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Updated: May 15, 2025

A Protocol to Evaluate and Quantify Retinal Pigmented Epithelium Pathologies in Mouse Models of Age-Related Macular Degeneration
Published on: March 10, 2023
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.
Abstract:
Age-related macular degeneration (AMD) is a leading cause of blindness in the elderly, with dysfunction of the retinal pigment epithelium (RPE) central to disease pathogenesis. Using our uniquely developed MLST8 (MTOR associated protein, LST8 homolog) knock-in animal model with RPE-specific overexpression, which drives MTOR (mechanistic target of rapamycin kinase) upregulation, we demonstrate that increased MTOR complexes 1 and 2 in the RPE disrupts macroautophagy/autophagy by suppressing autophagosome formation genes and impairing MAP1LC3/LC3 processing. This leads to autophagosome accumulation and defective autolysosome formation, driving RPE dysfunction and AMD-like pathology, including subretinal debris build up and photoreceptor degeneration. Notably, MTOR inhibition with torin1 treatment or CRYBA1 overexpression rescues these defects, restoring autophagy and RPE integrity. Our findings reveal that autophagy disruption mediated by both MTORC1 and MTORC2 drives AMD-like pathology in our mouse model, establishing autophagy regulation as a promising avenue for therapeutic intervention in this vision-threatening disease.
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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