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Modulation of Iron-Induced Glucose Metabolic Reprogramming Alleviates Retinal Pigment Epithelial Cell Senescence
Zhenzhen Zhao1, Qingjian Ou1,2, Jincheng Zhu1
1Department of Ophthalmology of Tongji Hospital and Laboratory of Clinical and Visual Sciences of Tongji Eye Institute, School of Medicine, Tongji University, Shanghai, China.
Investigative Ophthalmology & Visual Science
|April 14, 2026
Summary
Iron overload causes retinal pigment epithelial cell senescence by altering glucose metabolism. Inhibiting this metabolic shift with 2-deoxy-D-glucose protects against RPE degeneration and preserves vision.
Area of Science:
- Ophthalmology
- Cell Biology
- Metabolic Research
Background:
- Iron overload is implicated in various pathologies.
- Retinal pigment epithelial (RPE) cells are crucial for retinal health.
- Cellular senescence contributes to age-related diseases.
Purpose of the Study:
- To investigate if iron overload induces RPE cell senescence via glucose metabolic reprogramming.
- To explore therapeutic strategies targeting this metabolic pathway.
Main Methods:
- Utilized human iPSC-derived RPE cells and mouse models.
- Assessed mitochondrial function, ROS, and senescence markers using various assays.
- Modulated glucose metabolism with inhibitors (2-DG, PKM2-IN-1) and enhancers (SO).
Main Results:
- Iron overload induced a metabolic shift in RPE cells, increasing glucose flux and ROS production, leading to senescence.
- Inhibiting the metabolic surge with 2-DG or PKM2-IN-1 attenuated senescence and preserved mitochondrial function.
- Enhancing pyruvate flux exacerbated senescence, while 2-DG protected RPE cells in vivo, preserving visual function.
Conclusions:
- Glucose metabolic reprogramming drives iron-induced RPE senescence through ROS-mediated mitochondrial damage.
- Targeting glucose metabolism offers a potential therapeutic approach for RPE degeneration in conditions like age-related macular degeneration.
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