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Smoking may speed eye aging and lead to AMD — Level B1 — a close up of a persons mouth

Smoking may speed eye aging and lead to AMDCEFR B1

28 Mar 2026

Adapted from Johns Hopkins University, Futurity CC BY 4.0

Photo by engin akyurt, Unsplash

Level B1 – Intermediate
4 min
203 words

The study, reported in the Proceedings of the National Academy of Sciences, looked at how cigarette smoke affects retinal pigmented epithelial (RPE) cells and may contribute to age-related macular degeneration. James T. Handa, principal investigator and chief of the retina division at the Wilmer Eye Institute at Johns Hopkins University, noted that smoking is often linked to tissue damage by free radicals, and the new work also shows epigenetic changes—non-permanent shifts in gene expression—in RPE cells.

Researchers compared RPE cells from 3-month and 12-month mice after both acute and chronic smoke exposure. They used genetic sequencing at several time points and found dysfunctional RPE clusters and reduced chromatin accessibility. Chromatin is the compact structure of DNA, RNA, and proteins that controls which genes are active.

Acute smoke exposure decreased expression of core RPE function genes and of genes called hallmarks of aging, such as genomic instability, telomere shortening, and damaged mitochondria. Tests of donated human RPE cells from several donors showed many shared gene changes—1,698 genes overlapped between dysfunctional human and mouse cells. Researchers now plan to study which changes persist and how age plus continuous smoke exposure add to late-stage AMD and related problems.

Difficult words

  • epigeneticChanges in gene activity without DNA change
  • chromatinDNA and proteins packed inside the cell
  • genomicRelated to an organism's complete genetic material
  • telomereEnd part of a chromosome that shortens
  • mitochondrionCell parts that make energy for the cell
    mitochondria
  • acuteHappening over a short time period
  • chronicContinuing for a long time
  • dysfunctionalNot working normally or properly

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Discussion questions

  • Based on the article, how might stopping smoking affect the risk of age-related eye damage? Give two reasons.
  • Why do you think researchers used both younger and older mice plus donated human cells in this study?
  • Researchers want to study which changes persist. What results would be most important for doctors trying to prevent late-stage macular degeneration?

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