Data presented here suggest that Müller and RPE cells
respond immediately to experimental RD. These nonneuronal retinal cells
signal in response to RD via the ERK (p42/p44 MAP kinase) pathway and
rapidly induce expression of AP-1, a critical transcription factor for
numerous cellular processes. Our data implicate FGF-2 and FGFR1 as
candidate molecules for initiating reactive cellular changes, which
often lead to both gross and microscopic structural reorganization
throughout the retina.
FGF-2 is expressed in the retina
24 25 26 and has been shown
to stimulate gliosis and protein expression changes
27 after RD.
9 FGFR1 is present in both Müller and RPE
cells,
28 29 and exogenous in vivo addition of FGF-2 leads
to FGF receptor internalization, Müller cell proliferation, and
increased expression of two intermediate filaments, glial fibrillary
acidic protein and vimentin.
9 We show that FGFR1 becomes
phosphorylated within 15 minutes and largely dephosphorylated 2 hours
after RD
(Fig. 1) , suggesting that endogenous FGF-2 acts immediately in
response to injury.
MAPK pathways are highly conserved intracellular signal transduction
pathways that communicate information between the plasma membrane and
nucleus.
30 31 Here we show that ERK is present in the
retina, and it changes its cellular localization from the cytoplasm to
the nucleus after RD
(Fig. 2) . ERK is rapidly phosphorylated
(Fig. 3) in both Müller and RPE cells and persists in Müller cells
for >7 days, indicating that these cells remain reactive for some time
after injury. Indeed some components of the Müller cell gliotic
response (hypertrophy, migration, and increased expression of
intermediate filaments) remain dynamic for as long as the retina is
detached,
23 while responses such as proliferation decrease
to near background levels after 7 days.
4 6
Concomitant with ERK phosphorylation,
c-fos mRNA expression
increases in both retina and RPE
(Fig. 4) . Shortly thereafter, both
protein subunits of the AP-1 complex (c-Fos and c-Jun) become highly
expressed in Müller cells
(Figs. 5 6) . This increase in
c-fos mRNA in the INL has also been shown in a model of
penetrating focal injury.
17 Members of the Fos and Jun
families frequently become activated and up-regulated in response to
mitogenic stimuli and often serve as early-responding global regulators
of gene expression.
32 Although we have not shown a direct
link between AP-1 expression and the cellular changes induced by RD, it
is known that AP-1 induction is necessary for proliferation to occur in
other cell types,
32 and we have identified AP-1 induction
in both Müller and RPE cells before they enter the cell
cycle.
4 6 Other studies have suggested similar
relationships among these molecules: FGFR1 signaling, ERK activation,
and
c-fos induction
33 34 have all been linked
with a proliferative response.
35
Additional signaling pathways also become activated in response to RD.
Activation-specific antibodies to STAT3, CREB, and NF-κB, each
demonstrate increased immunoreactivity within 3 days after RD, in a
time frame consistent with their potential for contributing to
secondary cellular changes. All three of these proteins have the
capacity to respond to multiple stimuli, including growth factors and
cytokines, and all are implicated in regulating a vast array of
cellular responses.
36 37 38 39 40 The phosphorylation of STAT3
occurs in INL cells at 1 and 3 days after RD, a time that correlates
temporally with Müller cell proliferation and intermediate
filament expression.
4 5 41 CREB has been shown previously
to become phosphorylated after penetrating retinal
injury
42 and has been linked with c-Fos
expression.
15 In this study, pCREB labeling is observed
not only in INL cells, but also in some photoreceptors in a pattern
reminiscent of apoptotic cell death after RD, that is, sparse and
seemingly randomly scattered cells throughout the ONL.
7 Furthermore, we find increased NF-κB activation 1 to 3 days after RD
in INL cells. NF-κB is known to become activated in response to a
variety of stimuli including oxidative stress;
43 44 ; a
phenomenon that undoubtedly occurs rapidly in detached retina once it
is separated from the choroidal circulation.
45 46
The dedifferentiation and proliferation of the RPE, intra- and
subretinal Müller cell proliferation (proliferative
vitreoretinopathy, subretinal fibrosis), and loss of photoreceptors and
their connectivity
47 may all contribute to abnormal
information processing and blindness in the affected
area.
8 47 48 In this study we aimed to identify components
of signaling pathways that may be responsible for initiating the
multi-facetted cellular responses to RD. Based on current evidence, we
hypothesize that RD causes the rapid release of FGF-2 from intra-
and/or extra-cellular stores, leading to the activation of FGFR1 and
ERK, and proximate induction of c-Fos and c-Jun protein expression in
both RPE and Müller cells. Based on numerous studies of AP-1, it
is likely that increased AP-1 expression regulates a variety of
secondary genetic and cellular responses. Furthermore, the activation
of secondary signaling events suggests that a variety of stimuli
contribute to the retina’s longer-term responses to RD. Targeting such
early signaling and transcriptional events with pharmaceutical
intervention after RD in humans may help to reduce downstream cellular
effects such as proliferation and apoptosis, before and/or after
surgical correction.
The authors thank Brett Wilson for his excellent technical
assistance and Don Anderson, Stu Feinstein, Beth Hinkle, Monte Radeke,
and Frank Lovicu for their insight and comments and for providing
reagents.