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      Photoreceptor phagosome processing defects and disturbed autophagy in retinal pigment epithelium of Cln3 Δex1-6 mice modelling juvenile neuronal ceroid lipofuscinosis (Batten disease)

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          Abstract

          Retinal degeneration and visual impairment are the first signs of juvenile neuronal ceroid lipofuscinosis caused by CLN3 mutations, followed by inevitable progression to blindness. We investigated retinal degeneration in Cln3 Δex1-6 null mice, revealing classic ‘fingerprint’ lysosomal storage in the retinal pigment epithelium (RPE), replicating the human disease. The lysosomes contain mitochondrial F 0-ATP synthase subunit c along with undigested membranes, indicating a reduced degradative capacity. Mature autophagosomes and basal phagolysosomes, the terminal degradative compartments of autophagy and phagocytosis, are also increased in Cln3 Δex1 - 6 RPE, reflecting disruption to these key pathways that underpin the daily phagocytic turnover of photoreceptor outer segments (POS) required for maintenance of vision. The accumulated autophagosomes have post-lysosome fusion morphology, with undigested internal contents visible, while accumulated phagosomes are frequently docked to cathepsin D-positive lysosomes, without mixing of phagosomal and lysosomal contents. This suggests lysosome-processing defects affect both autophagy and phagocytosis, supported by evidence that phagosomes induced in Cln3 Δex1 - 6 -derived mouse embryonic fibroblasts have visibly disorganized membranes, unprocessed internal vesicles and membrane contents, in addition to reduced LAMP1 membrane recruitment. We propose that defective lysosomes in Cln3 Δex1 - 6 RPE have a reduced degradative capacity that impairs the final steps of the intimately connected autophagic and phagocytic pathways that are responsible for degradation of POS. A build-up of degradative organellar by-products and decreased recycling of cellular materials is likely to disrupt processes vital to maintenance of vision by the RPE.

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          Autophagy in the pathogenesis of disease.

          Autophagy is a lysosomal degradation pathway that is essential for survival, differentiation, development, and homeostasis. Autophagy principally serves an adaptive role to protect organisms against diverse pathologies, including infections, cancer, neurodegeneration, aging, and heart disease. However, in certain experimental disease settings, the self-cannibalistic or, paradoxically, even the prosurvival functions of autophagy may be deleterious. This Review summarizes recent advances in understanding the physiological functions of autophagy and its possible roles in the causation and prevention of human diseases.
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            The role of autophagy in neurodegenerative disease.

            Autophagy is a lysosomal degradative process used to recycle obsolete cellular constituents and eliminate damaged organelles and protein aggregates. These substrates reach lysosomes by several distinct mechanisms, including delivery within endosomes as well as autophagosomes. Completion of digestion involves dynamic interactions among compartments of the autophagic and endocytic pathways. Neurons are particularly vulnerable to disruptions of these interactions, especially as the brain ages. Not surprisingly, mutations of genes regulating autophagy cause neurodegenerative diseases across the age spectrum with exceptional frequency. In late-onset disorders such as Alzheimer's disease, amyotrophic lateral sclerosis and familial Parkinson's disease, defects arise at different stages of the autophagy pathway and have different implications for pathogenesis and therapy. This Review provides an overview of the role of autophagy in neurodegenerative disease, focusing particularly on less frequently considered lysosomal clearance mechanisms and their considerable impact on disease. Various therapeutic strategies for modulating specific stages of autophagy and the current state of drug development for this purpose are also evaluated.
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              The retinal pigment epithelium in visual function.

              Located between vessels of the choriocapillaris and light-sensitive outer segments of the photoreceptors, the retinal pigment epithelium (RPE) closely interacts with photoreceptors in the maintenance of visual function. Increasing knowledge of the multiple functions performed by the RPE improved the understanding of many diseases leading to blindness. This review summarizes the current knowledge of RPE functions and describes how failure of these functions causes loss of visual function. Mutations in genes that are expressed in the RPE can lead to photoreceptor degeneration. On the other hand, mutations in genes expressed in photoreceptors can lead to degenerations of the RPE. Thus both tissues can be regarded as a functional unit where both interacting partners depend on each other.
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                Author and article information

                Journal
                Hum Mol Genet
                Hum. Mol. Genet
                hmg
                hmg
                Human Molecular Genetics
                Oxford University Press
                0964-6906
                1460-2083
                15 December 2015
                08 October 2015
                08 October 2015
                : 24
                : 24
                : 7060-7074
                Affiliations
                [1 ]UCL Institute of Ophthalmology, University College London , London EC1V 9EL, UK,
                [2 ]Molecular Medicine, National Heart and Lung Institute , Imperial College London , London SW7 2AZ, UK,
                [3 ]Genetics and Genomic Medicine Programme and Birth Defects Research Centre, Institute of Child Health, University College London , London WC1N 1EH, UK,
                [4 ]Nuclear Dynamics and Architecture, Institute of Medical Biology, Singapore 138648, Singapore,
                [5 ]Faculty of Life Sciences, Division of Biosciences and
                [6 ]Department of Cell and Developmental Biology, University College London , London WC1E 6BT, UK and
                [7 ]MRC Cell Biology Unit, MRC Laboratory for Molecular Cell Biology , London, UK
                Author notes
                [* ]To whom correspondence should be addressed at: Genetics and Genomic Medicine Programme and Birth Defects Research Centre, Institute of Child Health, University College London, London WC1N 1EH, UK. Tel: +44 (0) 20 7905 2866; Fax: +44 (0) 20 7404 6191; Email: h.mitchison@ 123456ucl.ac.uk (H.M.M.); UCL Institute of Ophthalmology, University College London, London EC1V 9EL, UK. Tel: +44 (0) 20 7608 4051; Fax: +44 (0) 20 7608 6810, Email: c.futter@ 123456ucl.ac.uk (C.E.F.)
                [†]

                These authors contributed equally to this work.

                Article
                ddv406
                10.1093/hmg/ddv406
                4654058
                26450516
                b6f41f5c-6f27-4e73-9e1e-1ceb534c7d4d
                © The Author 2015. Published by Oxford University Press

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 24 June 2015
                : 22 September 2015
                Funding
                Funded by: UK Batten Disease Family Association
                Funded by: European Commission 6th Framework Research
                Award ID: LSHM-CT-2003-503051
                Funded by: Medical Research Council UK
                Award ID: P13251
                Funded by: Wellcome Trust http://dx.doi.org/10.13039/100004440
                Award ID: 093445
                Funded by: The Medical Research Council UK
                Funded by: Laboratory for Molecular Cell Biology
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                Genetics
                Genetics

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