PMID- 36036912 OWN - NLM STAT- MEDLINE DCOM- 20220831 LR - 20220914 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 63 IP - 9 DP - 2022 Aug 2 TI - Dependence of Retinal Pigment Epithelium Integrity on the NRF2-Heme Oxygenase-1 Axis. PG - 30 LID - 10.1167/iovs.63.9.30 [doi] LID - 30 AB - PURPOSE: Tight junctions (TJs) form the structural basis of retinal pigment epithelium (RPE) barrier functions. Although oxidative stress contributes to age-related macular degeneration, it is unclear how RPE TJ integrity is controlled by redox balance. In this study, we investigated the protective roles of nuclear factor erythroid 2-related factor 2 (NRF2), a transcription factor, and heme oxygenase-1 (HO1), a heme-degrading enzyme encoded by the NRF2 target gene HMOX1. METHODS: ARPE19 cell cultures and mice, including wild-type, Nrf2-/-, and RPE-specific NRF2-deficient mice, were treated with chemicals that impose oxidative stress or impact heme metabolism. In addition, NRF2 and HO1 expression in ARPE19 cells was knocked down by siRNA. TJ integrity was examined by anti-zonula occludens-1 staining of cultured cells or flatmount RPE tissues from mice. RPE barrier functions were evaluated by transepithelium electrical resistance in ARPE19 cells and immunofluorescence staining for albumin or dextran in eye histological sections. RESULTS: TJ structures and RPE barrier functions were compromised due to oxidant exposure and NRF2 deficiency but were rescued by HO1 inducer. Furthermore, treatment with HO1 inhibitor or heme precursor is destructive to TJ structures and RPE barrier properties. Interestingly, both NRF2 and HO1 were upregulated under oxidative stress, probably as an adaptive response to mitigate oxidant-inflicted damages. CONCLUSIONS: Our data indicate that the NRF2-HO1 axis protects TJ integrity and RPE barrier functions by driving heme degradation. FAU - Jiang, Yida AU - Jiang Y AD - Center for Vascular Biology, University of Connecticut Health Center, Farmington, Connecticut, United States. AD - Department of Cell Biology, University of Connecticut Health Center, Farmington, Connecticut, United States. FAU - Duan, Li-Juan AU - Duan LJ AD - Center for Vascular Biology, University of Connecticut Health Center, Farmington, Connecticut, United States. FAU - Pi, Jingbo AU - Pi J AD - School of Public Health, China Medical University, Shenyang, Liaoning, China. FAU - Le, Yun-Zheng AU - Le YZ AD - Departments of Medicine, Cell Biology, and Ophthalmology and Harold Hamm Oklahoma Diabetes Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States. FAU - Fong, Guo-Hua AU - Fong GH AD - Center for Vascular Biology, University of Connecticut Health Center, Farmington, Connecticut, United States. AD - Department of Cell Biology, University of Connecticut Health Center, Farmington, Connecticut, United States. LA - eng GR - R01 EY019721/EY/NEI NIH HHS/United States GR - R01 EY031593/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (NF-E2-Related Factor 2) RN - 0 (Oxidants) RN - 42VZT0U6YR (Heme) RN - EC 1.14.14.18 (Heme Oxygenase-1) SB - IM MH - Animals MH - Heme/metabolism/pharmacology MH - Heme Oxygenase-1/genetics/metabolism MH - Mice MH - *NF-E2-Related Factor 2/metabolism MH - Oxidants/pharmacology MH - Oxidative Stress/physiology MH - *Retinal Pigment Epithelium/pathology PMC - PMC9434985 COIS- Disclosure: Y. Jiang, None; L.-J. Duan, None; J. Pi, None; Y.-Z. Le, None; G.-H. Fong, None EDAT- 2022/08/30 06:00 MHDA- 2022/09/01 06:00 PMCR- 2022/08/29 CRDT- 2022/08/29 11:33 PHST- 2022/08/29 11:33 [entrez] PHST- 2022/08/30 06:00 [pubmed] PHST- 2022/09/01 06:00 [medline] PHST- 2022/08/29 00:00 [pmc-release] AID - 2783610 [pii] AID - IOVS-22-35171 [pii] AID - 10.1167/iovs.63.9.30 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2022 Aug 2;63(9):30. doi: 10.1167/iovs.63.9.30.