Cited by 41Autophagy in Disease and TherapyRetinal Diseases and TreatmentsRetinal Development and Disorders

Microtubule-associated protein 1 light chain 3B, (LC3B) is necessary to maintain lipid-mediated homeostasis in the retinal pigment epithelium

Open access
Dhingra, Anuradha, Bell, Brent A., Peachey, Neal S., Daniele, Lauren L., Reyes-Reveles, Juan, Sharp, Rachel C., Jun, Bokkyoo, Bazan, Nicolas G. +4 more·2018·Frontiers in Cellular Neuroscience

Abstract

Like other neurons, retinal cells utilize autophagic pathways to maintain cell homeostasis. The mammalian retina relies on heterophagy and selective autophagy to efficiently degrade and metabolize ingested lipids with disruption in autophagy associated degradation contributing to age related retinal disorders. The retinal pigment epithelium (RPE) supports photoreceptor cell renewal by daily phagocytosis of shed photoreceptor outer segments (OS). The daily ingestion of these lipid-rich OS imposes a constant degradative burden on these terminally differentiated cells. These cells rely on Microtubule-Associated Protein 1 Light Chain 3 (LC3) family of proteins for phagocytic clearance of the ingested OS. The LC3 family comprises of three highly homologous members, MAP1LC3A (LC3A), MAP1LC3B (LC3B) and MAP1LC3C (LC3C). The purpose of this study was to determine whether the LC3B isoform plays a specific role in maintaining RPE lipid homeostasis. We examined the RPE and retina of the LC3B-/- mouse as a function of age using in vivo ocular imaging and electroretinography coupled with ex vivo, lipidomic analyses of lipid mediators, assessment of bisretinoids as well as imaging of lipid aggregates. Deletion of LC3B resulted in defects within the RPE including increased phagosome accumulation, decreased fatty acid oxidation and a subsequent increase in RPE and sub-RPE lipid deposits. Age-dependent RPE changes included elevated levels of oxidized cholesterol, deposition of 4-HNE lipid peroxidation products, bisretinoid lipofuscin accumulation, and subretinal migration of microglia, collectively likely contributing to loss of retinal function. These observations are consistent with a critical role for LC3B-dependent processes in the maintenance of normal lipid homeostasis in the aging RPE, and suggest that LC3 isoform specific disruption in autophagic processes contribute to AMD-like pathogenesis.

AI snapshot

Written from the paper’s full text.

TL;DR

In LC3B-/- mice, loss of LC3B impairs RPE phagosome degradation and lipid metabolism, leading to age-dependent lipid deposits, oxidative/pro-inflammatory changes, and reduced retinal function. These findings suggest LC3B-dependent processes maintain RPE lipid homeostasis and that isoform-specific autophagic disruption may contribute to AMD-like pathogenesis.

Key findings

  • LC3B-/- RPE showed slowed phagosome clearance, with phagosome numbers elevated before light onset and not returning to WT baseline; β-hydroxybutyrate release was reduced to 6.87 ± 0.71 nmoles vs. 15.0 ± 1.89 nmoles in WT by 9 am.
  • Aged LC3B-/- RPE accumulated neutral lipids, with a 1.6-fold increase in BODIPY493/503 intensity and ~185% more lipid puncta than WT; 7-ketocholesterol increased ~5-fold, and 4-HNE adducts increased ~57%.
  • Docosanoid mediators were decreased in LC3B-/- RPE, including esterified/free DHA, 17(S)-HDHA, NPD1, 14(S)-HDHA, and Maresin-1; retinal total DHA was lower while free DHA was enhanced.
  • Retinal function declined in LC3B-/- mice: dark-adapted a-wave RmP3 was 401.0 ± 29.0 μV vs. 563.8 ± 27.0 μV in WT, b-wave Rmax was 571.9 ± 39.1 μV vs. 724.4 ± 59.1 μV, cone Rmax was 211.1 ± 17.4 μV vs. 283.5 ± 17.1 μV, and the c-wave was reduced to 68.9% of WT and delayed; bisretinoids were over twofold higher.

Methods

  • Compared LC3B-/- mice (B6;129P2-Map1Lc3btm1Mrab/J, backcrossed to C57BL6/J) with WT C57BL6/J controls across ages, using in vivo ocular imaging (SLO, SDOCT) and electroretinography.
  • Ex vivo analyses included electron microscopy phagosome counts, immunoblotting/immunostaining, BODIPY/filipin lipid staining, β-hydroxybutyrate and citrate synthase assays, lipidomics by LC/MS/MS, bisretinoid UPLC, 4-HNE ELISA, and sterol measurement.
  • Statistical comparisons used one-way ANOVA with Fisher LSD, two-way repeated measures ANOVA, Student’s t-tests, and curve fits for ERG luminance-response functions; phagosome counts were performed under masked conditions.

Limitations

  • The authors state they used a global LC3B-/- mouse but argue the retinal phenotype is largely due to loss of LC3B in retina/RPE rather than systemic effects, based on prior evidence that these mice develop normally and lack systemic defects.
  • The authors note unresolved questions, including whether RUBCN modulates mitophagy and the specific role of LC3A in retina/RPE; they also state future studies are underway to determine the relationship between lipid accumulation and microglia recruitment.
  • Evident from the text: findings are from a mouse model, with assays performed at varying ages and often small sample sizes (e.g., N = 3–7 per group), and no human AMD tissue or causal human validation is presented.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3389/fncel.2018.00351

Cites

Statistics

Nothing to recompute.

Claims the paper makes

0 of 94 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    Age-dependent RPE changes in LC3B-/- mice include elevated levels of oxidized cholesterol.

    “Age-dependent RPE changes included elevated levels of oxidized cholesterol”
    Quote in the paperSubstantial claim
  • Findingown data

    LC3A mRNA and protein are not significantly upregulated in the RPE or retina of LC3B-/- mice.

    “moreover, there was no significant up-regulation of LC3A mRNA or protein in the RPE or retina (Figures 1A–C), consistent with previous studies using mouse embryonic fibroblasts (Cann et al., 2008).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Cann et al., 2008 source

      Not checked in the free run.

  • Findingown data

    Deletion of LC3B results in decreased fatty acid oxidation in the RPE.

    “Deletion of LC3B resulted in defects within the RPE including increased phagosome accumulation, decreased fatty acid oxidation and a subsequent increase in RPE and sub-RPE lipid deposits.”
    • Also stated in: § Introduction · plain
      “We show that loss of LC3B results in decreased RPE-OS phagosome clearance and a concomitant decrease in fatty acid oxidation and ketogenesis.”
    Quote in the paperSubstantial claim
  • Findingown data

    Deletion of LC3B results in decreased RPE-OS phagosome clearance.

    “We show that loss of LC3B results in decreased RPE-OS phagosome clearance and a concomitant decrease in fatty acid oxidation and ketogenesis.”
    Quote in the paperSubstantial claim
  • Findingown data

    Age-dependent RPE changes in LC3B-/- mice include deposition of 4-HNE lipid peroxidation products.

    “deposition of 4-HNE lipid peroxidation products”
    Quote in the paperSubstantial claim
  • May combine two claims. 44
  • Classified as probably not a substantial claim. 28
  • May combine two claims.

    Findingown data

    LC3B transcript and protein are absent in the RPE and retina of LC3B-/- mice.

    “As expected, LC3B transcript (Figure 1A) and LC3B protein were absent in the LC3B-/- mouse RPE (Figure 1B and Supplementary Figure S1A) and retina (Figure 1C)”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In WT mice, 15.0 ± 1.89 nmoles of β-HB was released by 9 am; in contrast, the LC3B-/- RPE released only 6.87 ± 0.71 nmoles of β-HB.

    “In WT mice, 15.0 ± 1.89 nmoles of β-HB was released by 9 am; in contrast, the LC3B-/- RPE released only 6.87 ± 0.71 nmoles of β-HB (Figure 4B).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The spatial intensity distribution is uniform for WT and encompasses nearly 30-40% of the entire image, whereas in LC3B-/- mice the uniformity is substantially reduced, corresponding to ~10% of the image.

    “The spatial intensity distribution is quite uniform for WT and encompasses nearly 30–40% of the entire image (Figures 2E,F); whereas in L3CB-/- mice the uniformity is substantially reduced, corresponding to a much smaller fraction (∼10%) of the image (Figures 2G,H).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Older LC3B-/- mice show hyper- and hypo-pigmented areas in the RPE and migration of cells (possibly microglia) in the subretinal space.

    “Besides this, there appear to be several hyper and hypo-pigmented areas in the RPE from older LC3B-/- and migration of cells (possibly microglia) in the subretinal space (Figures 3A,B).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    LC3B-/- RPE exhibited an abundance of neutral lipid droplets, detected as BODIPY positive puncta, compared to WT; in LC3B-/- neutral lipid containing structures were found not only in RPE but also at the RPE-choroid interface.

    “LC3B-/- RPE exhibited an abundance of neutral lipid droplets, detected as BODIPYTM positive puncta, compared to WT; in the LC3B-/- neutral lipid containing structures were found not only in RPE but also at RPE-choroid interface (Figure 4C, white arrow).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    There was a slight decrease (albeit not significant) in the number of nuclear layers for aged (16-19 months) LC3B-/- mice relative to control.

    “there was a slight decrease (albeit not significant) in the number of nuclear layers for the aged (16–19 months) L3CB-/- mice relative to control (Figure 3C).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    In LC3B-/- RPE, phagosome numbers were already elevated before light onset, and then rose only moderately after light onset.

    “In the LC3B-/- RPE, phagosome numbers were already elevated before light onset, and then rose only moderately after light onset.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Retinal pigment epithelium cells must ingest OSs daily, and any inefficiency in daily phagosome degradation contributes to pathogenesis and age-related visual impairment.
  • May combine two claims.

    Findingown data

    ONL thickness mean differences were insignificant relative to controls at each age group, although LC3B-/- mice tended to have slightly thinner ONL, with one 21-month-old mouse having 30% thinning.

    “Although the analysis demonstrated that L3CB-/- mice tended to have slightly thinner ONL, with one 21 months old mouse having 30% thinning, the mean differences were found to be insignificant relative to controls (Figure 2Q) at each age group.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    When the cone ERG luminance-response functions were fit by Equation (2), the amplitude parameter Rmax was significantly increased in LC3B-/- (211.1 ± 17.4 μV) as compared to WT (283.5 ± 17.1 μV) mice (p < 0.04) while K did not differ between genotypes.

    “When the cone ERG luminance-response functions were fit by Equation (2), the amplitude parameter Rmax was significantly increased in LCB3-/- (211.1 ± 17.4 μV) as compared to WT (283.5 ± 17.1 μV) mice (p < 0.04) while K did not differ between genotypes.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The overall waveform of the cone ERGs obtained from LC3B-/- mice were comparable to those of WT, except for an overall reduction in response amplitude.

    “The overall waveform of the cone ERGs obtained from LC3B-/- mice were comparable to those of WT, except for an overall reduction in response amplitude (Figure 8C).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    There is a marked decrease in esterified DHA in membrane phospholipids and free DHA in the LC3B-/- RPE.

    “There is a marked decrease in esterified DHA in membrane phospholipids (Figure 5A) and free DHA in the LC3B-/- RPE (Figure 5B).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    ANOVA analysis showed that the reduction was significant for the a-wave (P < 0.0001) and b-wave (p < 0.0001).

    “ANOVA analysis showed that the reduction was significant for the a-wave (P < 0.0001) and b-wave (p < 0.0001).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    While cholesterol levels in the LC3B-/- RPE were elevated, there was a ~5-fold increase in 7-ketocholesterol compared to WT RPE.

    “While cholesterol levels in the LC3B-/- RPE were elevated, perhaps more striking was the ∼5-fold increase in 7-ketocholesterol (7KCh) compared to WT RPE (Figure 6C).”
    • Also stated in: § Consequences of Dysregulated Lipid Homeostasis · hedged
      “Biochemical analysis pointed to a ∼5-fold increase in 7KCh in LC3B-/- RPE/Ch compared to WT.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: A consequence of prolonged oxidative stress is the non-enzymatic conversion of cholesterol to the oxy-sterol, 7-ketocholesterol.
  • May combine two claims.

    Findingown data

    In the retina, the level of total DHA in LC3B-/- mouse is significantly lower than that of WT, but there is an enhancement in the free DHA pool size.

    “In the retina, the level of total DHA in LC3B-/- mouse is significantly lower than that of WT (Figure 5G), but there is an enhancement in the free DHA pool size (Figure 5H).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Lipid debris increased as the mice aged, with virtually no BODIPY493/503 positive puncta in RPE of young animals (2 months old) and an accumulation of RPE and sub-RPE lipid deposits by 18 months.

    “Lipid debris increased as the mice aged, with virtually no BODIPYTM493/503 positive puncta in RPE of young animals (2 months old) and an accumulation of RPE and sub-RPE lipid deposits by 18 months (Supplementary Figure S3A).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Immuno-labeling with antibody to 4-HNE-adducts revealed 4-HNE localization to RPE and choroid, and substantial levels of 4-HNE were detected at 24 months for the LC3B-/-.

    “Immuno-labeling with antibody to 4-HNE- adducts revealed 4-HNE localization to RPE and choroid (Figure 6B, 20 months WT and LC3B-/-) and substantial levels of 4-HNE were detected at 24 months for the LC3B-/- (Supplementary Figure S3C, 27 months WT, 24 months LC3B-/-).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    For the b-wave, the amplitude parameter Rmax was significantly reduced in LC3B-/- (571.9 ± 39.1 μV) as compared to WT (724.4 ± 59.1 μV) mice (p < 0.04) while K did not differ between genotypes.

    “For the b-wave, the amplitude parameter Rmax was significantly reduced in LCB3-/- (571.9 ± 39.1 μV) as compared to WT (724.4 ± 59.1 μV) mice (p < 0.04) while K did not differ between genotypes.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Sub-retinal Iba1 positive cells were observed in both superior and inferior retina, with ~4-fold more Iba positive cells in the superior than inferior retina in the LC3B-/-.

    “Sub-retinal Iba1 positive cells were observed in both superior and inferior retina, with ∼4-fold more Iba positive cells in the superior than inferior retina in the LC3B-/- (Figure 7C, Supplementary Figure S4B, and see Supplementary Figure S4C for no anti-Iba1 control).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    β-HB production due to slowed OS clearance is delayed in the LC3B-/- RPE, with maximal β-HB release seen 6 h after light onset, in contrast to WT, where maximal release is at 2 h after light onset.

    “Herein we show that β-HB production due to slowed OS clearance is delayed in the LC3B-/- RPE, with maximal β-HB release seen 6 h after light onset, in contrast to WT, where maximal release is at 2 h after light onset (Reyes-Reveles et al., 2017).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Reyes-Reveles et al., 2017 source

      Not checked in the free run.

  • May combine two claims.

    Findingreasoning

    The RPE of LC3B-/- mice shows signs of oxidative stress and accumulation of 4-HNE-adducts in the RPE and sub-RPE space.

    “the RPE shows signs of oxidative stress, the accumulation of 4-HNE-adducts both in the RPE and sub-RPE space”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Some studies suggest isoform specificity in selective autophagy.

    “some studies suggest isoform specificity in selective autophagy (Shpilka et al., 2011; Maruyama et al., 2014; Koukourakis et al., 2015).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Shpilka et al., 2011 source

      Not checked in the free run.

    • cites Maruyama et al., 2014 source

      Not checked in the free run.

    • cites Koukourakis et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Three genes encode the highly homologous LC3 protein family members LC3A, LC3B, and LC3C.

    “Three genes encode the highly homologous, LC3 protein family members, MAP1LC3A (LC3A), MAP1LC3B (LC3B) and MAP1LC3C (LC3C) (Klionsky et al., 2016).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Klionsky et al., 2016 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The daily burst of OS phagocytosis is accompanied by an increase in LC3, levels of which fluctuate over the 12 h light/dark cycle.

    “The daily burst of OS phagocytosis is accompanied by an increase in LC3, levels of which fluctuate over the 12 h light/dark cycle (Yao et al., 2014; Frost et al., 2015).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Yao et al., 2014 source

      Not checked in the free run.

    • cites Frost et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Components of LAP, specifically RUN and RUBCN, inhibit starvation-induced autophagy in RPE.

    “Recent studies in the RPE suggest that like, macrophages and dendritic cells, components of LAP specifically, RUN (RPIP8/UNC-14/NESCA) and cysteine rich domain containing beclin1 interacting protein (RUBCN), inhibit starvation induced autophagy (Martinez et al., 2015; Muniz-Feliciano et al., 2017).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Martinez et al., 2015 source

      Not checked in the free run.

    • cites Muniz-Feliciano et al., 2017 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductown data

    The LC3B-/- and WT mice were free of the rd8 mutation.

    “The LC3B-/- and the WT mice were confirmed to be free of the rd8 mutation by genomic DNA PCR using primers as described in Chang et al. (2013).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Chang et al., 2013 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    LAP plays a critical role in visual pigment regeneration and phagosome degradation.

    “LAP plays a critical role in visual pigment regeneration and phagosome degradation (Kim et al., 2013; Frost et al., 2015; Muniz-Feliciano et al., 2017)”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Kim et al., 2013 source

      Not checked in the free run.

    • cites Frost et al., 2015 source

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    • cites Muniz-Feliciano et al., 2017 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The LC3B-/- mice were backcrossed for at least five generations onto a C57BL6/J background.

    “The LC3B-/- mice were backcrossed for at least five generations onto a C57BL6/J background.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Phagosome counts were performed by two different individuals, each counting 15 different areas per mouse.

    “Counts were performed by two different individuals, each counting 15 different areas per mouse.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Phagosome counting was performed under masked conditions.

    “The count was done under masked conditions so that the genotype of the specimen was unknown to the person performing the analysis.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Loss of LC3B results in phagosome and neutral lipid accumulation.

    “Loss of LC3B results in phagosome and neutral lipid accumulation.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S1 (asserted).

    Interpretationreasoning

    The 50% decrease in β-HB is likely due to the reduced availability of free fatty acids from ingested OS phospholipids.

    “Thus, we hypothesize that the 50% decrease in β-HB is likely due to the reduced availability of free fatty acids from ingested OS phospholipids (Reyes-Reveles et al., 2017).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Reyes-Reveles et al., 2017 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Subretinal injection of 7KCh has been shown to induce migration of Iba1 positive microglia to the outer retina suggesting a role as a chemo-attractant and thus altering the immune environment.

    “Subretinal injection of 7KCh has been shown to induce migration of Iba1 positive microglia to the outer retina suggesting a role as a chemo-attractant and thus altering the immune environment (Indaram et al., 2015).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Indaram et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Dysregulated overactive microglia may contribute to prolonged inflammation and chronic disease progression.

    “Although microglia are also neuroprotective under physiological conditions (Ramirez et al., 2017), it has been proposed that dysregulated overactive microglia, those clearing oxysterol debris by way of example, may contribute to the prolonged inflammation and chronic disease progression (Gao and Hong, 2008).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Ramirez et al., 2017 source

      Not checked in the free run.

    • cites Gao and Hong, 2008

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    The present study identifies the LC3 isoform, LC3B, as a critical determinant of lipid homeostasis and as essential in regulating the inflammatory state of the retina/RPE.

    “The present study identifies the LC3 isoform, LC3B, as a critical determinant of lipid homeostasis thereby as essential in regulating the inflammatory state of the retina/RPE.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Autophagic processes are protective; ridding cells of defective mitochondria, peroxisomes and aggregated proteins.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Lipid oxidation is a critical factor in the development of AMD.

    “Lipid oxidation is a critical factor in the development of AMD (Balaratnasingam et al., 2017; Golestaneh et al., 2017; Handa et al., 2017; Xu et al., 2017).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Balaratnasingam et al., 2017 source

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    • cites Golestaneh et al., 2017 source

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    • cites Handa et al., 2017 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    The increased Iba positive cells in the inner retina may represent migrating activated microglia.

    “and may represent migrating activated microglia (Kim et al., 2014).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kim et al., 2014 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Excessive lipid accumulation and/or formation of lipid-peroxidation adducts in RPE/Ch as observed in the LC3B-/- model has also been described in mice with an RPE specific loss of Atg7 or Atg5 as well as in the KLC1 KO mouse.

    “Excessive lipid accumulation and/or formation of lipid-peroxidation adducts in RPE/Ch as observed in the LC3B-/- model has also been described in mice with an RPE specific loss of Atg7 or Atg 5 (Zhang et al., 2017) as well as in the kinesin-1 light chain (KLC1) KO mouse (Jiang et al., 2015).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Zhang et al., 2017 source

      Not checked in the free run.

    • cites Jiang et al., 2015 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Dysregulation of cholesterol metabolism and oxysterol accumulation are associated with AMD as well as other pathologies involving oxidative stress such as Huntington's disease, atherosclerosis, and cystic fibrosis.

    “Dysregulation of cholesterol metabolism and oxysterol accumulation are also associated with AMD as well as other pathologies involving oxidative stress such as Huntington’s disease, atherosclerosis, and cystic fibrosis (Iuliano et al., 2003, 2009; Jenner et al., 2007; Kreilaus et al., 2016).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Iuliano et al., 2003, 2009

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Jenner et al., 2007 source

      Not checked in the free run.

    • cites Kreilaus et al., 2016 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    In the absence of LC3B, the biosynthesis of the docosanoids NPD1 and maresin-1 is attenuated, likely further exacerbating homeostatic disruptions and the pro-inflammatory environment.

    “In the absence of LC3B, the biosynthesis of the docosanoids, NPD1 and maresin-1, is attenuated, likely further exacerbating homeostatic disruptions and the pro-inflammatory environment.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    There is no gene corresponding to MAPILC3C in mouse and in human LC3C is not expressed in the RPE.

    “Moreover, there is no gene corresponding to MAPILC3C in mouse and in human LC3C is not expressed in the RPE (Dhingra et al., 2018).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Dhingra et al., 2018 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Loss of LC3B leads to age-dependent lipid accumulation due to a lifetime of delayed phagosome maturation and content degradation.

    “Collectively, these studies suggest that loss of LC3B leads to age-dependent lipid accumulation due to a lifetime of delayed phagosome maturation and content degradation, as described below.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Increase in number of sub-retinal microglia with age has been reported and is considered as a common hallmark of various retinal degenerative and inflammatory diseases.

    “Increase in number of sub-retinal microglia with age has been reported and more importantly is considered as a common hallmark of various retinal degenerative and inflammatory diseases (Karlstetter and Langmann, 2014).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Karlstetter and Langmann, 2014

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Specifying individual LC3 isoform is necessary because the isoforms have different expression patterns and biology.

    “Specifying individual LC3 isoform is necessary as the isoforms have different expression patterns and biology (Cann et al., 2008; Koukourakis et al., 2015).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Cann et al., 2008 source

      Not checked in the free run.

    • cites Koukourakis et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    A major limitation for obtaining complete uniformity in IRDF-SLO images is that the retina is a curved entity and obtaining full-field, aberration-free images with uniform intensity is difficult, if not practically impossible as the reflective signal strength falls off radially from the center of the image.

    “The major limitation for obtaining “complete” uniformity can be attributed to the fact that the retina is a curved entity and obtaining full-field, aberration-free images with uniform intensity is difficult, if not practically impossible as the reflective signal strength falls off radially from the center of the image.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    These lung conditions are unlikely to be pertinent to the current study.

    “These conditions are unlikely to be pertinent to our current study”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    LC3B-/- mice display enhanced indices of pulmonary hypertension after chronic hypoxia but not under normoxic conditions.

    “LC3B-/- mice display enhanced indices of pulmonary hypertension after chronic hypoxia but not under normoxic conditions (Lee et al., 2011).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Lee et al., 2011 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    In our own studies, LC3B is protective during aging/increased oxidative stress, as its loss leads to several retinal/RPE abnormalities.

    “in our own studies LC3B is protective during aging/increased oxidative stress as its loss leads to several retinal/rpe abnormalities.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Photooxidative processes initiated by PR-derived bisretinoids likely contribute to HNE-modifications and trapping of cholesterol within RPE, potentially altering autophagic processes.

    “The photooxidative processes initiated by PR derived bisretinoids likely also contribute to HNE-modifications (Zhou et al., 2005) and trapping of cholesterol within RPE, potentially altering autophagic processes (Toops et al., 2015).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Zhou et al., 2005 source

      Not checked in the free run.

    • cites Toops et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Study design and conductown data

    LC3B-/- mice live for over 2 years and are overall healthy like WT controls.

    “they live for over 2 years, and are overall healthy like WT controls.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    LC3B-/- mice develop normally, reach adulthood, and are fertile.

    “LC3B-/- mice develop normally, reach adulthood, are fertile”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Kuma et al., 2004 source

      Not checked in the free run.

    • cites Komatsu et al., 2005 source

      Not checked in the free run.

    • cites Cann et al., 2008 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    In response to oxidative stress, autophagy increases to remove oxidatively damaged organelles.

    “In response to oxidative stress, autophagy increases in an attempt to remove oxidatively damaged organelles (Lee et al., 2012; Seo et al., 2012).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Lee et al., 2012 source

      Not checked in the free run.

    • cites Seo et al., 2012 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Prolonged fasting reduces inflammation, with β-HB selectively suppressing inflammasome activation in response to lipotoxic fatty acids.

    “Prolonged fasting reduces inflammation, with β-HB selectively suppressing inflammasome activation in response to lipotoxic fatty acids (Vasconcelos et al., 2014).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Vasconcelos et al., 2014 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The traditional view of β-HB as solely an energy carrier has greatly expanded to include β-HB mediated inhibition of inflammasome activation.

    “The traditional view of β-HB as solely an energy carrier has greatly expanded to include β-HB mediated inhibition of inflammasome activation (Youm et al., 2015).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Youm et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Total β-HB release is decreased, suggesting a further loss of protective lipid-derived mediators likely contributing to the RPE and retinal abnormalities observed in aged mice.

    “Moreover, total β-HB release is decreased, suggesting a further loss of protective lipid-derived mediators likely contributing to the RPE and retinal abnormalities observed in aged mice.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The inhibitory effect of β-HB on inflammasome activation is independent of autophagy and TCA cycle dependent oxidation, with other ketogenic intermediates such as acetoacetyl-CoA having no affect.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    The increase in bisretinoids observed in LC3B-/- mice may be due to alterations in PR lipid homeostasis in the absence of LC3B.

    “the increase in bisretinoids observed may be due to alterations in PR lipid homeostasis in the absence of LC3B.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: Bisretinoids form in photoreceptor cell outer segments before phagocytosis by RPE.
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    LC3B plays a protective role in hypoxia, a pro-pathogenic role in cigarette smoke-induced emphysema, and increased susceptibility to lung pathology during respiratory viral infection.

    “it has been shown to play a protective role in hypoxia; pro-pathogenic role in cigarette smoke induced emphysema; increased susceptibility to lung pathology during respiratory viral infection.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Chen et al., 2010 source

      Not checked in the free run.

    • cites Lee et al., 2011 source

      Not checked in the free run.

    • cites Reed et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    OS phagocytosis triggers a downregulation of starvation-induced autophagy so that LC3B-associated phagocytosis may proceed.

    “recent studies suggest that OS phagocytosis triggers a downregulation of starvation induced autophagy so that LC3B-associated phagocytosis may proceed (Muniz-Feliciano et al., 2017).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Muniz-Feliciano et al., 2017 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The RPE utilizes LC3 in LAP to decorate the outer membrane of phagosomes and in mitophagy and pexophagy to remove defective mitochondria and peroxisomes.

    “The RPE utilizes LC3 in both processes; in LAP to decorate the outer membrane of phagosomes and in mitophagy and pexophagy to remove defective mitochondria and peroxisomes, respectively (Ferrington et al., 2016).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ferrington et al., 2016 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Pexophagy and mitophagy both utilize the LC3 adapter p62.

    “Pexophagy and mitophagy both utilize the LC3 adapter p62”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Mitter et al., 2012 source

      Not checked in the free run.

    • cites Wang et al., 2014 source

      Not checked in the free run.

    • cites Song et al., 2017 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    LC3II/LC3I ratios were lower in RPE from AMD patients, with decreased autophagic flux and mitochondrial accumulation.

    “LC3II/LC3I ratios were lower in RPE from AMD patients with decreased autophagic flux and mitochondrial accumulation (suggestive of altered mitophagy) (Golestaneh et al., 2017)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Golestaneh et al., 2017 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    Dysregulated or dysfunctional autophagy contributes to AMD.

    “leading these and other investigators doing in vitro work to conclude that dysregulated or dysfunctional autophagy contributes to AMD.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Golestaneh et al., 2017 source

      Not checked in the free run.

    • Rests on an assumption: LC3B or LC3A is required for starvation-induced and selective autophagy, including pexophagy, mitophagy, secretory autophagy, LAP, and chaperone-mediated autophagy.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    LAP-mediated increases in RUBCN inhibit starvation-induced autophagy in the RPE.

    “recent studies have also shown that LAP-mediated increases in RUBCN inhibit starvation induced autophagy in the RPE (Muniz-Feliciano et al., 2017).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Muniz-Feliciano et al., 2017 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationcitation

    Upon light onset, LAP-dependent pathways predominate, consistent with high MREG-LC3B levels at this time.

    “we predict that upon light onset LAP-dependent pathways predominate, consistent with high MREG-LC3B levels at this time (Frost et al., 2015).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Frost et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    RPE cultures derived from human donor eyes of AMD patients exhibited increased intracellular lipid accumulation and oxidative stress.

    “RPE cultures derived from human donor eyes (patients with AMD), exhibited increased intracellular lipid accumulation and oxidative stress.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Golestaneh et al., 2017 source

      Not checked in the free run.

64 of 64
  • The paper relies on this without support.

    The role of LC3 isoforms in maintaining RPE homeostasis is unknown.

    “Whether the LC3 isoforms are functionally redundant or play a specialized role in maintaining RPE homeostasis is completely unknown and is the focus of our studies.”
  • The paper relies on this without support.

    Phagocytic degradation of OS tips is critical for photoreceptor renewal and allows post-mitotic photoreceptor cells to maintain constant length and normal physiological function.

    “This phagocytic degradation of OS tips is a critical aspect of photoreceptor renewal and allows the post-mitotic photoreceptor cells to maintain a constant length and normal physiological function.”
  • The paper relies on this without support.

    The daily ingestion of lipid-rich OS imposes a constant degradative burden on RPE cells.

    “The daily ingestion of these lipid-rich OS imposes a constant degradative burden on these terminally differentiated cells.”
  • The paper relies on this without support.

    Cholesterol is a major component of neutral lipid droplets.

    “Cholesterol is a major component of neutral lipid droplets.”
  • The paper relies on this without support.

    Free DHA serves as a substrate for the synthesis of NPD1, synthesized by 15-lipoxygenase-1 via the short live intermediate 17(S)-HpDHA.

    “Free DHA serves as a substrate for the synthesis of NPD1, synthesized by 15-lipoxygenase-1 (Figure 5I) via the short live intermediate 17(S)-HpDHA.”
  • The paper relies on this without support.

    A consequence of prolonged oxidative stress is the non-enzymatic conversion of cholesterol to the oxy-sterol, 7-ketocholesterol.

    “A consequence of prolonged oxidative stress is the non-enzymatic conversion of cholesterol to the oxy-sterol, 7-ketocholesterol.”
  • The paper relies on this without support.

    Retinal pigment epithelium cells must ingest OSs daily, and any inefficiency in daily phagosome degradation contributes to pathogenesis and age-related visual impairment.

    “Retinal pigment epithelium cells are functionally distinct from most other phagocytes in that they must ingest OSs daily, thus any inefficiency in daily phagosome degradation contributes to pathogenesis and age-related visual impairment.”
  • The paper relies on this without support.

    Autophagic processes are protective; ridding cells of defective mitochondria, peroxisomes and aggregated proteins.

    “Autophagic processes are protective; ridding cells of defective mitochondria, peroxisomes and aggregated proteins.”
  • The paper relies on this without support.

    The inhibitory effect of β-HB on inflammasome activation is independent of autophagy and TCA cycle dependent oxidation, with other ketogenic intermediates such as acetoacetyl-CoA having no affect.

    “This inhibitory effect is independent of autophagy, and TCA cycle dependent oxidation, with other ketogenic intermediates such as acetoacetyl-CoA having no affect.”
  • The paper relies on this without support.

    The RPE handles large amounts of lipids, with OSs serving as a major source of cholesterol.

    “Moreover, given that the RPE handles large amounts of lipids, with OSs serving as a major source of cholesterol, understanding how loss of LC3B contributes to the regulation of cholesterol efflux pathways (Storti et al., 2017) will provide valuable insight into age-related perturbations of lipid homeostasis.”
  • The paper relies on this without support.

    Bisretinoids form in photoreceptor cell outer segments before phagocytosis by RPE.

    “Since bisretinoid form in photoreceptor cell outer segments before phagocytosis by RPE”
  • The paper relies on this without support.

    The metabolic fate of free fatty acids relies on the maintenance of healthy mitochondria and peroxisomes.

    “The metabolic fate of the free fatty acids relies on the maintenance of healthy mitochondria and peroxisomes, organelles necessary in the oxidation of long chain fatty acids.”
  • The paper relies on this without support.

    LC3B or LC3A is required for starvation-induced and selective autophagy, including pexophagy, mitophagy, secretory autophagy, LAP, and chaperone-mediated autophagy.

    “LC3B or LC3A is required for starvation induced as well as selective autophagy which includes, pexophagy, mitophagy, secretory autophagy, LAP as well as chaperone mediated autophagy, among others.”
  • The paper relies on this without support.

    LC3 levels fluctuate in a circadian pattern in terminally differentiated visual cells.

    “The visual system is unique in that in these terminally differentiated cells, LC3 levels fluctuate in circadian pattern.”
  • The paper relies on this without support.

    A substantial majority of studies using anti-LC3 antibodies presume them to be LC3B specific.

    “A caveat to such studies is that a substantial majority of these studies use anti-LC3 antibodies presumed to be LC3B specific.”
15 of 15

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?

  • The Lc3b−/− mouse shows a decrease in LC3-mediated OS phagosome clearance, with no change in classical autophagy.

    “In contrast, the Lc3b−/− mouse shows a decrease in LC3-mediated OS phagosome clearance, with no change in classical autophagy (Dhingra et al., 2018).”

    From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Dhingra et al., 2018

  • In vitro and in vivo studies suggest that approximately 30-45% of ingested phagosomes are LC3B-positive.

    “While LC3B-II-opsin association is clearly observed (Fig. 10), the extent of LC3B-II association with opsin-positive phagosomes remains unclear; in vitro (Frost et al., 2015) and in vivo (Dhingra et al., 2018) studies suggest that ~30–45% of ingested phagosomes are LC3B-positive.”

    From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Dhingra et al., 2018

  • Loss of LC3B results in age-dependent deposition of lipid-rich structures between the RPE and choroid, an increase in lipid peroxidation adducts, and increases in the pro-inflammatory lipid 7-ketocholesterol.

    “Loss of LC3B (Dhingra et al., 2018) results in age-dependent deposition of lipid-rich structures between the RPE and choroid, an increase in lipid peroxidation adducts, and increases in the pro-inflammatory lipid 7-ketocholesterol.”

    From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Dhingra et al., 2018

  • Fatty acid oxidation and ketogenesis are coupled to phagosome maturation processes.

    “thus coupling FAO and ketogenesis to phagosome maturation processes (Reyes-Reveles et al., 2017; Dhingra et al., 2018).”

    From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Dhingra et al., 2018

  • In Lc3b−/− and Mreg−/− mice, which display delayed phagosome maturation, there is a delay in β-HB production.

    “In Lc3b−/− and Mreg−/− mice, that display delayed phagosome maturation, there was also a delay in β-HB production”

    From The cell biology of the retinal pigment epithelium (2020) · cites this paper as Dhingra et al., 2018

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.

  • RPE DHA result cites a retina panel

    Minor

    The discussion cites Figure 5G for decreased RPE phospholipids, but the figure caption identifies panel G as total DHA in the retina; panel A is the RPE esterified-DHA result.

  • Cone ERG Rmax is described as increased despite being lower

    Minor

    The reported cone ERG Rmax is 211.1 μV in LC3B-/- mice versus 283.5 μV in WT mice, so it is decreased, not increased. This also conflicts with the preceding statement that LC3B-/- cone responses were reduced.

2 of 2

The citation lists haven’t been fetched yet

References 97 · Cited by 41

Authors
Dhingra, A., Bell, B. A., Peachey, N. S., Daniele, L. L., Reyes-Reveles, J., Sharp, R. C., Jun, B., Bazan, N. G., Sparrow, J. R., Kim, H. J., Philp, N. J., & Boesze-Battaglia, K.
Affiliations
  • University of Pennsylvania (US)
  • Cleveland Clinic (US)
  • Louisiana State University (US)
  • Columbia University Irving Medical Center (US)
  • Thomas Jefferson University (US)
Venue
Frontiers in Cellular Neuroscience
Published
2018-10-08
Volume
12
Pages
351-351
ISSN
1662-5102 (ISSN-L)
OpenAlex
W2897599900
Cited by
41
References
97
Citations by year
2026: 1 · 2025: 5 · 2024: 5 · 2023: 6 · 2022: 7 · 2021: 7 · 2020: 4 · 2019: 5 · 2018: 1
FWCI
3.32
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Cellular Neuroscience (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • The Medicine Forum (submittedVersion, cc-by)
  • Scholarly Commons (University of Pennsylvania) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • U.S. Department of Health and Human Services (EY10420-21, EY026525, EY005121, GM103340, EY025585, EY012951)
  • U.S. Department of Veterans Affairs (I01BX002340)
Topics
  • Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
  • Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
Keywords
LC3B, retinal pigment epithelium, autophagy, lipid homeostasis, photoreceptor outer segment phagocytosis, heterophagy, selective autophagy, age-related macular degeneration, oxysterols, 4-hydroxynonenal, lipid peroxidation, bisretinoids, lipofuscin, fatty acid oxidation, microglial migration, retinal aging

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.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-09.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-09.

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