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1From the Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, Michigan; and the 2Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
| Abstract |
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METHODS. Experimental retinal detachments were created in Brown-Norway rats by injecting 10% hyaluronic acid into the subretinal space. Retinal tissue was harvested at 2, 4, 8, 24, 72, and 168 hours after creation of the detachment. Immunoprecipitation was performed to assess for FAS-receptor/FAS-ligand complex formation, and activation of caspase-8 and BID (a member of the Bcl-2 family of proteins) was assessed by Western blot analysis. A caspase-9 activity assay and immunoprecipitation of the caspase-9/cytochrome c complex were performed at these same time points. Specific pathway inhibition was performed with the caspase-9 inhibitor zLEHD.fmk or neutralizing antibodies against either the FAS-receptor or FAS-ligand. Transcription levels of FAS and intrinsic pathway intermediates were assessed as a function of time after retinal detachment by using quantitative real-time polymerase chain reaction.
RESULTS. Retinal detachment resulted in the time-dependent formation of the FAS-receptor/FAS-ligand complex that preceded the peak of caspase-9 activity and caspase-9/cytochrome c complex formation. Cleavage of caspase-8 and truncation of BID were also observed. Injection of zLEHD.fmk into the subretinal space of a detached retina resulted in decreased caspase-9 activity, as did injection of anti-FAS-receptor antibody into either the subretinal space or the vitreous. Retinal detachment resulted in the transcriptional upregulation of the FAS-receptor, FAS-ligand, caspase-8 and BID, but not caspase-9 and cytochrome c.
CONCLUSIONS. The FAS-mediated apoptosis pathway becomes activated and transcriptionally upregulated after retinal detachment. The peak of FAS activation precedes that of the intrinsic pathway, and inhibition of FAS activation can decrease caspase-9 activity.
In general, apoptosis is activated by one of two main pathways: the receptor-mediated pathway4 and the intrinsic (mitochondrial) pathway5 (Fig. 1) . Components of the FAS/FAS-ligand system represent the prototypical receptor-mediated apoptosis pathway. Both FAS and FAS-ligand are surface membrane proteins that belong to the tumor necrosis factor-
superfamily of proteins.6 As shown in Figure 1 , there is a sequential activation of various intermediary proteins, including caspase-8, BID (a member of the Bcl-2 family of proteins), and caspase-3.
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We have previously shown the initiation of photoreceptor cell death by the intrinsic apoptosis pathway.1 Retinal detachment activates the apoptosis initiator caspase-9 and the downstream apoptosis intermediates caspase-3 and -7 and poly-ADP ribose-polymerase (PARP).
In this study, we sought to determine whether only the intrinsic pathway becomes activated during detachment or whether the receptor-mediated pathway also contributes to photoreceptor death. Using our experimental model of retinal detachment, we demonstrated the activation of the FAS/FAS-ligand pathway as a function of time after the creation of the retinal detachment. FAS pathway activation preceded that of the intrinsic pathway, and its inhibition decreased the extent of intrinsic pathway activity. In addition, FAS pathway intermediates were transcriptionally upregulated, whereas intrinsic pathway intermediates were not.
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Western Blot Analysis
Retinas from experimental and control eyes were dissected from the RPE-choroid at 3 and 7 days after retinal detachment, homogenized, and lysed with buffer containing 10 mM HEPES (pH 7.6), 0.5% IgEPal, 42 mM KCl, 1 mM phenylmethylsulfonyl fluoride (PMSF), 1 mM EDTA, 1 mM EGTA, 1 mM dithiothreitol (DTT), and 5 mM MgCl2 and 1 tablet of protease inhibitors per 10 mL buffer (Complete Mini; Roche Diagnostics GmbH, Mannheim, Germany). The homogenates were incubated on ice and centrifuged at 22,000g at 4°C for 60 minutes. The protein concentration of the supernatant was then determined (Dc Protein Assay kit; Bio-Rad Laboratories, Hercules CA). The protein samples were loaded and run on SDS-polyacrylamide gels (4%20% Tris-HCl Ready Gels; Bio-Rad Laboratories). After electrophoretic separation, the proteins were transferred onto polyvinylidene fluoride (PVDF) membranes (Immobilon-P; Amersham Pharmacia Biotech, Piscataway, NJ). Protein bands were visualized with Ponceau S staining and the lanes assessed for equal loading by densitometry of a nonspecific band present across all lanes. Membranes were then placed in 5% nonfat powdered milk in TBS (150 mM NaCl, and 50 mM Tris [pH 7.6]) and incubated overnight at 4°C on a shaker. Membranes were then incubated with the primary antibody in 2.5% powdered milk in TBS overnight at 4°C. Membranes were washed extensively with TBS-T (0.1% Tween-20) and incubated with horseradish-peroxidase-labeled secondary antibody (1:3000; Santa Cruz Biotechnology, Santa Cruz, CA) for 1 hour at room temperature. Bands were visualized by chemiluminescence (ECL-Plus; Amersham Pharmacia Biotech) according to the manufacturers instructions. Antibodies against the following proteins were used: caspase-8 (1:800 dilution; Santa Cruz Biotechnology), caspase-9 (1:2000 dilution; MBL, Nakaku, Japan), cytochrome c (1:1000 dilution; BD Biosciences, San Jose, CA), BID (1:1000 dilution; Santa Cruz Biotechnology), FAS (1:1000 dilution; Santa Cruz Biotechnology), and FAS-ligand (1:2000 dilution; MBL).
Immunoprecipitation
Retinal samples were isolated as just described. For each condition tested, 20 µg of protein extract was placed in 100 µL of immunoprecipitation buffer-A (IP-A) and PMSF (20 mM Tris [pH 7.5], 100 mM NaCl, 1 mM EDTA, and 1 mM PMSF) and 100 µL IP-B buffer (100 mM Tris [pH 7.5], 100 mM NaCl, and 0.4% Triton X-100). Samples were first incubated overnight with an anti-FAS antibody (0.2 µg anti-FAS rabbit polyclonal IgG; sc-716; Santa Cruz Biotechnology) at 4°C with gentle rocking, and then incubated for 2 hours in 35 µL of 50% suspension of protein G Sepharose beads at 4°C with gentle rocking. Beads were prewashed four times with 1 mL cold IP-C buffer (50 mM Tris [pH 7.5], 100 mM NaCl, and 0.2% Triton X-100) and pelleted at 2200 rpm for 6 minutes. Resuspended beads with attached proteins were diluted with Laemmli dye loading buffer and heated at 95°C for 10 minutes before running on a 4% to 20% SDS-polyacrylamide gel (Ready Gel; Bio-Rad Laboratories). Western blot analysis was performed as just described, with a monoclonal antibody against FAS-ligand (D057-3; MBL). Immunoprecipitation of the caspase-9/cytochrome c complex was performed with a similar protocol, except the antibodies used were anti-caspase-9 (rabbit polyclonal IgG; sc-7885; Santa Cruz Biotechnology) and a monoclonal antibody against cytochrome c (BV-3026-3; MBL). Densitometry of Western blot bands was then performed on a commercial system (440CF Image Station; Eastman Kodak Co., Rochester, NY). For each time point, the densitometry reading of the detached retina was normalized against the densitometry reading of the attached retina at the same time point.
Caspase-9 Activity Assay and Caspase-9 Inhibition
Caspase-9 activity was measured with a colorimetric tetrapeptide LEHD-pNA cleavage assay kit, per the manufacturers instructions (BioVision, Mountain View, CA). In this assay, 100 µg total retinal protein from either attached or detached retinas was incubated with substrate (LEHD-pNA, 200 µM final concentration) at 37°C for 60 minutes. Absorbance was measured at 405 nm in a microplate reader (SpectraMAX 190; Molecular Devices, Sunnyvale, CA). As a negative control, retinal protein was incubated with assay buffer without the tetrapeptide. A second negative control was used in which assay buffer alone was incubated with the tetrapeptide. As a positive control, purified caspase-9 was incubated with the tetrapeptide alone. At each time point, the caspase-9 activity in the detached retina was normalized against the caspase-9 activity in attached retina at the same time point.
The ability of different compounds to inhibit caspase-9 activity in vivo was also measured. The retina was detached with sodium hyaluronate according to the protocol described earlier, followed immediately by the injection of 5 µL of inhibitor. First, the direct inhibitor of caspase-9-zLEHD.fmk was tested. Five microliters of the zLEHD.fmk (2-mM solution in dimethyl sulfoxide [DMSO]; BioVision) was injected into the subretinal space of the detached retina with a syringe (Hamilton Syringe; Hamilton Corp., Reno, NV). Five microliters DMSO was injected into the subretinal space of the detached retinas as a control for the solvent in which the zLEHD.fmk was dissolved. Second, the neutralizing antibody against the FAS-receptor (5 µg in phosphate-buffered saline; clone ZB4; Upstate Biotechnology, Lake Placid, NY) or FAS-ligand (5 µg in phosphate-buffered saline; clone NOK-1; BD Biosciences) was injected into either the subretinal space or the vitreous cavity. In all inhibition experiments, the retinas were harvested at 24 hours after detachment, as this was the peak of caspase-9 activity after detachment (described in the Results section). The caspase-9 activity in the detached retina was normalized against the caspase-9 activity in attached retina at the same time point.
Quantitative Real-Time Polymerase Chain Reaction
Retinal samples were harvested as for the caspase-9 assay. Total RNA was isolated (TRIzol reagent; Invitrogen, Carlsbad, CA). First-strand cDNA synthesis was performed with 3 µg of total RNA, 200 U reverse transcriptase (Superscript III; Invitrogen), and oligo(dT)20 in a total reaction volume of 20 µL at 42°C for 2 hours. The reaction was terminated by heating. RNaseH was used to remove the template RNA. The reverse transcription products were diluted 1:4 in dH2O.
Real-time PCR was performed by using 1 µL of cDNA, 100 nM of each primer, and PCR master mix (IQ SYBR Green Super Mix; Bio-Rad Laboratories) to make a final volume of 25 µL. Reaction mixtures were incubated in a thermocycler (iCycler; Bio-Rad Laboratories) in the following temperature/time sequences: 95°C for 2 hours; 45 cycles of 95°C for 30 minutes, 57°C for 30 minutes, and72°C 30 minutes; and a final cycle of 58°C for 10 minutes. Primers specific for the rat hypoxanthine phosphoribosyl transferase (rHPRT) gene were used as an internal control to allow for normalization and direct comparison between multiple samples. All primers (Table 1) were designed to span intron/exon boundaries, to distinguish between transcripts and any contaminating genomic DNA. Samples lacking reverse transcriptase or cDNA template served as the negative control. For each primer set, quantitative (q)RT-PCR was performed on samples derived from three different animals and repeated three times per animal. Quality analysis of the PCR products was performed by running an aliquot of each sample on a 2% Tris-acetate-EDTA (TAE) gel. In addition, melting curves for each PCR reaction were analyzed to ensure that dimerization of PCR primers did not generate a false-positive response. Each reaction was performed three times on three independent samples derived from separate animals. The average x-fold change in expression relative to the rHPRT transcript level was calculated and significance analyzed with Students t-test.
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| Results |
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| Discussion |
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Our data showing that FAS activation precedes that of the intrinsic pathway, when taken in conjunction with the ability to decrease the latters activity by inhibition of the former, suggest a direct linkage of activation between the two. This linkage may be provided by the proapoptosis protein BID (Fig. 1) . This protein is known to be activated by the FAS pathway through the activation of caspase-8. BID, through the activation of BAXanother member of the Bcl-2 protein family, can activate the intrinsic pathway by stimulating the release of cytochrome c from the mitochondria. Reducing FAS activation with a neutralizing antibody can thus result in decreased activation of the intrinsic pathway. This finding is consistent with the results of Yang et al.,7 who found decreased photoreceptor cell loss in a similar experimental model of retinal detachment in a Bax-deficient mouse.
It is important to note that the inhibition of caspase-9 activity was not complete, either with the direct inhibitor of caspase-9 or with the use of the neutralizing antibody. This could represent a dose effect, or the inability of these agents to access the target cells sufficiently. In addition, the intrinsic pathway may be activated by FAS-independent mechanisms, not susceptible to inhibition by FAS-neutralizing antibodies. Our data do not demonstrate increased survival of photoreceptor cells with these inhibitors, but rather the modulation of the intrinsic pathway activity. Further work is necessary to demonstrate the utility of this strategy in functional preservation of the retina during retinal detachment.
Upregulation of the FAS/FAS-ligand pathway has been well documented in experimental models of brain ischemia.8 9 10 The intermediates of this pathway normally exist at very low levels, and the onset of expression occurs only after the injury.10 Morphologically, the expression occurs most predominantly in the penumbral region of the ischemic injury, suggesting that receptor-mediated apoptosis plays a role in delayed cell death. In contrast, early or immediate cell death appears to be mediated by the mitochondrial pathway.6 11 Cells undergoing early death use pre-existing intermediates, rather than rely on their de novo synthesis. Cells surviving this early death may even decrease levels of intrinsic intermediates such as caspase-9.8
In our previous description of this experimental model of retinal detachment we described the initial and immediate death of a subpopulation of cells, followed by a slow attrition of photoreceptors when the detachment persisted for an extended period.1 The data presented herein suggest that the population of cells that do not undergo immediate cell death upregulate the components of the receptor-mediated apoptosis pathway. It is not clear why this upregulation occurs, but it may provide another mechanism for control and regulation of the slow and cumulative loss of photoreceptor cells that occurs in chronic retinal detachments. This delayed apoptosis may occur independently of the intrinsic pathway, which has a peak activity at 24 hours after detachment and is not transcriptionally upregulated after the detachment.
Hisatomi et al.3 were unable to show inhibition of early cell death in FAS-deficient mice. They showed that caspase-independent apoptosis via the mitochondrial release of apoptosis-initiating factor (AIF) plays an important role in detachment-induced photoreceptor death.3 AIF is a known mediator of cell death in a variety of systems that exerts its effect by relocalizing from the mitochondria to the nucleus and promoting DNA degradation.12 13 14 Using a model of retinal detachment similar to the one described herein, they were able to show AIF relocalization from the mitochondria of photoreceptors to their nuclei. This relocalization occurred early after retinal detachment and temporally coincided with the amount of TUNEL-positive staining in the outer nuclear layer. It is not known what stimulates the release of AIF from the mitochondria nor what its relationship is to the FAS pathway in this model of experimental retinal detachment. Perhaps the AIF-mediated apoptosis Hisatomi et al.3 observed provides an alternate route for cell death in the absence of FAS activation.
FAS-mediated apoptosis has recently been suggested to play a role in photoreceptor death during macular degeneration.15 In addition, macular degeneration results in a pattern of outer retinal reorganization and degeneration similar to that which occurs after retinal detachment.16 The experimental model of retinal detachment may therefore be a suitable model for dissecting the molecular pathways resulting in the photoreceptor loss common to both diseases. Preventing the upregulation or directly inhibiting the FAS/FAS-ligand pathway may provide a therapeutic target for preventing photoreceptor cell loss and its associated decrease in vision.
| Footnotes |
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Submitted for publication May 26, 2004; revised July 23, 2004; accepted July 27, 2004.
Disclosure: D.N. Zacks, (P); Q.-D. Zheng, None; Y. Han, None; R. Bakhru, None; J.W. Miller (P)
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: David N. Zacks, Retina Service, Kellogg Eye Center, University of Michigan Medical School, 1000 Wall Street, Ann Arbor, MI 48105; davzacks{at}umich.edu.
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