Retinal protection from acute glaucoma-induced ischemia-reperfusion injury through pharmacological induction of Heme oxygenase-1 by Cobalt protoporphyrin.
- PURPOSE. To investigate the protective effects of cobalt protoporphyrin (CoPP), a potent heme oxygenase-1 (HO-1) inducer, in a rat model of ischemia-reperfusion injury, and to document the possible anti-apoptotic and anti-inflammatory mechanisms underlying the protection. METHODS. Rats pretreated with intraperitoneal injection of CoPP (5mg/kg) were subjected to retinal ischemia by increasing intraocular pressure to 130 mmHg for 60 minutes. The protective effects of CoPP were evaluated by determining the morphology of the retina, and counting the survival of retinal ganglion cells (RGCs) as well as measuring apoptosis in retinal layers. In addition, expressions of HO-1, caspase 3, p53, Bcl-xL, monocyte chemoattractant protein-1 (MCP-1), and inducible nitric oxide synthase (iNOS) were documented by Western blot analysis. Detection of HO-1, NF-kappaB, or CD68 protein in retinas was performed by immmunohistochemistry or immunofluorescence. RESULTS. Pharmacological induction of HO-1 by CoPP led to HO-1 expression in full retinal layer. HO-1 overexpression alleviated the apoptosis in retina, preserved retinal ganglion cells, and attenuated reduction of inner retina thickness after ischemia-reperfusion injury. Concurrently, overexpression of HO-1 was associated with inhibition of caspase 3, p53, NF-kappaB, iNOS, and increased expression of Bcl-xL. Meanwhile, the anti-inflammatory effect of HO-1 was related with reduction of the recruitment of macrophages infiltration in retina through suppression of MCP-1. Moreover, these beneficial effects of HO-1 induced by CoPP were diminished by HO-1 inhibitor ZnPP. CONCLUSIONS. Overexpression of HO-1 by pharmacological induction protected retina from subsequent cellular damage caused by ischemia-reperfusion injury through anti-apoptotic and anti-inflammatory effects.
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- MAB3211