June 2023
Volume 64, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2023
Endoplasmic reticulum stress disrupts mitochondrial bioenergetics and dynamics and causes corneal endothelial apoptosis in Fuchs Dystrophy
Author Affiliations & Notes
  • Saba Qureshi
    Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York, United States
  • Stephanie Lee
    Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York, United States
  • William Steidl
    Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York, United States
  • Lukas Ritzer
    Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York, United States
  • Michael Parise
    Touro College of Osteopathic Medicine, New York, New York, United States
  • Varun Kumar
    Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York, United States
  • Footnotes
    Commercial Relationships   Saba Qureshi None; Stephanie Lee None; William Steidl None; Lukas Ritzer None; Michael Parise None; Varun Kumar None
  • Footnotes
    Support  NEI-4R00EY031339-03, Mount Sinai Seed Fund
Investigative Ophthalmology & Visual Science June 2023, Vol.64, 1330. doi:
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      Saba Qureshi, Stephanie Lee, William Steidl, Lukas Ritzer, Michael Parise, Varun Kumar; Endoplasmic reticulum stress disrupts mitochondrial bioenergetics and dynamics and causes corneal endothelial apoptosis in Fuchs Dystrophy. Invest. Ophthalmol. Vis. Sci. 2023;64(8):1330.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Endoplasmic reticulum (ER) and mitochondrial stress are independently associated with corneal endothelial cell (CEnC) loss in Fuchs endothelial corneal dystrophy (FECD). However, the role of ER stress in mitochondrial dysfunction contributing to CEnC apoptosis is unknown. The purpose of this study is to explore the crosstalk between ER and mitochondrial stress in CEnCs for FECD.

Methods : Human corneal endothelial cell line (HCEnC-21T) was treated with ER stressor tunicamycin (1,5,10,20 mg/ml) and ER stress-reducing chemical 4-phenyl butyric acid (4-PBA;2.5 mM) for 6 and 24 hours. ER stress proteins (GRP78/BiP, PERK, p-eIf2, CHOP, IRE1, XBP1, ATF6), apoptotic proteins (cleaved caspase 3 and PARP), and mitochondrial-mediated intrinsic apoptotic stress proteins (cleaved caspase 9, Bcl2, Bax, cytochrome c) and mitochondrial fragmentation (Fis1, p-Drp1) and fusion (OPA1, Mfn2) proteins were determined using immunoblotting and immunohistochemistry. Cell viability was measured using MTT assay. Mitochondrial bioenergetics was analyzed using Seahorse XFe96 analyzer at 2 hours post tunicamycin (10mg/ml). Mitochondrial dynamic changes (shape, area, perimeter, fragmentation) were analyzed using Transmission electron microscopy (TEM) and immunohistochemistry at 6 and 24 hours after tunicamycin treatment (1,10 mg/ml).

Results : Treatment of HCEnC-21T cell line with tunicamycin activated three ER stress pathways (PERK-eIf2-CHOP, IRE1-XBP1 and ATF6), induced apoptotic proteins (cleaved caspase 3, PARP), reduced cell viability, upregulated mitochondrial intrinsic apoptotic molecules (cleaved caspase 9, Bcl2, Bax, cytochrome c), increased mitochondrial respiratory capacity, causes mitochondrial swelling and fragmentation with increased expression of mitochondrial fission proteins (Fis1 and pDRP1). 4-PBA rescued cell loss and reduced cleaved caspase 3 and 9, thereby rescuing tunicamycin-induced cell death.

Conclusions : Tunicamycin-induced ER stress disrupts mitochondrial bioenergetics and dynamics and contributes to the loss of CEnC viability. This novel study highlights the importance of ER-mitochondria crosstalk and its contribution to CEnC apoptosis, as seen in FECD.

This abstract was presented at the 2023 ARVO Annual Meeting, held in New Orleans, LA, April 23-27, 2023.

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