The AKT2/SIRT5/TFEB pathway as a potential therapeutic target in non-neovascular AMD
Sayan Ghosh,
Ruchi Sharma,
Sridhar Bammidi,
Victoria Koontz,
Mihir Nemani,
Meysam Yazdankhah,
Katarzyna M. Kedziora,
Donna Beer Stolz,
Callen T. Wallace,
Cheng Yu-Wei,
Jonathan Franks,
Devika Bose,
Peng Shang,
Helena M. Ambrosino,
James R. Dutton,
Zhaohui Geng,
Jair Montford,
Jiwon Ryu,
Dhivyaa Rajasundaram,
Stacey Hose,
José-Alain Sahel,
Rosa Puertollano,
Toren Finkel,
J. Samuel Zigler,
Yuri Sergeev,
Simon C. Watkins,
Eric S. Goetzman,
Deborah A. Ferrington,
Miguel Flores-Bellver,
Kai Kaarniranta,
Akrit Sodhi,
Kapil Bharti (),
James T. Handa () and
Debasish Sinha ()
Additional contact information
Sayan Ghosh: University of Pittsburgh School of Medicine
Ruchi Sharma: National Institutes of Health
Sridhar Bammidi: University of Pittsburgh School of Medicine
Victoria Koontz: University of Pittsburgh School of Medicine
Mihir Nemani: University of Pittsburgh School of Medicine
Meysam Yazdankhah: University of Pittsburgh School of Medicine
Katarzyna M. Kedziora: University of Pittsburgh School of Medicine
Donna Beer Stolz: University of Pittsburgh School of Medicine
Callen T. Wallace: University of Pittsburgh School of Medicine
Cheng Yu-Wei: University of Pittsburgh School of Medicine
Jonathan Franks: University of Pittsburgh School of Medicine
Devika Bose: National Institutes of Health
Peng Shang: Doheny Eye Institute
Helena M. Ambrosino: Doheny Eye Institute
James R. Dutton: University of Minnesota
Zhaohui Geng: University of Minnesota
Jair Montford: National Institutes of Health
Jiwon Ryu: National Institutes of Health
Dhivyaa Rajasundaram: University of Pittsburgh School of Medicine
Stacey Hose: University of Pittsburgh School of Medicine
José-Alain Sahel: University of Pittsburgh School of Medicine
Rosa Puertollano: National Institutes of Health
Toren Finkel: University of Pittsburgh School of Medicine
J. Samuel Zigler: The Johns Hopkins University School of Medicine
Yuri Sergeev: National Institutes of Health
Simon C. Watkins: University of Pittsburgh School of Medicine
Eric S. Goetzman: University of Pittsburgh School of Medicine
Deborah A. Ferrington: Doheny Eye Institute
Miguel Flores-Bellver: University of Colorado Anschutz Medical Campus
Kai Kaarniranta: University of Eastern Finland and Kuopio University Hospital
Akrit Sodhi: The Johns Hopkins University School of Medicine
Kapil Bharti: National Institutes of Health
James T. Handa: The Johns Hopkins University School of Medicine
Debasish Sinha: University of Pittsburgh School of Medicine
Nature Communications, 2024, vol. 15, issue 1, 1-18
Abstract:
Abstract Non-neovascular or dry age-related macular degeneration (AMD) is a multi-factorial disease with degeneration of the aging retinal-pigmented epithelium (RPE). Lysosomes play a crucial role in RPE health via phagocytosis and autophagy, which are regulated by transcription factor EB/E3 (TFEB/E3). Here, we find that increased AKT2 inhibits PGC-1α to downregulate SIRT5, which we identify as an AKT2 binding partner. Crosstalk between SIRT5 and AKT2 facilitates TFEB-dependent lysosomal function in the RPE. AKT2/SIRT5/TFEB pathway inhibition in the RPE induced lysosome/autophagy signaling abnormalities, disrupted mitochondrial function and induced release of debris contributing to drusen. Accordingly, AKT2 overexpression in the RPE caused a dry AMD-like phenotype in aging Akt2 KI mice, as evident from decline in retinal function. Importantly, we show that induced pluripotent stem cell-derived RPE encoding the major risk variant associated with AMD (complement factor H; CFH Y402H) express increased AKT2, impairing TFEB/TFE3-dependent lysosomal function. Collectively, these findings suggest that targeting the AKT2/SIRT5/TFEB pathway may be an effective therapy to delay the progression of dry AMD.
Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:15:y:2024:i:1:d:10.1038_s41467-024-50500-z
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DOI: 10.1038/s41467-024-50500-z
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