Abstract:Mitochondrial dysfunction is strongly implicated in neurodegenerative diseases including age-related macular degeneration (AMD), which causes irreversible blindness in over 50 million older adults worldwide. A key site of insult in AMD is the retinal pigment epithelium (RPE), a monolayer of postmitotic polarized cells that performs essential functions for photoreceptor health and vision. Recent studies from our group and others have identified several features of mitochondrial dysfunction in AMD including mito… Show more
“…Given the early transcriptional changes in mitochondrial ROS metabolism, we decided to investigate mitochondrial dynamics and function by high-speed super-resolution live imaging of RPE explants from wildtype and Grn −/− mice 30 . Live imaging of MitoTracker-labeled mitochondria and volumetric reconstructions of mitochondrial networks showed increased connectivity or hyperfusion of mitochondria in 4-mo Grn −/− RPE that was even more pronounced in 17-mo mice (Figures 5A-5C).…”
SUMMARYMutations in progranulin (GRN) cause frontotemporal dementia (GRN-FTD) due to deficiency of the pleiotropic protein progranulin.GRN-FTD exhibits diverse pathologies including lysosome dysfunction, lipofuscinosis, microgliosis, and neuroinflammation. Yet, how progranulin loss causes disease remains unresolved. Here, we report that non-invasive retinal imaging ofGRN-FTD patients revealed deficits in photoreceptors and the retinal pigment epithelium (RPE) that correlate with cognitive decline. Likewise,Grn−/−mice exhibit early RPE dysfunction, microglial activation, and subsequent photoreceptor loss. Super-resolution live imaging and transcriptomic analyses identified RPE mitochondria as an early driver of retinal dysfunction. Loss of mitochondrial fission protein 1 (MTFP1) inGrn−/−RPE causes mitochondrial hyperfusion and bioenergetic defects, leading to NF-kB-mediated activation of complement C3a-C3a receptor signaling, which drives further mitochondrial hyperfusion and retinal inflammation. C3aR antagonism restores RPE mitochondrial integrity and limits subretinal microglial activation. Our study identifies a previously unrecognized mechanism by which progranulin modulates mitochondrial integrity and complement-mediated neuroinflammation.
“…Given the early transcriptional changes in mitochondrial ROS metabolism, we decided to investigate mitochondrial dynamics and function by high-speed super-resolution live imaging of RPE explants from wildtype and Grn −/− mice 30 . Live imaging of MitoTracker-labeled mitochondria and volumetric reconstructions of mitochondrial networks showed increased connectivity or hyperfusion of mitochondria in 4-mo Grn −/− RPE that was even more pronounced in 17-mo mice (Figures 5A-5C).…”
SUMMARYMutations in progranulin (GRN) cause frontotemporal dementia (GRN-FTD) due to deficiency of the pleiotropic protein progranulin.GRN-FTD exhibits diverse pathologies including lysosome dysfunction, lipofuscinosis, microgliosis, and neuroinflammation. Yet, how progranulin loss causes disease remains unresolved. Here, we report that non-invasive retinal imaging ofGRN-FTD patients revealed deficits in photoreceptors and the retinal pigment epithelium (RPE) that correlate with cognitive decline. Likewise,Grn−/−mice exhibit early RPE dysfunction, microglial activation, and subsequent photoreceptor loss. Super-resolution live imaging and transcriptomic analyses identified RPE mitochondria as an early driver of retinal dysfunction. Loss of mitochondrial fission protein 1 (MTFP1) inGrn−/−RPE causes mitochondrial hyperfusion and bioenergetic defects, leading to NF-kB-mediated activation of complement C3a-C3a receptor signaling, which drives further mitochondrial hyperfusion and retinal inflammation. C3aR antagonism restores RPE mitochondrial integrity and limits subretinal microglial activation. Our study identifies a previously unrecognized mechanism by which progranulin modulates mitochondrial integrity and complement-mediated neuroinflammation.
“…Throughout the day after light onset, we found mitochondria redistributed away from the basal region of the cell towards the apical surface. Mitochondrial movement within the RPE has been studied in cell culture models by fluorescence microscopy but has not been shown in tissues at the resolution of electron microscopy that allows precise determination of apical vs. basal distribution [14,34,35]. The fixative used in electron microscopy can cause some sample shrinkage, but generally good preservation is maintained, as has been shown in correlative live cell imaging and electron microscopy studies [36,37].…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, mitochondrial movement and regions of close apposition between mitochondrial and other organelle membranes, known as membrane contact sites (MCSs), can likely aid in adapting and responding to changes in the local environment [12]. Previous studies including our work have shown that mammalian RPE is heavily populated with a heterogeneous population of mitochondria based on membrane potential and ATP production, and these mitochondria predominantly localize to the basal region of the cell [13][14][15].…”
The retinal pigment epithelium (RPE) is an essential component of the retina that plays multiple roles required to support visual function. These include light onset- and circadian rhythm-dependent tasks, such as daily phagocytosis of photoreceptor outer segments. Mitochondria provide energy to the highly specialized and energy-dependent RPE. In this study, we examined the positioning of mitochondria and how this is influenced by the onset of light. We identified a population of mitochondria that are tethered to the basal plasma membrane pre- and post-light onset. Following light onset, mitochondria redistributed apically and interacted with melanosomes and phagosomes. In a choroideremia mouse model that has regions of the RPE with disrupted or lost infolding of the plasma membrane, the positionings of only the non-tethered mitochondria were affected. This provides evidence that the tethering of mitochondria to the plasma membrane plays an important role that is maintained under these disease conditions. Our work shows that there are subpopulations of RPE mitochondria based on their positioning after light onset. It is likely they play distinct roles in the RPE that are needed to fulfil the changing cellular demands throughout the day.
“…Dysfunction in mitochondrial homeostasis, through abnormal dynamics and metabolic activities, represent a critical sign of advanced cellular age and may evolve into AMD [239]. Triggers related to AMD, such as tobacco smoking and complement activation, may induce mitochondrial fragmentation and dysfunction [240][241][242]. In addition, a state of hyperfusion, characterized by an abnormal increase of mitochondrial fusion, along with decreased mitochondrial turnover, has been identified as a driver of RPE senescence [162].…”
Section: Aging and Mitochondrial Dysfunctionmentioning
Age-related macular degeneration (AMD) is a prevalent degenerative disorder of the central retina, which holds global significance as the fourth leading cause of blindness. The condition is characterized by a multifaceted pathophysiology that involves aging, oxidative stress, inflammation, vascular dysfunction, and complement activation. The complex interplay of these factors contributes to the initiation and progression of AMD. Current treatments primarily address choroidal neovascularization (CNV) in neovascular AMD. However, the approval of novel drug therapies for the atrophic and more gradual variant, known as geographic atrophy (GA), has recently occurred. In light of the substantial impact of AMD on affected individuals' quality of life and the strain it places on healthcare systems, there is a pressing need for innovative medications. This paper aims to provide an updated and comprehensive overview of advancements in our understanding of the etiopathogenesis of AMD. Special attention will be given to the influence of aging and altered redox status on mitochondrial dynamics, cell death pathways, and the intricate interplay between oxidative stress and the complement system, specifically in the context of GA. Additionally, this review will shed light on newly approved therapies and explore emerging alternative treatment strategies in the field. The objective is to contribute to the ongoing dialogue surrounding AMD, offering insights into the latest developments that may pave the way for more effective management and intervention approaches.
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