Age-related macular degeneration (AMD) is the leading cause of blindness in the elderly population. More than 80% of AMD cases are of the dry-AMD classification, which characteristically features geographic atrophy resulting from the loss of retinal pigment epithelial (RPE) cells (1, 2). Dry-AMD often converts to wet-AMD, which is visionthreatening. Accumulation of undigested cellular debris (e.g., drusen), oxidative stress, and subsequent death and degeneration of RPE cells are important contributors to AMD pathology (3,4). Accumulating evidence suggests that the cellular sphingolipid mediator, ceramide (Cer), which acts as a second messenger to induce apoptosis, might play a role in RPE cell death (5-7). Here, we investigate for the first time the role of Cer in human RPE-derived ARPE19 cells under oxidative stress by removing excess cellular Cer via genetic manipulation of Cer-hydrolyzing enzymes.In addition to being a critical component of membrane structure and function, Cer serves as a vital intracellular second messenger. A steady-state level of Cer is necessary for cell proliferation and differentiation (8,9), while excessive amounts of Cer are often toxic and can result in cellular apoptosis (10). High concentrations of Cer can result in the induction of cell death, leading to tissue damage and organ failure, such as what is observed in retinal degeneration Sph) is the major source for Sph 1-phosphate production, which has an opposing role to Cer and provides cytoprotection. Here, we investigated the role of Cer in human RPE-derived ARPE19 cells under hydrogen peroxide-induced oxidative stress, and show that Cer and hexosyl-Cer levels increase in the oxidatively stressed ARPE19 cells, which can be prevented by overexpression of lysosomal ASAH1. This study demonstrates that oxidative stress generates sphingolipid death mediators in retinal cells and that induction of ASAH1 could rescue retinal cells from oxidative stress by hydrolyzing excess Overexpression of acid ceramidase (ASAH1) protects retinal cells (ARPE19) from oxidative stress. J. Lipid Res. 2019. 60: 30-43.
Abstract Over 11 million people in the United States alone have some form of age-related macular degeneration (AMD). Oxidative stress, cell death, and the degeneration of retinal pigment epithelial (RPE) cells contribute to AMD pathology. Recent evidence suggests that ceramide (Cer), a cellular sphingolipid mediator that acts as a second messenger to induce apoptosis, might play a role in RPE cell death. The lysosomal breakdown of Cer by acid ceramidase [N-acylsphingosine amidohydrolase (ASAH)1] into sphingosine (Supplementary key words N-acylsphingosine amidohydrolase 1 • ceramide • hexosyl-ceramide • lysosome, retinal pigment epithelium • retinal degeneration • age-related macular degeneration