Senescence Increases Choroidal Endothelial Stiffness and Susceptibility to Complement Injury: Implications for Choriocapillaris Loss in AMD
Open accessAbstract
PURPOSE: Age-related macular degeneration (AMD) commonly causes blindness in the elderly. Yet, it is untreatable in the large fraction of all AMD patients that develop the early dry form. Dry AMD is marked by the deposition of membrane attack complex (MAC) on choriocapillaris (CC), which is implicated in CC degeneration and subsequent atrophy of overlying retinal pigment epithelium. Since MAC is also found on the CC of young eyes, here we investigated whether and how aging increases choroidal endothelial susceptibility to MAC injury. METHODS: Monkey chorioretinal endothelial cells (ECs, RF/6A) were cultured to high passages (>P60) to achieve replicative senescence. We treated ECs with complement-competent human serum to promote MAC deposition and injury, which were assessed by flow cytometry and trypan blue exclusion assay, respectively. Stiffness of EC was measured by atomic force microscopy indentation while Rho GTPase activity was quantified by Rho G-LISA assay. RESULTS: Our findings reveal that senescent ECs are significantly stiffer than their normal counterparts, which correlates with higher cytoskeletal Rho activity in these cells and their greater susceptibility to complement (MAC) injury. Importantly, inhibition of Rho activity in senescent ECs significantly reduced cell stiffness and MAC-induced lysis. CONCLUSIONS: By revealing an important role of senescence-associated choroidal EC stiffening in complement injury, these findings implicate CC stiffening as an important determinant of age-related CC atrophy seen in dry AMD. Future studies are needed to validate these findings in appropriate animal models so new therapeutic targets can be identified for treatment of dry AMD.
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With increasing age, endothelial cells may become more sensitive to MAC injury due to higher cytoskeletal Rho kinase activity.
“With increasing age, endothelial cells may become more sensitive to MAC injury due to higher cytoskeletal Rho kinase activity [202].”
From Bruch’s Membrane: A Key Consideration with Complement-Based Therapies for Age-Related Macular Degeneration (2023) · cites this paper as [202]
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Clearance of p16Ink4a-positive senescent cells delays ageing-associated disorders
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Aging, Cellular Senescence, and Cancer
Campisi, J. (2013) · Annual Review of Physiology · doi:10.1146/annurev-physiol-030212-183653 · Cited by 2,954 · cited 1× · see citing works
“Cellular senescence recapitulates many features of aging.(25,26) Thus, to develop an in vitro model of CC aging, RF/6A ECs were cultured to high passages (>P60) to achieve replicative senescence and compared with lower passage (<P40) cells for expression levels of senescence-associated b-galactosidase (SAb-gal), a wel…”
BackgroundAnimal models of age related macular degeneration
Pennesi, M. E., Neuringer, M., & Courtney, R. J. (2012) · Molecular Aspects of Medicine · doi:10.1016/j.mam.2012.06.003 · Cited by 391 · see citing works
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Senescence in the pathogenesis of age-related macular degeneration
Blasiak, J. (2020) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-019-03420-x · Cited by 183 · see citing works
Lee, K. S., Lin, S., Copland, D. A., Dick, A. D., & Liu, J. (2021) · Journal of Neuroinflammation · doi:10.1186/s12974-021-02088-0 · Cited by 150 · see citing works
Hammadi, S., Tzoumas, N., Ferrara, M., Meschede, I. P., Lo, K., Harris, C., Lako, M., & Steel, D. H. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12082870 · Cited by 44 · see citing works
- Authors
- Cabrera, A. P., Bhaskaran, A., Xu, J., Yang, X., Scott, H. A., Mohideen, U., & Ghosh, K.
- Affiliations
- University of California, Riverside (US)
- Corresponding author
- Ghosh, Kaustabh
- Venue
- Investigative Opthalmology & Visual Science
- Published
- 2016-11-01
- Volume
- 57
- Issue
- 14
- Pages
- 5910
- ISSN
- 0146-0404 (ISSN-L)
- 1552-5783
- OpenAlex
- W2547543108
- Cited by
- 53
- References
- 4
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 10 · 2023: 5 · 2022: 7 · 2021: 4 · 2020: 6 · 2019: 7 · 2018: 7 · 2017: 3
- FWCI
- 6.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Investigative Ophthalmology & Visual Science (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, public-domain)
- eScholarship (California Digital Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinal Imaging and Analysis
- Keywords
- age-related macular degeneration, dry age-related macular degeneration, choroidal endothelial cells, replicative senescence, cell stiffness, membrane attack complex, Rho GTPases, cytoskeleton, endothelial cell lysis, aging
- MeSH terms
- Aged, Animals, Haplorhini, Cells, Cultured, Choroid, Complement System Proteins, Humans, Macular Degeneration, Male, Retina, Complement Membrane Attack Complex, Cellular Senescence, Microscopy, Atomic Force, Endothelial Cells
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