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1From the Department of Ophthalmology, University of Yamanashi Faculty of Medicine, Tamaho, Yamanashi, Japan; the 2Department of Veterinary Pathology, Nippon Veterinary and Animal Science University, Musashino, Tokyo, Japan; and the 3Corporation for Production and Research of Laboratory Primates, Tsukuba, Ibaraki, Japan.
| Abstract |
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METHODS. One eye in adult monkeys was randomly selected for laser treatment, and IOP was maintained between 30 and 40 mm Hg throughout the experiment. The eyeballs with the optic nerve and optic chiasm were enucleated as one tissue and were subject to immunocytochemical observation, using two NF-Hspecific antibodies, NF-200 and SMI31. NF-200 reacts with both phosphorylated and dephosphorylated NF-H, whereas SMI reacts only with phosphorylated NF-H. Ratios of SMI31-positive to NF-200-positive areas were calculated for quantitative evaluation of phosphorylation status. Specimens from the retina, lamina cribrosa (LC), post-LC, and optic chiasm were evaluated separately. Phosphorylation of NF-H at the retina and optic nerve head was compared between specimens from temporal retina and nasal retina, or between temporal and nasal regions of the optic disc. The status of phosphorylation was confirmed by Western blot analysis.
RESULTS. An enlargement of the disc cup was observed on the temporal side, and the superior and inferior poles were preferentially involved in the neuronal damage in laser-treated eyes. Most NF-Hs in the control eyes were phosphorylated in all investigated regions, whereas those in the glaucomatous eyes were significantly dephosphorylated, and NF-Hs in the temporal region were significantly dephosphorylated compared with those in the nasal region. At the optic chiasm, NF-Hs in axons traveling from laser-treated eyes were highly dephosphorylated, and the extent of NF-H dephosphorylation corresponded to the degree of glaucoma-induced axonal damage. Western blot analysis showed the change in the phosphorylation of NF-Hs.
CONCLUSIONS. NF-Hs in RGC axons are dephosphorylated by elevated IOP, which may be deeply involved in glaucoma-induced damage to axonal transport.
Glaucoma-induced optic nerve damage has been hypothesized to be caused by apoptosis of retinal ganglion cells (RGCs), due to a disturbance of axonal transport.6 7 8 Veckers et al.9 have reported a loss of NF-immunoreactive optic nerve fibers in experimentally induced glaucoma in monkeys. However, to our best knowledge, there has been no study investigating changes in the status of NF-H phosphorylation in RGC axons in glaucoma. Thus, in the present study, we examined the status of phosphorylation of NF-H in RGC axons, using a model of experimental glaucoma in monkeys, with chronic elevation of intraocular pressure (IOP).
| Materials and Methods |
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Subjects
Four adult Macaca irus monkeys weighing from 4.5 to 4.8 kg were used. IOP was measured with a handheld electronic tonometer (TonoPen XL; Bio-Rad, Glendale, CA) in monkeys under general anesthesia induced by intramuscular injection of 9 mg/kg of ketamine hydrochloride (Sankyo, Tokyo, Japan).
Laser Treatment
Laser treatment was performed according to a previously described method.10 11 Under general anesthesia as described, the monkeys were set in front of the slit lamp of an argon laser delivery system (Novus 2000; Coherent, Santa Clara, CA). One eye was randomly selected for laser treatment and was treated with 0.4% oxybuprocaine hydrochloride. Approximately 80 to 120 burns were made with the laser being aimed at the middle of the trabecular meshwork with a beam diameter of 100 µm for 0.2 second at 600 to 800 mW. The laser treatment was repeated weekly for 6 to 8 weeks. Measurement of IOP and slit lamp examination were performed weekly. Fundus photography with a fundus camera (NF-505; Nikon, Tokyo, Japan) was performed every 2 to 3 weeks and fluorescent angiography was performed monthly.
Tissue Preparation
When an increase in severity of optic nerve head cupping occurred in the temporal half while optic nerve head cupping in the nasal half remained static, the primates were killed by an overdose of ketamine hydrochloride and exsanguinated with approximately 2 L saline followed by 2 L 2% paraformaldehyde and 0.05% glutaraldehyde in 0.1 mM phosphate buffer (PB; pH 7.4). Bilateral eyeballs attached to the optic nerve and optic chiasm were enucleated as one tissue, and eyeballs were dissected at the equator for further fixation with 2% paraformaldehyde and 0.05% glutaraldehyde in 0.1 mM PB for 1 hour. The tissues were rinsed with 0.1 mM PB, dehydrated with graded ethanol, immersed in xylene, embedded in paraffin, and cut into 4-µm specimens.
Two retinal regions approximately 10 mm away from the optic disc on the temporal and nasal sides were chosen to investigate phosphorylation in the retina, and specimens from the lamina cribrosa (LC) and post-LC were evaluated separately. The central region of the optic chiasm was cut vertically and was also examined.
Light Microscopy
Specimens were deparaffinized in xylene, hydrated through graded ethanol, stained with hematoxylin and eosin, and mounted.
Immunohistochemical Processing
Specimens were deparaffinized in xylene, rinsed with 0.1 mM phosphate-buffered saline (PBS; pH 7.4), incubated with 0.4% trypsin at 37°C for 20 minutes to provide better infiltration of antibodies according to the manufacturers recommendation, rinsed with PBS, and blocked with 2% bovine serum albumin-PBS at room temperature for 30 minutes. Specimens then were incubated sequentially with one of the primary antibodies: rabbit monoclonal anti-neurofilament 200 (NF200: Sigma Chemical Co., St. Louis, MO) diluted 1:250 or mouse monoclonal anti-human neurofilament (SMI31: Sternberger Monoclonals, Baltimore, MD) diluted 1:250. NF200 recognizes both phosphorylated and dephosphorylated forms of the 200-kDa neurofilaments, whereas SMI31 reacts only with a phosphorylated epitope in extensively phosphorylated forms of this polypeptide. After three washes in PBS, specimens were incubated with secondary antibodies, either Texas redconjugated anti-rabbit IgG for NF200 or FITC-conjugated anti-mouse IgG for SMI31. Specimens then were washed and mounted. A confocal laser microscope (TSC4D; Leica Microsystems, Wetzlar, Germany) was used for observation.
Semiquantitative Evaluation of NF-H Phosphorylation
Areas in each specimen reacting with NF200 or SMI31 were measured using the NIH image-analysis program (ver. 1.61; W. Rasband, National Institutes of Health; available by ftp from zippy.nimh.nih.gov or on floppy disc from NTIS, Springfield, VA, part number PB95-500195GEI). In brief, SMI31-positive areas are green and NF200-positive areas are red. These areas were separately measured on computer, and the ratio of SMI31-positve to NF200-positive areas in the same specimen reflected the extent of phosphorylation. Among the retinal specimens, 10 consecutive specimens each from both the temporal and nasal retina were analyzed. In the optic disc region, 10 consecutive specimens from LC and post-LC regions were chosen, and the ratio of phosphorylation on both the temporal and nasal sides was calculated separately, as described. Three monkeys were used for quantitative evaluation of NF-H phosphorylation in the retina and optic disc region. Specimens obtained from the middle of the optic chiasm were analyzed. Unlike the specimens of the retina and optic disc region, it was difficult to measure the colored areas separately in the optic chiasm, and therefore quantitative analysis in this region was not performed. Preparations from two monkeys were used independently for histologic observation in the optic chiasm.
Western Blot Analysis
The status of NF-H in the experimental glaucoma model was confirmed by Western blot analysis. In the present study, SMI32, a dephosphorylated NF-Hspecific antibody (Sternberger Monoclonals), was used in addition to antibodies NF200 and SMI31. Blocks of the optic nerve head approximately 5 mm in length were dissected from the glaucomatous and control eyes and washed with PBS. Samples were placed in the sample buffer containing 20% glycerol, 1% sodium dodecyl sulfate, and 1% ß-mercaptoethanol in 0.5 M Tris-HCl buffer (pH 6.8) and were thoroughly homogenized. Samples were then boiled for 5 minutes and centrifuged at 14,000g for 15 minutes. Protein levels in supernatants were quantified by the Lowry method and were adjusted at 16 µg/lane with the sample buffer. Supernatants with 0.1% bromophenol blue and prestained molecular weight standards (Calbiochem, San Diego, CA) were separated on a 7.5% polyacrylamide gel at a constant 40 mA for 1 hour and were then transferred to a nitrocellulose membrane by Western blot analysis at a constant 2 mA/cm2 for 1 hour. The membranes were blocked by incubation with a blocking solution containing 3% bovine serum albumin (BSA) in 0.01% Tween-PBS for 2 hours at room temperature and were then incubated with SMI31 diluted at 1:1000, SMI32 diluted at 1:1000, or NF200 diluted at 1:250 overnight at 4°C. On the next day, after three washes in 0.01% Tween-PBS, the membranes were incubated with horseradish peroxidaseconjugated anti-mouse IgG diluted at 1:1000 for SMI31 and SMI32, or horseradish peroxidaseconjugated anti-rabbit IgG diluted at 1:500 for NF200 for 1 hour at room temperature. The labeling was then developed with diaminobenzidine.
Chemicals used in the present study were purchased from Sigma Chemical Co. unless noted otherwise. Preparations from two monkeys were used independently to confirm the results of Western blot analysis.
Statistical Analysis
The NF200-positive area and the extent of phosphorylation were compared with the Mann-Whitney test. A significant difference was defined as P < 0.05. All data are expressed as the mean ± SD.
| Results |
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Phosphorylation of NF-H in the Retina
In the control, most axonal fibers were well phosphorylated in all investigated regions (Fig. 1) . In contrast, laser-treated eyes showed a significant reduction of phosphorylation compared with the control eyes. The reduction of phosphorylation in the temporal retina was significantly greater than that in the nasal retina, although the ratio of phosphorylation between the nasal and temporal retinas was quite similar in control eyes.
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| Discussion |
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It is well-known that disturbance of axonal transport results in glaucoma-induced degeneration of the optic nerve. Recent reports have shown that phosphorylation of NF-H is deeply involved in axonal transport, axonal plasticity, and neuronal morphology, and also in maintenance of the integrity of the neuronal cytoskeleton.1 3 4 5 Phosphorylated NF-Hs extend carboxyl-terminal tails radially as side arms to facilitate binding with other types of NF proteins and cytoskeleton components, whereas dephosphorylation inhibits their normal contact.3 16 Several reports have demonstrated that perturbations in phosphorylation or disorganized neurofilaments result in neurofilament-induced diseases, such as amyotrophic lateral sclerosis, Parkinsons disease, and Alzheimers disease.16 17
In the present study, we used an experimental model of glaucoma in the monkey, in which structures of the retina, optic nerve head, and optic chiasm are closest to those in humans among all experimental animals. IOP was maintained between 30 and 40 mm Hg, which is considered to cause minimal disturbance in local circulation. Indeed, we performed fluorescence angiography several times during the experiment and confirmed no disturbance in local circulation in the optic nerve head. Therefore, we believe that this glaucoma model has several advantages over other glaucoma models with acute elevation of IOP and/or the use of nonprimate animals, and that the elevation of IOP in this model primarily causes structural and neurochemical changes.
The antibodies used in the present study have a high affinity for specific antigens. NF200 reacts with epitopes in the tail domain of the 200-kDa neurofilaments that are present in both the phosphorylated and dephosphorylated forms of this polypeptide, whereas SMI31 reacts only with a phosphorylated epitope in extensively phosphorylated 200-kDa NF. Therefore, these two antibodies allowed us to determine the amount of NF-H and the phosphorylation status.
NF-H is present in neurons in a dephosphorylated form and is probably transported as subunits or small oligomers along microtubules, which are major routes for slow axonal transport.18 NF-H is phosphorylated when transported into an axon, although the precise mechanism of phosphorylation is not fully understood. In neurons, the NF-H proteins have sidearms that limit packing density. Only NF-M and NF-H subunits contribute to the sidearms, which are thought to be formed by carboxyl-terminal tails.19 20 The phosphorylation sites have been identified as KSP (Lys-Ser-Pro) repeats in the tail domain of NF-H,4 and phosphorylation of NF-H appears to be catalyzed by cyclin-dependent kinase 5 (CDK5),21 22 23 24 external signal-regulated kinase/mitogen-activated protein kinase (ERK/MAPK), or stress-activated protein kinase/c-Jun N-terminal kinase (SAPK/JNK).5 25 26 However, it is not known how these kinases contribute to the constitutive phosphorylation of NF proteins in neurons.
Tokuoka et al.13 have reported that some neurotrophic factors such as brain-derived neurotrophic factor (BDNF) and neurotrophin-3 stimulate phosphorylation of NF-H. Quigley et al.27 and Pease et al.28 have reported that the obstruction of the transport of brain-derived neurotrophic factor (BDNF) in the area of the optic nerve head presumably results in ganglion loss in glaucoma. The absence of BDNF transport in the glaucomatous eye may be related to the dephosphorylation of NF-H observed in the present study.
The phosphorylation states of NF-H and NF-M have been shown to change the spacing between NFs, probably by strengthening the repulsive forces between projections,29 which may be related to a reduction of optic nerve diameter in glaucomatous eyes, as previously reported.30 31 32
It remains unclear whether glaucoma-induced damage causes dephosphorylation of axons or dephosphorylation causes the damage. In the present study we found that the degree of axon phosphorylation was highest in the control eyes, less in mildly damaged regions, and least in severely damaged regions. In addition, there were significant differences in the ratio of phosphorylation among these three conditions. Axons showing less morphologic damage, as confirmed by light microscopy, showed significantly greater dephosphorylation than those in the control. All evidence taken together, dephosphorylation, at least, could be a risk factor for further deterioration of the optic nerve in glaucoma. However, the present study is not sufficient to conclude that dephosphorylation of NF-H precedes axonal loss in glaucoma, because of the limited number of monkeys included in the study and the low level of accuracy of the evaluation of lost axonal fibers. Therefore, further investigation that could clarify this hypothesis is necessary.
Sawaguchi et al.33 have reported that distortion of the LC results in damaged axonal transport in glaucomatous eyes and that axonal transport is the most damaged in the LC portion. In the present study, we did not detect a significant difference in the dephosphorylation ratio between the LC portion and post-LC portion, although one glaucomatous eye (monkey 1128302052) showed a higher rate of dephosphorylated NF-H in the LC region than in the post-LC region.
In axons, NF-H interacts with microtubules playing a primary role in axonal transport. We have reported that expression of microtubule-associated protein 1, which binds to and stabilizes microtubules, is reduced in guinea pig optic nerves in a model of acutely elevated IOP.34 Further investigation should reveal the interactions among neurochemicals and their roles in axonal transport.
The present study revealed the presence of significant dephosphorylation in the axons at post-LC, even in the optic chiasm, indicating that glaucoma-induced damage may influence the central visual nervous pathway. Yucel et al.35 36 have reported the loss and atrophy of relay neurons in the region of the lateral geniculate nucleus in monkeys with experimental glaucoma. It is, therefore, necessary to investigate the changes in axonal neurochemistry, even in the central visual system.
| Footnotes |
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Submitted for publication April 19, 2002; accepted July 16, 2002.
Commercial relationships policy: F.
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement" in accordance with 18 U.S.C.
1734 solely to indicate this fact.
Corresponding author: Kenji Kashiwagi, Department of Ophthalmology, Yamanashi Medical University, 1110 Shimokato, Tamaho, Yamanashi 409-3898, Japan; kenjik{at}res.yamanashi-med.ac.jp.
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