mTOR-mediated Signaling Pathway in Aging of the Retinal Pigment Epithelium

描述（由申请人提供）： 申请人研究计划的长期目标是探索年龄相关性黄斑变性（AMD）病因的分子机制，并开发新型靶向治疗策略。该K99/R 00补助金将促进申请人成为范德比尔特眼科研究所的独立研究员，该研究所拥有丰富的科学合作环境，并培养年轻科学家的职业发展。AMD是美国老年人失明的主要原因。大多数AMD患者具有萎缩（干性）形式的疾病，并且目前仅具有有限的治疗选择。萎缩性AMD可能是基因/环境相互作用导致视网膜色素上皮（RPE）进行性变性的结果。衰老是AMD最明确的环境风险因素。我们推测哺乳动物雷帕霉素靶蛋白（mTOR）介导的信号通路在控制RPE的衰老过程中起着关键作用。最近的文献数据支持这一假设，表明mTOR在整合各种环境信号并将其与改变的组织功能和生物体寿命联系起来方面起着关键作用。在我们的初步研究中，我们发现雷帕霉素在体外逆转了原代人RPE细胞的衰老表型。为了进一步验证我们的假设，我们在本申请中提出了三个具体目标。目的1是确定衰老过程如何调节RPE中的mTOR通路。目的2是确定调节mTOR信号如何通过调节自噬的潜在机制影响体外RPE老化。目的3是使用在视网膜中发展AMD样表型的SOD 1敲除小鼠来确定mTOR是否在体内调节RPE的老化。在指导阶段，申请人将在指导委员会的监督下进行拟议的实验，该指导委员会由具有AMD病因和发病机制（Paul斯滕贝格博士）、视网膜神经变性动物模型（大卫卡尔金斯博士）和mTOR/自噬（陆波博士）专业知识的导师组成。委员会成员将定期举行会议，监督研究进展，并协助申请人将其事业推向独立。R 00阶段的研究将在与AMD相关的动物模型中测试mTOR抑制剂的潜在治疗效果。这些研究的结果将为RPE和视网膜的衰老和年龄相关性变性提供新的机制信息。 公共卫生相关性：该项目的重点是表征一种新的信号转导途径，该途径可能控制视网膜的衰老过程并导致年龄相关性黄斑变性（AMD）。这些研究的结果有可能转化为治疗萎缩型AMD的新治疗方法。

DESCRIPTION (provided by applicant): The long term goal of the Applicant's research program is to explore the molecular mechanisms underlying the etiology of age-related macular degeneration (AMD) and develop novel target-based therapeutic strategies. This K99/R00 grant will facilitate the transition for the Applicant to become an independent investigator at the Vanderbilt Eye Institute, which has a rich environment of scientific collaboration and nurturing career development of junior scientists. AMD is the leading cause of blindness in elderly Americans. The majority of AMD patients has atrophic (dry) form of the disease and has only limited treatment options at the present time. Atrophic AMD is likely resulted from gene/environmental interaction causing progressive degeneration of the retinal pigment epithelium (RPE). Aging is the most well defined environmental risk factor of AMD. We hypothesize that the mammalian target of rapamycin (mTOR)-mediated signaling pathway plays key roles in controlling the aging process of the RPE. The hypothesis is supported by recent literature data suggesting that mTOR plays key roles in integrating various environmental signals and linking them to altered tissue function and organism's life span. In our preliminary studies, we found that rapamycin reversed the senescent phenotype of primary human RPE cells in vitro. To further test our hypothesis, we have proposed three specific aims in this application. Aim 1 is to determine how the aging process regulates mTOR pathways in the RPE. Aim 2 is to determine how modulating the mTOR signaling affects RPE aging in vitro by a potential mechanism of regulating autophagy. Aim 3 is to determine whether mTOR regulates aging of the RPE in vivo using SOD1 knockout mice which develop AMD-like phenotype in the retina. During the mentored phase, the Applicant will conduct the proposed experiments under the supervision of a mentoring committee, which is consisted of mentors with expertise in AMD etiology and pathogenesis (Dr. Paul Sternberg), animal models of neurodegeneration in the retina (Dr. David Calkins) and mTOR/autophagy (Dr. Lu Bo). Members of the committee will meet regularly, monitor the research progress and assist the Applicant to advance her career towards independence. Research at the R00 phase will test the potential therapeutic effects of mTOR inhibitors in an animal model relevant to AMD. Results from these studies will provide novel mechanistic information on aging and age-related degeneration of the RPE and retina. PUBLIC HEALTH RELEVANCE: This project focuses on characterizing a novel signal transduction pathway which may control the aging process of the retina and contribute to age-related macular degeneration (AMD). Results from the studies can potentially be translated into new therapeutic approaches for treating the atrophic form of AMD.