Protective effects of hypercapnic acidosis on Ischemia-reperfusion-induced retinal injury

PLoS One. 2019 Jan 25;14(1):e0211185. doi: 10.1371/journal.pone.0211185. eCollection 2019.

Abstract

Ischemia-reperfusion (I/R) injury is associated with numerous retinal diseases, such as diabetic retinopathy, acute glaucoma, and other vascular retinopathies. Hypercapnic acidosis (HCA) has a protective effect on lung, myocardial, and central nervous system ischemic injury models. However, no study has evaluated its protective effects in an experimental retinal I/R injury model. In this study, retinal I/R injury was induced in Sprague Dawley rats by elevating the intraocular pressure to 110 mmHg for 60 minutes. HCA was induced before and after the injury. After 24 hours, the terminal dUTP nick end labeling assay was performed. Moreover, the ratios of cleaved caspase-3/total caspase-3, phosphorylated IκB/IκB, and phosphorylated p38 were measured through Western blotting. After 7 days, the rats' aqueous humor was analyzed. In addition, electroretinography and retinal thickness measurement were performed in the rats. Moreover, the retinal neural cell line RGC-5 was exposed to 500 μM H2O2 for 24 hours to induce a sustained oxidative stress in vitro. The effects of HCA were evaluated by comparing oxidative stress, MAPK signals, NF-κB signals, survival rates, and apoptosis rates in the RGC-5 cells before and after H2O2 exposure. We further investigated whether the potent I/R-protective heat shock protein (HSP) 32 contribute to protective effects of HCA. Our results indicated that HCA has protective effects against retinal I/R injury both in vivo and in vitro, at multiple levels, including antiapoptotic, anti-inflammatory, antioxidative, and functional retinal cell protection. Further research clarifying the role of HCA in retinal I/R injury prevention and treatment is warranted.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acidosis / metabolism*
  • Acidosis / pathology
  • Animals
  • Apoptosis
  • Cell Line
  • Eye Proteins / metabolism
  • Hypercapnia / metabolism*
  • Hypercapnia / pathology
  • MAP Kinase Signaling System
  • Male
  • Rats
  • Rats, Sprague-Dawley
  • Reperfusion Injury / metabolism*
  • Reperfusion Injury / pathology
  • Retina / metabolism*
  • Retina / pathology
  • Retinal Diseases / metabolism*
  • Retinal Diseases / pathology

Substances

  • Eye Proteins

Grants and funding

This study was funded by the Ministry of Science and Technology, Taiwan to CML (grant no. 105-2314-B-016-042) and National Defense Medical Center, Tri-Service General Hospital Songshan Branch, Taiwan to LTL and SIP (grant no. TSGHSB10711). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.