Department of Dermatology, Graduate Institute of Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan; Department of Ophthalmology and Visual Science, Tzu Chi University, Hualien, Taiwan.
Exp Eye Res. 2014 Jan;118:109-16. doi: 10.1016/j.exer.2013.11.012. Epub 2013 Dec 5.
The purpose of this study was to investigate the neuroprotective effects of recombinant human granulocyte colony stimulating factor (G-CSF), as administered in a rat model of anterior ischemic optic neuropathy (rAION). Using laser-induced photoactivation of intravenously administered Rose Bengal in the optic nerve head of 60 adult male Wistar rats, an anterior ischemic optic neuropathy (rAION) was inducted. Rats either immediately received G-CSF (subcutaneous injections) or phosphate buffered saline (PBS) for 5 consecutive days. Rats were euthanized at 4 weeks post infarct. Density of retinal ganglion cells (RGCs) was counted using retrograde labeling of Fluoro-gold. Visual function was assessed by flash visual-evoked potentials (FVEP) at 4 weeks. TUNEL assay in the retinal sections and immunohistochemical staining of ED1 (marker of macrophage/microglia) were investigated in the optic nerve (ON) specimens. The RGC densities in the central and mid-peripheral retinas in the G-CSF treated rats were significantly higher than those of the PBS-treated rats (survival rate was 71.4% vs. 33.2% in the central retina; 61.8% vs. 22.7% in the mid-peripheral retina, respectively; both p < 0.05). FVEP measurements showed a significantly better preserved latency and amplitude of the p1 wave in the G-CSF-treated rats than that of the PBS-treated rats (latency120 ± 11 ms vs. 142 ± 12 ms, p = 0.03; amplitude 50 ± 11 μv vs. 31 ± 13 μv, p = 0.04). TUNEL assays showed fewer apoptotic cells in the retinal ganglion cell layers of G-CSF treated rats [2.1 ± 1.0 cells/high power field (HPF) vs. 8.0 ± 1.5/HPF; p = 0.0001]. In addition, the number of ED1 positive cells was attenuated at the optic nerve sections of G-CSF-treated rats (16 ± 6/HPF vs. 35 ± 10/HPF; p = 0.016). In conclusion, administration of G-CSF is neuroprotective in the rat model of anterior ischemic optic neuropathy, as demonstrated both structurally by RGC density and functionally by FVEP. G-CSF may work via the dual actions of anti-apoptosis for RGC surviving as well as anti-inflammation in the optic nerves as evidenced by less infiltration of ED1-povitive cells.
本研究旨在探讨重组人粒细胞集落刺激因子(G-CSF)对大鼠前部缺血性视神经病变(rAION)模型的神经保护作用。通过在 60 只成年雄性 Wistar 大鼠视神经头部静脉内给予 Rose Bengal 激光诱导光激活,诱导前部缺血性视神经病变(rAION)。大鼠立即接受 G-CSF(皮下注射)或磷酸盐缓冲盐水(PBS)连续 5 天。大鼠在梗塞后 4 周处死。使用逆行标记 Fluoro-gold 计数视网膜神经节细胞(RGC)密度。在 4 周时通过闪光视觉诱发电位(FVEP)评估视觉功能。在视神经(ON)标本中进行视网膜切片的 TUNEL 检测和 ED1(巨噬细胞/小胶质细胞标志物)的免疫组织化学染色。G-CSF 治疗组大鼠中央和中周视网膜的 RGC 密度明显高于 PBS 治疗组(中央视网膜的存活率分别为 71.4%对 33.2%;中周视网膜的存活率分别为 61.8%对 22.7%;均 p<0.05)。FVEP 测量显示,G-CSF 治疗组的 p1 波潜伏期和幅度明显优于 PBS 治疗组(潜伏期 120±11 ms 对 142±12 ms,p=0.03;振幅 50±11 μv 对 31±13 μv,p=0.04)。TUNEL 检测显示,G-CSF 治疗组视网膜神经节细胞层中的凋亡细胞较少[2.1±1.0 个/高倍视野(HPF)对 8.0±1.5/HPF;p=0.0001]。此外,G-CSF 治疗组视神经切片中 ED1 阳性细胞数量减少(16±6/HPF 对 35±10/HPF;p=0.016)。总之,G-CSF 在大鼠前部缺血性视神经病变模型中具有神经保护作用,这在结构上通过 RGC 密度和功能上通过 FVEP 得到证明。G-CSF 可能通过抗 RGC 凋亡和视神经内抗炎的双重作用发挥作用,这表现为 ED1 阳性细胞浸润减少。