Retinal ischemia plays a central role in several ocular diseases such as glaucoma, diabetic retinopathy, retinopathy of prematurely, central retinal artery occlusion, and anterior ischemic optic neuropathy. An understanding of the cellular events responsible for the retinal degeneration is paramount in devising therapeutic strategies for these diseases. Ischemic preconditioning has been shown to be an effective strategy to harness the endogenous mechanisms within cells to prevent ischemic damage. However, these mechanisms are not well understood. In the retina, initial studies demonstrate that gene regulation and protein synthesis are necessary for retinal ischemic preconditioning.
19 In previous studies we have shown that the small heat shock protein rHsp27 is upregulated in the rat retina and that this upregulation is associated in time with the protection of the retina from ischemic injury.
21
The present study was designed to determine whether the upregulation of rHsp27 in the preconditioned retina is in part responsible for the protection offered by IPC. The cell line chosen for these studies was a homogenous rat retinal ganglion cell line derived from embryonic rat retinas that express most ganglion cell–specific cell markers.
31 In the retina, ischemia leads to excessive glutamate release and eventual excitotoxicity. One of the main components of this excitotoxicity response is the uncontrolled influx of calcium into the postsynaptic neurons. This influx of calcium triggers several signaling cascades and eventual apoptosis.
3 4 Results presented in
Figures 2 3 and 4demonstrate that rHsp27 can protect RGC-5 cells from stress associated with ischemia and Ca
2+ overload. These data support the idea that an increase in Hsp27 expression can protect retinal cells from ischemic injury. Previous studies have shown that Hsp27 upregulation can inhibit the activation of caspase-3 by several apoptotic stimuli.
22 23 24 25 26 27 28 29 This action of Hsp27 may result from its interaction with events both upstream and downstream of the mitochondria. Our results demonstrate that A23187 administration to RGC-5 cells activates caspase-3 in a caspase-9–dependent fashion. These data indicate that the main organelle targeted by an influx of Ca
2+ is the mitochondria. The overexpression of rHsp27 completely blocked this caspase-3 activation induced by 24 hours of treatment with A23187; however, inhibiting caspase-3 with a selective caspase-3 inhibitor did not prevent the cytotoxicity induced by A23187. These results support the idea that rHsp27 can modulate caspase-dependent and -independent apoptotic and necrotic events. If this is the case, then rHsp27 can interact with several of these death pathways, a common early event in the delayed cytotoxicity induced by Ca
2+ overload, or both.
Previous studies have provided evidence for the antiapoptotic actions of Hsp27 in response to a variety of insults. Studies have shown that increased levels of Hsp27 can protect cells from mitochondria- and cytochrome
c-dependent apoptosis. This was first explained by the ability of Hsp27 to bind to and sequester released cytoplasmic cytochrome
c before it combines with Apaf-1 and activates procaspase-9.
25 27 In subsequent studies Paul et al.
28 suggest that Hsp27 acts upstream of the mitochondria by possibly altering Bid intracellular relocalization to the mitochondria. This alteration in Bid relocalization is thought to be related to the F-actin stabilizing action of Hsp27. Stabilizing the cytoskeleton with phalloidin or overexpressing Hsp27 has been shown to prevent cytochalasin D–induced F-actin depolymerization and subsequent release of cytochrome
c in several cell types.
28 Hsp27 may also interfere with caspase-mediated apoptosis through direct association with activated caspase-3. Studies have reported that small heat shock proteins such as αβ-crystallin and Hsp27 can inhibit both mitochondria- and death receptor–mediated caspase activation.
34 They report that these small Hsp accomplish this by binding to the p24 caspase-3 processing intermediate protein and thereby inhibiting its autocatalytic maturation of active caspase-3,
34 or by the direct association with caspase-3.
35
The exact role rHsp27 plays in preventing caspase-dependent apoptosis in these RGC-5 cells is still unknown. Given that ischemic stress to the retina causes membrane depolarization, oxidative stress, calcium influx, and metabotropic and ionotropic receptor activation, it is likely that multiple pathways contribute to the eventual apoptotic and necrotic degeneration. If this is the case, there are several places in the apoptosis signaling pathway where Hsp27 could interfere if upregulated. Mitochondria-associated apoptosis can occur through caspase-dependent and -independent mechanisms. We have clearly shown that rHsp27 can block the caspase-dependent pathway. The caspase-independent pathways may involve the release of mitochondrial proteins such as apoptosis-inducing factor (AIF) and EndoG. One study has shown that overexpression of Hsp27 can lead to a decreased release of AIF.
36 Whether rHsp27 directly interacts with these apoptotic proteins in our model is unknown. It is possible that Hsp27 may interact with the release of these proteins from the mitochondria, much as it interferes with the release of cytochrome
c. This would explain why overexpression of Hsp27 protects retinal ganglion cells from ischemic death, whereas simply inhibiting caspases has no effect on cell viability. As mentioned earlier, the results of our IP-MS studies did not show any direct interaction with these apoptotic proteins or other proteins in apoptotic pathways that Hsp27 had been thought to interact with (e.g., members of the Bcl-2 family, various caspases, and cytochrome
c). Although MS analysis is a very sensitive technique, the failure to detect these proteins may be due to the low amount of total protein used for the immunoprecipitation or to the abundance of these particular proteins being below the detection limits for analysis. However, the strong association with actin implies that one of the major roles of Hsp27 is actin-cytoskeleton stabilization. The association of Hsp27 and actin has been well studied and documented.
28 37 38 This interaction may have downstream effects on both caspase-dependent and -independent cell death pathways. Paul et al.
28 demonstrated that overexpression of Hsp27 stabilized the cytoskeleton against cytochalasin D treatment and prevented the release of cytochrome
c from the mitochondria. It has been thought that Hsp27 accomplishes this by preventing the translocation of Bid from the cytosol to the mitochondria. It is possible that caspase-independent factors are regulated in a similar manner.
Among the other proteins revealed by our proteomic analysis was Hsp70. Hsp27 and -70 are generally thought to act independently, but at least one other study has shown an interaction between these proteins.
39 Further investigations are necessary to deterine the combined antiapoptotic effect of Hsp27 and -70. The two additional proteins identified by IP-MS were EF-1α and SPIN-2. The role of EF-1α in apoptosis is somewhat unclear. Studies have shown that it is a proapoptotic factor,
40 41 whereas another study reported that it is an antiapoptotic factor.
42 SPIN-2 is a newly described nuclear protein that is involved in the regulation of cell-cycle progression and the inhibition of apoptosis.
43 How Hsp27 binds to and interacts with these proteins is still unknown and is an area for future research.
Further studies are needed to clearly identify the role that Hsp27 plays in preventing ischemia-related cell death. It is apparent, however, that Hsp27 plays a major role in protecting these retinal cells from ischemia-related damage. These findings, when taken together with the fact that Hsp27 is specifically upregulated after retinal IPC and is expressed only during the therapeutic window of IPC, strongly suggests that the upregulation of Hsp27 is a key event during retinal IPC.