Retinal pigment epithelium exhibits gene expression and phagocytic activity alterations when exposed to

Rodrigo Cerna-Chavez1, Agata Rozanska1, Giulia Lodovica Poretti1

  • 1Biosciences Institute, Newcastle University, UK.

PubMed

Insights

Chemotherapy for retinoblastoma (Rb) can harm retinal pigment epithelium (RPE) cells. While not directly cytotoxic, these drugs impair RPE barrier function and phagocytosis, potentially impacting vision.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Developmental Biology

Background:

  • Retinoblastoma (Rb) is a pediatric eye cancer.
  • Chemotherapeutic agents for Rb can cause retinal pigment epithelium (RPE) damage.
  • Developing effective and safe treatments requires understanding drug effects on RPE.

Purpose of the Study:

  • To develop and utilize pluripotent stem cell-derived RPE (PSC-RPE) models.
  • To assess the cytotoxicity and functional impact of common Rb chemotherapeutics on RPE cells.
  • To investigate the molecular mechanisms underlying drug-induced RPE alterations.

Main Methods:

  • Generation of two distinct PSC-RPE models.
  • Treatment of PSC-RPE models with Melphalan, Topotecan, and TW-37 at clinical concentrations.
  • Measurement of trans-epithelial electrical resistance (TEER) to assess barrier integrity.
  • Assessment of RPE phagocytic activity.
  • Transcriptional analysis (gene expression profiling).

Main Results:

  • Chemotherapeutic agents altered RPE barrier function (decreased TEER) and phagocytic activity.
  • Transcriptional analysis revealed altered gene expression in melanin/retinol processing, tight junction, and polarity pathways.
  • No significant cytotoxic effects, changes in apical-basal polarity, tight junction network, or cell cycle were observed at clinical concentrations.
  • In vitro drug application compromised phagocytosis and barrier function, with gene expression changes potentially affecting the visual cycle.

Conclusions:

  • Common Rb chemotherapeutics do not induce significant cytotoxicity in RPE cells at clinical doses.
  • These drugs can compromise RPE barrier function and phagocytosis, impacting visual health.
  • Careful drug delivery is crucial to minimize damage to adjacent healthy RPE during retinoblastoma treatment.