Neuroserpin gene therapy inhibits retinal ganglion cell apoptosis and promotes functional preservation in glaucoma

Title
Neuroserpin gene therapy inhibits retinal ganglion cell apoptosis and promotes functional preservation in glaucoma
Publication Date
2023-07-05
Author(s)
Chitranshi, Nitin
( author )
OrcID: https://orcid.org/0000-0002-6508-9865
Email: nchitran@une.edu.au
UNE Id une-id:nchitran
Rajput, Rashi
Godinez, Angela
Pushpitha, Kanishka
Mirzaei, Mehdi
Basavarajappa, Devaraj
Gupta, Veer
Sharma, Samridhi
You, Yuyi
Galliciotti, Giovanna
Salekdeh, Ghasem H
Baker, Mark S
Graham, Stuart L
Gupta, Vivek K
Type of document
Journal Article
Language
en
Entity Type
Publication
Publisher
Cell Press
Place of publication
United States of America
DOI
10.1016/j.ymthe.2023.03.008
UNE publication id
une:1959.11/71736
Abstract

Our research has proven that the inhibitory activity of the serine protease inhibitor neuroserpin (NS) is impaired because of its oxidation deactivation in glaucoma. Using genetic NS knockout (NS−/−) and NS overexpression (NS+/+ Tg) animal models and antibody-based neutralization approaches, we demonstrate that NS loss is detrimental to retinal structure and function. NS ablation was associated with perturbations in autophagy and microglial and synaptic markers, leading to significantly enhanced IBA1, PSD95, beclin-1, and LC3-II/LC3-I ratio and reduced phosphorylated neurofilament heavy chain (pNFH) levels. On the other hand, NS upregulation promoted retinal ganglion cell (RGC) survival in wild-type and NS−/− glaucomatous mice and increased pNFH expression. NS+/+Tg mice demonstrated decreased PSD95, beclin-1, LC3-II/LC3-I ratio, and IBA1 following glaucoma induction, highlighting its protective role. We generated a novel reactive site NS variant (M363R-NS) resistant to oxidative deactivation. Intravitreal administration of M363R-NS was observed to rescue the RGC degenerative phenotype in NS−/− mice. These findings demonstrate that NS dysfunction plays a key role in the glaucoma inner retinal degenerative phenotype and that modulating NS imparts significant protection to the retina. NS upregulation protected RGC function and restored biochemical networks associated with autophagy and microglial and synaptic function in glaucoma.

Link
Citation
Molecular Therapy, 31(7), p. 2056-2076
ISSN
1525-0024
1525-0016
Start page
2056
End page
2076
Rights
Attribution 4.0 International

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