Free radicals that are generated through lipid peroxidation have been thought to play an important role in the pathogenesis of ROP and its animal counterpart, OIR.
43 It has been suggested that the formation of free radicals in the retina may result from the exposure of premature infants to a hyperoxic environment, particularly due to their deficiency in antioxidant defenses, such as superoxide dismutase, α-tocopherol, catalase, and glutathione peroxidase, for example.
44 45 Reactive oxygen species (ROS) have also been shown to contribute to the vaso-obliterative phase that is associated with OIR
46 47 48 49 either through direct cytotoxic effects on endothelial cells or through an initial phase of vasoconstriction which ultimately results in reduced tissue perfusion. Of interest, treatment with vitamin E, a free-radical scavenger, has been shown to protect against the loss of superoxide dismutase in cats exposed to hyperoxia
50 and has successfully attenuated the severity of vaso-obliteration in the rat model of OIR.
49 51 A previous study of ours revealed that administration of the water-soluble antioxidant Trolox C to SD rats prevents only some of the structural and functional sequelae associated with OIR, suggesting that free radical formation may not be the sole cause of the damage.
14 Similarly, our current results suggest that melanin would be insufficient in having any beneficial protective effect under similar circumstances; and moreover, it appeared as though it might even potentiate the effect of ROS. Melanin is produced and stored in the retinal pigment epithelium (RPE) cytoplasm and melanocytes, and continuous exposure of the RPE to environmental stressors such as light and oxygen have been thought to dampen its antioxidant capacity.
52 Furthermore, melanin has been known to take on the role of a pro-oxidant under these conditions, leading to cytotoxic activity such as photoreceptor damage and even age-related macular degeneration.
53 54 This would explain the severity of OIR in LE rats, including a significantly injured photoreceptor layer, given its proximity with the RPE. Our findings of increased MDA levels in LE compared with SD rats (after hyperoxic exposure initiated at birth throughout the first week of life) support this inference. Recently, we showed that despite the damage to retinal vasculature that is observed within the first week or so of exposure of SD rats (e.g., P0–P6 and P0–P9), the retinal vascular growth process appears to be able to fight this oxidative stress to achieve nearly full coverage while remaining under hyperoxic exposure throughout the first 2 weeks of life,
13 a finding that is further corroborated by the results in the present study. A different picture emerges in the pigmented rat, however, where vascular dropout and extent are so severely compromised that they never achieve a normal appearance
(Fig 1) . Taken together, these anatomic characteristics are inconsistent with a protective role of melanin in the retinal vasculature and inner structures. This result suggests that other mechanisms partake in the increased vulnerability of LE compared with SD rats, as observed in the present study. It is of interest to note that the complex series of events that characterize retinal development occur differently in albino and pigmented animals, where retinal maturation is delayed in the absence of melanin.
55 For example, studies have revealed a temporal delay in the central-to-peripheral pattern of cell production
56 57 along with a delay in cell death of the INL and GCL in the albino rat retina.
57 One wonders whether the more “mature” retina of the LE rat might result in a greater difficulty in overcoming hyperoxic stress, whereas the more plastic immature retina of the albino rat is better able to overcome a similar stress. Variations in the responses of different rat strains to hyperoxia, including the increased susceptibility of the Dark Agouti and Hooded Wistar rats compared with several albino strains,
58 as well as that of the pigmented offspring of Fischer 344 X Dark Agouti compared with the albino progeny,
59 further support the association between ocular pigmentation and vulnerability in OIR. Furthermore, although no difference in the time course of retinal vascular development was observed between age-matched control Brown Norway and SD rats in a study by Gao et al.,
19 those raised in hyperoxia showed significant differences in vascular permeability and retinal neovascularization. For example, retinal artery constriction along with large avascular regions in the retina were observed in Brown Norway rats at P12—that is, 1 day after their removal from the hyperoxic environment. In contrast, SD rats studied under the same conditions revealed a lower degree of retinal artery constriction and larger areas of vascular perfusion throughout the retina.
19 Increased vascular permeability followed by a more severe neovascularization in the Brown Norway strain
19 60 61 was also observed. This effect was characterized by tortuosity and dilatation of retinal vessels, neovascular tufts, and hemorrhage when compared with the SD rats, which were lacking neovascular tufts and evidence of microaneurysms.
19 Moreover, the Brown Norway model of OIR revealed higher retinal VEGF levels and more severe retinal vascular leakage than did the SD strain.
62 Taken together with our current results and considering that the secondary neovascular phase of OIR is thought to be a mirror image of the initial vasoconstriction and vaso-obliteration which takes place, these findings suggest that retinal vascular development along with the neovascularization phase that ensues is significantly more affected by hyperoxia in pigmented than albino SD rats. Variations in the regulation of the antiangiogenic pigment epithelium–derived factor (PEDF) and the angiogenic vascular endothelial growth factor (VEGF) among strains are thought to contribute to these discrepancies, which may be genetically regulated,
19 not to mention other strain-dependant factors that may be involved in regulating the effects of oxygen tension on retinal angiogenesis, such as glial cell sensitivity to hyperoxia, for example.
63