Myofibroblast lineage mapping and inhibiting subretinal fibrosis by targeting SMAD3 and MRTF pathways via microRNA-24

Yinga Wu1, Yao Tong1, Katherine G Byrnes1

  • 1Department of Cell and Molecular Biology, Tulane University, New Orleans, LA, 70118, USA.

Insights

Multiple cell types contribute to myofibroblast formation in subretinal fibrosis. MicroRNA miR-24 dysregulation and its targeted pathways present a potential therapeutic strategy for age-related macular degeneration (AMD).

Area of Science:

  • Ophthalmology and Molecular Biology
  • Cellular Biology and Pathology

Background:

  • Subretinal fibrosis is a key pathological process in end-stage retinal diseases like age-related macular degeneration (AMD), leading to vision loss.
  • Myofibroblasts drive subretinal fibrosis, but their cellular origins remain incompletely understood.

Purpose of the Study:

  • To identify the cellular contributors to myofibroblast formation in subretinal fibrosis.
  • To investigate the role of microRNA miR-24 in regulating fibrotic pathways and its therapeutic potential in AMD.

Main Methods:

  • Utilized a laser-induced subretinal fibrosis model in mice.
  • Analyzed plasma samples from wet AMD patients for miR-24 levels.
  • Investigated the effects of miR-24 overexpression and pathway inhibitors (SMAD3, MRTF) on fibrosis in vitro and in vivo.

Main Results:

  • Macrophages, endothelial cells (EC), retinal pigment epithelial (RPE) cells, and pericytes were identified as significant contributors to myofibroblasts.
  • miR-24 was downregulated in wet AMD patients and its overexpression inhibited epithelial-mesenchymal transition (EMT) and endothelial-mesenchymal transition (EndMT).
  • Combined SMAD3 and MRTF inhibition demonstrated superior efficacy in repressing fibrosis compared to individual inhibitors.

Conclusions:

  • Subretinal fibrosis involves myofibroblast transformation from multiple cell lineages.
  • miR-24, through regulation of TGF-β/SMAD3 and PAK4/LIMK2/MRTF pathways, plays a crucial role in preventing fibrosis.
  • Targeting miR-24-regulated pathways offers a promising therapeutic avenue for AMD and other fibrotic conditions.