Go to The Journal of Clinical Investigation
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Journal stats
  • Publication ethics
  • Publication alerts by email
  • Transfers
  • Advertising
  • Job board
  • Contact
  • Physician-Scientist Development
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Immunology
    • Metabolism
    • Nephrology
    • Oncology
    • Pulmonology
    • All ...
  • Videos
  • Collections
    • In-Press Preview
    • Resource and Technical Advances
    • Clinical Research and Public Health
    • Research Letters
    • Editorials
    • Perspectives
    • Physician-Scientist Development
    • Reviews
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • In-Press Preview
  • Resource and Technical Advances
  • Clinical Research and Public Health
  • Research Letters
  • Editorials
  • Perspectives
  • Physician-Scientist Development
  • Reviews
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Journal stats
  • Publication ethics
  • Publication alerts by email
  • Transfers
  • Advertising
  • Job board
  • Contact
Uncoupled turnover disrupts mitochondrial quality control in diabetic retinopathy
Jose R. Hombrebueno, Lauren Cairns, Louise R. Dutton, Timothy J. Lyons, Derek P. Brazil, Paul Moynagh, Tim M. Curtis, Heping Xu
Jose R. Hombrebueno, Lauren Cairns, Louise R. Dutton, Timothy J. Lyons, Derek P. Brazil, Paul Moynagh, Tim M. Curtis, Heping Xu
View: Text | PDF
Research Article Neuroscience Ophthalmology

Uncoupled turnover disrupts mitochondrial quality control in diabetic retinopathy

  • Text
  • PDF
Abstract

Mitochondrial quality control (MQC) is crucial for regulating CNS homeostasis, and its disruption has been implicated in the pathogenesis of some of the most common neurodegenerative diseases. In healthy tissues, the maintenance of MQC depends upon an exquisite balance between mitophagy (removal of damaged mitochondria by autophagy) and biogenesis (de novo synthesis of mitochondria). Here, we show that mitophagy is disrupted in diabetic retinopathy (DR) and decoupled from mitochondrial biogenesis during the progression of the disease. Diabetic retinas from human postmortem donors and experimental mice exhibit a net loss of mitochondrial contents during the early stages of the disease process. Using diabetic mitophagy-reporter mice (mitoQC-Ins2Akita) alongside pMitoTimer (a molecular clock to address mitochondrial age dynamics), we demonstrate that mitochondrial loss arose due to an inability of mitochondrial biogenesis to compensate for diabetes-exacerbated mitophagy. However, as diabetes duration increases, Pink1-dependent mitophagy deteriorates, leading to the build-up of mitochondria primed for degradation in DR. Impairment of mitophagy during prolonged diabetes is linked with the development of retinal senescence, a phenotype that blunted hyperglycemia-induced mitophagy in mitoQC primary Müller cells. Our findings suggest that normalizing mitochondrial turnover may preserve MQC and provide therapeutic options for the management of DR-associated complications.

Authors

Jose R. Hombrebueno, Lauren Cairns, Louise R. Dutton, Timothy J. Lyons, Derek P. Brazil, Paul Moynagh, Tim M. Curtis, Heping Xu

×

Figure 8

Senescence in the diabetic retina may disrupt mitochondrial quality control.

Options: View larger image (or click on image) Download as PowerPoint
Senescence in the diabetic retina may disrupt mitochondrial quality cont...
(A and B) Retinal micrographs from 2-month (A) and 8-month (B) hyperglycemic Ins2Akita/+ and age-matched WT mice processed for SA-β-Gal activity. Increased SA-β-Gal activity in photoreceptor IS of 8-month hyperglycemic Ins2Akita/+ mice (arrowheads). (C) The levels of SA-β-Gal activity in photoreceptor IS in 8-month hyperglycemic Ins2Akita/+ and age-matched WT. Data are presented in box-and-whisker plots; n = 6 eyes per group. (D) Bright-field (BF) images of primary retinal Müller cells isolated from mitoQC+/+ mouse (mitoQC-PMCs) showing their morphology, SA-β-Gal activity, and Ki67 immunostaining at passage 2 (P2) and P5. Proliferative nonsenescent mitoQC-PMCs show high nuclear-levels of Ki67 (P2, closed arrowheads), in contrast to senescent cultures (P5, open arrowheads). (E and F) Mitolysosome (mCherry-only foci) density was quantified in P5–P6 mitoQC PMCs maintained for 5 days in normal glucose (NG, 5.5 mM), high glucose (HG, 30.5 mM), or L-glucose (LG, 30.5 mM) osmotic control. Amino acid starvation with HBSS (16 hours) does not elicit mitophagy in senescent mitoQC PMCs; n = 2 biological replicates and 4 technical replicates per group. Results are presented as mean ± SEM. ***P < 0.001, 2-sided unpaired Student’s t test in C; 1-way ANOVA with Bonferroni’s correction for multiple comparisons in F. IS, photoreceptor inner segments; ONL, outer nuclear layer; OPL, outer plexiform layer; INL, inner nuclear layer; IPL, inner plexiform layer; GCL, ganglion cell layer. Scale bars: 40 μm (A and B), 20 μm (D and E).

Copyright © 2026 American Society for Clinical Investigation
ISSN 2379-3708

Sign up for email alerts