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Updated: Jan 15, 2026

Real-Time Analysis of Bioenergetics in Primary Human Retinal Pigment Epithelial Cells Using High-Resolution Respirometry
Published on: February 3, 2023
Modulation of mTOR Within Retinal Pigment Epithelium Affects Cell Viability and Mitochondrial Pathology
Gloria Lazzeri1, Michela Ferrucci1, Paola Lenzi1
1Human Anatomy, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, Italy.
Abstract:
The relevance of well-structured mitochondria in sustaining the integrity of the retinal pigment epithelium (RPE) is increasingly evident. Conversely, altered mitochondria are a culprit of age-related macular degeneration (AMD), which is influenced by the activity of mechanistic target of rapamycin (mTOR). In the present manuscript, the mitochondrial status of RPE cells was investigated by light and electron microscopy following the administration of various doses of compounds, which modulate mTOR. The study combines MitoTracker dyes and mitochondrial immunohistochemistry with in situ mitochondrial morphometry. Various doses of 3-methyladenine (3-MA), curcumin, and rapamycin were administered alone or in combination. The activity of autophagy and mTOR was quantified following each treatment. Administration of 3-MA led to activation of mTOR, which was associated with severe cell death, altered membrane permeability, and altered ZO-1 expression. In this condition, mitochondrial mass was reduced, despite a dramatic increase in damaged mitochondria being reported. The decrease in healthy mitochondria was concomitant with alterations in key mitochondria-related antigens such as Tomm20, Pink1, and Parkin. Specific mitochondrial alterations were quantified through in situ ultrastructural morphometry. Both curcumin and rapamycin counteract mTOR activation and rescue mitochondrial status, while preventing RPE cell loss and misplacement of decreased ZO-1 expression. Mitigation of mTOR may protect mitochondria in retinal degeneration.
Insights
Mechanistic target of rapamycin (mTOR) pathway modulation impacts retinal pigment epithelium (RPE) cell mitochondria. Inhibiting mTOR with curcumin or rapamycin protects mitochondria and prevents cell death in retinal degeneration models.
Area of Science:
- Cell Biology
- Ophthalmology
- Biochemistry
Background:
- Mitochondrial integrity is crucial for retinal pigment epithelium (RPE) health.
- Dysfunctional mitochondria are implicated in age-related macular degeneration (AMD).
- The mechanistic target of rapamycin (mTOR) pathway influences mitochondrial health and AMD pathogenesis.
Purpose of the Study:
- To investigate the impact of mTOR modulation on RPE cell mitochondrial status.
- To explore the therapeutic potential of mTOR inhibitors in preventing RPE degeneration.
Main Methods:
- Light and electron microscopy were used to assess RPE mitochondrial morphology.
- MitoTracker dyes and mitochondrial immunohistochemistry quantified mitochondrial mass and integrity.
- In situ mitochondrial morphometry and autophagy/mTOR activity assays were performed.
- Compounds like 3-methyladenine (3-MA), curcumin, and rapamycin were administered to modulate mTOR.
Main Results:
- 3-MA activated mTOR, causing RPE cell death, increased membrane permeability, and altered ZO-1 expression.
- 3-MA treatment reduced healthy mitochondria, increased damaged mitochondria, and affected key mitochondrial proteins (Tomm20, Pink1, Parkin).
- Curcumin and rapamycin counteracted mTOR activation, preserved mitochondrial status, prevented RPE cell loss, and maintained ZO-1 expression.
Conclusions:
- mTOR pathway activation is detrimental to RPE mitochondrial health and integrity.
- Inhibition of mTOR by curcumin and rapamycin offers a protective strategy against RPE degeneration.
- Targeting mTOR may be a viable therapeutic approach for mitochondrial dysfunction in retinal diseases like AMD.
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