A1 Refereed original research article in a scientific journal

Heat shock proteins as gatekeepers of proteolytic pathways-Implications for age-related macular degeneration (AMD)




AuthorsKaarniranta K, Salminen A, Eskelinen EL, Kopitz J

PublisherELSEVIER IRELAND LTD

Publication year2009

JournalAgeing Research Reviews

Journal name in sourceAGEING RESEARCH REVIEWS

Journal acronymAGEING RES REV

Volume8

Issue2

First page 128

Last page139

Number of pages12

ISSN1568-1637

DOIhttps://doi.org/10.1016/j.arr.2009.01.001


Abstract
Age-related macular degeneration (AMD) is the major diagnosis for severe and irreversible central loss of vision in elderly people in the developed countries. The loss of vision involves primarily a progressive degeneration and cell death of postmitotic retinal pigment epithelial cells (RPE), which secondarily evokes adverse effects on photoreceptor cells. The RPE cells are exposed to chronic oxidative stress from three sources: their high levels of oxygen consumption, their exposure to the high levels of lipid peroxidation derived from the photoreceptor outer segments and their exposure to constant light stimuli. Cells increase the expression of heat shock proteins (HSPs) in order to normalize their growth conditions in response to various environmental stress factors, e.g. oxidative stress. The HSPs function as molecular chaperones by preventing the accumulation of cellular cytotoxic protein aggregates and assisting in correct folding of both nascent and misfolded proteins. Increased HSPs levels are observed in the retina of AMD patients, evidence of stressed tissue. A hallmark of RPE cell aging is lysosomal lipofuscin accumulation reflecting a weakened capacity to degrade proteins in lysosomes. The presence of lipofuscin increases the misfolding of intracellular proteins, which evokes additional stress in the RPE cells. If the capacity of HSPs to repair protein damages is overwhelmed, then the proteins are mainly cleared in proteasomes or in lysosomes. In this review, we discuss the role of heat shock proteins, proteasomes, and lysosomes and autophagic processes in RPE cell proteolysis and how these might be involved in development of AMD. In addition to classical lysosomal proteolysis, we focus on the increasing evidence that, HSPs, proteasomes and autophagy regulate protein turnover in the RPE cells and thus have important roles in AMD disease. (C) 2009 Elsevier Ireland Ltd. All rights reserved.



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