Macrophage-derived SPP1 promotes subretinal fibrosis by YAP1 phase separation in retinal pigment epithelium

Ruoyi Lin1, Zixin Cai2, Tianyu Zheng3

  • 1Department of Ophthalmology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China; Department of Ophthalmology, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.

Abstract

Insights

Acidic metabolites drive subretinal fibrosis (SRF) in neovascular age-related macular degeneration (nAMD) by promoting macrophage Spp1 expression. This activates the YAP1-2α pathway, leading to RPE EMT and fibrosis progression.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Molecular Biology

Background:

  • Subretinal fibrosis (SRF) is a severe complication of neovascular age-related macular degeneration (nAMD).
  • The precise molecular mechanisms driving the transition from choroidal neovascularization (CNV) to SRF are not fully understood.
  • Current treatment options for SRF are limited, highlighting the need for mechanistic insights.

Purpose of the Study:

  • To elucidate the pathological mechanisms underlying the development of subretinal fibrosis (SRF) in neovascular age-related macular degeneration (nAMD).
  • To investigate the role of specific metabolites and gene pathways in SRF progression.
  • To identify potential therapeutic targets for SRF.

Main Methods:

  • Bulk and single-cell RNA sequencing (RNA-seq) of mouse macrophages and CNV models to identify fibrosis-associated genes.
  • In vitro and in vivo experiments using laser-induced CNV and SRF models to assess the pro-fibrotic role of Spp1 and its interaction with CD44.
  • Analysis of the CD44/RhoA/YAP1 signaling pathway, including YAP1 isoform identification, liquid-liquid phase separation (LLPS) dynamics, and transcription factor interactions (TEAD4).

Main Results:

  • Succinate and lactate were found to upregulate Spp1 expression in macrophages, correlating with Ca2+ influx pathways.
  • Spp1-expressing macrophages accumulate during CNV progression, and exogenous Spp1 exacerbates CNV-related fibrosis, which is inhibited by siCD44.
  • SPP1 binding to CD44 activates the RhoA/YAP1 pathway, shifting to the YAP1-2α isoform, which undergoes LLPS and promotes pro-fibrotic gene transcription via TEAD4, inducing RPE epithelial-mesenchymal transition (EMT)-like changes.

Conclusions:

  • Accumulation of acidic metabolites induces SPP1 overexpression in macrophages, promoting RPE EMT through CD44/RhoA-mediated YAP1-2α liquid-liquid phase separation.
  • The YAP1-2α LLPS mechanism, involving TEAD4 co-activation, drives pro-fibrotic gene transcription, revealing novel pathomechanisms in SRF.
  • These findings offer new insights into SRF pathogenesis and suggest potential therapeutic strategies targeting the SPP1-YAP1 axis.

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