Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Division of Retinal Disease Control, Tohoku University Graduate School of Medicine, Sendai, Japan.
Invest Ophthalmol Vis Sci. 2019 Oct 1;60(13):4479-4488. doi: 10.1167/iovs.19-27396.
Glutamate excitotoxicity seems to contribute to retinal ganglion cell (RGC) death in various eye diseases, but the underlying molecular mechanisms are not fully understood. We studied the roles of cyclin-dependent kinase inhibitors Cdkn2a and Cdkn2b, known as cellular stress-related senescence markers, in N-methyl-d-aspartate (NMDA)-induced RGC death.
Gene expression was analyzed using quantitative reverse transcription (qRT)-PCR, in situ hybridization, and immunochemistry. Cdkn2a and Cdkn2b gain- and loss-of-function experiments were performed using the adeno-associated virus type 2 (AAV2)-mediated gene delivery system. AAV2-CRISPR-Cas9-mediated knockout of Cdkn2a or Cdkn2b was validated using cultured cells by T7 endonuclease I assay and Western blot analysis. The effects of altered expression of Cdkn2a and Cdkn2b on NMDA-induced RGC death were evaluated by quantification of RNA binding protein with multiple splicing (Rbpms)-immunoreactive RGCs.
Intravitreal NMDA injection resulted in upregulation of Cdkn2a and Cdkn2b expression in RGCs of the mouse retina. AAV2-mediated overexpression of Cdkn2b led to increased expression of Cdkn2a in RGCs, but not vice versa. Overexpression of Cdkn2b, but not Cdkn2a, resulted in a further reduction in RGC viability in NMDA-injected retinas. However, excessive levels of Cdkn2a or Cdkn2b had no effect on RGC viability in healthy mice. AAV2-CRISPR-Cas9-mediated knockout of either Cdkn2a or Cdkn2b attenuated NMDA-induced RGC death.
Cdkn2a and Cdkn2b have pivotal roles in the regulation of excitotoxic RGC degeneration under NMDA-induced pathologic conditions. Our findings imply that Cdkn2a and Cdkn2b are novel therapeutic targets for ocular diseases displaying excitotoxicity-induced neuronal degeneration.
谷氨酸兴奋性毒性似乎导致各种眼病中的视网膜神经节细胞(RGC)死亡,但潜在的分子机制尚未完全阐明。我们研究了细胞周期蛋白依赖性激酶抑制剂 Cdkn2a 和 Cdkn2b 的作用,它们是已知的与细胞应激相关的衰老标志物,在 N-甲基-D-天冬氨酸(NMDA)诱导的 RGC 死亡中发挥作用。
使用定量逆转录(qRT)-PCR、原位杂交和免疫组织化学分析基因表达。使用腺相关病毒 2(AAV2)介导的基因传递系统进行 Cdkn2a 和 Cdkn2b 的增益和失能实验。通过 T7 内切酶 I 测定和 Western blot 分析,验证了 AAV2-CRISPR-Cas9 介导的 Cdkn2a 或 Cdkn2b 的基因敲除在培养细胞中的作用。通过定量 RNA 结合蛋白多聚体(Rbpms)免疫反应性 RGC 评估 Cdkn2a 和 Cdkn2b 表达改变对 NMDA 诱导的 RGC 死亡的影响。
玻璃体内注射 NMDA 导致小鼠视网膜 RGC 中 Cdkn2a 和 Cdkn2b 的表达上调。AAV2 介导的 Cdkn2b 过表达导致 RGC 中 Cdkn2a 的表达增加,但反之则不然。过表达 Cdkn2b 导致 NMDA 注射视网膜中 RGC 活力进一步降低,但过表达 Cdkn2a 对健康小鼠中的 RGC 活力没有影响。AAV2-CRISPR-Cas9 介导的 Cdkn2a 或 Cdkn2b 的基因敲除均减轻 NMDA 诱导的 RGC 死亡。
Cdkn2a 和 Cdkn2b 在 NMDA 诱导的病理条件下调节兴奋性 RGC 退化中起关键作用。我们的研究结果表明,Cdkn2a 和 Cdkn2b 是表现出兴奋性毒性诱导神经元退化的眼部疾病的新的治疗靶点。