Compromised phagosome maturation underlies RPE pathology in cell culture and whole animal models of Smith-Lemli-Opitz Syndrome
Open accessAbstract
Treatment of rats with the cholesterol pathway inhibitor AY9944 produces an animal model of Smith-Lemli-Opitz syndrome (SLOS), an autosomal recessive disease caused by defective cholesterol synthesis. This SLOS rat model undergoes progressive and irreversible degeneration of the neural retina, with associated pathological features of the retinal pigmented epithelium (RPE). Here, we provide further insights into the mechanism involved in the RPE pathology. In the SLOS rat model, markedly increased RPE apical autofluorescence is observed, compared to untreated animals, which correlates with increased levels of A2E and other bisretinoids. Utilizing cultured human induced pluripotent stem cell (iPSC)- derived SLOS RPE cells, we found significantly elevated steady-state levels of 7-dehydrocholesterol (7DHC) and decreased cholesterol levels (key biochemical hallmarks of SLOS). Western blot analysis revealed altered levels of the macroautophagy/autophagy markers MAP1LC3B-II and SQSTM1/p62, and build-up of ubiquitinated proteins. Accumulation of immature autophagosomes was accompanied by inefficient degradation of phagocytized, exogenously supplied retinal rod outer segments (as evidenced by persistence of the C-terminal 1D4 epitope of RHO [rhodopsin]) in SLOS RPE compared to iPSC-derived normal human control. SLOS RPE cells exhibited lysosomal pH levels and CTSD activity within normal physiological limits, thus discounting the involvement of perturbed lysosomal function. Furthermore, 1D4-positive phagosomes that accumulated in the RPE in both pharmacological and genetic rodent models of SLOS failed to fuse with lysosomes. Taken together, these observations suggest that defective phagosome maturation underlies the observed RPE pathology. The potential relevance of these findings to SLOS and the requirement of cholesterol for phagosome maturation are discussed.
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Impaired autophagy in these diseases is accompanied by defects in other organelles/functions such as delayed phagosome maturation, lysosomal dysfunction, and endosomal abnormalities.
“Impaired autophagy is accompanied by defects in other organelles/functions such as delayed phagosome maturation (Bietti’s, Batten, SLO (Wavre-Shapton et al., 2015; Hata et al., 2018; Ramachandra Rao et al., 2018)), lysosomal dysfunction (Stargardt, Batten, Bietti’s (Liu et al., 2008; Wavre-Shapton et al., 2015; Tan et al., 2016; Hata et al., 2018)), and endosomal abnormalities (Stargardt (Kaur et”
From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Ramachandra Rao et al., 2018
In Batten, Bietti's, and SLO diseases, autophagic defects manifest as an accumulation of LC3-positive autophagosomes and increased p62, suggestive of a block in autophagosome-lysosome fusion.
“In Abca4−/− RPE, both autophagosome biogenesis and autophagic flux are inhibited (Toops et al., 2015); however, in Batten, Bietti’s, and SLO diseases, autophagic defects manifest as an accumulation of LC3-positive autophagosomes and increased p62, suggestive of a block in autophagosome-lysosome fusion.”
From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Ramachandra Rao et al., 2018
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- Authors
- Ramachandra Rao, S., Pfeffer, B. A., Más Gómez, N., Skelton, L. A., Keiko, U., Sparrow, J. R., Rowsam, A. M., Mitchell, C. H., & Fliesler, S. J.
- Affiliations
- Departments of Ophthalmology (Ross Eye Institute) and Biochemistry, Jacobs School of Medicine and Biomedical Sciences, SUNY-University at Buffalo, Buffalo, NY, USA
- Buffalo VA Medical Center (US)
- Department of Anatomy & Cell Biology, University of Pennsylvania, School of Dental Medicine, Philadelphia, PA, USA
- Departments of Ophthalmology (Harkness Eye Institute) and Pathology & Cell Biology, Columbia University, College of Physicians & Surgeons, NY, NY, USA
- Columbia University (US)
- University of Pennsylvania (US)
- Corresponding author
- Fliesler, Steven J.
- ORCID
- Venue
- Autophagy
- Publisher
- Informa UK Limited
- Published
- 2018-07-31
- Volume
- 14
- Issue
- 10
- Pages
- 1796-1817
- ISSN
- 1554-8627 (ISSN-L)
- 1554-8635
- PMC
- PMC6135634
- OpenAlex
- W2859350743
- Cited by
- 28
- References
- 130
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 2 · 2022: 3 · 2021: 6 · 2020: 6 · 2019: 1 · 2018: 1
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Autophagy (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- ScholarlyCommons (University of Pennsylvania) (submittedVersion)
- Funders
- NIH (R01 EY007361)
- SJF (1 UL1 TR001412)
- to SUNY-University at Buffalo (R01 EY012951)
- JRS (R01 EY013434)
- CHM
- NEI/NIH (R01 EY007361, R01 EY012951, R01 EY015537)
- Fight for Sight Student Summer Research Grant (None)
- NCATS/NIH (UL1 TR001412)
- RBP Unrestricted Grant (None)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
- Keywords
- Smith-Lemli-Opitz syndrome, retinal pigment epithelium, phagosome maturation, 7-dehydrocholesterol, cholesterol biosynthesis, AY-9944, rod outer segment phagocytosis, phagosome-lysosome fusion, A2E, bisretinoids, retinal degeneration, lysosomal function
- MeSH terms
- Animals, trans-1,4-Bis(2-chlorobenzaminomethyl)cyclohexane Dihydrochloride, Cathepsin D, Cattle, Dehydrocholesterols, Disease Models, Animal, Humans, Lysosomes, Membrane Fusion, Phagocytosis, Phagosomes, Retinoids, Rod Cell Outer Segment, Transcription, Genetic, Protein Biosynthesis, Biomarkers, Cell Culture Techniques, Smith-Lemli-Opitz Syndrome, Rats, Retinal Pigment Epithelium, Ubiquitinated Proteins
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