Dysregulated claudin-5 cycling in the inner retina causes retinal pigment epithelial cell atrophy

Autor: Ema Ozaki, Sofia Theodoropoulou, Matthew Campbell, Akeem Browne, Federica Storti, Erin Fahey, Chris H. Greene, Shervin Liddie, Alan Hopkins, Mark Cahill, Marian M. Humphries, Eleanor Demmons, Paul F. Kenna, Christian Grimm, Sarah L. Doyle, Anne M. Curtis, Matthew S. Lawrence, Peter Humphries, Lucia Celkova, Natalie Hudson
Přispěvatelé: University of Zurich, Campbell, Matthew
Jazyk: angličtina
Rok vydání: 2019
Předmět:
0301 basic medicine
Pathology
genetic structures
2700 General Medicine
Retinal Pigment Epithelium
chemistry.chemical_compound
Mice
0302 clinical medicine
Blood-Retinal Barrier
Chlorocebus aethiops
Claudin-5
Fluorescein Angiography
RNA
Small Interfering

medicine.diagnostic_test
ARNTL Transcription Factors
General Medicine
Fluorescein angiography
Magnetic Resonance Imaging
Healthy Volunteers
medicine.anatomical_structure
030220 oncology & carcinogenesis
Gene Knockdown Techniques
Research Article
10018 Ophthalmology Clinic
medicine.medical_specialty
Fundus Oculi
Photoperiod
Blood–retinal barrier
610 Medicine & health
Mice
Transgenic

Biology
Diet
High-Fat

Capillary Permeability
03 medical and health sciences
Atrophy
Circadian Clocks
Geographic Atrophy
medicine
Animals
Humans
Claudin
Retina
Retinal pigment epithelium
Retinal
Macular degeneration
medicine.disease
eye diseases
Disease Models
Animal

030104 developmental biology
chemistry
sense organs
Zdroj: Hudson, N, Celkova, L, Hopkins, A, Greene, C, Storti, F, Ozaki, E, Fahey, E, Theodoropoulou, S, Kenna, P F, Humphries, M M, Curtis, A M, Demmons, E, Browne, A, Liddie, S, Lawrence, M S, Grimm, C, Cahill, M T, Humphries, P, Doyle, S L & Campbell, M 2019, ' Dysregulated claudin-5 cycling in the inner retina causes retinal pigment epithelial cell atrophy ', JCI Insight, vol. 4, no. 15, 130273 . https://doi.org/10.1172/jci.insight.130273
DOI: 10.1172/jci.insight.130273
Popis: Age-related macular degeneration (AMD) is the leading cause of central retinal vision loss worldwide, with an estimated 1 in 10 people over the age of 55 showing early signs of the condition. There are currently no forms of therapy available for the end stage of dry AMD, geographic atrophy (GA). Here, we show that the inner blood-retina barrier (iBRB) is highly dynamic and may play a contributory role in GA development. We have discovered that the gene CLDN5, which encodes claudin-5, a tight junction protein abundantly expressed at the iBRB, is regulated by BMAL1 and the circadian clock. Persistent suppression of claudin-5 expression in mice exposed to a cholesterol-enriched diet induced striking retinal pigment epithelium (RPE) cell atrophy, and persistent targeted suppression of claudin-5 in the macular region of nonhuman primates induced RPE cell atrophy. Moreover, fundus fluorescein angiography in human and nonhuman primate subjects showed increased retinal vascular permeability in the evening compared with the morning. These findings implicate an inner retina–derived component in the early pathophysiological changes observed in AMD, and we suggest that restoring the integrity of the iBRB may represent a novel therapeutic target for the prevention and treatment of GA secondary to dry AMD.
Databáze: OpenAIRE