Complement activation by photooxidation products of A2E, a lipofuscin constituent of the retinal pigment epithelium
Open accessAbstract
Recent studies have implicated local inflammation and activation of complement amongst the processes involved in the pathogenesis of age-related macular degeneration (AMD). Several lines of investigation also indicate that bis-retinoid pigments, such as A2E, that accumulate as lipofuscin in retinal pigment epithelial (RPE) cells, contribute to the disease process. In an investigation of a potential trigger for complement activation in AMD, we explored the notion that the complex mixture of products resulting from photooxidation of A2E might include a range of fragments that could be recognized by the complement system as “foreign” and that could serve to activate the complement system, leading to low-grade inflammation. To this end, we established an in vitro assay by using human serum as a source of complement, and we measured products of C3 activation by enzyme immunoassay. Accordingly, we found that the C3 split products inactivated C3b (iC3b) and C3a were elevated in serum, overlying ARPE-19 cells that had accumulated A2E and were irradiated to induce A2E photooxidation. Precoating of microtiter plates with two species of oxidized A2E, peroxy-A2E, and furano-A2E, followed by incubation with serum, also activated complement. We suggest that products of the photooxidation of bis-retinoid lipofuscin pigments in RPE cells could serve as a trigger for the complement system, a trigger than would predispose the macula to disease and that, over time, could contribute to chronic inflammation. These findings link four factors that have been posited as being associated with AMD: inflammation, oxidative damage, drusen, and RPE lipofuscin.
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A2E and mitochondrial dysfunction are reported to impair RPE phagocytosis and activate the complement system.
“A2E (a by-product of phototransduction, present in lipofuscin) and mitochondrial dysfunction are reported to impair RPE phagocytosis and activate the complement system (156, 178).”
From Unraveling a Multifactorial Late-Onset Disease: From Genetic Susceptibility to Disease Mechanisms for Age-Related Macular Degeneration (2009) · cites this paper as [178]
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Bisretinoids of the Retina: Photo-Oxidation, Iron-Catalyzed Oxidation, and Disease Consequences
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Bruch’s Membrane and the Choroid in Age-Related Macular Degeneration
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Bringing age-related macular degeneration into focus
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- Authors
- Zhou, J., Jang, Y. P., Kim, S. R., & Sparrow, J. R.
- Affiliations
- Departments of *Ophthalmology and
- Columbia University (US)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2006-10-31
- Volume
- 103
- Issue
- 44
- Pages
- 16182-16187
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC1637557
- OpenAlex
- W2009256817
- Cited by
- 358
- References
- 63
- Citations by year
- 2026: 6 · 2025: 15 · 2024: 8 · 2023: 11 · 2022: 12 · 2021: 24 · 2020: 19 · 2019: 10 · 2018: 15 · 2017: 10 · 2016: 11 · 2015: 28 · 2014: 24 · 2013: 27 · 2012: 33
- FWCI
- 17.11
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Eye Institute (R01EY012951, EY 12951)
- Topics
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Life Sciences › Immunology and Microbiology › Immunology › Complement system in diseases
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Keywords
- complement activation, A2E, lipofuscin, retinal pigment epithelium, age-related macular degeneration, photooxidation, iC3b, C3a, oxidative damage, drusen, inflammation
- MeSH terms
- Cell Line, Complement C3b, Epithelium, Furans, Humans, Lipofuscin, Oxidation-Reduction, Photochemistry, Pyridinium Compounds, Retinal Pigments, Retinoids, Mass Spectrometry, Molecular Structure, Complement C3a
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