Investigative Ophthalmology & Visual Science Cover Image for Volume 65, Issue 7
June 2024
Volume 65, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2024
Elevated mTORC1 and mTORC2 signaling in the retinal pigmented epithelium alters glucose metabolism, leading to a pathology resembling age-related macular degeneration
Author Affiliations & Notes
  • Sridhar Bammidi
    Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
  • Olivia Chowdhury
    Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
  • Sayan Ghosh
    Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
  • Victoria Koontz
    Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
  • Mihir Nemani
    Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
  • Stacey L Hose
    Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
  • Debasish Sinha
    Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States
  • Footnotes
    Commercial Relationships   Sridhar Bammidi None; Olivia Chowdhury None; Sayan Ghosh None; Victoria Koontz None; Mihir Nemani None; Stacey Hose None; Debasish Sinha None
  • Footnotes
    Support  This work is supported by NIH R01 EY031594 (DS), NIH R01 EY032516 (to DS), UPMC Enterprises (DS), the Owen Locke Foundation (DS), University of Pittsburgh the Jennifer Salvitti Davis, M.D. Chair Professorship in Ophthalmology (DS), start-up funds to DS from Ophthalmology, University of Pittsburgh, unrestricted funds from The Research to Prevent Blindness Inc., NY (to the University of Pittsburgh Department of Ophthalmology), and P30 core award EY08098 from the National Eye Institute, NIH (to the University of Pittsburgh Department of Ophthalmology).
Investigative Ophthalmology & Visual Science June 2024, Vol.65, 2103. doi:
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      Sridhar Bammidi, Olivia Chowdhury, Sayan Ghosh, Victoria Koontz, Mihir Nemani, Stacey L Hose, Debasish Sinha; Elevated mTORC1 and mTORC2 signaling in the retinal pigmented epithelium alters glucose metabolism, leading to a pathology resembling age-related macular degeneration. Invest. Ophthalmol. Vis. Sci. 2024;65(7):2103.

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

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Abstract

Purpose : Impaired glycolysis is a recent finding in age-related macular degeneration (AMD) pathogenesis. We use a genetically engineered mouse model to explore the role of mechanistic target of rapamycin (mTOR) complexes (mTORC1 and mTORC2). This study seeks to elucidate the impact of heightened mTOR levels on molecular pathways, like glycolysis, offering potential insights for targeting pathogenic mechanisms in AMD.

Methods : RPE-specific mLST8 (mammalian lethal with SEC13 protein 8) overexpression was accomplished by integrating the mLST8 coding sequence following a T2A sequence within the last exon and 3' untranslated region (3'UTR) of the mouse Best1 gene. mLST8 overexpression was confirmed through western blotting (WB) using RPE and retina markers. mTORC1 and mTORC2 activation in mLST8 KI RPE cells was verified via phospho-protein arrays. The model underwent comprehensive characterization, including scotopic full-field electroretinography (ERG), fundus photography, hematoxylin-eosin (H&E) staining, transmission electron microscopy (TEM), WB and immunohistochemistry (IHC). Whole RPE transcriptome sequencing, proteomics, and metabolomics were conducted to analyse genetic and proteomic changes.

Results : Mice overexpressing mLST8 displayed disrupted RPE (H&E) and reduced ERG activity at 9 and 10 months of age. Whole RPE metabolomics revealed dysregulation in the glycolytic pathway, with upregulated ATP synthase, elevated OxyHbA and increased glucose intake compared to controls. Dysregulated neutrophil degranulation proteins (decreased PGRN, increased FABP5) indicated hyperactivated immune cell infiltration. IHC revealed decreased rhodopsin and elevated Iba1, while WB showed increased LDHA suggesting elevated glycolysis, and upregulation of SOD2 and CAT, indicating oxidative stress.

Conclusions : Elevated glycolysis in aged mLST8 KI mice induces lactate production, RPE barrier dysfunction, and oxidative stress. Metabolomic and proteomic analyses reveal substantial alterations in glycolysis, oxidative stress, and immune activation pathways, confirmed by IHC and WB. This unique mouse model, with heightened mTOR complex signalling impacting diverse pathways, is a valuable tool for investigating AMD pathogenic mechanisms. These findings offer promise for future research and therapeutic interventions in AMD.

This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.

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