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1 From the Petticrew Research Laboratory and the Departments of Biochemistry/Molecular Biology and Ophthalmology, Wright State University School of Medicine, Dayton, Ohio; and the 2 Laboratory of Retinal Cell and Molecular Biology, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
| Abstract |
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METHODS. Rats maintained in a dim cyclic light or dark environment were exposed to a single dose of intense green light beginning at various times. Normally, light exposures were for 8 or 3 hours, respectively, although longer and shorter periods were also used. Some animals were treated with the synthetic antioxidant dimethylthiourea (DMTU) before or after the onset of light. The extent of visual cell loss was estimated from measurements of rhodopsin and retinal DNA levels 2 weeks after light treatment. The time course of retinal DNA fragmentation, and the expression profiles of heme oxygenase-1 (HO-1) and interphotoreceptor retinol binding protein (IRBP) were determined 1 to 2 days after exposure.
RESULTS. When dark-adapted, cyclic lightreared or dark-reared rats were exposed to intense light during normal nighttime hours (20000800) the loss of rhodopsin or photoreceptor cell DNA was approximately twofold greater than that found in rats exposed to light during the day (08002000). The relative degree of light damage susceptibility persisted in cyclic lightreared rats after dark adaptation for up to 3 additional days. For rats reared in a reversed light cycle, the light-induced loss of rhodopsin was also reversed. Longer duration light treatments revealed that dim cyclic lightreared rats were three- to fourfold more susceptible to light damage at 0100 than at 1700 and that dark-reared animals were approximately twofold more susceptible. Intense light exposure at 0100 resulted in greater retinal DNA fragmentation and the earlier appearance of apoptotic DNA ladders than at 1700. The extent of retinal DNA damage also correlated with an induction of retinal HO-1 mRNA and with a reduction in IRBP transcription. Antioxidant treatment with DMTU was effective in preventing retinal light damage when given before but not after the onset of light.
CONCLUSIONS. These results confirm earlier work showing greater retinal light damage in rats exposed at night rather than during the day and extend those findings by demonstrating that a single, relatively short, intense light exposure causes a circadian-dependent, oxidatively induced loss of photoreceptor cells. The light-induced loss of photoreceptor cells is preceded by DNA fragmentation and by alterations in the normal transcriptional events in the retina and within the photoreceptors. The expression profile of an intrinsic retinal factor(s) at the onset of light exposure appears to be important in determining light damage susceptibility.
| Introduction |
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The extent of retinal light damage is modulated by light intensity and the duration of exposure,1 the wavelengths of light used,1 12 13 diet, age, and genetic factors (reviewed in Refs. 14 15 ). Long-term adaptive processes regulated by different light-rearing intensities16 17 or by dark rearing18 19 are additional extrinsic factors that alter the susceptibility of visual cells to light-mediated damage. Circadian-dependent alterations in opsin gene expression20 and in the expression of other intrinsic proteins involved in visual transduction have been reported.21 22 23 24 Circadian rhythmicity and/or diurnal light cycles are also known to affect ROS disc shedding25 26 27 and retinal melatonin and dopamine levels28 29 30 31 (reviewed in Refs. 32 33 ). Melatonin injections affect disc shedding in rats34 and increase light damage susceptibility.35 36 37 The administration of luzindole, a melatonin receptor antagonist, reduces the extent of retinal light damage38 as does pinealectomy,39 although pinealectomy may not affect retinal melatonin levels or its circadian rhythm.40
Because earlier studies describing the diurnal dependence of retinal light damage used multiple light exposures over several days41 42 or multiple melatonin injections,35 36 37 which could change circadian rhythms and light detection thresholds,43 we exposed rats to a single dose of intense visible light at various times of the day or night. Our study confirms that the circadian-dependent loss of visual cells is greatest when intense light exposure begins during the normal nighttime phase of the diurnal cycle. We also show that retinal light damage is almost completely prevented when light treatment begins during the day or when an antioxidant is given before exposure, irrespective of the prior long-term rearing conditions of the animals. This study suggests that an intrinsic factor(s) expressed in the retina in a circadian manner influences the extent of intense light-induced photoreceptor cell death.
| Materials and Methods |
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Intense Light Exposure
Rats were exposed to 490- to 580-nm light in green Plexiglas
chambers1
(no. 2092; Dayton Plastics, Dayton, OH)
beginning at various times of the day or night. The animals were
unanesthetized and unrestrained during light exposure. Light intensity
during exposure was 1200 to 1400 lux, approximately 200
µW/cm2 corneal irradiance (light meter 1 L
1400A; International Light, Newburyport, MA). Rats from the dim cyclic
light environment were normally treated with intense light for 8 hours.
Because of their greater light damage susceptibility,7
dark-reared rats were exposed to light for 3 hours. These exposure
times resulted in approximately 50% visual cell loss for rats treated
with light beginning at 0100 and were selected as the criterion for
relative light damage susceptibility in this study (cf. Figs. 1
and 4
)
and as a means to demonstrate the efficacy of antioxidant treatments in
previous work.8
9
10
11
In some experiments longer or shorter
light treatments were used. Some rats were given the synthetic
antioxidant dimethylthiourea (DMTU) at a dose of 500 mg/kg IP, one or
two times, before or during light treatment.7
11
After
treatment the rats were either killed immediately in a
CO2-saturated chamber or were maintained in
darkness for 2 additional weeks before use.
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The DNA content of rat photoreceptors was calculated by subtracting the DNA remaining in the inner retinal layers of 6-month-old RCS dystrophic rats from total retinal DNA in control and experimental animals.7 14 The DNA values for intact retinas from normal rats and those from 6-month-old RCS rats were found to be 263 and 75 µg, respectively.
Because rhodopsin gene expression increases during the night20 and phagocytosis of the shed tips of ROS is greatest after the onset of light in the morning,25 26 we also determined its content in whole eye preparations, excised retinas, and the remaining eye cups of rats. Dark-adapted, cyclic light and dark-reared rats were killed at 0100, 0900, or 1700, and the tissues were dissected as described.44 The fraction of rhodopsin in the eye cups was used to estimate the relative degree of phagocytosis by retinal pigment epithelium (RPE), but also includes rhodopsin from mechanically dissociated ROS.44 Rhodopsin was extracted with 1.5% Emulphogene BC-720 detergent (Sigma, St. Louis, MO) and measured as previously described.7
DNA Extraction and Gel Electrophoresis
Individual retinas were digested and DNA extracted as previously
described.7
The DNA extracts were electrophoresed on 1.5%
neutral agarose gels for 1.5 hours in 40 mM Tris-acetate containing 1
mM EDTA, gels stained with ethidium bromide, and photographed under UV
light (302 nm) using a Fotodyne/Analyst camera with
computer-controlled display (Hartland, WI). Each lane in the gels was
loaded with 2 µg DNA representing the combined DNA from four retinas
of four separate rats. A 100-bp marker (Gibco BRL, Gaithersburg, MD)
was used as a DNA size standard.
Northern Blot Analysis
The fellow eyes from rats used for DNA gel electrophoresis were
extracted with RNAzol B (Tel-Test, Friendswood, TX). Total RNA was then
ethanol precipitated and dissolved in diethylpyrocarbonate-treated
water and electrophoresed on agarose gels in the presence of
formaldehyde. After electrophoresis, RNA was capillary blotted onto a
Nytran membrane (Schleicher & Schuell, Inc., Keene, NH), UV
cross-linked, and then hybridized at 68°C with a rat HO-1 probe
labeled with 32P.10
The membranes
were washed under stringent conditions and then exposed to x-ray film
(X-OmatAR; Kodak, Rochester, NY). Blots were then stripped with a
solution of 0.1x SSC and 0.1% SDS heated to boiling, rehybridized
with a 32P probe for human interphotoreceptor
retinol-binding protein (IRBP),45
washed, and exposed to
x-ray film as above. The HO-1 probe was generated by RT-PCR from spleen
poly(A)+ RNA preparations as
described.10
The IRBP probe was a gift from Federico
Gonzalez-Fernandez. Both probes were labeled with
32P by random priming.46
Statistical Evaluation
The data were analyzed by one- or two-way analysis of variance
(ANOVA) with post hoc Tukeys multiple comparison procedure or by
using Students 2-sample, 2-tailed t-test. P
values < 0.05 were considered to represent significant
differences.
| Results |
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A similar profile of retinal light damage was found in the more sensitive dark-reared rats.7 For example, 3-hour light exposures beginning at 2300 and 0100 resulted in nearly the same rhodopsin recoveries as for dim cyclic lightreared rats. Light treatment during the middle to late morning hours (09001100) resulted in a greater rhodopsin recovery than at night. Remarkably, light exposure of dark-reared rats beginning in midafternoon to early evening (15001900) caused little retinal damage. These animals averaged 86% rhodopsin recovery compared with unexposed controls (2.20 ± 0.09 nmol/eye; n = 5). By ANOVA there was a significant correlation between light exposure start time and rhodopsin recovery in both cyclic lightreared (F = 26.12; P < 0.001) and dark-reared rats (F = 15.00; P < 0.001). When dark- or cyclic lightreared rats were pretreated with the antioxidant DMTU and then exposed to light at 0100, retinal light damage was completely prevented. For rats not given DMTU, reduced light damage susceptibility correlated with the periods of decreased activity in their rearing environments.
In separate experiments we measured rhodopsin in one eye and retinal DNA in the fellow eyes of rats exposed to light beginning at 0100, 0900, or 1700. By either measurement, light exposure starting at 0100 resulted in greater visual cell loss than exposure at the other times (Table 1) . In both cyclic light and dark-reared rats, intense light treatment at 0100 led to rhodopsin and visual cell DNA levels that were significantly lower than those in unexposed controls (P < 0.001). Light exposure at 1700 resulted in substantially greater recoveries of rhodopsin and DNA, with no significant differences from control animals.
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Rhodopsin at Different Times of the Day or Night
Because rhodopsin synthesis and the phagocytosis of ROS tips by
the RPE are circadian dependent25
26
27
and the bleaching of
rhodopsin triggers retinal light damage,1
12
we measured
its baseline levels at various times. Whole eye rhodopsin levels and
its content in excised retinas and in the remaining eye cups (RPE
fraction) were determined for dark-adapted, cyclic light and
dark-reared rats. As shown in Table 2
, whole eye rhodopsin levels measured at 0100 were 5% to 10% higher
than at 0900 or 1700. The distribution of rhodopsin between retina and
RPE was also different. Approximately 97% of the rhodopsin was
contained in the retinal fractions at 0100, whereas slightly less was
present at 0900 or 1700. All dark-reared rats had significantly higher
rhodopsin levels than those in cyclic lightreared rats, but only the
rhodopsin value at 0100 in cyclic lightreared animals was
significantly higher than that at 1700.
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In contrast to HO-1 in unexposed rat retinas, IRBP is constitutively expressed to approximately the same degree during the day or night. However, after intense light exposure IRBP mRNA levels were reduced. The relative reductions in IRBP expression correlated with higher levels of HO-1 expression and DNA damage, for example, 0100. Because IRBP is synthesized within photoreceptors,47 this indicates that intense light exposure also affects the normal transcriptional events in these cells.
Light Exposure and Antioxidative Treatment in Rats
Because intense light induces an oxidative insult in the rat
retina, we used DMTU as a probe to study the early time course of light
damage. The animals were given a single dose of DMTU before or during
intense light treatment at 0100, and rhodopsin subsequently was
measured as an index of protection by the antioxidant. When DMTU was
given before light exposure, the relative degree of protection was
greater than that in rats given the antioxidant at later times (Fig. 6) . For cyclic lightreared rats rhodopsin recovery was 93% of control
(2.20 nmol/eye) when DMTU was given 30 minutes before an 8-hour
exposure. Visual pigment levels were significantly lower in rats
treated with DMTU at the start of light exposure or at times up to 60
minutes after the start of light (P < 0.005). In
dark-reared rats treated with DMTU 30 minutes before a 3-hour light
exposure, rhodopsin recovery was 88% of the unexposed control (2.15
nmol/eye). It was significantly lower in rats injected with DMTU at
time 0 (P < 0.025) or 15 to 60 minutes after the onset
of light (P < 0.010). In both groups of animals,
saline-treated rats recovered about the same level of rhodopsin as
found in those given DMTU after the start of light treatment.
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| Discussion |
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An important finding from this work is that the same types of animals that exhibit enhanced retinal light damage at 0100 are practically resistant to damage when light exposure was initiated during the period 1500 to 1700. This result is not due to partial bleaching of rhodopsin during the dim light phase of the light cycle, because the animals were either dark adapted for 16 hours before light exposure or previously reared in darkness. This suggests that the retina expresses an endogenous factor(s) that enhances or retards the process of cell death from intense light. Opsin and other visual transduction proteins are expressed in a circadian fashion,20 21 22 23 24 and retinal light damage can be modulated by long-term, environmental lightregulated changes in some of these.16 17 18 19 Although we found higher levels of rhodopsin in unexposed rats at 0100 than at other times and significantly more rhodopsin in dark-reared rats (Table 2) , the prebleach differences do not appear to be sufficient to account for the differences in light damage susceptibility. During prolonged light exposure, however, there could be a significant effect on the amplification of visual transduction by continuous rhodopsin bleaching. Other evidence points to the relative levels of retinal dopamine and melatonin as effectors of light damage susceptibility.34 35 36 37 Wiechmann and OSteen37 reported that melatonin injections of rats enhances visual cell loss from light, irrespective of the time of day. Bush et al.38 showed that luzindole, which blocks melatonin receptors, reduces the extent of retinal light damage. This suggests that a receptor-mediated process is involved with light damage susceptibility and that, whether circulating or endogenous, melatonin is not simply a photosensitizer in the retina.
The mechanism of retinal light damage remains elusive, but photoreceptor cell status at the start of light exposure appears to be a key factor in determining the outcome of lights pathologic effect. By using relatively brief light treatments during the sensitive nighttime period or the resistant daytime period, we found remarkable differences in the extent of damage. This was also true for longer duration exposures, in that light treatment starting at 1700 always resulted in the recovery of more rhodopsin than for rats exposed at 0100 (Fig. 4) . Because a 24-hour light treatment of rats beginning at 1700 would progress through the more sensitive nighttime period, we conclude that the critical factor is the protein expression profile of the retina upon the initiation of light exposure. Although systemic factors, such as circulating hormones, can influence the effects of light in the retina,35 36 37 39 in adrenalectomized rats we found a similar profile of retinal light damage (data not shown). More work will be required to understand the role of systemic factors on protein expression and light damage in the retina.
Intense light exposure affected the transcription of retinal genes, as shown by reduced levels of IRBP mRNA and by the enhanced expression of HO-1 mRNA. IRBP is constitutively expressed in retinal photoreceptor cells,47 whereas HO-1 is an antioxidative protein that serves as a useful marker of oxidative stress in the retina.7 10 Light treatment also resulted in the appearance of apoptotic DNA ladders, which correlated with elevated HO-1 mRNA levels and reduced IRBP expression. Thus, the mechanism by which light induces changes in the normal transcriptional events within photoreceptors and induces a stress response in retina is temporally related to a program(s) involving DNA damage and cellular death.
Retinal light damage involves an oxidative process that, once initiated, is not easily reversed. Previous work has shown that synthetic or natural antioxidants reduce or eliminate retinal light damage,11 14 DNA damage,7 8 and damage to the opsin gene9 when given to rats before light exposure. We also found that prior administration of DMTU prevented rhodopsin loss (Figs. 1 6) but that it was ineffective when given 15 to 60 minutes after the onset of light. Light-induced apoptosis is widely believed to be a primary cause of visual cell death,2 3 4 5 although oxidative damage occurs simultaneously.2 8 9 Because rhodopsin photobleaching is the trigger for retinal light damage,1 12 13 this indicates that damage is initiated within ROS and that it spreads to the entire visual cell. Our results also indicate that the period normally associated with the initial bleach of rhodopsin coincides with the onset of an oxidative process in the retina. The extent to which reactive oxygen(s) is directly involved in light-induced damage to visual cells or to which it affects proapoptotic genes such as c-fos5 remains to be determined. It is entirely possible that the balance between pro- and antiapoptotic gene expression in the retina is determined by the balance between oxidative forces and antioxidative processes during light exposure.
It is tempting to speculate that the timing of intense light exposure of patients undergoing ocular surgery could affect the extent of retinal damage.48 Although we recognize that rats are nocturnal and primates are diurnal, each has well-established circadian rhythms that affect hormone secretion and cellular metabolism. Additional work will be required to determine whether intense exposure affects patients in the same ways as it affects experimental animal models of retinal degeneration.
| Acknowledgements |
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| Footnotes |
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Submitted for publication March 6, 2000; revised June 26, 2000; accepted July 21, 2000.
Commercial relationships policy: N.
Presented in part at the annual meeting of the Association for Research in Vision and Ophthalmology, Fort Lauderdale, Florida, April 1997.
Corresponding author: Daniel T. Organisciak, Department of Biochemistry and Molecular Biology, Wright State University School of Medicine, 3640 Colonel Glenn Highway, Dayton, OH 45435. dto{at}wright.edu
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