The AMD-associated genetic polymorphism CFH Y402H confers vulnerability to Hydroquinone-induced stress in iPSC-RPE cells

IntroductionAge-related macular degeneration (AMD), a degenerative disease of the macula, is caused by an interplay of diverse risk factors (genetic predisposition, age and lifestyle habits). One of the main genetic risks includes the Y402H polymorphism in complement Factor H (FH), an inhibitor of c...

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Main Authors: Angela Armento, Inga Sonntag, Ana-Cristina Almansa-Garcia, Merve Sen, Sylvia Bolz, Blanca Arango-Gonzalez, Ellen Kilger, Ruchi Sharma, Kapil Bharti, Rosario Fernandez-Godino, Berta de la Cerda, Simon J. Clark, Marius Ueffing
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1527018/full
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author Angela Armento
Inga Sonntag
Ana-Cristina Almansa-Garcia
Merve Sen
Sylvia Bolz
Blanca Arango-Gonzalez
Ellen Kilger
Ruchi Sharma
Kapil Bharti
Rosario Fernandez-Godino
Berta de la Cerda
Simon J. Clark
Simon J. Clark
Simon J. Clark
Marius Ueffing
author_facet Angela Armento
Inga Sonntag
Ana-Cristina Almansa-Garcia
Merve Sen
Sylvia Bolz
Blanca Arango-Gonzalez
Ellen Kilger
Ruchi Sharma
Kapil Bharti
Rosario Fernandez-Godino
Berta de la Cerda
Simon J. Clark
Simon J. Clark
Simon J. Clark
Marius Ueffing
author_sort Angela Armento
collection DOAJ
description IntroductionAge-related macular degeneration (AMD), a degenerative disease of the macula, is caused by an interplay of diverse risk factors (genetic predisposition, age and lifestyle habits). One of the main genetic risks includes the Y402H polymorphism in complement Factor H (FH), an inhibitor of complement system activation. There has been, and continues to be, much discussion around the functional consequences of this Y402H polymorphism, whether the soluble FH protein confers its risk association, or if the cells expressing the protein themselves are affected by the genetic alteration. In our study, we examined the cell characteristics of the retinal pigment epithelium (RPE) cells, which play a major role in retinal homeostasis and stability and which are synonymously linked to AMD.MethodsHere, we employ RPE cells derived from induced pluripotent stem cells (iPSC) generated from donors, carrying either homozygous 402Y (low risk) or 402H (high risk) variants of the CFH gene. RPE cells were treated with Hydroquinone (HQ), a component of cigarette smoke, to induce oxidative damage. ResultsIntriguingly, RPE cells carrying high genetic risk proved more vulnerable to oxidative insult when exposed to HQ, as demonstrated by increased cytotoxicity and caspase activation, compared to the low-risk RPE cells. The exposure of RPE cells to RPE conditioned medium, normal human serum (NHS) and inactivated NHS (iNHS) had minimal impact on cell cytotoxicity and caspase activation, nor did the presence of purified soluble FH rescue the observed effects. Considering the known connection of oxidative stress to proteotoxic stress and degrading processes, we investigated the unfolded protein response (UPR) and autophagy. When exposed to HQ, RPE cells showed an increase in autophagy markers; however, iPSC-RPE cells carrying high genetic risk showed an overall reduced autophagic flux. DiscussionOur findings suggest that the degree of cellular susceptibility to oxidative stress is not conferred by soluble FH protein and other complement sources, but intercellularly because of the corresponding genetic risk predisposition. Our data support the hypothesis that RPE cells carrying high genetic risk are less resilient to oxidative stress.
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spelling doaj-art-1883389e2631441b97e22ec07b95045b2025-02-06T07:10:27ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-02-011610.3389/fimmu.2025.15270181527018The AMD-associated genetic polymorphism CFH Y402H confers vulnerability to Hydroquinone-induced stress in iPSC-RPE cellsAngela Armento0Inga Sonntag1Ana-Cristina Almansa-Garcia2Merve Sen3Sylvia Bolz4Blanca Arango-Gonzalez5Ellen Kilger6Ruchi Sharma7Kapil Bharti8Rosario Fernandez-Godino9Berta de la Cerda10Simon J. Clark11Simon J. Clark12Simon J. Clark13Marius Ueffing14Department for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, GermanyDepartment for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, GermanyDepartment for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, GermanyDepartment for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, GermanyDepartment for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, GermanyDepartment for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, GermanyDepartment for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, GermanyOcular Stem Cells and Translational Research (OSCTR) Section, Ophthalmic Genetic and Visual Function Branch (OGVFB), National Eye Institute, National Institutes of Health, Bethesda, MD, United StatesOcular Stem Cells and Translational Research (OSCTR) Section, Ophthalmic Genetic and Visual Function Branch (OGVFB), National Eye Institute, National Institutes of Health, Bethesda, MD, United StatesScreening and Target Validation, Fundacion MEDINA, Granada, SpainRetinal Neurodegeneration and Advanced Therapies, Centro Andaluz de Biología Molecular y Medicina Regenerativa (CABIMER), Sevilla, SpainDepartment for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, GermanyUniversity Eye Clinic, Eberhard Karls University of Tübingen, Tübingen, GermanyLydia Becker Institute of Immunology and Inflammation, Faculty of Biology, Medicine, and Health, University of Manchester, Manchester, United KingdomDepartment for Ophthalmology, Institute for Ophthalmic Research, University of Tübingen, Tübingen, GermanyIntroductionAge-related macular degeneration (AMD), a degenerative disease of the macula, is caused by an interplay of diverse risk factors (genetic predisposition, age and lifestyle habits). One of the main genetic risks includes the Y402H polymorphism in complement Factor H (FH), an inhibitor of complement system activation. There has been, and continues to be, much discussion around the functional consequences of this Y402H polymorphism, whether the soluble FH protein confers its risk association, or if the cells expressing the protein themselves are affected by the genetic alteration. In our study, we examined the cell characteristics of the retinal pigment epithelium (RPE) cells, which play a major role in retinal homeostasis and stability and which are synonymously linked to AMD.MethodsHere, we employ RPE cells derived from induced pluripotent stem cells (iPSC) generated from donors, carrying either homozygous 402Y (low risk) or 402H (high risk) variants of the CFH gene. RPE cells were treated with Hydroquinone (HQ), a component of cigarette smoke, to induce oxidative damage. ResultsIntriguingly, RPE cells carrying high genetic risk proved more vulnerable to oxidative insult when exposed to HQ, as demonstrated by increased cytotoxicity and caspase activation, compared to the low-risk RPE cells. The exposure of RPE cells to RPE conditioned medium, normal human serum (NHS) and inactivated NHS (iNHS) had minimal impact on cell cytotoxicity and caspase activation, nor did the presence of purified soluble FH rescue the observed effects. Considering the known connection of oxidative stress to proteotoxic stress and degrading processes, we investigated the unfolded protein response (UPR) and autophagy. When exposed to HQ, RPE cells showed an increase in autophagy markers; however, iPSC-RPE cells carrying high genetic risk showed an overall reduced autophagic flux. DiscussionOur findings suggest that the degree of cellular susceptibility to oxidative stress is not conferred by soluble FH protein and other complement sources, but intercellularly because of the corresponding genetic risk predisposition. Our data support the hypothesis that RPE cells carrying high genetic risk are less resilient to oxidative stress.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1527018/fullage-related macular degeneration (AMD)complement factor H (CFH)retinal pigment epithelium (RPE) cellsoxidative stressautophagy
spellingShingle Angela Armento
Inga Sonntag
Ana-Cristina Almansa-Garcia
Merve Sen
Sylvia Bolz
Blanca Arango-Gonzalez
Ellen Kilger
Ruchi Sharma
Kapil Bharti
Rosario Fernandez-Godino
Berta de la Cerda
Simon J. Clark
Simon J. Clark
Simon J. Clark
Marius Ueffing
The AMD-associated genetic polymorphism CFH Y402H confers vulnerability to Hydroquinone-induced stress in iPSC-RPE cells
Frontiers in Immunology
age-related macular degeneration (AMD)
complement factor H (CFH)
retinal pigment epithelium (RPE) cells
oxidative stress
autophagy
title The AMD-associated genetic polymorphism CFH Y402H confers vulnerability to Hydroquinone-induced stress in iPSC-RPE cells
title_full The AMD-associated genetic polymorphism CFH Y402H confers vulnerability to Hydroquinone-induced stress in iPSC-RPE cells
title_fullStr The AMD-associated genetic polymorphism CFH Y402H confers vulnerability to Hydroquinone-induced stress in iPSC-RPE cells
title_full_unstemmed The AMD-associated genetic polymorphism CFH Y402H confers vulnerability to Hydroquinone-induced stress in iPSC-RPE cells
title_short The AMD-associated genetic polymorphism CFH Y402H confers vulnerability to Hydroquinone-induced stress in iPSC-RPE cells
title_sort amd associated genetic polymorphism cfh y402h confers vulnerability to hydroquinone induced stress in ipsc rpe cells
topic age-related macular degeneration (AMD)
complement factor H (CFH)
retinal pigment epithelium (RPE) cells
oxidative stress
autophagy
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1527018/full
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