Proteins Associated with Phagocytosis Alteration in Retinal Pigment Epithelial Cells Derived from Age-Related Macular

Audrey Voisin1,2, Afsaneh Gaillard1, Anaïs Balbous1,2

  • 1Laboratoire de Neurosciences Expérimentales et Cliniques, Equipe Thérapie Cellulaire dans les Pathologies Cérébrales, INSERM, Université de Poitiers, F-86073 Poitiers, France.

Insights

Age-related macular degeneration (AMD) involves retinal pigment epithelial (RPE) cell dysfunction. This study found that RPE cells from AMD patients exhibit impaired phagocytosis, a key RPE function, even under normal conditions.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Genetics

Background:

  • Age-related macular degeneration (AMD) is a leading cause of vision loss.
  • Retinal pigment epithelial (RPE) cell dysfunction, including impaired phagocytosis, is a hallmark of AMD.

Purpose of the Study:

  • To investigate phagocytosis activity in induced pluripotent stem cell-derived RPE (hiPSC-RPE) cells from AMD patients.
  • To analyze the molecular mechanisms underlying phagocytosis alterations in AMD using transcriptomic and proteomic approaches.

Main Methods:

  • Flow cytometry was used to assess phagocytic activity using porcine photoreceptor outer segments (POS) and fluorescent beads.
  • Oxidative stress was induced using Fe-NTA.
  • RNA-Seq based transcriptomic profiling and Western blot analysis were performed to examine gene and protein expression, focusing on the mTOR/PI3K-AKT/MEK-ERK pathway.

Main Results:

  • hiPSC-RPE cells from both atrophic (AMDa) and exudative (AMDe) AMD forms showed altered basal phagocytosis compared to controls.
  • Oxidative stress similarly inhibited phagocytosis in control and AMD hiPSC-RPE cells.
  • Differential gene expression was observed post-POS incubation, implicating fak, tuberin, and rictor proteins in phagocytosis dysfunction.

Conclusions:

  • hiPSC-RPE cells from AMD patients exhibit a disease phenotype characterized by impaired phagocytosis.
  • Alterations in key proteins like fak, tuberin, and rictor contribute to RPE cell dysfunction in AMD.
  • These findings highlight phagocytosis as a critical RPE function affected in AMD pathogenesis.

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