke Nakamura1
1Molecular Pharmacology, Department of Biofunctional Evaluation, Gifu Pharmaceutical University, 1-25-4 Daigaku-nishi, Gifu 501-1196, Japan.
Abstract:
Non-exudative age-related macular degeneration (AMD) is an irreversibly progressive retinal degenerative disease characterized by dysfunction and loss of retinal pigment epithelium (RPE). It has been suggested that impaired phagocytosis of the RPE is involved in the progression of non-exudative AMD, but the mechanism is not fully clear. In this study, we investigated the effect of lipid droplet accumulation on RPE function. Compared to young mice, the expression of lipid droplet-associated proteins increased in the RPE-choroidal complex, and lipid droplet in the RPE was observed in aged pigmented mice (12-month-old). Repeated treatment of the photoreceptor outer segment against ARPE-19 resulted in lipid droplets in ARPE-19 cells in vitro. Oleic acid treatment for ARPE-19 cells to form intracellular lipid droplet reduced the POS uptake into the ARPE-19 cells without causing a decrease in cell viability. The suppression of the POS uptake by lipid droplet formation improved by inhibiting lipid droplet formation using triacsin C. Moreover, the amount of intracellular reactive oxygen species was suppressed by the triacsin C treatment. These results indicate that lipid droplet is involved in the RPE dysfunction, and inhibiting lipid droplet formation may be a target for preventing and treating non-exudative AMD.
Insights
Lipid droplet accumulation impairs retinal pigment epithelium (RPE) function in age-related macular degeneration (AMD). Inhibiting lipid droplet formation may offer a new therapeutic target for treating this progressive vision loss.
Area of Science:
- Ophthalmology
- Cell Biology
- Molecular Biology
Background:
- Non-exudative age-related macular degeneration (AMD) involves retinal pigment epithelium (RPE) dysfunction.
- Impaired RPE phagocytosis is implicated in AMD progression, but mechanisms remain unclear.
- Investigating the role of lipid droplets in RPE function is crucial for understanding AMD pathogenesis.
Purpose of the Study:
- To investigate the effect of lipid droplet accumulation on RPE function.
- To determine if inhibiting lipid droplet formation can ameliorate RPE dysfunction.
Main Methods:
- Assessed lipid droplet-associated protein expression and lipid droplet presence in aged mice RPE-choroidal complex.
- Induced lipid droplets in ARPE-19 cells in vitro using photoreceptor outer segments (POS) and oleic acid.
- Evaluated the impact of lipid droplets on POS uptake and cell viability.
- Utilized triacsin C to inhibit lipid droplet formation and assessed its effect on POS uptake and reactive oxygen species (ROS).
Main Results:
- Aged mice showed increased lipid droplet-associated proteins and lipid droplets in RPE.
- In vitro, lipid droplet formation in ARPE-19 cells reduced POS uptake without affecting cell viability.
- Inhibiting lipid droplet formation with triacsin C improved POS uptake.
- Triacsin C treatment also suppressed intracellular ROS levels.
Conclusions:
- Lipid droplet accumulation is implicated in RPE dysfunction.
- Inhibiting lipid droplet formation may be a potential therapeutic strategy for non-exudative AMD.
- Targeting lipid droplet pathways could help prevent and treat AMD progression.
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