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.

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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