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PDZK1 Protects Against RPE Senescence by Targeting the 14-3-3ε-mTOR Axis to Attenuate Early Diabetic Retinopathy
Jian Zhao1,2,3, Junbiao Zhang1,2,3, Yanli Liu1,2,3
1Department of Ophthalmology, The Third Affiliated Hospital, Southern Medical University, Guangzhou, 510630, China.
Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
|August 25, 2025
Summary
Diabetic retinopathy (DR) involves retinal pigment epithelium (RPE) cell senescence. PDZK1 protein protects RPE cells from senescence, offering a potential therapeutic target for DR.
Area of Science:
- Ophthalmology
- Cell Biology
- Molecular Medicine
Background:
- Diabetic retinopathy (DR) is a leading cause of blindness.
- The pathogenesis of DR, particularly the role of retinal pigment epithelium (RPE) cell senescence, is not fully understood.
Purpose of the Study:
- Investigate the role of RPE cell senescence in DR.
- Identify molecular mechanisms regulating RPE cell senescence in DR.
- Explore therapeutic strategies targeting RPE senescence for DR.
Main Methods:
- Utilized early-stage DR mouse models and high-glucose stimulation of RPE cells.
- Performed transcriptomic profiling to identify key regulatory proteins.
- Examined the effects of PDZK1 overexpression and senescent cell clearance on DR lesions.
Main Results:
- Upregulated senescence marker p16 in RPE cells of early DR models.
- Downregulated PDZK1 expression in RPE cells under high-glucose conditions.
- PDZK1 overexpression reduced RPE senescence, enhanced cell function, and improved DR lesions in mice.
- Identified a novel PDZK1-14-3-3ε-mTOR pathway regulating RPE senescence.
Conclusions:
- RPE cell senescence is a key factor in DR pathogenesis.
- The PDZK1-14-3-3ε-mTOR axis is a critical regulator of high-glucose-induced RPE senescence.
- Targeting RPE senescence presents a promising therapeutic avenue for DR.

