Department of Ophthalmology, Shanghai Jiaotong University affiliated Shanghai First People's Hospital, Wujin Road 85, Shanghai 200080, China.
Exp Eye Res. 2012 Jan;94(1):98-108. doi: 10.1016/j.exer.2011.11.013. Epub 2011 Nov 28.
Retinal ischemia plays a central role in several retinal diseases. The pathogenesis of retinal ischemia involves changes in gene expression. Valproic acid (VPA), a broad-spectrum histone deacetylase inhibitor, is an anticonvulsant and mood-stabilizing drug with neuroprotective effects. Here, we investigated whether VPA protects the retina and optic nerve axon from ischemic damage in a rat model and determined a possible protective mechanism. Adult male Wistar rats were randomized into sham, ischemia/reperfusion (I/R)-plus-vehicle, and I/R-plus-VPA groups. Rats received subcutaneous injections of 300 mg/kg VPA or phosphate-buffered saline twice a day after retinal ischemia induced by acute high intraocular pressure. Twenty-four hours after I/R, retinal neuron apoptosis was evaluated using the TUNEL assay. The expression of heat-shock protein 70 (Hsp70), activated-caspase-3, and apoptotic-protease-activating factor-1 (apaf-1), acetylation levels of histone H3, release of cytochrome c, and interaction between Hsp70 and apaf-1 were analyzed by immunoblotting analysis in all groups; the transcriptional activation of the Hsp70 gene and interaction between the Hsp70 promoter with p300 or HDAC1 were analyzed using chromatin immunoprecipitation assay. Seven days after I/R, the histological changes in the retina were evaluated using hematoxylin and eosin staining, and optic nerve axon damage was evaluated using toluidine blue staining and transmission electron microscopy. The density of retinal ganglion cells (RGCs) was analyzed using Fluoro-Gold retrograde labeling at 7, 14, 21 days after I/R. VPA markedly attenuated I/R-induced retinal neuron apoptosis, damage to RGCs, and morphological injury to the retina and optic nerve axons. VPA resulted in the upregulation of Hsp70 and hyperacetylation of histone H3, accompanied by Hsp70 promoter hyperacetylation, which may result from increased p300 recruitment to the Hsp70 promoter. Furthermore, VPA increased the binding between Hsp70 and apaf-1 to block apoptosome formation and reduced the release of cytochrome c and activation of caspase-3 in the retina after I/R. Therefore, VPA-mediated neuroprotection against I/R injury in the retina may involve cytoprotective Hsp70 induction via transcriptional activation and inhibition of the mitochondria-mediated apoptosis pathway.
视网膜缺血在几种视网膜疾病中起着核心作用。视网膜缺血的发病机制涉及基因表达的变化。丙戊酸(VPA)是一种广谱组蛋白去乙酰化酶抑制剂,具有抗惊厥和稳定情绪的作用,且具有神经保护作用。在这里,我们研究了 VPA 是否可以保护大鼠模型中的视网膜和视神经轴突免受缺血性损伤,并确定了一种可能的保护机制。成年雄性 Wistar 大鼠随机分为假手术组、缺血再灌注(I/R)加载体组和 I/R 加 VPA 组。在急性高眼内压诱导视网膜缺血后,大鼠每天接受两次皮下注射 300mg/kg VPA 或磷酸盐缓冲盐水。I/R 后 24 小时,通过 TUNEL 检测评估视网膜神经元凋亡。免疫印迹分析各组中热休克蛋白 70(Hsp70)、活化的半胱天冬酶-3 和凋亡蛋白酶激活因子-1(apaf-1)的表达、组蛋白 H3 的乙酰化水平、细胞色素 c 的释放以及 Hsp70 和 apaf-1 之间的相互作用;使用染色质免疫沉淀检测分析 Hsp70 基因的转录激活以及 Hsp70 启动子与 p300 或 HDAC1 之间的相互作用。I/R 后 7 天,用苏木精和伊红染色评估视网膜的组织学变化,用甲苯胺蓝染色和透射电子显微镜评估视神经轴突损伤。用 Fluoro-Gold 逆行标记在 I/R 后 7、14、21 天分析视网膜神经节细胞(RGC)的密度。VPA 明显减轻 I/R 诱导的视网膜神经元凋亡、RGC 损伤以及视网膜和视神经轴突的形态损伤。VPA 导致 Hsp70 的上调和组蛋白 H3 的过度乙酰化,伴随着 Hsp70 启动子的过度乙酰化,这可能是由于 p300 募集到 Hsp70 启动子增加所致。此外,VPA 增加了 Hsp70 与 apaf-1 之间的结合,以阻止凋亡小体的形成,并减少 I/R 后视网膜中细胞色素 c 的释放和半胱天冬酶-3 的激活。因此,VPA 介导的对视网膜 I/R 损伤的神经保护作用可能涉及通过转录激活和抑制线粒体介导的凋亡途径诱导保护性 Hsp70。