Phagocytosis in the retina promotes local insulin production in the eye Journal Article


Authors: Iker Etchegaray, J.; Kelley, S.; Penberthy, K.; Karvelyte, L.; Nagasaka, Y.; Gasperino, S.; Paul, S.; Seshadri, V.; Raymond, M.; Marco, A. R.; Pinney, J.; Stremska, M.; Barron, B.; Lucas, C.; Wase, N.; Fan, Y.; Unanue, E.; Kundu, B.; Burstyn-Cohen, T.; Perry, J.; Ambati, J.; Ravichandran, K. S.
Article Title: Phagocytosis in the retina promotes local insulin production in the eye
Abstract: The retina is highly metabolically active, relying on glucose uptake and aerobic glycolysis. Situated in close contact to photoreceptors, a key function of cells in the retinal pigment epithelium (RPE) is phagocytosis of damaged photoreceptor outer segments (POS). Here we identify RPE as a local source of insulin in the eye that is stimulated by POS phagocytosis. We show that Ins2 messenger RNA and insulin protein are produced by RPE cells and that this production correlates with RPE phagocytosis of POS. Genetic deletion of phagocytic receptors (‘loss of function’) reduces Ins2, whereas increasing the levels of the phagocytic receptor MerTK (‘gain of function’) increases Ins2 production in male mice. Contrary to pancreas-derived systemic insulin, RPE-derived local insulin is stimulated during starvation, which also increases RPE phagocytosis. Global or RPE-specific Ins2 gene deletion decreases retinal glucose uptake in starved male mice, dysregulates retinal physiology, causes defects in phototransduction and exacerbates photoreceptor loss in a mouse model of retinitis pigmentosa. Collectively, these data identify RPE cells as a phagocytosis-induced local source of insulin in the retina, with the potential to influence retinal physiology and disease. © 2023, The Author(s), under exclusive licence to Springer Nature Limited.
Keywords: immunohistochemistry; clinical article; human tissue; protein expression; gene deletion; genetics; nonhuman; positron emission tomography; animal cell; mouse; animal; metabolism; animals; mice; animal tissue; reverse transcription polymerase chain reaction; gene expression; gene expression profiling; animal experiment; protein tyrosine kinase; physiology; messenger rna; immunoprecipitation; immunoblotting; insulin; electroretinography; retina; glucose; receptor protein-tyrosine kinases; glucose homeostasis; phagocytosis; pancreas islet beta cell; glucose transport; metabolite; glucose tolerance test; eye; streptozocin; retinitis pigmentosa; photoreceptor; rna isolation; glucose transporter; aerobic glycolysis; human; male; article; retinal pigment epithelium; phototransduction; retina pigment cell
Journal Title: Nature Metabolism
Volume: 5
Issue: 2
ISSN: 2522-5812
Publisher: Nature Publishing Group  
Date Published: 2023-02-01
Start Page: 207
End Page: 218
Language: English
DOI: 10.1038/s42255-022-00728-0
PUBMED: 36732622
PROVIDER: scopus
PMCID: PMC10457724
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Justin Shaun Arnold Perry
    18 Perry