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Pharmacologic activation of autophagy without direct mTOR inhibition as a therapeutic strategy for treating dry macular degeneration
Aging (Albany NY). 2021 Apr 19;13(8):10866-10890. doi: 10.18632/aging.202974.
Qitao Zhang 1, Feriel Presswalla 1, Robin R Ali 1 2, David N Zacks 1, Debra A Thompson 1 3, Jason M L Miller 1
Abstract:
...Here, we screened autophagy inducers that do not directly inhibit mTOR for their potential as an AMD therapeutic in primary human RPE culture. Only two out of more than thirty autophagy inducers tested reliably increased autophagy flux in RPE, emphasizing that autophagy induction mechanistically differs across distinct tissues. In contrast to mTOR inhibitors, these compounds preserved RPE health, and one inducer, the FDA-approved compound flubendazole (FLBZ), reduced the secretion of apolipoprotein that contributes to extracellular deposits termed drusen. Simultaneously, FLBZ increased production of the lipid-degradation product β-hydroxybutyrate, which is used by photoreceptor cells as an energy source. FLBZ also reduced the accumulation of intracellular deposits, termed lipofuscin, and alleviated lipofuscin-induced cellular senescence and tight-junction disruption. FLBZ triggered compaction of lipofuscin-like granules into a potentially less toxic form. Thus, induction of RPE autophagy without direct mTOR inhibition is a promising therapeutic approach for dry AMD.
PMID: 33872219
Free Full-Text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8109132/
Tags: AMD, autophagy, cell culture, drusen, Flubendazole, lipofuscin