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1From the Department of Biological Responses, Institute for Virus Research, Kyoto University, Kyoto, Japan; the 2Department of Ophthalmology, Shimane University School of Medicine, Shimane, Japan; and 3Redox Bioscience Inc., Kyoto, Japan.
| Abstract |
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METHODS. Expression of Trx in mouse retina was analyzed by Western blot and immunohistochemistry. Retinal damage was induced by exposure to white light at 6000 lux for 2 hours. To estimate retinal cell damage, the number of cell nuclei and the percentage of TUNEL-positive cells were counted in the outer nuclear layer and the retinal pigment epithelial (RPE) layer and the electroretinograms recorded. To analyze further the mechanism of Trx induction by SF, cultured human K-1034 RPE cells were used.
RESULTS. Both intraperitoneal and oral SF induced Trx protein in the neural retina and RPE. The maximum induction of Trx was observed with intraperitoneal SF 0.5 mg/d for 3 days. After exposure to light, mice pretreated with SF had a significantly lower percentage of TUNEL-positive RPE and photoreceptor cells, a significantly higher number of RPE and photoreceptor nuclei, and greater amplitude of ERG a- and b-waves than in the saline-treated mice. In K-1034 cells, 1 µM SF induced Trx protein, whereas 10 µM SF did not damage cells or augment cellular peroxide production, tested by a lactate dehydrogenase (LDH) release assay and 2',7'-dichlorofluorescein diacetate (DCFH-DA)/flow cytometry, respectively. In the luciferase reporter assay, the antioxidant-responsive element (ARE) played a role in SF-induced Trx expression. In the electrophoretic mobility shift assay, SF induced binding of Nrf2, small Maf, and c-Jun to the ARE of the Trx gene.
CONCLUSIONS. SF induced Trx in murine retina and effectively reduced retinal light damage. Evidence suggests that the ARE is involved in the mechanism of Trx induction by SF in RPE cells.
Thioredoxin (Trx) is a small (13-kDa), ubiquitous protein with two redox-active cysteine residues, -Cys-Gly-Pro-Cys-, in its active center.8 Trx is upregulated in response to a wide variety of oxidative stresses, including viral infections, ultraviolet and x-ray irradiation, and ischemiareperfusion injury.9 Trx has various biological functions such as elimination of reactive oxygen species, activation of transcription factors, and regulation of the intracellular apoptotic pathway.10 11 Human Trx was originally cloned as a soluble factor released from human T-cell leukemia virus type-Itransformed T cells.12 Trx is an essential factor for the NGF-mediated neurite outgrowth in neuronal PC12 cells.13 The mice that overexpress human Trx are more resistant to ischemiareperfusion injury of the brain.14 Thus, Trx is thought to be a trophic factor for neuronal cells homeostasis. Current information suggests that imbalances in tissues or the cellular redox state are associated with light-induced photoreceptor cell damage,15 and normalization of the cellular redox state via overexpression of Trx16 and intravitreous injection of recombinant Trx protein17 prevents such photoreceptor cell damage.
Sulforaphane (SF), an isothiocyanate, is a naturally occurring cancer chemopreventive agent found as a precursor of glucosinolate in cruciferous vegetables such as broccoli.18 SF inhibits phase I enzymes such as cytochrome P450,19 and induces phase II detoxification enzymes such as NADPH quinone oxidoreductase (NQO), glutathione S-transferase, UDP-glucuronosyl transferases, and Trx reductase.20 21 Transcription of phase II genes depends on activation of upstream regulation of antioxidant-responsive elements (ARE).22 Heterodimeric combination of the transcription factor Nrf2 with members of the small Maf family activates the NQO and glutathione S-transferase genes in mice.23 Binding of Nrf-1 and -2, c-Jun, JunB, and JunD heterodimers to the ARE mediates upregulation of the human NQO gene.24 We have shown that hemin-induced expression of Trx in K562 erythroleukemia cells is mediated by binding of Nrf-2/small Maf heterodimers to the ARE,25 and this ARE-mediated gene expression is controlled by Trx-dependent redox regulation.26
In developing strategies for in vivo protection of the retina, the use of inducers is considered less invasive and safer than intraocular injection of proteins or gene transfection. In this study, we tested whether SF induces Trx in retinal tissues in vivo and whether pretreatment with SF has any effect against retinal light-induced damage. In addition, we used cultured RPE cells to elucidate the inducing mechanism of Trx by SF.
| Materials and Methods |
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Intraperitoneal and Oral Treatment of Mice with SF
SF (catalog number S8046) was purchased from LKT Laboratories Inc. (St. Paul, MN). For the intraperitoneal treatment, mice were injected with 0.1 or 0.5 mg of SF dissolved in 100 µL of saline with a 1-mL syringe once a day for up to 5 days. For the oral treatment, the mice were given 0.5 mg of SF dissolved in 25 µL of saline, delivered by micropipette once a day for up to 7 days. All drug treatment was performed at 10 AM.
Exposure to Light
The procedure for exposure to light was the same as previously described4 17 except for the lights intensity. The mice were treated with SF (0.5 mg/d) or saline for 3 days and then exposed to light 24 hours after the final treatment with SF or saline. All exposure to light began at 10 AM. The mice were dark adapted for 24 hours before the experiments, and the pupils were dilated with 1% cyclopentolate hydrochloride eye drops (Santen, Osaka, Japan) 1 hour before exposure to light. Nonanesthetized mice were exposed to 6000 lux of diffuse, cool, white fluorescent light (National, Osaka, Japan) for 2 hours in cages with a reflective interior. The temperature during exposure to light was maintained at 25 ± 1.5°C. After the exposure, mice were kept in the dark until electroretinogram (ERG) recording and enucleation.
Electroretinograms
Ninety-six hours after exposure to light, flash ERGs were recorded (PE-3000; Tomey, Nagoya, Japan) in the left eyes as described previously.15 The mean a- and b-wave amplitudes recorded from saline- and SF-treated mice were compared.
Morphometry
Preparation of Retinal Tissue Sections.
The mice were perfused through the left cardiac ventricle with phosphate-buffered saline (PBS) and then perfused with freshly prepared 4% paraformaldehyde containing 0.25% glutaraldehyde in PBS. A 7-0 silk suture was placed as a landmark at the temporal side of the right eye, and then the right eye was removed. The eyes were embedded in paraffin, and sagittal sections containing the whole retina including the optic disc were cut 1-µm thick.
Immunohistochemistry for Mouse Trx in Retinal Sections.
The eyes were enucleated 24 hours after the final treatment with intraperitoneal SF (0.5 mg/d) or saline for 3 days. Trx expression in the retinal sections was analyzed with an immunoperoxidase technique, as described previously.17 Briefly, the sections were deparaffinized, and then endogenous peroxidase activity was inactivated with 0.6% H2O2. Anti-mouse Trx rabbit serum (1:500) or control normal rabbit serum was added and the sections incubated at 4°C overnight. Biotinylated goat anti-rabbit immunoglobulin (Biomeda, Foster City, CA) was used as the secondary antibody. Avidin-biotin amplification (Biomeda) was performed, which was followed by incubation with the substrate 0.1% 3',3'-diaminobenzidine (Dako Corp., Carpinteria, CA).
Cell Counts.
The right eye was enucleated 24 and 96 hours after exposure to light, and the retinal sections obtained were stained with hematoxylin-eosin (HE). Two sections from each eye were analyzed. In each section, digitized color images of four locations, two from the superior retina (100800 µm above the optic disc) and two from the inferior retina (100800 µm below the optic disc) were obtained with a digital imaging system (PDMC le; Olympus, Tokyo, Japan). The obtained images were opened on a computer display, and the total number of hematoxylin-positive photoreceptor cell nuclei and RPE cell nuclei in each image was counted manually.17
TdT-Mediated dUTP Nick-End Labeling.
The right eye was enucleated 24 and 96 hours after exposure to light, and TUNEL was performed with an in situ Apoptosis Detection Kit (Takara, Kusatsu, Japan) on an obtained section. 3',3'-Diaminobenzidine (Dako, Corp.) was used as the chromogen. Methyl green was used to counterstain the cell nuclei. Two sections adjacent to sections in which cell counts were performed were analyzed in each eye. Digitized color images of four locations, two from the superior retina and two from the inferior retina (as described for cell counts) were obtained in each section. The number of methyl green- and TUNEL-positive cells in the outer nuclear (ONL) and RPE layers was counted in the same section, and the percentage of TUNEL-positive photoreceptor cell nuclei and RPE cell nuclei was determined.17
Western Blot Analysis
Trx in Mouse Retinal Samples.
Eyes were enucleated 24 hours after the final treatment with SF. The methods of retinal sample (neural retina and RPE cell fraction) preparation and analysis by Western blot have been described.17 Briefly, after deep anesthesia was induced by intraperitoneal injection of pentobarbital, the mice were perfused through the left cardiac ventricle with ice-cold PBS (pH 7.4) to wash out the blood, and the eyes then were removed. After the cornea and the lens were removed from the eyes, the inner layers of the retina (neural retina) were separated from the eyecups under a microscope. In eyes after cardiac perfusion with ice-cold PBS, adhesion between the photoreceptor and RPE cell layers was weak, and they were easily separated. After the removal of the neural retina, the eyecups were analyzed as an RPE cell fraction. Accordingly, this fraction also contained the choroid and the sclera. Both eyes from each mouse were pooled and used for analysis. Equal amounts of retinal protein (5 µg) were electrophoresed on 15% sodium dodecylsulfate (SDS)-polyacrylamide gel and then electrophoretically transferred to a polyvinylidene difluoride membrane (Millipore, Bedford, MA). After the reaction was blocked, the membrane was incubated with the anti-mouse Trx rabbit serum (1:1000) and then with the peroxidase-linked secondary antibody. Chemiluminescence was detected with a kit (ECL Western Blot Detection Kit; Amersham Pharmacia Biotech, Buckinghamshire, UK). Band intensities were analyzed with NIH Image software (available by ftp at zippy.nimh.nih.gov/ or at http://rsb.info.nih.gov/nih-image; developed by Wayne Rasband, National Institutes of Health, Bethesda, MD).
Human Trx in SF-Treated K-1034 RPE Cells.
Human K-1034 RPE cells27 28 were maintained in Hams F-12 medium containing 10% fetal bovine serum, 100 U/mL penicillin, and 100 µg/mL streptomycin in 5% CO2 at 37°C. K-1034 cells show the absence of pigmentation and some changes in chromosomal count (44 chromosomes, 6 monosomy, and a missing Y chromosome), but retain many original morphologic characteristics.27 28 Cells (5 x 105) were cultured with 10 mL of medium on a 10-cm culture dish and treated with SF (010 µM) for up to 48 hours. Total cell lysate was prepared as previously described.29 Equal amounts of total cell lysate (5 µg) were electrophoresed on 15% SDS polyacrylamide gel. The specific bands then were detected according to the method of Western blot analysis described for mouse retinal sections. Mouse anti-human Trx monoclonal antibody (1 µg/mL) was used as the primary antibody.16
Lactate Dehydrogenase Release Assay in SF-Treated K-1034 Cells
The K-1034 cells (1 x 104 cells) were cultured with 0.2 mL of medium on a 96-well culture plate and treated with SF (010 µM) or H2O2 (200 µM) for 48 hours. After incubation, 50 µL of culture medium was collected and analyzed using a lactate dehydrogenase (LDH) release assay kit (Roche Biochemicals, Tokyo, Japan), to estimate cell damage. According to the manufacturers protocol, the percentage of cells that died was calculated in comparison with 0% cell death (medium only) and 100% cell death (cells treated with 2% Triton X-100).
Measurement of Intracellular Peroxide Production in SF-Treated K-1034 Cells
The K-1034 cells (1 x 105 cells) were cultured with 10 mL of medium on a 10-cm culture dish and treated with SF (010 µM) for 24 hours or H2O2 (200 µM) for 3 hours. The cells then were treated with 5 µM 2',7'-dichlorofluorescein diacetate (DCFH-DA; Molecular Probes, Eugene, OR) for 15 minutes. Each sample was analyzed by flow cytometry (FACSCalibur; BD Biosciences, Mountain View, CA), as described previously.30
ARE Reporter Gene Constructs
pTrx-Luc vectors used in this study were prepared as described previously.25 26 Briefly, the pTrx-(1148)-Luc vector was constructed by ligating the KpnI/BamHI fragments of the pTrx-blue vectors into the KpnI/BglII sites of the pGL3 basic vector (Promega, Madison, WI). OligonucleotidesARE wild type (wt) or ARE mutant (m)were inserted into the KpnI-NheI site of the pGL3 promoter vectors to construct the pGL3-pTrx-AREwt-Luc and pTrx-AREm-Luc vectors, respectively. All the constructs were controlled by direct nucleotide sequencing with a dye-terminator cycle sequencing kit (Thermo Sequenase II; Amersham Pharmacia). The oligonucleotides used for construction of vectors were as follows: AREwt: forward, 5'-cGGTCACCGTTACTCAGCACTTTG-3'; reverse, 5'-ctagCAAAGTGCTGAGTAACGGTGACCggtac-3'; AREm: forward, 5'-cGGTCACCACCACCTTGCACTTTG-3'; and reverse, 5'-ctagCAAAGTGCAAGGTGGTGGTGACCggtac-3'.
Transfection and Luciferase Assay
K-1034 cells (2 x 104 cells) were cultured with 1 mL of medium on a 24-well plate and transfected (FuGene 6; Roche Biochemicals) with luciferase reporter expression vectors, according to the manufacturers instructions. After 48 hours of incubation, SF (010 µM) was applied for 24 hours. To control the efficiency of transfection, Renilla luciferase gene expression was monitored by using the pRL-TK vector (Promega). The assay was performed with the luciferase gene expression assay kit (Promega), as described previously.25 26 All assays were performed in duplicate.
Electrophoretic Mobility Shift Assay
An electrophoretic mobility shift assay (EMSA) was performed as described previously.25 26 K-1034 cells (5 x 105) were cultured with 10 mL of medium on a 10-cm culture dish and treated with SF (30 µM) for 6 hours. After incubation, nuclear protein was extracted (Nuclear/Cytosol Fractionation Kit; BioVision, Mountain View, CA). Aliquots of 10 µg nuclear extract were incubated with 32P-end-labeled double-stranded oligonucleotides in a binding reaction buffer at 25°C for 20 minutes. For specificity analyses, a 100-fold molar excess of unlabeled oligonucleotide competitors was added and preincubated for 15 minutes. When indicated, reaction mixtures were incubated with antibodies for 20 minutes on ice before labeled oligonucleotides were added. Rabbit anti-Nrf2 (C-20), -NF-E2p45 (C-19), -Nrf1 (C-19), -c-Jun (D), and -c-Fos (4) antibodies, and goat anti-small Maf antibody (C-18) were purchased from Santa-Cruz Biotechnology (Santa-Cruz, CA). Anti-small Maf antibody recognizes Maf K, G, and F. Anti-c-Jun antibody recognizes c-Jun, JunB, and JunD. The oligonucleotide AREwt (forward, 5'-cGGTCACCGTTACTCAGCACTTTG-3'; and reverse, 5'-ctagCAAAGTGCTGAGTAACGGTGACCggtac-3') was used as the probe.
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| Discussion |
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Intraperitoneal pretreatment with 0.5 mg SF per day for 3 days was the most effective dose for Trx induction in retinal tissues (Fig. 1) , and it significantly reduced both the light-induced increases in TUNEL-positive RPE and photoreceptor cells (Fig. 4) and the loss of these cells (Fig. 3) . The retinal function estimated with ERGs, the record of the action potential produced by photoreceptor cells (a-wave) and second-order neurons in the inner nuclear layer interacting with Müller glial cells (b-wave), was preserved in SF-treated mice compared with saline-treated control mice after exposure to light (Fig. 5) . These results suggest that pretreatment with SF attenuates light-induced retinal damage by inhibition of apoptosis and protection of retinal function. Overexpression of Trx in mice attenuates retinal light-induced damage,16 and induction of Trx by SF may therefore afford cytoprotection against retinal light-induced damage.
Exposure to light enhances lipid peroxidation of the photoreceptor outer segments,37 and free radicals including reactive oxygen species are thought to be involved in light-induced photoreceptor cell death, because radical trapping agents inhibit the damage.38 39 Although it is generally thought that Trx is not a direct antioxidant in vivo, it scavenges singlet oxygen and hydroxyl radicals.40 Trx is a specific hydrogen donor for peroxiredoxin, which eliminates H2O2.41 Elimination of reactive oxygen species and free radicals by Trx in the photoreceptor cell layer may explain the cytoprotective mechanism of SF. The RPE releases several neurotrophic factors,42 43 and the released neurotrophic factors confer cytoprotection against light-induced photoreceptor cell damage.6 44 Accordingly, the RPE cell layer is crucial in the maintenance and survival of adjacent photoreceptor cells.45 46 The induction of Trx was clearly seen in the RPE layer (Fig. 1) ; therefore, pretreatment with SF attenuates cell damage in the RPE layer (Figs. 3 4) , and protection of RPE function may be related to the protection of photoreceptor cells by SF.
The Trx promoter region contains several conserved sequences for transcription factors such as oxidative stress responsive element (ORE),47 ARE,25 and cyclic AMP responsive element.13 ORE may not be directly involved in the SF-mediated Trx induction because 10 µM of SF did not induce cell damage (Fig. 7A) and augmentation of intracellular peroxide production (Fig. 7B) , whereas 1 µM of SF effectively induced Trx in K-1034 cells (Fig. 6) . Results of the luciferase reporter assay suggest the involvement of ARE in Trx gene expression by SF in K-1034 (Fig. 8) . In K562 erythroleukemia cells, the NF-E2/small Maf complex constitutively binds to the ARE under unstimulated conditions; Nrf2/small Maf complex binds to ARE when cells are treated with hemin, and this binding induces subsequent Trx gene expression.25 The Jun/Fos complex binds to the ARE when cells are treated with phorbol 12-myristate 13-acetate (PMA).25 Thus, a model has been proposed that the ARE of the Trx gene is regulated by a switch in its binding proteins. Binding of the Nrf/small Maf and the Nrf/Jun combinations to the ARE has been reported to be involved in gene expression of phase II protein.23 24 In EMSA, binding of the transcription factors Nrf2, small Maf (Maf-G -F and -K), and c-Jun (c-Jun, JunB, and JunD) to the ARE of the Trx gene was observed after SF treatment in K-1034 cells (Fig. 9) . Thus, ARE and its binding complex also is involved in the mechanisms of Trx induction by SF in RPE cells.
Although SF is not a direct antioxidant, it activates transcription of phase II genes, whose products provide chemically versatile, often catalytic, and prolonged "indirect" antioxidant protection.48 It is possible that phase II enzymes other than Trx also are involved in SF-mediated cytoprotection against the light-induced retinal damage observed in this study. Taken together with our results and those of previous reports, intensification of endogenous Trx as well as phase II enzymes by SF treatment may be a useful strategy to prevent photooxidative stress-related retinal diseases such as age-related macular degeneration, retinitis pigmentosa, and photic maculopathy.
In summary, intraperitoneal and oral administration of SF upregulates Trx in retinal tissue and mediates cytoprotection against light-induced photoreceptor and RPE cell damage in mice. In cultured RPE cells, SF upregulates the Trx gene through ARE, which was regulated by the Nrf2, small Maf, and c-Jun proteins.
| Acknowledgements |
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| Footnotes |
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Submitted for publication September 21, 2004; revised October 17, 2004; accepted November 20, 2004.
Disclosure: M. Tanito (P); H. Masutani (P); Y.-C. Kim, None; M. Nishikawa, Redox Bioscience, Inc. (E); A. Ohira, None; J. Yodoi, Redox Bioscience Inc. (C, 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: Junji Yodoi, Institute for Virus Research, Kyoto University, 53 Shogoin-Kawaharacho, Sakyo, Kyoto 606-8507, Japan; yodoi{at}virus.kyoto-u.ac.jp.
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