MLST8 overexpression in RPE cells disrupts autophagy through novel mechanisms affecting AMD pathogenesis

Sridhar Bammidi1, Sayan Ghosh1, Olivia Chowdhury2

  • 1Department of Ophthalmology, The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Autophagy
|April 10, 2025
PubMed

Insights

Dysfunctional autophagy in the retinal pigment epithelium, driven by mechanistic target of rapamycin (MTOR) signaling, causes age-related macular degeneration (AMD). Inhibiting MTOR or enhancing CRYBA1 restores autophagy and RPE integrity, offering potential AMD therapies.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Genetics

Background:

  • Age-related macular degeneration (AMD) is a primary cause of vision loss in older adults.
  • Retinal pigment epithelium (RPE) dysfunction is a key factor in AMD pathogenesis.
  • Autophagy is a critical cellular process for maintaining RPE health.

Purpose of the Study:

  • To investigate the role of mechanistic target of rapamycin (MTOR) signaling in RPE dysfunction and AMD.
  • To explore the impact of MTOR upregulation on autophagy within the RPE.
  • To identify potential therapeutic targets for AMD by modulating autophagy.

Main Methods:

  • Development of a novel MLST8 knock-in mouse model with RPE-specific MTOR overexpression.
  • Assessment of autophagy markers, including autophagosome formation and LC3 processing.
  • Evaluation of RPE integrity and AMD-like pathology in the animal model.
  • Treatment with MTOR inhibitor torin1 and assessment of CRYBA1 overexpression effects.

Main Results:

  • Increased MTOR signaling in RPE suppressed autophagy by inhibiting autophagosome formation and LC3 processing.
  • This disruption led to autophagosome accumulation, defective autolysosome formation, and RPE dysfunction.
  • AMD-like pathologies, including subretinal debris and photoreceptor degeneration, were observed.
  • MTOR inhibition or CRYBA1 overexpression rescued autophagy defects and restored RPE integrity.

Conclusions:

  • MTOR complexes 1 and 2 (MTORC1/2) signaling disruption of autophagy drives AMD-like pathology in the RPE.
  • Autophagy regulation presents a promising therapeutic strategy for vision-threatening AMD.
  • This study highlights a novel mechanism linking MTOR, autophagy, and AMD pathogenesis.

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