bims-mideyd Biomed News
on Mitochondrial dysfunction in eye diseases
Issue of 2025–04–27
seven papers selected by
Rajalekshmy “Raji” Shyam, Indiana University Bloomington



  1. Biochem Biophys Res Commun. 2025 Apr 19. pii: S0006-291X(25)00571-6. [Epub ahead of print]765 151857
       OBJECTIVE: To investigate the regulatory role of IP3R2 on mitochondrial function in retinal pigment epithelial cells during the early stage of hypoxic stress preceding apoptosis.
    METHODS: ARPE-19 cell line was cultured in 1 % oxygen to establish an in vitro hypoxic model. The presence of hypoxia and absence of significant apoptosis in RPE cells were confirmed through hypoxia-inducible factor HIF-1α expression and apoptosis assays respectively. Mitochondrial function was evaluated using an ATP assay kit and flow cytometry. Immunoblotting was conducted to ascertain the expression levels of mitochondrial dynamics proteins (MFN2, DRP1, TOMM20) and mitochondrial calcium-related proteins (IP3R1, IP3R2, IP3R3, VDAC1). Mitochondrial morphology was observed using confocal microscopy. The impact of small interfering RNA (siRNA)-mediated IP3R2 knockdown on apoptosis and mitochondrial function was assessed in RPE cells.
    RESULTS: Under hypoxic stress before the onset of apoptosis in RPE cells, mitochondrial dysfunction and significant increase in mitochondrial calcium flux were observed, accompanied by a notable upregulation of IP3R2 expression under hypoxia. Knockdown of IP3R2 during the pre-apoptotic stage further impaired RPE function under hypoxia.
    CONCLUSION: IP3R2-mediated mitochondrial calcium overload is crucial for maintaining RPE function and mitochondrial homeostasis during the pre-apoptotic stage triggered by hypoxic stress.
    Keywords:  Early hypoxic stress; IP3R2; Mitochondrial function; Retinal pigment epithelial cells
    DOI:  https://doi.org/10.1016/j.bbrc.2025.151857
  2. Stem Cell Res. 2025 Apr 15. pii: S1873-5061(25)00065-0. [Epub ahead of print]86 103715
      Age-related macular degeneration (AMD) is a leading cause of vision loss, driven by retinal pigment epithelium (RPE) and photoreceptor degeneration. A key feature is drusen accumulation between the RPE and Bruch's membrane. In intermediate AMD, hyperreflective foci (HRF)-bright intraretinal lesions visible on optical coherence tomography (OCT) imaging-serve as biomarkers of disease progression. To study HRF mechanisms, we generated induced pluripotent stem cell (iPSC) lines from an AMD patient with HRF overlying drusen (RFSC4) and their unaffected sibling (RFSC3). These iPSC models offer a platform to explore disease mechanisms and develop therapies for AMD.
    DOI:  https://doi.org/10.1016/j.scr.2025.103715
  3. Invest Ophthalmol Vis Sci. 2025 Apr 01. 66(4): 70
       Purpose: The retinal pigment epithelium (RPE) performs life-long phagocytosis of lipid-rich photoreceptor outer segments and exchanges energy metabolites with photoreceptors to support retinal function. The metabolites of glucose and lipid metabolism are interconnected, but it is unclear how the specialized lipid metabolism of RPE and glucose metabolism are regulated. We have investigated this unique mechanism.
    Methods: To identify factors involved in regulation of metabolism in RPE we compared and screened the human retinal pigment epithelial cell line, ARPE-19 under different conditions. Using the results of these experiments we selected the high-mobility group nucleosome-associated protein 1 (HMGN1) as a candidate and analyzed HMGN1 deleted ARPE-19 (HGMN1-/--ARPE-19) and Hmgn1 knock-out mice (Hmgn1-/- mice).
    Results: HMGN1 was identified as being involved in energy metabolism via altered expression. HMGN1-/--ARPE-19 cells prefer fatty acid oxidation over glucose metabolism as an energy source. Hmgn1-/- mice had a lower lipid weight of epididymal fat mass and serum lipids than those of control on a standard diet and showed impaired glucose tolerance. The mice also showed retinal dysfunction, similar to that observed in aged control retina as measured by electroretinogram. However, a palmitate-rich diet, as well as RPE-specific HMGN1 re-expression mitigated retinal dysfunction. HMGN1 is specifically downregulated in the RPE/choroid with aging, which is reminiscent of age-related metabolic changes in RPE/choroid.
    Conclusions: HMGN1 is involved in energy metabolism and its altered expression modulates RPE-specific metabolic phenotypes.
    DOI:  https://doi.org/10.1167/iovs.66.4.70
  4. Int J Ophthalmol. 2025 ;18(4): 575-581
       AIM: To highlight the importance of microRNA (miRNA)-21-5p in directing the phosphatase and tensin homolog (PTEN) gene to control the phosphoinositide 3-kinase/protein kinase B/mammalian target of rapamycin (PI3K/Akt/mTOR) pathway in retinal pigment epithelial (RPE) cells in humans subjected to photodamage.
    METHODS: Human adult RPE cell line-19 (ARPE-19) was cultured in vitro and randomly divided into control, damage, overexpression, negative, and PI3K/Akt blocker groups to establish a photodamage model of ARPE-19 cells. The models were subjected to 24h of light exposure, after which the corresponding indices were detected. The cell counting kit-8 assay quantified cell viability, while flow cytometry determined apoptosis rates. The miRNA-21 mimics and miRNA mimic NC were transfected into ARPE-19 cells using a transient transfection technique. Quantitative reverse transcription polymerase chain reaction (SYBR Green) and Western blotting analyzed expression levels of miRNA-21-5p, PTEN, p-PI3K/PI3K, p-mTOR/mTOR, and p-Akt/Akt. Statistical analyses comprised one-way analysis of variance and the Student-Newman-Keuls test for multiple group comparisons.
    RESULTS: The photodamage group demonstrated reduced cell survival rates than the control group (P<0.01). The overexpression group exhibited higher cell survival rates than the injury group (P<0.01). The negative group showed no difference in viability (P>0.05). The PI3K/Akt blocker group demonstrated lower cell viability, compared with the overexpression group (P<0.01).
    CONCLUSION: miRNA-21-5p significantly increases ARPE-19 cell survival after photodamage and inhibits light-induced ARPE-19 cell apoptosis, suggesting that it may play a protective role in RPE by activating the PI3K/Akt/mTOR pathway while downregulating PTEN expression.
    Keywords:  PI3K/Akt/mTOR signaling pathway; apoptosis; miRNA-21-5p; photodamage; retinal pigment epithelial cell
    DOI:  https://doi.org/10.18240/ijo.2025.04.02
  5. Sci Rep. 2025 Apr 19. 15(1): 13585
      Neurodegenerative diseases of the eye such as optic neuritis (ON) are hallmarked by retinal ganglion cell (RGC) loss and optic nerve degeneration leading to irreversible blindness. Therapeutic interventions enhancing expression or activity of SIRT1, an NAD+-dependent deacetylase, support, at least in part, survival of RGCs in the face of injury. Herein, we used mice with experimental autoimmune encephalomyelitis (EAE) which recapitulates axonal and neuronal damages characteristic of ON to identify gene regulatory networks affected by constitutive ubiquitous Sirt1 expression in SIRT1 knock-in mice and wild-type mice upon targeted adeno-associated virus (AAV)-mediated SIRT1 expression in RGCs. RNA seq data analysis showed that the most upregulated genes in EAE mouse retinas include those involved in inflammation, immune response, apoptosis, and mitochondrial turnover. The latter includes genes regulating mitophagy (e.g., Atg4), mitochondrial transport (e.g., Ipo- 6, Xpo- 6), and mitochondrial localization (e.g., Chrna4, Scn9a). The constitutive or RGC-targeted SIRT1 overexpression in EAE mice upregulated the expression of non-mitochondrial genes such as Ecel1 and downregulated the expression of mitophagy genes (e.g., Atg2b, Arifip1) which were upregulated by EAE alone. Thus, SIRT1 induces neuroprotection by, at least in part, balancing mitochondrial biogenesis and mitophagy and/or enhancing mitochondrial self-repair to preserve the bioenergetic capacity of RGCs.
    Keywords:  Experimental autoimmune encephalomyelitis; Optic neuritis; SIRT1
    DOI:  https://doi.org/10.1038/s41598-025-97456-8
  6. Commun Med (Lond). 2025 Apr 24. 5(1): 134
       BACKGROUND: Geographic atrophy (GA) secondary to age-related macular degeneration (AMD) is one of the main causes of blindness in the elderly population, but the molecular pathophysiology is difficult to study due to limited access to retinal tissue. We investigated aqueous humor (AH) as an accessible surrogate for studying retinal pathophysiology.
    METHODS: We applied affinity-based Olink proteomics on AH samples obtained from 30 non-AMD control, 30 intermediate AMD (iAMD) and 28 GA subjects to identify AH biomarkers associated with GA. Quantile normalization was applied to the Olink data, followed by differential abundance analysis using the limma R package. To contextualize our findings, we cross-referenced the identified proteins to gene expression datasets and AH proteomics data from diabetic retinopathy (DR) subjects.
    RESULTS: Our differential abundance analysis reveals 82 significantly altered proteins in GA compared to non-AMD control. Cross-referencing with gene expression datasets indicates a majority of them are robustly expressed in the retina, particularly in retinal pigment epithelium cells. Comparison with AH proteomics data from DR subjects reveals both unique and shared biomarkers between GA and DR. Integrating these findings, we identify SMOC2 and IL-6 as top candidate GA biomarkers, warranting further investigation.
    CONCLUSIONS: Our integrative analysis demonstrates a robust framework for AH biomarker discovery and identifies SMOC2 and IL-6 as promising biomarkers for GA. Our findings underscore the potential of AH proteomic profiling to advance our understanding of the underlying pathophysiology of retinal diseases.
    DOI:  https://doi.org/10.1038/s43856-025-00862-2