Deletion of autophagy inducer RB1CC1 results in degeneration of the retinal pigment epithelium
Open accessAbstract
Autophagy regulates cellular homeostasis and response to environmental stress. Within the retinal pigment epithelium (RPE) of the eye, the level of autophagy can change with both age and disease. The purpose of this study is to determine the relationship between reduced autophagy and age-related degeneration of the RPE. The gene encoding RB1CC1/FIP200 (RB1-inducible coiled-coil 1), a protein essential for induction of autophagy, was selectively knocked out in the RPE by crossing Best1-Cre mice with mice in which the Rb1cc1 gene was flanked with Lox-P sites (Rb1cc1(flox/flox)). Ex vivo and in vivo analyses, including western blot, immunohistochemistry, transmission electron microscopy, fundus photography, optical coherence tomography, fluorescein angiography, and electroretinography were performed to assess the structure and function of the retina as a function of age. Deletion of Rb1cc1 resulted in multiple autophagy defects within the RPE including decreased conversion of LC3-I to LC3-II, accumulation of autophagy-targeted precursors, and increased numbers of mitochondria. Age-dependent degeneration of the RPE occurred, with formation of atrophic patches, subretinal migration of activated microglial cells, subRPE deposition of inflammatory and oxidatively damaged proteins, subretinal drusenoid deposits, and occasional foci of choroidal neovascularization. There was secondary loss of photoreceptors overlying the degenerated RPE and reduction in the electroretinogram. These observations are consistent with a critical role of autophagy in the maintenance of normal homeostasis in the aging RPE, and indicate that disruption of autophagy leads to retinal phenotypes associated with age-related degeneration.
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TL;DR
RPE-specific deletion of the autophagy inducer RB1CC1 in mice causes progressive, age-dependent retinal pigment epithelium degeneration with AMD-like features and secondary photoreceptor loss. The findings support a critical role for canonical macroautophagy in maintaining RPE homeostasis.
Key findings
- Conditional Rb1cc1 knockout in mouse RPE reduced autophagy: decreased LC3-I to LC3-II conversion, increased SQSTM1/p62, accumulation of unprocessed phagosomes, and increased mitochondria; the overlying retina had normal RB1CC1 and equal LC3-I to LC3-II conversion.
- The RPE phenotype was age-dependent: at 2 mo Rb1cc1-CKO retinas were similar to controls by OCT/histology and ERG; at 4 mo there were small white-yellowish structures, patchy RPE atrophy, hyperreflective subretinal spots, and CD68-positive macrophage infiltration; by 8 mo there was widespread RPE disruption, vacuolization, atrophy, TJP1/ZO-1 disorganization, and increased IBA1-positive cells.
- Rb1cc1-CKO RPE showed AMD-like changes: Bruch’s membrane disruption by CD29 staining, subRPE C3 and nitrotyrosine deposition, increased autofluorescence/lipofuscin, Oil Red O lipid accumulation, SQSTM1/ubiquitin-tagged debris, and occasional histologic choroidal neovascularization.
- Secondary photoreceptor degeneration occurred despite normal photoreceptor autophagy markers: decreased outer nuclear layer thickness and progressive age-dependent reductions in photopic and scotopic ERG responses.
Methods
- ARPE-19 cells: siRNA knockdown of RB1CC1, photoreceptor outer segment feeding, bafilomycin A1 treatment, western blot, and immunofluorescence for LC3/SQSTM1.
- Mice: RPE-specific Rb1cc1-CKO generated by crossing Best1-Cre with Rb1cc1 flox/flox; controls were Rb1cc1 wt; Best1-Cre littermates. Analyzed at 2, 4, and 8 mo by western blot, immunohistochemistry, transmission electron microscopy, fundus photography, OCT, fluorescein angiography, ERG, RPE flat mounts, Oil Red O, and autofluorescence.
- Statistics: mean ± SD; two-tailed Student t test and one-way ANOVA with Bonferroni correction; Kruskal-Wallis for western blotting; significance at P < 0.05.
Limitations
- Stated: the authors cannot conclude that decreased autophagy is the primary cause of AMD; the data support dysregulation of this pathway as critical but not primary.
- Stated: they cannot definitively state that the observed vessels are of choroidal origin; neovascularization foci were infrequent, seen only on histology, with no significant hyperfluorescence on angiography.
- Stated: the data do not address the role of LC3-associated phagocytosis in processing shed outer segments. Evident: findings are from a mouse model and ARPE-19 cells, so human AMD relevance remains inferential.
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- Findingown data
Rb1cc1-CKO mice have decreased levels of lysosome markers mature CTSD/cathepsin D and LAMP1, consistent with defective processing of intracellular debris.
“There were decreased levels of lysosome markers, such as mature CTSD/cathepsin D and LAMP1 (Fig. 9), consistent with defective processing of intracellular debris.”
Quote in the paperSubstantial claim - Findingown data
In RPE from Rb1cc1-CKO and control mice, levels of phosphorylated PTK2, phosphorylated MAPK8/9, total PTK2, and total MAPK8/9 are comparable.
“We found comparable levels of phosphorylated-PTK2 (pPTK2) and phosphorylated-MAPK8/JNK1-MAPK9/JNK2 (pMAPK8/9), as well as the levels of total PTK2 and MAPK8/9, in the RPE from both experimental and littermate control mice (Fig. 2D andF).”
Quote in the paperSubstantial claim - Findingown data
Disruption of Bruch's membrane in Rb1cc1-CKO cells is demonstrated by staining for CD29.
“Disruption of Bruch's membrane in the Rb1cc1-CKO cells was demonstrated by staining for CD29, a component of the ITGB1/integrin b-1 complex that localizes to the basal surface of the RPE and that serves as a surrogate marker for disruption of the Bruch's-RPE interface and integrity of this structure (Fig. 6A andB).”
Quote in the paperSubstantial claim - Findingown data
The neutral lipid accumulations in Rb1cc1-CKO RPE localize primarily to the basal aspect of the RPE.
“These accumulations localized primarily to the basal aspect of the RPE.”
Quote in the paperNot a substantial claim - Findingown data
Transmission electron microscopy shows increased accumulation of single-membrane phagosome-like structures in Rb1cc1-CKO cells.
“Finally, transmission electron microscopy showed increased accumulation of single-membrane phagosomelike structures in the Rb1cc1-CKO cells (Fig. 4I-K).”
Quote in the paperSubstantial claim
- Findingreasoning
No significant areas of hyperfluorescence are detected on angiography in Rb1cc1-CKO mice.
“We did not detect any significant areas of hyperfluorescence on angiography, consistent with the self-limited nature of rodent choroidal neovascularization.”
Quote in the paperNot a substantial claim - Findingown data
At 2 months of age, outer retinas of Rb1cc1-CKO and littermate control mice are similar in appearance.
“Optical coherence tomography (OCT), an in vivo assessment of retinal structure and thickness (Fig. 3A andB), as well as histological analysis (Fig. 3C-F), confirm that at the age of 2 mo the outer retinas of the Rb1cc1-CKO and littermate controls were similar in appearance.”
Quote in the paperSubstantial claim - Findingown data
Oil Red O staining shows intracellular accumulation of neutral lipids in Rb1cc1-CKO RPE.
“Staining with Oil Red O showed intracellular accumulation of neutral lipids (Fig. 8A-C).”
Quote in the paperSubstantial claim - Findingown data
Occasional ingrowth of vessels from the choroid into the outer retina is observed in Rb1cc1-CKO mice, consistent with foci of neovascularization.
“We noted occasional ingrowth of vessels, as demonstrated with staining for the vascular marker IB4, from the choroid into the outer retina (red arrow), consistent with foci of neovascularization (Fig. 6C-F).”
Quote in the paperNot a substantial claim - Findingown data
The sizes of neutral lipid accumulations in Rb1cc1-CKO RPE vary from small round vesicles to large oblong-shaped structures.
“The sizes of these accumulations varied, ranging from small round vesicles to large, oblong-shaped structures.”
Quote in the paperNot a substantial claim - Findingown data
At 2 months of age, total retinal and outer nuclear layer thickness are similar between Rb1cc1-CKO and control mice.
“Quantitative analysis of total retinal and outer nuclear layer thickness was similar between the 2 groups of animals (Fig. 3G).”
Quote in the paperSubstantial claim - Findingown data
At 2 months of age, rod and cone electroretinogram responses show no significant difference between Rb1cc1-CKO and control mice.
“Visual function, as evaluated by rod (scotopic) and cone (photopic) electroretinogram (ERG) showed no significant difference between Rb1cc1-CKO and control mice (Fig. 3H).”
Quote in the paperSubstantial claim - Findingown data
Flat mounts of Rb1cc1-CKO RPE stained with TJP1/ZO-1 show marked disorganization of the normal hexagonal pattern.
“Flat mounts of the RPE stained with an antibody against the tight junction protein TJP1/ZO-1 showed a marked disorganization of the hexagonal pattern normally seen in the RPE (Fig. 5F).”
Quote in the paperSubstantial claim - Findingown data
In Rb1cc1-CKO mice, Cre expression is only within the RPE.
“Immunohistochemical analysis confirms that the Cre expression is only within the RPE (Fig. 2C).”
Quote in the paperSubstantial claim - Findingown data
Fluorescein angiography is normal in both Rb1cc1-CKO and control mice at 4 months.
“Fluorescein angiography, a technique for visualizing the integrity of the retinal vasculature, showed that this was normal in both groups (Fig. 4E andF).”
Quote in the paperNot a substantial claim - Findingown data
In ARPE-19 cells, siRNA knockdown of RB1CC1 decreases the ratio of LC3-II to LC3-I after photoreceptor outer segment (POS) feeding, with or without bafilomycin A1.
“Quantitative western blot analysis shows that siRNA against the RB1CC1 transcript (si-RB1 and si-RB2) significantly decreased the levels of LC3-II/LC3-I ratio, with or without the presence of bafilomycin A 1 (BafA), after POS feeding.”
Quote in the paperSubstantial claim - Findingown data
At 4 months of age, significant differences in outer retinal appearance are detected between Rb1cc1-CKO and control mice.
“At 4 mo of age we detected significant differences in the outer retinal appearance of the Rb1cc1-CKO versus control mice.”
Quote in the paperSubstantial claim - Findingown data
In Rb1cc1-CKO cells, SQSTM1- or ubiquitin-stained material targeted for autophagy degradation accumulates in distinct patterns that do not overlap with lipid-filled vacuoles.
“When staining cells for material targeted for degradation by autophagy 47,48 using antibodies against SQSTM1 or ubiquitin, we saw distinct patterns of accumulation of this material in the Rb1cc1-CKO cells that did not overlap with the lipid-filled vacuoles (Fig. 10).”
Quote in the paperNot a substantial claim - Findingown data
There is a progressive age-dependent reduction in both photopic and scotopic ERG in Rb1cc1-CKO mice compared to littermate controls.
“Outer nuclear layer thickness, as measured by OCT, was decreased in the Rb1cc1-CKO, and there was a progressive age-dependent reduction in both photopic and scotopic ERG as compared to littermate controls (Fig. 11).”
Quote in the paperSubstantial claim - Findingown data
CD68-positive staining cells are present in the abnormal foci of Rb1cc1-CKO RPE, consistent with macrophage infiltration.
“There were also CD68-positive staining cells in these foci, consistent with macrophage infiltration (Fig 4H).”
Quote in the paperNot a substantial claim - Findingown data
Scattered foci of RPE hyperpigmentation are observed in Rb1cc1-CKO mice, usually at the border of RPE atrophic patches.
“We also observed scattered foci of RPE hyperpigmentation, usually at the border of RPE atrophic patches.”
Quote in the paperNot a substantial claim - Findingown data
Subretinal hyper-reflective spots varying in shape and thickness are detected on OCT in Rb1cc1-CKO mice.
“Subretinal hyper-reflective spots that vary in shape and thickness were detected on OCT (Fig. 4C andD).”
Quote in the paperSubstantial claim - Findingown data
The larger vacuole-like structures seen on electron microscopy appear to correspond to the large oblong-shaped lipid accumulations seen with Oil Red O staining.
“The larger vacuole-like structures seen on electron microscopy appeared to correspond to the large, oblong-shaped lipid accumulations seen with Oil Red O staining (Fig. 8D-F).”
Quote in the paperNot a substantial claim - Findingown data
Rb1cc1-CKO mice have an accumulation of mitochondria, confirmed with TOMM40 staining.
“The Rb1cc1-CKO mice also had an accumulation of mitochondria, as confirmed with TOMM40 staining.”
Quote in the paperNot a substantial claim - Findingown data
In Rb1cc1-CKO RPE, areas of abnormalities correlate with areas of Cre-recombinase expression.
“Immunohistochemistry on Rb1cc1-CKO RPE confirmed that the areas of abnormalities correlated with the areas of Cre-recombinase expression (Fig. 4G andH).”
Quote in the paperSubstantial claim - Findingown data
Outer nuclear layer thickness measured by OCT is decreased in Rb1cc1-CKO mice.
“Outer nuclear layer thickness, as measured by OCT, was decreased in the Rb1cc1-CKO, and there was a progressive age-dependent reduction in both photopic and scotopic ERG as compared to littermate controls (Fig. 11).”
Quote in the paperSubstantial claim - Findingown data
In Rb1cc1-CKO mice, RB1CC1 expression is markedly reduced in the RPE.
“In both groups, we detected robust expression of Cre within the RPE, and marked reduction of RB1CC1 expression only in the Rb1cc1-CKO mice (Fig. 2A andB).”
Quote in the paperSubstantial claim - Findingown data
In ARPE-19 cells, siRNA knockdown of RB1CC1 increases SQSTM1 levels after POS feeding, with or without bafilomycin A1.
“Cells treated with RB1CC1-siRNA showed increased levels of SQSTM1, with or without the presence of BafA after POS feeding.”
Quote in the paperSubstantial claim - Findingown data
The SQSTM1-positive material in Rb1cc1-CKO cells localizes on the apical surface of the vesicles.
“Rather, the SQSTM1-positive material appeared to localize on the apical surface of the vesicles.”
Quote in the paperNot a substantial claim - Findingown data
In RPE from Rb1cc1-CKO and control mice at 2 mo, amounts of phosphorylated-PTK2 (pPTK2) are comparable.
“Western blot, and (F) quantification of protein levels showed comparable amounts of phosphorylated-PTK2 (pPTK2), phosphorylated-MAPK8/JNK1-MAPK9/JNK2 (pMAPK8/9), and total PTK2 and MAPK, in the RPE from both Rb1cc1-CKO and control mice at the age of 2 mo.”
Quote in the paperNot a substantial claim - Findingown data
Fundus photograph shows significant RPE atrophy in Rb1cc1-CKO mice compared to littermate controls.
“(A, B) Fundus photograph shows the significant RPE atrophy present in the Rb1cc1-CKO mice, as compared to littermate controls.”
Quote in the paperSubstantial claim - Findingown data
There were decreased scotopic and photopic electroretinography responses.
“(C, D) There was decreased scotopic and photopic electroretinography responses, consistent with the loss of photoreceptors.”
Quote in the paperSubstantial claim - Findingown data
Sections from eyes of 8-mo-old mice stained with Oil Red O show disruption of normal RPE architecture.
“(A-C) Sections from eyes of 8-mo-old mice stained with Oil Red O show the disruption of the normal RPE architecture the presence of large, lipid-filled structures (yellow arrows).”
Quote in the paperSubstantial claim - Findingown data
There is disruption of the outer nuclear layer of the retina where the RPE is absent.
“Note the disruption of the outer nuclear layer of the retina (red arrow) where the RPE is absent (rectangle).”
Quote in the paperSubstantial claim - Findingown data
Flat mounts stained for TJP1/ZO-1 show marked disruption of normal hexagonal pattern of RPE.
“(F, G) Flat mounts stained for the tight junction protein TJP1/ZO-1 show marked disruption of the normal hexagonal pattern of the RPE, and increased staining of IBA1-positive cells, consistent with increased infiltration of activated microglia.”
Quote in the paperSubstantial claim - Findingown data
Transmission electron microscopy showed significantly more unprocessed phagosomes in RPE of Rb1cc1-CKO mouse compared to littermate controls.
“(I-K) Transmission electron microscopy showed that there were significantly more unprocessed phagosomes (yellow arrows) present in the RPE of the Rb1cc1-CKO mouse, as compared to littermate controls.”
Quote in the paperSubstantial claim - Findingown data
There was increased accumulation of autofluorescent puncta within the RPE.
“There was also increased accumulation of autofluorescent puncta within the RPE (E, F).”
Quote in the paperSubstantial claim - Findingown data
Rb1cc1-CKO mice had increased accumulation of mitochondria within the RPE compared to littermate controls.
“The Rb1cc1-CKO mice had a significant accumulation of SQSTM1 (A, B) and ubiquitin-tagged debris (C, D) within the RPE, as well as increased accumulation of mitochondria (E, F), as compared to littermate controls.”
Quote in the paperSubstantial claim - Findingown data
At 2 mo, outer retinas of Rb1cc1-CKO and littermate controls are similar in appearance by OCT and DIC images.
“(A-D) At the age of 2 mo, the outer retinas of the Rb1cc1-CKO and littermate controls were similar in appearance, as shown by OCT and DIC images of retina sections.”
Quote in the paperSubstantial claim - Findingown data
Retinal and RPE morphology are normal in Rb1cc1-CKO mice at 2 mo of age.
“Retinal and RPE morphology are normal in Rb1cc1-CKO mice at 2 mo of age.”
Quote in the paperSubstantial claim - Findingown data
OCT imaging shows increased granularity of RPE reflectance in Rb1cc1-CKO mice.
“(C, D) OCT imaging shows the increased granularity of the RPE reflectance and the presence of hyperreflective foci located above the RPE (yellow arrows).”
Quote in the paperSubstantial claim - Findingown data
In RPE from Rb1cc1-CKO and control mice at 2 mo, amounts of phosphorylated-MAPK8/JNK1-MAPK9/JNK2 (pMAPK8/9) are comparable.
“Western blot, and (F) quantification of protein levels showed comparable amounts of phosphorylated-PTK2 (pPTK2), phosphorylated-MAPK8/JNK1-MAPK9/JNK2 (pMAPK8/9), and total PTK2 and MAPK, in the RPE from both Rb1cc1-CKO and control mice at the age of 2 mo.”
Quote in the paperNot a substantial claim - Findingown data
Rb1cc1-CKO mice had significant accumulation of ubiquitin-tagged debris within the RPE compared to littermate controls.
“The Rb1cc1-CKO mice had a significant accumulation of SQSTM1 (A, B) and ubiquitin-tagged debris (C, D) within the RPE, as well as increased accumulation of mitochondria (E, F), as compared to littermate controls.”
Quote in the paperSubstantial claim - Findingown data
Conditional knockout of Rb1cc1 in the RPE results in selective loss of autophagy activation in these cells.
“Conditional knockout of Rb1cc1 in the RPE results in the selective loss of autophagy activation in these cells.”
Quote in the paperSubstantial claim - Findingown data
In retina protein lysates, RB1CC1 levels are normal in Rb1cc1-CKO mice.
“Western blot of retina protein lysates showed normal levels of RB1CC1 and equal conversion of LC3-I to LC3-II.”
Quote in the paperNot a substantial claim - Findingown data
In 8-month-old Rb1cc1-CKO mice, retinal thinning was due to reduction in the ONL, as seen on cross section OCT imaging.
“(A) The retinal thinning was due to reduction in the ONL as seen on cross section OCT imaging of 8-moold mice”
Quote in the paperSubstantial claim - Findingown data
OCT imaging shows presence of hyperreflective foci located above the RPE in Rb1cc1-CKO mice.
“(C, D) OCT imaging shows the increased granularity of the RPE reflectance and the presence of hyperreflective foci located above the RPE (yellow arrows).”
Quote in the paperNot a substantial claim - Findingown data
This finding was also seen on OCT imaging of the retina.
“(F) This finding was also seen on OCT imaging of the retina (red arrow).”
Quote in the paperNot a substantial claim - Findingown data
Rod (scotopic) and cone (photopic) ERG show no significant difference between Rb1cc1-CKO and control mice.
“(H) Quantification of rod (scotopic) and cone (photopic) ERG showed no significant difference between Rb1cc1-CKO and control mice.”
Quote in the paperNot a substantial claim - Findingown data
RPE degeneration is present by 4 mo of age in Rb1cc1-CKO mice.
“RPE degeneration present by 4 mo of age.”
Quote in the paperSubstantial claim - Findingown data
Some lipid-containing vacuoles are large enough to displace normal RPE melanin content.
“(D-F) Electron microscopy shows that the lipid is contained within variably sized vacuoles, some of which are large enough to displace the normal RPE melanin content.”
Quote in the paperNot a substantial claim - Findingown data
In the RPE of Rb1cc1-CKO mice, levels of the lysosome proteins LAMP1 and mature CTSD/cathepsin D were decreased compared to littermate controls.
“Western blots (A), and quantification (B) showing decreased levels of the lysosome proteins LAMP1 and mature CTSD/cathepsin D (M-CTSD) in the RPE of the Rb1cc1-CKO mice as compared to littermate controls.”
Quote in the paperSubstantial claim - Findingown data
Staining for CD68 showed infiltration of macrophages into areas of degenerating RPE.
“Staining for CD68 showed infiltration of macrophages into the areas of degenerating RPE.”
Quote in the paperNot a substantial claim - Findingown data
In RPE from Rb1cc1-CKO and control mice at 2 mo, amounts of total PTK2 and MAPK are comparable.
“Western blot, and (F) quantification of protein levels showed comparable amounts of phosphorylated-PTK2 (pPTK2), phosphorylated-MAPK8/JNK1-MAPK9/JNK2 (pMAPK8/9), and total PTK2 and MAPK, in the RPE from both Rb1cc1-CKO and control mice at the age of 2 mo.”
Quote in the paperNot a substantial claim - Findingown data
In retina protein lysates, conversion of LC3-I to LC3-II is equal between Rb1cc1-CKO and control mice.
“Western blot of retina protein lysates showed normal levels of RB1CC1 and equal conversion of LC3-I to LC3-II.”
Quote in the paperNot a substantial claim - Findingown data
Immunostaining of RPE65 in Rb1cc1-CKO retina is identical to controls.
“(E, F) Immunostaining of RPE65 in Rb1cc1-CKO retina was identical to controls.”
Quote in the paperNot a substantial claim - Findingown data
Staining of retinal sections with antibody against CD29 shows disruption of normally continuous linear structure.
“(A, B) Staining of retinal sections with an antibody against CD29, a component of the ITGB1/integrin b-1 complex and a marker of the basal surface of the RPE, shows disruption of the normally continuous linear structure.”
Quote in the paperSubstantial claim - Findingown data
Photomicrographs show vacuolization of the RPE in Rb1cc1-CKO mice.
“(C-E) Photomicrographs show the vacuolization of the RPE (yellow arrows), and areas of atrophy.”
Quote in the paperSubstantial claim - Findingown data
Fluorescein angiography showed normal retinal vasculature in both groups of mice.
“(E, F) Fluorescein angiography showed a normal retinal vasculature in both groups of mice.”
Quote in the paperNot a substantial claim - Findingown data
There was increased accumulation of lipid-filled vacuoles within RPE of Rb1cc1-CKO mice compared to littermate controls.
“There was increased accumulation of lipid-filled vacuoles within the RPE of the Rb1cc1-CKO mice as compared to littermate controls.”
Quote in the paperSubstantial claim - Findingown data
Staining with vascular marker IB4 confirms that the ingrowth contained blood vessels.
“(E, F) Staining with the vascular marker, IB4, confirms that the ingrowth contained blood vessels.”
Quote in the paperSubstantial claim - Findingown data
Fundus photograph of retina from 8-mo-old Rb1cc1-CKO mouse shows significant RPE degeneration.
“(A, B) Fundus photograph of retina from 8-mo-old Rb1cc1-CKO mouse shows significant RPE degeneration.”
Quote in the paperSubstantial claim - Findingown data
Histological section of retina from 8-mo-old Rb1cc1-CKO mouse shows a focus of vascular ingrowth from choroid through RPE and into retina.
“(C) Histological section of a retina from an 8-mo-old Rb1cc1-CKO mouse shows a focus of vascular ingrowth from the choroid through the RPE and into the retina (red arrow), consistent with a focus of choroidal neovascularization.”
Quote in the paperSubstantial claim - Findingown data
Increased autofluorescence was detected in Rb1cc1-CKO mice.
“Subretinal inflammation and increased autofluorescence was detected in Rb1cc1-CKO mice.”
Quote in the paperSubstantial claim - Findingown data
In RPE/choroid lysates from 2-mo-old Rb1cc1-CKO mice, LC3-II levels are markedly reduced compared to littermate controls.
“Western blots, and (B) quantification of protein levels of RPE/choroid lysates from 2-mo-old Rb1cc1-CKO mice showed markedly reduced level of LC3-II and a significant accumulation of SQSTM1 as compared to littermate controls.”
Quote in the paperSubstantial claim - Findingown data
Photomicrographs show areas of atrophy in Rb1cc1-CKO mice.
“(C-E) Photomicrographs show the vacuolization of the RPE (yellow arrows), and areas of atrophy.”
Quote in the paperSubstantial claim - Findingown data
In RPE/choroid lysates from 2-mo-old Rb1cc1-CKO mice, SQSTM1 accumulates significantly compared to littermate controls.
“Western blots, and (B) quantification of protein levels of RPE/choroid lysates from 2-mo-old Rb1cc1-CKO mice showed markedly reduced level of LC3-II and a significant accumulation of SQSTM1 as compared to littermate controls.”
Quote in the paperSubstantial claim - Findingown data
Electron microscopy shows lipid is contained within variably sized vacuoles.
“(D-F) Electron microscopy shows that the lipid is contained within variably sized vacuoles, some of which are large enough to displace the normal RPE melanin content.”
Quote in the paperNot a substantial claim - Findingown data
Sections from eyes of 8-mo-old mice stained with Oil Red O show presence of large, lipid-filled structures.
“(A-C) Sections from eyes of 8-mo-old mice stained with Oil Red O show the disruption of the normal RPE architecture the presence of large, lipid-filled structures (yellow arrows).”
Quote in the paperSubstantial claim - Findingown data
Rb1cc1-CKO mice had significant accumulation of SQSTM1 within the RPE compared to littermate controls.
“The Rb1cc1-CKO mice had a significant accumulation of SQSTM1 (A, B) and ubiquitin-tagged debris (C, D) within the RPE, as well as increased accumulation of mitochondria (E, F), as compared to littermate controls.”
Quote in the paperSubstantial claim - Findingown data
Flat mounts show increased staining of IBA1-positive cells.
“(F, G) Flat mounts stained for the tight junction protein TJP1/ZO-1 show marked disruption of the normal hexagonal pattern of the RPE, and increased staining of IBA1-positive cells, consistent with increased infiltration of activated microglia.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Deletion of Rb1cc1 in the RPE resulted in inadequate processing of ingested material.
“Rather, the deletion of Rb1cc1 resulted in inadequate processing of the ingested material.”
Quote in the paperSubstantial claim - Interpretationreasoning
Macroautophagy serves to mitigate the negative effects of genetic and environmental stressors associated with the development of AMD.
“We propose that macroautophagy serves to mitigate the negative effects of genetic and environmental stressors associated with the development of AMD.”
Quote in the paperSubstantial claim - Premisecitation
There is increasing evidence for dysregulation of autophagy in the RPE leading to accumulation of lipofuscin and reduced ability to clear intracellular debris.
“and there has been increasing evidence for dysregulation of autophagy in the RPE leading to accumulation of lipofuscin and reduced ability to clear intracellular debris. [22][23]][24][25]”
Quote in the paperSubstantial claim - Interpretationreasoning
The absence of autophagy induction in Rb1cc1-CKO RPE appears to result in cumulative damage that does not manifest as a detectable phenotype until later ages.
“However, the absence of autophagy induction appears to result in cumulative damage that does not manifest as a detectable phenotype until later ages.”
Quote in the paperSubstantial claim - Interpretationown data
The RPE degeneration in Rb1cc1-CKO mice resulted in a secondary loss of photoreceptors.
“Despite this, however, the RPE degeneration still resulted in a secondary loss of photoreceptors.”
Quote in the paperSubstantial claim - Premisenone given
The causal relationship between autophagy dysfunction and RPE degeneration has not been directly demonstrated in vivo.
“However, the causal relationship between autophagy dysfunction and RPE degeneration has not been directly demonstrated in vivo.”
Quote in the paperSubstantial claim - Premisecitation
Autophagy in the RPE occurs, at least in part, in response to ingestion of photoreceptor outer segments (POS).
“Autophagy in the retina pigment epithelium occurs, at least in part, in response to ingestion of photoreceptor outer segments (POS). 36”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [36] source
Not checked in the free run.
- Premisecitation
The presence of the AMD phenotype has been correlated with reduced autophagic function in the RPE.
“In addition, the presence of the AMD phenotype has been correlated with reduced autophagic function in the RPE. 57”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [57] source
Not checked in the free run.
- Interpretationown data
The studies support the conclusion that dysregulation of autophagy plays a critical role in development of the phenotypes characteristic of AMD.
“While we cannot conclude that decreased autophagy is the primary cause of AMD, our studies support the conclusion that dysregulation of this homeostatic-maintenance pathway plays a critical role in development of the phenotypes characteristic of this disease.”
Quote in the paperSubstantial claim - Interpretationreasoning
At early ages in Rb1cc1-CKO mice, there is sufficient breakdown of phagocytized outer segments, as indicated by normal morphology and visual function.
“The kinetics of the degeneration suggests that at early ages there is sufficient breakdown of the phagocytized outer segments, as there is normal morphology and visual function.”
Quote in the paperNot a substantial claim - Premisecitation
Cre alone can cause phenotypic changes in the RPE.
“as Cre alone can cause phenotypic changes in the RPE. 37”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [37] source
Not checked in the free run.
- Study design and conductown data
Immunostaining confirmed RPE-specific expression of Cre-recombinase.
“(C) Immunostaining confirmed the RPE-specific expression of Cre-recombinase (red).”
Quote in the paperSubstantial claim - Interpretationown data
Loss of autophagy activation resulted in increased deposition of C3 on the basal surface of the RPE.
“(A, B) Loss of autophagy activation resulted in increased deposition of C3 (complement component 3) and (C, D) oxidatively-damaged proteins on the basal surface of the RPE.”
Quote in the paperSubstantial claim - Interpretationown data
Inability to activate autophagy results in continued age-dependent degeneration of the RPE.
“Inability to activate autophagy results in continued age-dependent degeneration of the RPE.”
Quote in the paperSubstantial claim - Interpretationown data
The vascular ingrowth is consistent with a focus of choroidal neovascularization.
“(C) Histological section of a retina from an 8-mo-old Rb1cc1-CKO mouse shows a focus of vascular ingrowth from the choroid through the RPE and into the retina (red arrow), consistent with a focus of choroidal neovascularization.”
Quote in the paperNot a substantial claim - Interpretationown data
Decreased levels of lysosome markers in the RPE of Rb1cc1-CKO mice are consistent with defective processing of intracellular debris.
“There were decreased levels of lysosome markers consistent with defective processing of intracellular debris.”
Quote in the paperSubstantial claim - Interpretationown data
Increased IBA1-positive staining is consistent with increased infiltration of activated microglia.
“(F, G) Flat mounts stained for the tight junction protein TJP1/ZO-1 show marked disruption of the normal hexagonal pattern of the RPE, and increased staining of IBA1-positive cells, consistent with increased infiltration of activated microglia.”
Quote in the paperNot a substantial claim - Interpretationown data
Loss of autophagy function in the RPE resulted in a secondary loss of photoreceptors.
“Loss of autophagy function in the RPE resulted in a secondary loss of photoreceptors.”
Quote in the paperSubstantial claim - Interpretationown data
Loss of autophagy in the RPE results in disruption of the normal interface with Bruch's membrane.
“Loss of autophagy in the RPE results in disruption of the normal interface with Bruch's membrane.”
Quote in the paperSubstantial claim - Interpretationown data
Decreased scotopic and photopic electroretinography responses are consistent with the loss of photoreceptors.
“(C, D) There was decreased scotopic and photopic electroretinography responses, consistent with the loss of photoreceptors.”
Quote in the paperSubstantial claim - Interpretationown data
RPE degeneration leads to retinal degeneration.
“RPE degeneration leads to retinal degeneration.”
Quote in the paperSubstantial claim - Interpretationown data
Subretinal inflammation was detected in Rb1cc1-CKO mice.
“Subretinal inflammation and increased autofluorescence was detected in Rb1cc1-CKO mice.”
Quote in the paperSubstantial claim - Interpretationown data
Loss of autophagy activation resulted in increased deposition of oxidatively-damaged proteins on the basal surface of the RPE.
“(A, B) Loss of autophagy activation resulted in increased deposition of C3 (complement component 3) and (C, D) oxidatively-damaged proteins on the basal surface of the RPE.”
Quote in the paperSubstantial claim - Interpretationown data
The accumulation of SQSTM1, ubiquitin-tagged debris, and mitochondria in the RPE of Rb1cc1-CKO mice is consistent with decreased autophagy flux in these cells.
“These findings are consistent with decreased autophagy flux in these cells.”
Quote in the paperSubstantial claim
- May combine two claims. 25
- The quote only partly states this claim. 1
- Classified as probably not a substantial claim. 9
May combine two claims.
Findingown dataIn ARPE-19 cells, RB1CC1 siRNA treatment significantly reduces the punctate pattern of LC3 staining, consistent with formation of fewer autophagosomes.
“Immunofluorescence analysis showed RB1CC1 siRNA-treated ARPE-19 cells have a significantly reduced punctate pattern of LC3 staining (green), consistent with the formation of fewer autophagosomes.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere is accumulation of oxidatively damaged proteins on the basal surface of the RPE in Rb1cc1-CKO mice, with a resultant inflammatory response, demonstrated by nitrotyrosine and C3 staining.
“There was an accumulation of oxidatively damaged proteins on the basal surface of the RPE, with a resultant inflammatory response, as demonstrated by the presence of nitrotyrosine-positive staining and C3 (complement component 3) staining, respectively (Fig. 7A-D).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataRb1cc1-CKO mice show increased presence of IBA1-positive cells even at 8 months of age, consistent with activation of an immunological response to RPE degeneration.
“we detected an increased presence of IBA1-positive cells in the Rb1cc1-CKO mice even at 8 mo of age (Fig. 5G); IBA1 being a marker of activated microglial cells and consistent with the activation of an immunological response to the RPE degeneration.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataRb1cc1-CKO mice show markedly increased autofluorescence in the RPE compared to control animals, most likely due to accumulation of lipofuscin.
“We also observed markedly increased autofluorescence in the RPE of the Rb1cc1-CKO mice compared to the control animals, most likely due to accumulation of lipofuscin (Fig. 7E andF).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataRb1cc1-CKO retinas at 4 months show small white-yellowish structures and areas of patchy RPE atrophy.
“Examination of the Rb1cc1-CKO retinas revealed small, whiteyellowish structures and areas of patchy RPE atrophy (Fig. 4A andB).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe neovascular foci in Rb1cc1-CKO mice are infrequently seen and only on histology.
“These foci were infrequently seen, and only on histology.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAt 2 months of age, the RPE of Rb1cc1-CKO mice is identical to littermate controls in RPE appearance and integrity of RPE65 staining.
“The RPE of the Rb1cc1-CKO mice were identical to the littermate controls in terms of the RPE appearance and integrity of RPE65 staining (a RPE-specific marker indicative of normal RPE function; Fig. 3E andF).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn Rb1cc1-CKO mouse RPE, LC3-II levels are markedly reduced and SQSTM1 accumulates significantly, consistent with defective autophagy.
“There was also a markedly reduced level of LC3-II and a significant accumulation of SQSTM1, both consistent with defective autophagy in the RPE (Fig. 2A andB).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataElectron microscopy shows poorly processed phagosomes and accumulation of vacuoles, presumably lipid-filled, some large enough to force apical displacement of melanosomes.
“Electron microscopy showed poorly processed phagosomes and accumulation of vacuoles, presumably lipid-filled and some large enough to force an apical displacement of the melanosomes.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn Rb1cc1-CKO mice at 8 months, there are areas of RPE vacuolization and RPE atrophy with disorganization of the overlying retina.
“There were areas of RPE vacuolization as well as areas of RPE atrophy, with disorganization of the overlying retina (Fig. 5C-E).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the overlying retina of Rb1cc1-CKO mice, RB1CC1 levels are normal and LC3-I to LC3-II conversion is equal to controls, consistent with cell-specific deletion.
“In the overlying retina there were normal levels of RB1CC1 and equal conversion of LC3-I to LC3-II, consistent with the cell-specific nature of the autophagy gene deletion (Fig. 2D).”
Quote in the paperSubstantial claimMay combine two claims. The quote only partly states this claim.
Findingown dataBy 8 months of age, there is widespread disruption of RPE cell morphology and the overlying retina in Rb1cc1-CKO mice.
“The abnormal phenotype increased in severity with increasing age, and by 8 mo there was widespread disruption of the RPE”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataInhibiting autophagosome-lysosome fusion with bafilomycin A1 increased LC3-II and SQSTM1 in control cells, ruling out lysosomal disruption as the cause of accumulation in the absence of bafilomycin A1.
“Inhibiting autophagosome-lysosome fusion with bafilomycin A 1 showed an increase in LC3-II and SQSTM1 in the control cells, which rules out the possibility that the accumulation is due to lysosomal disruption in the absence of bafilomycin A 1 .”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataImmunostaining for Cre-recombinase showed no RPE degeneration in Best1-Cre control retinas, but only in Rb1cc1-CKO retinas where there was Cre expression.
“(G, H) Immunostaining for the Cre-recombinase (red) showed that there was no RPE degeneration in the Best1-Cre control retinas, but only in the Rb1cc1-CKO retinas where there was Cre expression.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn all cases, abnormalities were only seen in Rb1cc1-CKO mouse, and not in Best1-Cre mouse, even in areas of Cre expression.
“In all cases, abnormalities were only seen in the Rb1cc1-CKO mouse, and not in the Best1-Cre mouse, even in areas of Cre expression.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationRB1CC1 is a component of the ULK1-ATG13-RB1CC1/FIP200 complex, which is inhibited by MTOR and is an essential upstream inducer of autophagy.
“RB1CC1 is a component of the ULK1-ATG13-RB1CC1/FIP200 complex, which is inhibited by MTOR and is an essential upstream inducer of autophagy. [26][27]7][28][29]”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationRB1CC1 is also important in regulating intracellular signaling pathways such as cell survival, differentiation, migration, proliferation, and protein synthesis.
“Aside from the essential function of RB1CC1 in regulating autophagy in mammalian cells, it is also important in regulating a number of intracellular signaling pathways such as cell survival, differentiation, migration, proliferation, and protein synthesis. 38”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [38] source
Not checked in the free run.
May combine two claims.
Interpretationown dataThe Rb1cc1-CKO model demonstrates that blocking induction of autophagy in the RPE results in many salient features of AMD, particularly RPE atrophy, accumulation of lipid-filled inclusions, drusenoid deposits, abnormal accumulation of reactive oxygen species, complement activation, and occasional foci of neovascularization.
“The model presented here demonstrates that blocking the induction of autophagy in the RPE results in many of the salient features of AMD, particularly RPE atrophy, the accumulation of lipid-filled inclusions, drusenoid deposits, abnormal accumulation of reactive oxygen species, complement activation, and occasional foci of neovascularization.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAutophagy plays a critical role in lipid metabolism and reduces lipid toxicity in a number of animal models of disease.
“Autophagy plays a critical role in lipid metabolism and reduces lipid toxicity in a number of animal models of disease. 68,69”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationMarkers of autophagy and exosomes have been found in the RPE of aged mice as well as in drusen from cadaveric eyes from people with age-related macular degeneration (AMD).
“For example, markers of autophagy and exosomes have been found in the RPE of aged mice as well as in drusen from cadaveric eyes from people with age-related macular degeneration (AMD), 16”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [16] source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAutophagy in the RPE is activated in a circadian rhythm, with a phase-shift of several hours relative to the peak of disc shedding.
“We recently reported that autophagy in the RPE is activated in a circadian rhythm, 36 with a phase-shift of several hours relative to the peak of disc shedding, consistent with the time required for normal phagocytic processing of the outer segments.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [36] source
Not checked in the free run.
May combine two claims.
Interpretationown dataThere appeared to be normal phagocytic ingestion of shed photoreceptor outer segments in Rb1cc1-CKO mice, suggesting that LC3-associated phagocytosis (LAP) was not affected.
“There appeared to be normal phagocytic ingestion of the shed photoreceptor outer segments, suggesting that LAP was not affected.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationChanges in RPE autophagy correlate with both progressive age and outer retinal degeneration.
“Previous studies have shown that changes in RPE autophagy correlate with both progressive age and outer retinal degeneration. [16][17]7][18][19][20][21]”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataKnocking down RB1CC1 in the RPE did not significantly affect nonautophagy-related RB1CC1 targets, consistent with a primarily autophagy defect rather than PTK2/MAPK pathway effects.
“These results suggested that knocking down RB1CC1 expression in the RPE did not significantly affect the levels of nonautophagy-related RB1CC1 targets, and were consistent with the Rb1cc1-CKO having primarily a defect on autophagy and not on the PTK2 and MAPK pathways.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThe RPE-specific defect in autophagy and resultant RPE degeneration causes a loss of photoreceptor cells; since autophagy in photoreceptors is normal, their death is secondary to the loss of the RPE.
“The RPE-specific defect in autophagy and resultant RPE degeneration also causes a loss of photoreceptor cells.Since autophagy in the photoreceptors is normal in this model, presumably their death is secondary to the loss of the RPE.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThe Best1 promoter provides RPE-specific expression of Cre-recombinase and RPE-selective loss of a loxP-flanked gene.
“Recently, Dunaief and coworkers described a mouse strain in which the Best1 promoter was used to provide RPE-specific expression of the Crerecombinase and RPE-selective loss of a loxP-flanked gene. 34”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [34] source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationAll collections were performed at the same time of day (1:00 p.m.) because of circadian changes in autophagy levels in the RPE.
“Due to the presence of circadian changes in autophagy levels in the RPE, 36 all collections were performed at the same time of day, 1:00 p.m.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [36] source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenImages in each individual experiment were acquired with a fixed detection gain.
“All images in each individual experiment were acquired with a fixed detection gain.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataManual measurement of ONL thickness versus total retinal thickness confirmed the automated measurements.
“(C) Manual measurement of the ONL thickness vs. total retinal thickness confirmed the automated measurements.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationMice negative for mutation in the Crb1/Rd8 gene were used.
“All mice were genotyped by established methods and only those negative for mutation in the Crb1/Rd8 gene were used. 70”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [70] source
Not checked in the free run.
The paper relies on this without support.
Photoreceptors are highly dependent on the RPE for metabolic support.
“This effect is not altogether unexpected, as the photoreceptors are highly dependent on the RPE for metabolic support.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Loss of RB1CC1 causes RPE atrophy and pigmentation defects as early as 4 months of age.
“Loss of RB1CC1, a component of the ULK complex required to initiate autophagy, was shown to cause RPE atrophy and pigmentation defects as early as 4 months of age (Yao et al., 2015).”
From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Yao et al., 2015
Decreased autophagy led to a secondary degeneration of photoreceptors, loss of scotopic and photopic vision, subretinal inflammation, and sub-RPE accumulation of oxidative stress markers in 8-month-old mice.
“Decreased autophagy led to a secondary degeneration of photoreceptors, loss of scotopic and photopic vision, subretinal inflammation (microglial activation, complement activation), and sub-RPE accumulation of oxidative stress markers in 8-month-old mice.”
From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Yao et al., 2015
This was accompanied by the accumulation of p62/SQSTM1, damaged mitochondria, and lipid droplets with increased autofluorescence in the RPE, all indicators of impaired autophagic flux.
“This was accompanied by the accumulation of p62/SQSTM1, damaged mitochondria, and lipid droplets with increased autofluorescence in the RPE, all indicators of impaired autophagic flux.”
From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Yao et al., 2015
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Figure 6 panel F assigned two imaging methods
MinorThe Figure 6 caption identifies panel F as OCT imaging and also as IB4 staining.
“(F) This finding was also seen on OCT imaging of the retina (red arrow).”
“(E, F) Staining with the vascular marker, IB4, confirms that the ingrowth contained blood vessels.”
Neovascularization described as visible only on histology and also on OCT
MinorThe results say the vascular-ingrowth foci were seen only on histology, but the Figure 6 caption says the finding was also seen on OCT.
“These foci were infrequently seen, and only on histology.”
“(F) This finding was also seen on OCT imaging of the retina (red arrow).”
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FIP200 regulates targeting of Atg16L1 to the isolation membrane
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Balance between autophagic pathways preserves retinal homeostasis
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FIP200 is required for maintenance and differentiation of postnatal neural stem cells
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Retinal ultrastructure of murine models of dry age-related macular degeneration (AMD)
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Autophagy: Emerging roles in lipid homeostasis and metabolic control
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Autophagy in the Retina: A Potential Role in Age-Related Macular Degeneration
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Spatial Distribution of the Pathways of Cholesterol Homeostasis in Human Retina
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New insights into retinoid metabolism and cycling within the retina
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“In addition, vitamin A re-enters the visual cycle for re-isomerization and transport back to the photoreceptors for regeneration of the opsin visual pigments.(54) Our data confirm that in our model we successfully deleted Rb1cc1 from the RPE, and in this manner we were able to selectively prevent induction of canonica…”
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Circadian and noncircadian modulation of autophagy in photoreceptors and retinal pigment epithelium
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FIP200, a key signaling node to coordinately regulate various cellular processes
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Autophagy selectively regulates miRNA homeostasis
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Loss of VLDL Receptor Activates Retinal Vascular Endothelial Cells and Promotes Angiogenesis
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MERTK interactions with SH2-domain proteins in the retinal pigment epithelium
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Self-citationRPE65 surface epitopes, protein interactions, and expression in rod- and cone-dominant species.
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Autophagy-mediated catabolism of visual transduction proteins prevents retinal degeneration
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Autophagy in light-induced retinal damage
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The Role of Autophagy in Eye Diseases
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- Authors
- Yao, J., Jia, L., Khan, N., Lin, C., Mitter, S. K., Boulton, M. E., Dunaief, J. L., Klionsky, D. J., Guan, J.-L., Thompson, D. A., & Zacks, D. N.
- Affiliations
- University of Michigan (US)
- Indiana University School of Medicine (US)
- University of Pennsylvania (US)
- University of Cincinnati (US)
- Corresponding author
- Zacks, David N
- ORCID
- Venue
- Autophagy
- Publisher
- Informa UK Limited
- Published
- 2015-06-03
- Volume
- 11
- Issue
- 6
- Pages
- 939-953
- ISSN
- 1554-8627 (ISSN-L)
- 1554-8635
- PMC
- PMC4502815
- OpenAlex
- W1762842507
- Semantic Scholar
- 07bce5549f84e5acb548a041638cd5c386e1a073
- Cited by
- 130
- References
- 78
- Citations by year
- 2026: 4 · 2025: 21 · 2024: 9 · 2023: 10 · 2022: 11 · 2021: 12 · 2020: 17 · 2019: 12 · 2018: 11 · 2017: 9 · 2016: 10 · 2015: 4
- FWCI
- 10.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Autophagy (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Research to Prevent Blindness (EY007003)
- Arnold and Mabel Beckman Initiative for Macular Research
- National Eye Institute (R01EY020823, EY-020823, EY-007003, R01EY015240)
- National Institute of General Medical Sciences (R01GM053396)
- Topics
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Keywords
- RB1CC1, FIP200, retinal pigment epithelium, age-related degeneration, LC3 conversion, mitochondrial accumulation, microglial activation, drusen, choroidal neovascularization, photoreceptor loss, electroretinogram
- MeSH terms
- Autophagy-Related Proteins, Animals, Autophagy, Electroretinography, Epithelium, Mitochondria, Sequence Deletion, Intracellular Signaling Peptides and Proteins, Mice, Retinal Pigment Epithelium
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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