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Reducing Akt2 in retinal pigment epithelial cells causes a compensatory increase in Akt1 and attenuates diabetic retinopathy

  • Haitao Liu
  • , Nadezda A. Stepicheva
  • , Sayan Ghosh
  • , Peng Shang
  • , Olivia Chowdhury
  • , Rachel A. Daley
  • , Meysam Yazdankhah
  • , Urvi Gupta
  • , Stacey L. Hose
  • , Mallika Valapala
  • , Christopher Scott Fitting
  • , Anastasia Strizhakova
  • , Yang Shan
  • , Derrick Feenstra
  • , José Alain Sahel
  • , Ashwath Jayagopal
  • , James T. Handa
  • , J. Samuel Zigler
  • , Patrice E. Fort
  • , Akrit Sodhi
  • Debasish Sinha
  • University of Pittsburgh
  • Doheny Eye Institute
  • Neural Stem Cell Institute
  • Indiana University Bloomington
  • University of Michigan, Ann Arbor
  • F. Hoffmann-La Roche AG
  • Sorbonne Université
  • Opus Genetics
  • Johns Hopkins University

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

The retinal pigment epithelium (RPE) plays an important role in the development of diabetic retinopathy (DR), a leading cause of blindness worldwide. Here we set out to explore the role of Akt2 signaling—integral to both RPE homeostasis and glucose metabolism—to DR. Using human tissue and genetically manipulated mice (including RPE-specific conditional knockout (cKO) and knock-in (KI) mice), we investigate whether Akts in the RPE influences DR in models of diabetic eye disease. We found that Akt1 and Akt2 activities were reciprocally regulated in the RPE of DR donor tissue and diabetic mice. Akt2 cKO attenuated diabetes-induced retinal abnormalities through a compensatory upregulation of phospho-Akt1 leading to an inhibition of vascular injury, inflammatory cytokine release, and infiltration of immune cells mediated by the GSK3β/NF-κB signaling pathway; overexpression of Akt2 has no effect. We propose that targeting Akt1 activity in the RPE may be a novel therapy for treating DR.

Original languageEnglish
Article number6045
JournalNature Communications
Volume13
Issue number1
DOIs
StatePublished - Dec 2022

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