PMID- 22007913 OWN - NLM STAT- MEDLINE DCOM- 20120417 LR - 20211203 IS - 1557-8577 (Electronic) IS - 1549-1684 (Linking) VI - 14 IP - 6 DP - 2011 Dec TI - 5'-Adenosine monophosphate-activated protein kinase--mammalian target of rapamycin axis as therapeutic target for age-related macular degeneration. PG - 651-60 LID - 10.1089/rej.2011.1220 [doi] AB - Age-related macular degeneration (AMD) is the most common reason for blindness in developed countries. AMD essentially involves chronic oxidative stress, increased accumulation of lipofuscin in retinal pigment epithelial (RPE) cells, and extracellular drusen formation, as well as presence of chronic inflammation in the retina. The capacity to prevent the accumulation of cellular cytotoxic protein aggregates is decreased in senescent cells, which may evoke lipofuscin accumulation into lysosomes in postmitotic RPE cells. The formation of lipofuscin, in turn, decreases the lysosomal enzyme activity and impairs the autophagic clearance of damaged proteins destined for cellular removal. 5'-Adenosine monophosphate-activated protein kinase (AMPK) is a well-known inhibitor of mammalian target of rapamycin (mTOR) that subsequently evokes induction of autophagy. This review examines the novel potential therapeutic targets on the AMPK-mTOR axis and the ways in which autophagy clearance can suppress or prevent RPE degeneration and development of AMD. FAU - Hyttinen, Juha M T AU - Hyttinen JM AD - Department of Ophthalmology, Institute of Clinical Medicine, University of Eastern Finland, P.O.Box 1627, FI-70211 Kuopio, Finland. Juha.Hyttinen@uef.fi FAU - Petrovski, Goran AU - Petrovski G FAU - Salminen, Antero AU - Salminen A FAU - Kaarniranta, Kai AU - Kaarniranta K LA - eng PT - Journal Article PT - Review DEP - 20111018 PL - United States TA - Rejuvenation Res JT - Rejuvenation research JID - 101213381 RN - 0 (Lipofuscin) RN - 0 (Stilbenes) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - Q369O8926L (Resveratrol) SB - IM MH - AMP-Activated Protein Kinases/*metabolism MH - Animals MH - Autophagy MH - Humans MH - Inflammation MH - Lipofuscin/chemistry MH - Lysosomes/metabolism MH - Mice MH - Mice, Inbred BALB C MH - Microscopy, Confocal/methods MH - Models, Biological MH - Oxidative Stress MH - Resveratrol MH - Retina/metabolism MH - Retinal Pigment Epithelium/metabolism MH - Stilbenes/pharmacology MH - TOR Serine-Threonine Kinases/*metabolism EDAT- 2011/10/20 06:00 MHDA- 2012/04/18 06:00 CRDT- 2011/10/20 06:00 PHST- 2011/10/20 06:00 [entrez] PHST- 2011/10/20 06:00 [pubmed] PHST- 2012/04/18 06:00 [medline] AID - 10.1089/rej.2011.1220 [doi] PST - ppublish SO - Rejuvenation Res. 2011 Dec;14(6):651-60. doi: 10.1089/rej.2011.1220. Epub 2011 Oct 18.