The second messenger cAMP (adenosine 3′,5′-cyclic monophosphate) has been implicated in a network of biochemical events leading to the induction or the prevention of apoptosis in a variety of cell types. However, few studies have addressed the role of cAMP in retinal degeneration. Elevated retinal levels of cAMP have been detected in mice expressing the rhodopsin mutant P347S, which is found in patients with autosomal dominant RP (adRP).
8 Elevated levels of retinal cAMP have also been reported in
rd/
rd mice, which have a photoreceptor dystrophy caused by a defect in cGMP phosphodiesterase.
9 In
rds mice, with retinal degeneration caused by mutation in the gene encoding peripherin, modifications in adenylyl cyclase and phosphodiesterase activities have been observed.
10 These studies suggest a relationship between intracellular levels of cAMP and RP, whereby high levels of cAMP may promote apoptosis and lead to rod photoreceptor death. Attempts to slow photoreceptor degeneration by treatment with neuromodulator-related factors have shown that those that lower the intracellular levels of cAMP, such as dopamine, D2 receptor agonists, and α
2-adrenergic receptor agonists, appear to convey neuroprotection.
11 12 Conversely, neurohormones that increase cAMP level, such as melatonin, increase the susceptibility of photoreceptor cells to light-induced degeneration
12 13 whereas melatonin receptor antagonists decrease susceptibility to light damage.
14 Close relationships exist between dopamine, melatonin, and cAMP in the retina.
15 16 Light stimulates dopamine synthesis and secretion from amacrine and interplexiform cells in the inner retina.
17 Dopamine activates D2-like/D4-subtype receptors in the photoreceptor layer, leading to the inhibition of cAMP production, which results in the inhibition of melatonin synthesis.
18 19 20 Melatonin is synthesized and released by photoreceptors in the dark, it inhibits dopamine release and, consequently, increases intracellular levels of cAMP.
21 22 23 24 In the retina, dopamine and melatonin are important actors in the modulation of light-dependent phenomena, such as ROS membrane renewal, disc shedding, and retinomotor movement in a circadian and mutually antagonistic fashion.
25 26 27 Thus, the maintenance of regulated levels of cAMP in retinal photoreceptors seems to be of major importance in the biology of photoreceptor health.