Complement and Pathogenic Mechanisms of AMD

项目来源

美国卫生和人类服务部基金(HHS)

项目主持人

SHEN, GRACE L

项目受资助机构

DUKE UNIVERSITY

立项年度

2014

立项时间

未公开

项目编号

3R01EY019038-05S1

项目级别

国家级

研究期限

未知 / 未知

受资助金额

9436.00美元

学科

Aging; Alzheimer's Disease; Brain Disorders; Dementia; Eye Disease and Disorders of Vision; Genetics; Macular Degeneration; Neurodegenerative;

学科代码

未公开

基金类别

Non-SBIR/STTR RPGs

关键词

未公开

参与者

BOWES RICKMAN, CATHERINE

参与机构

NATIONAL EYE INSTITUTE

项目标书摘要:DESCRIPTION (provided by applicant): Age-related macular degeneration (AMD) is a leading cause of visual dysfunction worldwide. It is characterized by the accumulation of extracellular lipid- and protein-containing deposits between the retinal pigment epithelium (RPE) and Bruch's membrane (BrM). These sub-RPE deposits may be focal (drusen) or diffuse and are likely to contribute to disease pathogenesis and progression as documented for extracellular deposits that exemplify other diseases such as Alzheimer's disease. Although the molecular bases of these diseases may be diverse, their pathogenic deposits contain many shared constituents that are attributable, in part, to local inflammation and activation of the complement cascade. The role of complement in AMD pathogenesis is supported by studies identifying complement proteins in drusen and studies implicating variations in the complement factor H (CFH) gene as the strongest genetic factor associated with AMD risk. The associated risk of CFH variants supports the hypothesis that local inflammation and activation of the complement cascade contributes to AMD pathogenesis. The repercussions of the CFH polymorphism on the entire complement system, as it pertains to the maintenance of the health of the eye, are not yet well understood and it seems likely that other triggers, modulators and/or mechanisms act in concert with CFH in disrupting the delicate equilibrium of the complement system. Prominent among these is amyloid beta (A?), a constituent of sub-RPE deposits, which is a known activator of the complement system. We hypothesize that dysregulated complement activity within the RPE/BrM/choroid contributes to RPE damage, sub-RPE deposit formation and AMD progression and A? in this region contributes to complement system dysregulation. In support of this hypothesis, we showed that A? is a viable therapeutic target in the treatment of AMD. For the present study, we have developed three novel mouse models to examine the role of complement in the development of AMD. In the first two models complement activation is suppressed or augmented, respectively, in an established AMD mouse model (Aims 1 and 2) and the third is a new humanized CFH mouse expressing either the normal or AMD risk form of CFH (Aim 3). Each model has a different capacity to accumulate activated complement components in the eye providing us a spectrum of complement deposition and complement-related phenotypes to interrogate the role of CFH in AMD.

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  • 1.A Non-Canonical Role for beta-Secretase in the Retina

    • 关键词:
    • beta-secretase; Retinal degeneration; Choroidal neovascularisation;Retinal pigment epithelium; Lysosomes; Mitochondria; Angiogenesis;Agerelated macular degeneration;AMYLOID PRECURSOR PROTEIN; PIGMENT EPITHELIAL-CELLS; ALZHEIMERS-DISEASE;MACULAR DEGENERATION; RAT RETINA; BACE1; EXPRESSION; MODEL; DYSFUNCTION;INHIBITION
    • Qian, Qingwen;Mitter, Sayak K.;Pay, S. Louise;Qi, Xiaoping;Rickman, Catherine Bowes;Grant, Maria B.;Boulton, Michael E.
    • 《16th International Symposium on Retinal Degeneration 》
    • 2016年
    • JUL 13-18, 2014
    • Pacific Grove, CA
    • 会议

    It has long been established that beta-Secretase (BACE) plays a critical role in the formation of amyloid plaques in Alzheimer's Disease patients, but it is only recently that the importance of beta-secretases in retinal pathophysiology has been recognized. BACE expression is elevated in response to stress, and downregulation results in lysosomal abnormalities and mitochondrial changes. Inhibition of BACE can lead to reduced retinal function, retinal thinning, lipofuscin accumulation and vascular dysfunction in mice. Furthermore, BACE inhibition accelerates choroidal neovascularization (CNV) in mice. We propose that BACE plays an important role in retinal homeostasis and that BACE upregulation in response to stress is a protective measure.

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  • 2.The Role of Complement Dysregulation in AMD Mouse Models

    • 关键词:
    • Age-related macular degeneration; Complement; Alternative pathway;Complement factor H (CFH);FACTOR-H; MACULAR DEGENERATION; ACTIVATION; DRUSEN; HYPOTHESIS; PATHWAY
    • Ding, Jin-Dong;Kelly, Una;Groelle, Marybeth;Christenbury, Joseph G.;Zhang, Wenlan;Rickman, Catherine Bowes
    • 《15th International Symposium on Retinal Degeneration 》
    • 2014年
    • JUL 16-21, 2012
    • GERMANY
    • 会议

    Variations in several complement genes are now known to be significant risk factors for the development of age-related macular degeneration (AMD). Despite dramatic effects on disease susceptibility, the underlying mechanisms by which common polymorphisms in complement proteins alter disease risk have remained unclear. Genetically modified mice in which the activity of the complement has been altered are available and can be used to investigate the role of complement in the pathogenesis of AMD. In this mini review, we will discuss some existing complement models of AMD and our efforts to develop and characterize the ocular phenotype in a variety of mice in which complement is either chronically activated or inhibited. A spectrum of complement dysregulation was modeled on the APOE4 AMD mouse model by crossing these mice to complement factor H knockout (cfh(-/-)) mice to test the impact of excess complement activation, and by crossing them to soluble-complement-receptor-1-related protein y (sCrry) mice, in which sCrry acts as a potent inhibitor of mouse complement acting in a manner similar to CFH. In addition, we have also generated humanized CFH mice expressing normal and risk variants of CFH.

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