Abstract
purpose. Low concentrations of excitotoxic agents such as glutamate and nitric
oxide decrease survival rates of purified retinal ganglion cells
(RGCs). In the retina, RGCs are ensheathed by retinal Müller
glial (RMG) cell processes. The purpose of this study was to determine
whether RMG cells could protect RGCs from these excitotoxic injuries.
methods. RGCs were purified from 7- or 8-day-old Long Evans rats and cultured on
polylysine/laminin-coated coverslips in serum-free medium for 2 days.
The coverslips were then moved to dishes containing either confluent
RMG monolayers or no glial cells in glutamate-free medium. Some dishes
with confluent RMG cells were exposed to d,l-threo-β-hydroxyaspartate (THA), a blocker of
glutamate uptake. Three days after exposure to various concentrations
of glutamate or the NO donor,
2,2′-(hydroxynitroso-hydrazino)bisethanamine, survival rates of RGCs
were measured by calcein-acetoxymethyl ester staining. Glutamate
concentrations in the medium were measured using amino acid analysis.
results. Without RMG cells, the application of increasing concentrations (5–500μ
M) of glutamate caused a dose-dependent increase in RGC death after
3 days. The neurotoxic effects of glutamate were blocked in the RMG
cell cocultures, even when there was no direct contact between the cell
types. The protective effect of RMG cells was weakened by THA
treatment. NO also had toxic effects on RGC. RMG cells prevented this
toxicity but only when in direct contact with the RGCs.
conclusions. RMG cells can protect RGCs from glutamate and NO neurotoxicity. We
suggest that functional disorders of glutamate uptake in RMGs might be
one of the etiologies of glaucoma.
Retinal ganglion cell (RGC) death is the final common pathway of
virtually all diseases of the optic nerve, including glaucomatous optic
neuropathy. Glaucoma is a leading cause of blindness and a clear
association exists between it and certain risk factors, such as high
intraocular pressure (IOP) or blood-flow dysregulation. Nevertheless,
many cases of glaucoma do not correlate with these risk factors, and it
has been proposed that some of these involve glutamate-mediated
excitotoxicity.
1
A number of studies have been published on the relationship between
RGCs and glutamate in vitro, but the different methods used and the
rapid and extensive RGC death noted in many control cultures make
interpretation and comparison of these difficult. Recently, we showed
that a low concentration of glutamate, 25 μM, decreased survival of
RGCs that could otherwise survive in culture for several
weeks.
2 In this study the RGCs were cultured in the
absence of other cells, but in the retina they are ensheathed by
Müller glial cell processes. We believed it important,
therefore, to determine whether RGCs in the presence of glial cells are
as sensitive to excitotoxins as the purified cells.
Glial cells are thought to protect neurons from various neurologic
insults. The glial cells in the vertebrate retina are grouped into
microglia, astrocytes, and Müller cells. Microglia are found
predominantly in the outer retina in the adult and have little contact
with RGCs. Astrocytes surround the RGC axons in the optic nerve layer
of the retina, but the most extensive glial contact is with
Müller cells whose processes surround ganglion cell bodies and
dendrites. Many functions have been postulated for Müller glial
cells, including structural and nutritional roles and removal of ions
and neurotransmitters from the extracellular
space.
3 4 Several glutamate transporters have been cloned:
l-glutamate/
l-aspartate transporter
(GLAST),
5 6 GLT-1,
7 EAAC1,
8 EAAT4.
9 The primary glutamate transporter expressed by
retinal astrocytes and Müller cells is GLAST,
10 which has been postulated to contribute to the clearance of glutamate
and protect RGCs from glutamate neurotoxicity.
11 12 13 14
In addition to the direct actions of glutamate, there is increasing
evidence that it can exert an indirect excitotoxic action. One of these
indirect actions may be stimulation of synthesis and release of nitric
oxide (NO). NO has been implicated in a number of retinal diseases,
including glaucoma.
15 Preinjection with a NOS inhibitor
partially protected against RGC degeneration induced by intravitreal
injection of NMDA into an nNOS-deficient mouse.
16 Nitric
oxide synthase (NOS) is present in a few cells in the disorganized
lamina cribrosa of the glaucomatous eye but is not present at all in
normal tissue.
17 Treatment of a rat model of chronic
glaucoma for 6 months with aminoguanidine, a relatively specific
inhibitor of NOS-2, produced normal eyes, compared with an
untreated group that developed pallor and cupping of the optic disks in
the eyes with elevated IOP.
18 In contrast to these
deleterious effects of NO, there are some reports showing that NO can
be supportive.
19 20 21 The mechanisms of action of NO within
the complex milieu of the intact retina are not fully understood but
may include nitrosylation of membrane proteins and activation of ion
channels through the cGMP pathway.
22 23
Though many articles have discussed the relationship between RGC death
and glial cells, little is known about interaction of Müller
cells and RGC in the absence of other cells. In mixed retinal cell
cultures, addition of drugs may stimulate release of factors from other
cells that act on RGCs or on Müller cells. We have cultured
purified RGCs and Müller cells separately and combined them in
different ways. Our results show that Müller cells can protect
retinal ganglion cells from both glutamate and NO neurotoxicity.
Experimental animals were treated in accordance with the ARVO
Statement for the Use of Animals in Ophthalmic and Vision Research.
Cell culture reagents were obtained from Gibco (Grand Island, NY).
Papain was obtained from Worthington Biochemical (Freehold, NJ).
Recombinant neurotrophic factors were obtained from R&D Systems
(Minneapolis, MN; human brain-derived neurotrophic factor [BDNF]) or
Peprotech (Rocky Hill, NJ; rat ciliary neurotrophic factor [CNTF]).
Unless noted, all other reagents were obtained from Sigma (St. Louis,
MO).
Culture conditions for the four groups were as follows: (1) RGC +
no RMG: RGC coverslips were moved into 60-mm dishes without RMG with
the RGC facing up; (2) RGC + RMG—no contact: RGC coverslips were moved
into RMG-confluent monolayer dishes with the RGCs facing up; (3) RGC +
RMG—cell contact: RGC coverslips were moved into RMG-confluent
monolayer dishes with the RGCs facing down; (4) RGC + RMG—cell
intermixing: trypsinized RMG cells were added to coverslips containing
RGCs. After 2 days of culture, these mixed coverslips were added to
dishes containing confluent monolayers of RMG cells.
Cultures were maintained in dialyzed FBS medium for 3 days. This
consisted of Neurobasal medium containing 1 mM glutamine; 10 μg/ml
gentamicin; B27 supplement (1:50); and 40 ng/ml each BDNF, CNTF, and 5μ
M forskolin. It also contained 10% FBS that had been
extensively dialyzed against Neurobasal medium to reduce the
glutamate concentration to negligible levels. Glutamate at
concentrations from 0 to 500 μM or
2,2′-(hydroxynitroso-hydrazino) bisethanamine (NOC18; Dojindo,
Kumamoto, Japan) at concentrations of 0 to 100 μM were added at the
beginning of the experiment. NOC18 has a half-life for NO release of 21
hours. Controls used NOC18 that had been incubated for at least 30 days
to release essentially all its NO (spent NOC18).
RMG-confluent 60-mm dishes were exposed to DMEM with 10% FBS
including 1 mM d,l-threo-β-hydroxyaspartate (THA), a
blocker for EAAC, GLAST, and GLT-1, for 1 day. After changing the
medium into dialyzed FBS medium containing glutamate at defined
concentrations, RGC coverslips were moved into the dishes upside-up.
RGC coverslips were moved into 60-mm RMG-confluent monolayer
dishes in dialyzed-FBS medium, in which glutamate was applied at
defined concentrations. Aliquots of medium were collected at defined
times, dried, dissolved in 20 μl sample loading buffer (sodium
citrate with 2 nmol homoserine internal standard), and analyzed on a
Beckman 6300 Amino acid Analyzer (Fullerton, CA).
We have previously used a panning procedure to prepare stable RGC
cultures of high purity. Because some freshly isolated RGCs seem
supersensitive to glutamate, we modified the way we measured glutamate
toxicity, and this has produced small differences in survival
at particular glutamate concentrations. Previously, glutamate was
applied at the time of culture; here we applied glutamate after 2 days
of culture. In each case we measured cell survival using calcein
fluorescence. The use of this dye, plus the criterion of good process
growth, has provided an accurate and sensitive measure of cell
survival.
The neurotoxic effects of glutamate were significantly reduced by
Müller cells. It has previously been shown that Müller
cells can protect against the excitotoxic effects of even 1 mM
glutamate in the whole retina and increase survival of ganglion cells
in culture.
26 27 Our findings extend these studies in two
ways. First, we have shown that this protective effect is mediated
directly by Müller cells because we eliminated other cell types
from our cultures. Second, we have shown that Müller cells can
reduce glutamate concentrations to nontoxic levels within 30 minutes.
Several glutamate transporters have been cloned (GLAST, GLT-1, EAAC1,
and EAAT4), but GLAST is thought to be the most important in retinal
glia.
10 11 12 We cultured Müller cells from Long-Evans
rats at PN12 to PN16, and at this age the cells should express GLAST,
which has been detected in Müller cells at PN7 to
PN10.
28 We were able to confirm the importance of
Müller cell glutamate uptake on RGC survival by using the GLAST
uptake inhibitor THA. We were not able to obtain complete reversal of
the glutamate-induced cell death because we could not keep THA in the
medium during the experiment.
It has been reported that retinal neurons in a GLAST-deficient mutant
mouse were more susceptible to ischemia-induced degeneration than those
of wild-type mice,
29 but a GLAST knockout mouse did not
appear to show excessive neuronal degeneration.
30 Glutamate transporters in addition to GLAST are also involved in
glutamate uptake. In the genetically altered animals it is possible
that other glutamate transporters compensate for the lack GLAST but
that such mechanisms would not be induced in the short-term suppression
induced by THA in our experiments.
As would be expected for a protective effect involving uptake from the
medium, there was no difference whether or not the glial cells and RGCs
were in contact. A previous report suggested that Müller glial
cells could protect against excitoxic damage to retinal neurons but
that this effect needed cell–cell contact.
31 The major
difference between this finding and the present results is that we have
used purified cells of high viability. It is possible that glutamate
can have a rapid action on other types of retinal neurons that do
require Müller cell contact for protection. For example, it has
been shown that glutamate stimulation of some neurons can lead to the
production of nitric oxide.
32 As our results show,
protection against NO toxicity does need Müller cell contact.
Further experiments are needed to determine whether such indirect
effects of glutamate occur in the retina.
There seems to be the possibility that the weight of coverslips may
affect the underlying RMG cells and may induce calcium
waves.
33 When we removed the coverslips after 3-day
exposure to glutamate, the underlying RMG cells were still present and
appeared intact with no detectable scars. The diameters of a coverslip
and culture dish are 12 and 60 mm, respectively. The ratio of the areas
is 1:25. Therefore the majority of RMGs had no contact with RGCs, and
we suggest that the main protective effects were not induced by
contact.
The 21-hour half-life of release of NO from
2,2′-(hydroxynitroso-hydrazino) bisethanamine allows the generation of
a moderate and constant NO concentration in the medium compared with
usual NO donor that provides a rapid pulse of NO but then no NO for the
remainder of the experiment. NO had toxic effects on RGCs, but they
were ameliorated by the contact of Müller cells. For glial cells
to protect the RGCs, it was necessary for the cells to be in direct
contact. There are two possible explanations for this finding. The
first is that the protective effect of RMG cells is exerted through an
interaction between cell surface molecules of the two cell types that
is transduced into the RGCs. The second is that proximity is required
because of the short half-life of NO in solution. It is possible that
the only effective NO is released from NOC18 close to RGCs, and so only
those RMG cells in close proximity or contact can exert any protective
effect. In either case, the molecular basis of the protective effect is
not known. We think that cell surface interactions were the most
important protective mechanism, but we cannot exclude local buffering
effects provided by RMG cells. If RMG cells are close or touching the
RGCs, it is likely that their high endogenous levels of glutathione may
serve as a local sink to lower the levels of NO around the adjacent
RGCs to provide some protection.
The actions of NO in the retina are still only incompletely understood.
A low concentration of NO may play a protective role in glutamate
neurotoxicity by closing the NMDA-receptor–gated ion
channel.
21 However, elevated concentrations of NO,
interacting with oxygen radicals, become toxic and mediate
glutamate-induced neurotoxicity in the cultured retinal
neurons.
21 In addition, the most consistent action of NO
on many cell types is to stimulate the production of cGMP. We have
previously shown that RGCs possess a
Ca
2+-permeable ion channel that can be activated
by cGMP.
3 In addition these cells are likely to possess
one or more cGMP-dependent protein kinases.
Our results suggest several approaches that may be of benefit in
patients with glaucoma who have progressive visual field loss, despite
satisfactory control of IOP. First, because functional disorders of
glutamate uptake in Müller glial cells might be one of the
etiologies of glaucoma, stimulation of glial glutamate uptake might
directly remove an excitotoxin and might prevent subsequent generation
of other excitotoxins such as NO. Second, because NO can be produced by
both neurons and glia via several different stimulatory pathways, use
of NO blockers or selective inhibition of NOSs might contribute to a
clinically significant level of neuroprotection.
Supported by the Kemper Foundation and grants from the National Institutes of Health and Research to Prevent Blindness, Inc.
Submitted for publication April 19, 2000; revised June 22, 2000; accepted July 5, 2000.
Commercial relationships policy: N.
Corresponding author: Colin J. Barnstable, Department of Ophthalmology and Visual Science, Yale University School of Medicine, 330 Cedar Street, New Haven, CT 06520-8061.
[email protected]
The authors thank Keely Bumsted and Ming-Hu Han for helpful
discussions and Stephen Viviano for excellent technical assistance.
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