Suppression of myeloid PFKFB3-driven glycolysis protects mice from choroidal neovascularization

Zhiping Liu1,2,3, Xiaoxiao Mao1,2, Qiuhua Yang2

  • 1State Key Laboratory of Chemical Oncogenomics, Key Laboratory of Chemical Genomics, School of Chemical Biology and Biotechnology, Peking University Shenzhen Graduate School, Shenzhen, China.

Abstract

Insights

Macrophages drive pathological angiogenesis in neovascular age-related macular degeneration (nAMD) by increasing glycolysis. Targeting PFKFB3-mediated macrophage glycolysis offers a promising therapeutic strategy for nAMD treatment.

Area of Science:

  • Ophthalmology
  • Immunology
  • Metabolic disease

Background:

  • Pathological angiogenesis causes blindness in neovascular age-related macular degeneration (nAMD).
  • Macrophages and microglia (MΦ) are implicated in ocular angiogenesis.
  • The role of MΦ glucose metabolism in nAMD remains unclear.

Purpose of the Study:

  • Investigate the involvement of glycolysis, specifically the kinase/phosphatase PFKFB3, in choroidal neovascularization (CNV) development.
  • Determine the impact of MΦ glucose metabolism on nAMD pathogenesis.

Main Methods:

  • Induced CNV in mice via laser photocoagulation.
  • Isolated choroid/retinal pigment epithelium (RPE) complexes and MΦ for analysis.
  • Utilized qRT-PCR, western blot, flow cytometry, immunostaining, metabolic assays, and angiogenesis assays.

Main Results:

  • MΦ in CNV models showed high glycolysis and M1/M2 polarization.
  • Knocking out PFKFB3 in myeloid cells reduced neovascularization and pro-angiogenic factors.
  • PFKFB3 inhibition with AZ67 prevented laser-induced CNV by blocking HIF and NF-κB signaling.

Conclusions:

  • PFKFB3-driven glycolysis in MΦ promotes an angiogenic phenotype, contributing to CNV.
  • Targeting PFKFB3-mediated MΦ glycolysis is a potential therapeutic strategy for nAMD.

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