Evidence map›Paper›PMID 39034314›Full record

ArticleNature communications2024

The AKT2/SIRT5/TFEB pathway as a potential therapeutic target in non-neovascular AMD.

Sayan Ghosh, Ruchi Sharma, Sridhar Bammidi, Victoria Koontz, Mihir Nemani, Meysam Yazdankhah, Katarzyna M Kedziora, Donna Beer Stolz, Callen T Wallace, Cheng Yu-Wei and 24 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
  4. Article
  5. An siRNA targetingMolecular therapy. Nucleic acids · 2026
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  18. Naringin Suppresses CoClAntioxidants (Basel, Switzerland) · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors.

Sayan GhoshDepartment of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Ruchi SharmaOcular and Stem Cell Translational Research Section, National Eye Institute, National Institutes of Health, Bethesda, MD, USA.
Sridhar BammidiDepartment of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Victoria KoontzDepartment of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Mihir NemaniDepartment of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Meysam YazdankhahDepartment of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Katarzyna M KedzioraDepartment of Cell Biology, Center for Biologic Imaging, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Donna Beer StolzDepartment of Cell Biology, Center for Biologic Imaging, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Callen T WallaceDepartment of Cell Biology, Center for Biologic Imaging, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0001-6852-4976
Cheng Yu-WeiAging Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0001-8973-1253
Jonathan FranksDepartment of Cell Biology, Center for Biologic Imaging, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Devika BoseOcular and Stem Cell Translational Research Section, National Eye Institute, National Institutes of Health, Bethesda, MD, USA.
Peng ShangDoheny Eye Institute, Pasadena, CA, USA.
Helena M AmbrosinoDoheny Eye Institute, Pasadena, CA, USA.
James R DuttonStem Cell Institute, University of Minnesota, Minneapolis, MN, USA.
Zhaohui GengStem Cell Institute, University of Minnesota, Minneapolis, MN, USA.
Jair MontfordOcular and Stem Cell Translational Research Section, National Eye Institute, National Institutes of Health, Bethesda, MD, USA.
Jiwon RyuOcular and Stem Cell Translational Research Section, National Eye Institute, National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0003-0251-7858
Dhivyaa RajasundaramDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Stacey HoseDepartment of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
José-Alain SahelDepartment of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-4831-1153
Rosa PuertollanoCell Biology and Physiology Center, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Toren FinkelAging Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-0726-3546
J Samuel ZiglerWilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Yuri SergeevProtein Biochemistry & Molecular Modeling Group, National Eye Institute, National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0002-7204-6572
Simon C WatkinsDepartment of Cell Biology, Center for Biologic Imaging, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0003-4092-1552
Eric S GoetzmanDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Deborah A FerringtonDoheny Eye Institute, Pasadena, CA, USA.
Miguel Flores-BellverDepartment of Ophthalmology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0003-3421-3699
Kai KaarnirantaDepartment of Ophthalmology, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland.
Akrit SodhiWilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID 0000-0001-5441-1014
Kapil BhartiOcular and Stem Cell Translational Research Section, National Eye Institute, National Institutes of Health, Bethesda, MD, USA. kapil.bharti@nih.gov.
James T HandaWilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. jthanda@jhmi.edu.ORCID 0000-0003-1314-1745
Debasish SinhaDepartment of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Debasish@pitt.edu.ORCID 0000-0002-1739-5577

Funding

Developing patient-specific iPS cell derived RPE disease modelsZIAEY000532 · NEI · NATIONAL EYE INSTITUTE · PI BHARTI, KAPIL · 2013 to 2025
$22.0M
Virus Production and Manipulation of Protein/Gene Expression ModuleP30EY008098 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Ethan A Rossi · 1989 to 2026
$17.8M
Proteins From Hereditary Eye Diseases: In-silico and Experimental StudiesZIAEY000476 · NEI · NATIONAL EYE INSTITUTE · PI SERGEEV, YURI · 2009 to 2025
$16.8M
Lysosome biogenesis and homeostasisZIAHL006151 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI PUERTOLLANO, ROSA · 2012 to 2025
$15.0M
Mitochondrial defects in the retinal pigment epithelium and the CFH risk allele for age-related macular degenerationR01EY028554 · NEI · UNIVERSITY OF MINNESOTA · PI DUTTON, JAMES R., FERRINGTON, DEBORAH ANN · 2018 to 2025
$4.5M
Targeting lysosome/RPE heterogeneity in AMD pathobiology as a novel therapyR01EY031594 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HANDA, JAMES T, SINHA, DEBASISH · 2021 to 2024
$2.4M
Deciphering the mechanisms associated with high-risk AMD genotypes for ARMS2/HTRA1 andComplement Factor HU01EY034669 · NEI · DOHENY EYE INSTITUTE · PI FERRINGTON, DEBORAH ANN · 2022 to 2024
$1.2M
Function of a lens protein betaA3/A1-crystallin in astrocytesR01EY032516 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SINHA, DEBASISH · 2022 to 2022
$398k
Academy of Finland (Suomen Akatemia) 333302BrightFocus Foundation (BrightFocus) Postdoctoral Fellowship on Macular DegenerationNEI NIH HHS P30 EY008098NEI NIH HHS R01 EY028554NEI NIH HHS R01 EY031594NEI NIH HHS R01 EY032516NEI NIH HHS U01 EY034669
6 · The paper itself

Abstract

Non-neovascular or dry age-related macular degeneration (AMD) is a multi-factorial disease with degeneration of the aging retinal-pigmented epithelium (RPE). Lysosomes play a crucial role in RPE health via phagocytosis and autophagy, which are regulated by transcription factor EB/E3 (TFEB/E3). Here, we find that increased AKT2 inhibits PGC-1α to downregulate SIRT5, which we identify as an AKT2 binding partner. Crosstalk between SIRT5 and AKT2 facilitates TFEB-dependent lysosomal function in the RPE. AKT2/SIRT5/TFEB pathway inhibition in the RPE induced lysosome/autophagy signaling abnormalities, disrupted mitochondrial function and induced release of debris contributing to drusen. Accordingly, AKT2 overexpression in the RPE caused a dry AMD-like phenotype in aging Akt2 KI mice, as evident from decline in retinal function. Importantly, we show that induced pluripotent stem cell-derived RPE encoding the major risk variant associated with AMD (complement factor H; CFH Y402H) express increased AKT2, impairing TFEB/TFE3-dependent lysosomal function. Collectively, these findings suggest that targeting the AKT2/SIRT5/TFEB pathway may be an effective therapy to delay the progression of dry AMD.

Indexed as

AutophagyBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsLysosomesMacular DegenerationProto-Oncogene Proteins c-aktRetinal Pigment EpitheliumSignal TransductionSirtuinsAnimalsDisease Models, AnimalHumansInduced Pluripotent Stem CellsMaleMiceMice, Inbred C57BLMitochondriaAKT2 protein, humanAkt2 protein, mouseBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alphaPpargc1a protein, mouseProto-Oncogene Proteins c-aktSIRT5 protein, humanSIRT5 protein, mouseSirtuinsTcfeb protein, mouseTFEB protein, human

Identifiers

PMID39034314
PMCPMC11271488

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.