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Updated: Sep 6, 2025

Exploring the Regulation of Lipid Droplet Catabolism through Lipophagy
Published on: January 31, 2025
Activation of LXRs Reduces Oxysterol Lipotoxicity in RPE Cells by Promoting Mitochondrial Function
Lirong Xie1,2, Qing Gu1,2, Xingwei Wu1,2
1Department of Ophthalmology, Shanghai General Hospital (Shanghai First People's Hospital), Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China.
Abstract:
Effective treatments for age-related macular degeneration (AMD), the most prevalent neurodegenerative form of blindness in older adults, are lacking. Genome-wide association studies have identified lipid metabolism and inflammation as AMD-associated pathogenic changes. Liver X receptors (LXRs) play a critical role in intracellular homeostases, such as lipid metabolism, glucose homeostasis, inflammation, and mitochondrial function. However, its specific role in AMD and its underlying molecular mechanisms remain unknown. In this study, we investigated the effects of lipotoxicity in human retinal pigmental epithelial (ARPE-19) cells and evaluated how LXRs reduce 7-ketocholesterol (7KCh) lipotoxicity in RPE cells using models, both in vivo and in vitro. A decrease in oxidative lipid accumulation was observed in mouse retinas following the activation of the LXRs; this result was also confirmed in cell experiments. At the same time, LXRs activation reduced RPE cell apoptosis induced by oxysterols. We found that oxysterols decreased the mitochondrial membrane potential in ARPE-19 cells, while LXR agonists counteracted these effects. In cultured ARPE-19 cells, activating LXRs reduced p62, mTOR, and LC3I/II levels, and the knockdown of LXRs elevated the expression of these proteins, indicating that activating LXRs could boost mitophagy. The findings of this study suggest LXR-active pharmaceuticals as a potential therapeutic target for dry AMD.
Insights
Liver X receptors (LXRs) activation combats lipotoxicity and apoptosis in retinal cells, offering a promising therapeutic strategy for dry age-related macular degeneration (AMD). This research highlights LXRs
Area of Science:
- Ophthalmology and Molecular Biology
- Neurodegenerative Diseases
- Lipid Metabolism and Inflammation
Background:
- Age-related macular degeneration (AMD) is a leading cause of blindness with limited treatments.
- Genetic studies link lipid metabolism and inflammation to AMD pathogenesis.
- The role of Liver X receptors (LXRs) in AMD and their mechanisms are not well understood.
Purpose of the Study:
- To investigate the impact of lipotoxicity on retinal pigmental epithelial (ARPE-19) cells.
- To evaluate the efficacy of LXRs in mitigating 7-ketocholesterol (7KCh) induced lipotoxicity in retinal pigment epithelial (RPE) cells.
- To elucidate the molecular mechanisms by which LXRs exert protective effects in AMD models.
Main Methods:
- Utilized in vitro models with ARPE-19 cells and in vivo mouse models.
- Assessed the effects of LXR activation on oxidative lipid accumulation and RPE cell apoptosis induced by oxysterols.
- Measured mitochondrial membrane potential and key proteins involved in mitophagy (p62, mTOR, LC3I/II) in response to LXR modulation.
Main Results:
- LXR activation decreased oxidative lipid accumulation in mouse retinas and ARPE-19 cells.
- LXR agonists protected RPE cells from oxysterol-induced apoptosis and restored mitochondrial membrane potential.
- Activating LXRs upregulated mitophagy-related proteins (p62, mTOR, LC3I/II), while LXR knockdown had the opposite effect.
Conclusions:
- LXR activation effectively reduces lipotoxicity and oxysterol-induced damage in RPE cells.
- LXRs promote mitophagy, a cellular process crucial for maintaining RPE health.
- LXR-targeting pharmaceuticals represent a potential therapeutic avenue for dry AMD.
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