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Publication : Deficient RPE mitochondrial energetics leads to subretinal fibrosis in age-related neovascular macular degeneration.

First Author  Ma X Year  2024
Journal  Commun Biol Volume  7
Issue  1 Pages  1075
PubMed ID  39223298 Mgi Jnum  J:353569
Mgi Id  MGI:7715390 Doi  10.1038/s42003-024-06773-7
Citation  Ma X, et al. (2024) Deficient RPE mitochondrial energetics leads to subretinal fibrosis in age-related neovascular macular degeneration. Commun Biol 7(1):1075
abstractText  Subretinal fibrosis permanently impairs the vision of patients with neovascular age-related macular degeneration. Despite emerging evidence revealing the association between disturbed metabolism in retinal pigment epithelium (RPE) and subretinal fibrosis, the underlying mechanism remains unclear. In the present study, single-cell RNA sequencing revealed, prior to subretinal fibrosis, genes in mitochondrial fatty acid oxidation are downregulated in the RPE lacking very low-density lipoprotein receptor (VLDLR), especially the rate-limiting enzyme carnitine palmitoyltransferase 1A (CPT1A). We found that overexpression of CPT1A in the RPE of Vldlr(-/-) mice suppresses epithelial-to-mesenchymal transition and fibrosis. Mechanistically, TGFbeta(2) induces fibrosis by activating a Warburg-like effect, i.e. increased glycolysis and decreased mitochondrial respiration through ERK-dependent CPT1A degradation. Moreover, VLDLR blocks the formation of the TGFbeta receptor I/II complex by interacting with unglycosylated TGFbeta receptor II. In conclusion, VLDLR suppresses fibrosis by attenuating TGFbeta(2)-induced metabolic reprogramming, and CPT1A is a potential target for treating subretinal fibrosis.
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