The aged retinal pigment epithelium/choroid: a potential substratum for the pathogenesis of age-related macular degeneration

Although the statement that age is the greatest risk factor for Age-related macular degeneration (AMD) is widely accepted, the cellular and molecular explanations for that clinical statement are not generally known. A major focus of AMD research is the retinal pigment epithelium (RPE)/choroid. The p...

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Veröffentlicht in:PloS one 2008-06, Vol.3 (6), p.e2339-e2339
Hauptverfasser: Chen, Huiyi, Liu, Bin, Lukas, Thomas J, Neufeld, Arthur H
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description Although the statement that age is the greatest risk factor for Age-related macular degeneration (AMD) is widely accepted, the cellular and molecular explanations for that clinical statement are not generally known. A major focus of AMD research is the retinal pigment epithelium (RPE)/choroid. The purpose of this study was to characterize the changes in the RPE/choroid with age that may provide a background for the development of AMD. We compared the transcriptional profiles, key protein levels and histology of the RPE/choroid from young and old mice. Using three statistical methods, microarray data demonstrated marked changes in the old mouse. There were 315 genes differentially expressed with age; most of these genes were related to immune responses and inflammatory activity. Canonical pathways having significant numbers of upregulated genes in aged RPE/choroid included leukocyte extravasation, complement cascades, natural killer cell signaling and IL-10 signaling. By contrast, the adjacent neural retina showed completely different age-related changes. The levels of proteins that participate in leukocyte extravasation and complement pathways were consistently increased in the normal, aged RPE/choroid. Furthermore, there was increased gene expression and protein levels of leukocyte attracting signal, chemokine ligand 2 (Ccl2) in aged RPE/choroid. In old animals, there was marked extravasation and accumulation of leukocytes from the choroidal circulation onto Bruch's membrane and into the RPE. These phenotypic changes indicate that the RPE/choroid in the normal, old mouse has become an immunologically active tissue. There are signals from the normal, aged RPE/choroid which recruit leukocytes from the circulation and activate the complement cascade. These age-related changes that occur in the RPE/choroid with age, to the extent that they occur in the human retina, may provide the background for an error in regulation of immunological activity to cause AMD to appear in an elderly individual.
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A major focus of AMD research is the retinal pigment epithelium (RPE)/choroid. The purpose of this study was to characterize the changes in the RPE/choroid with age that may provide a background for the development of AMD. We compared the transcriptional profiles, key protein levels and histology of the RPE/choroid from young and old mice. Using three statistical methods, microarray data demonstrated marked changes in the old mouse. There were 315 genes differentially expressed with age; most of these genes were related to immune responses and inflammatory activity. Canonical pathways having significant numbers of upregulated genes in aged RPE/choroid included leukocyte extravasation, complement cascades, natural killer cell signaling and IL-10 signaling. By contrast, the adjacent neural retina showed completely different age-related changes. The levels of proteins that participate in leukocyte extravasation and complement pathways were consistently increased in the normal, aged RPE/choroid. Furthermore, there was increased gene expression and protein levels of leukocyte attracting signal, chemokine ligand 2 (Ccl2) in aged RPE/choroid. In old animals, there was marked extravasation and accumulation of leukocytes from the choroidal circulation onto Bruch's membrane and into the RPE. These phenotypic changes indicate that the RPE/choroid in the normal, old mouse has become an immunologically active tissue. There are signals from the normal, aged RPE/choroid which recruit leukocytes from the circulation and activate the complement cascade. These age-related changes that occur in the RPE/choroid with age, to the extent that they occur in the human retina, may provide the background for an error in regulation of immunological activity to cause AMD to appear in an elderly individual.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>18523633</pmid><doi>10.1371/journal.pone.0002339</doi><tpages>e2339</tpages><oa>free_for_read</oa></addata></record>
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subjects Age
Age related diseases
Aging
Aging - pathology
Algorithms
Animals
Bayesian analysis
Bioinformatics
Biomarkers
Cascades
Choroid - pathology
Comparative analysis
Complement
Complement Activation
Cytokines
Disease
DNA microarrays
Epithelium
Extravasation
Gene expression
Gene Expression Profiling
Genes
Genomes
Geriatrics
Histology
Immune response
Immunology
Inflammation
Interleukin 10
Killer cells
Laboratories
Leukocytes
Macular degeneration
Macular Degeneration - pathology
Male
Medicine
Mice
Mice, Inbred C57BL
Monocyte chemoattractant protein 1
Natural killer cells
Older people
Ophthalmology
Ophthalmology/Macular Disorders
Ophthalmology/Retinal Disorders
Pathogenesis
Photoreceptors
Physiological aspects
Pigment Epithelium of Eye - pathology
Proteins
Retina
Retinal pigment epithelium
Reverse Transcriptase Polymerase Chain Reaction
Risk factors
Signal transduction
Statistical methods
Transcription
Transcription, Genetic
Up-Regulation
title The aged retinal pigment epithelium/choroid: a potential substratum for the pathogenesis of age-related macular degeneration
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