Protective effect of zinc against A2E-induced toxicity in ARPE-19 cells: Possible involvement of lysosomal

Jeong A Choi1, Bo-Ra Seo1, Jae-Young Koh1,2

  • 1Neural Injury Research Center, Asan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

Heliyon
|November 11, 2024
PubMed

Insights

Restoring zinc levels protects against dry age-related macular degeneration (AMD) by preventing lysosomal dysfunction and cell death in retinal pigment epithelium (RPE) cells damaged by A2E accumulation.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Molecular Medicine

Background:

  • Dry age-related macular degeneration (AMD) pathogenesis involves lysosomal dysfunction in retinal pigment epithelium (RPE) cells.
  • Accumulation of lipofuscins, like A2E (N-retinylidene-N-retinylethanolamine), exacerbates lysosomal dysfunction, creating a detrimental cycle leading to RPE cell death and vision loss.

Purpose of the Study:

  • To investigate the protective effects of elevated zinc levels against A2E-induced lysosomal dysfunction and cytotoxicity in RPE cells.
  • To evaluate the therapeutic potential of zinc restoration in an in vitro AMD model and an in vivo mouse model.

Main Methods:

  • Established an in vitro AMD model using ARPE-19 cells treated with A2E.
  • Assessed cell viability using MTT assay and lysosomal pH using pHrodo™ Red fluorescence staining.
  • Administered zinc ionophore (clioquinol) and zinc chelator (TPEN) to modulate intracellular zinc levels.
  • Utilized subretinal injections of A2E and clioquinol in a mouse model to validate in vitro findings.

Main Results:

  • A2E treatment induced apoptosis and increased lysosomal pH in ARPE-19 cells.
  • Zinc ionophore treatment reduced A2E accumulation, normalized lysosomal pH, and decreased A2E-induced cell death.
  • The protective effects of zinc were reversible with a zinc chelator.
  • In vivo studies confirmed that clioquinol reversed A2E-induced RPE cell death and lysosomal dysfunction in mouse eyes.

Conclusions:

  • Intracellular zinc, particularly in lysosomes, plays a crucial role in mitigating A2E-induced cytotoxic effects.
  • Restoring zinc levels presents a potential therapeutic strategy for dry AMD by addressing lysosomal dysfunction and RPE cell death.

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