PMID- 21633713 OWN - NLM STAT- MEDLINE DCOM- 20110926 LR - 20211020 IS - 1090-0535 (Electronic) IS - 1090-0535 (Linking) VI - 17 DP - 2011 TI - Inhalative preconditioning with hydrogen sulfide attenuated apoptosis after retinal ischemia/reperfusion injury. PG - 1275-86 AB - PURPOSE: Retinal ischemia/reperfusion (I/R) injury plays an important role in the pathophysiology of various ocular diseases. Retinal ganglion cells (RGCs) are particularly vulnerable to ischemia. Hydrogen sulfide (H(2)S) was recently shown to be neuroprotective in the brain and retina due to its antiapoptotic effects. Rapid preconditioning of retinal neurons by inhaled H(2)S before I/R injury may reduce apoptosis in the rat retina. METHODS: I/R injury was created on the left eye of rats (n=8) with or without inhaled H(2)S preconditioning (80 ppm) for one hour before ischemia. Densities of fluorogold prelabeled RGCs were analyzed 7 days after injury in retinal whole mounts. Retinal tissue was harvested to analyze protein expression of heat shock protein (HSP)-90 and the mitogen-activated protein kinases (MAPKs) c-jun N-terminal kinase (JNK), extracellular signal-regulated kinase (ERK)1/2 and p38 to elucidate a possible pathway of neuroprotection. DNA binding activity of the transcription factors nuclear factor-kappa-light-chain-enhancer of activated B-cells (NF-kappaB), cyclic adenosine monophosphate response element binding protein (CREB), and heat shock element (HSE), as well as caspase-3 cleavage and activity, were determined. Retinal sections were further assessed using anti-glial fibrillary acidic protein staining. RESULTS: RGC death after I/R injury decreased by 41.5% after H(2)S preconditioning compared to room air (p<0.001). H(2)S inhalation before ischemia reduced caspase-3 cleavage (p<0.001) and attenuated caspase-3 activity (p<0.001). Furthermore, HSP-90 expression was significantly elevated in the retina after H(2)S preconditioning. NF-kappaB but not CREB or HSE showed specific, H2S-dependent regulation, as well as the MAPKs ERK1/2 and JNK but not p38. CONCLUSIONS: H(2)S preconditioning mediates antiapoptotic effects in retinal I/R injury, thus exhibiting neuroprotection. Based on these observations, H(2)S could represent a novel and promising therapeutic agent to counteract neuronal injuries in the eye. Further studies are needed to prove H(2)S's neuroprotective propensity using a postconditioning approach. CI - (c) 2011 Molecular Vision FAU - Biermann, Julia AU - Biermann J AD - University Eye Hospital Freiburg, Freiburg, Germany. julia.biermann@uniklinik-freiburg.de FAU - Lagreze, Wolf A AU - Lagreze WA FAU - Schallner, Nils AU - Schallner N FAU - Schwer, Christian I AU - Schwer CI FAU - Goebel, Ulrich AU - Goebel U LA - eng PT - Journal Article DEP - 20110507 PL - United States TA - Mol Vis JT - Molecular vision JID - 9605351 RN - 0 (Caspase Inhibitors) RN - 0 (Glial Fibrillary Acidic Protein) RN - 0 (HSP90 Heat-Shock Proteins) RN - 0 (NF-kappa B) RN - 0 (Neuroprotective Agents) RN - 9007-49-2 (DNA) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - YY9FVM7NSN (Hydrogen Sulfide) SB - IM MH - Administration, Inhalation MH - Animals MH - Apoptosis/*drug effects MH - Caspase Inhibitors MH - Cell Death/drug effects MH - DNA/metabolism MH - Female MH - Glial Fibrillary Acidic Protein/metabolism MH - HSP90 Heat-Shock Proteins/metabolism MH - Hydrogen Sulfide/*administration & dosage MH - Ischemic Preconditioning/*methods MH - Male MH - Mitogen-Activated Protein Kinases/metabolism MH - NF-kappa B/metabolism MH - Neuroprotective Agents/*administration & dosage MH - Rats MH - Rats, Sprague-Dawley MH - Reperfusion Injury/pathology/*physiopathology MH - Retina/metabolism MH - Retinal Ganglion Cells/drug effects MH - Retinal Vessels/drug effects/*physiopathology MH - Time Factors MH - Tissue Distribution PMC - PMC3103742 EDAT- 2011/06/03 06:00 MHDA- 2011/09/29 06:00 PMCR- 2011/01/01 CRDT- 2011/06/03 06:00 PHST- 2010/10/22 00:00 [received] PHST- 2011/05/03 00:00 [accepted] PHST- 2011/06/03 06:00 [entrez] PHST- 2011/06/03 06:00 [pubmed] PHST- 2011/09/29 06:00 [medline] PHST- 2011/01/01 00:00 [pmc-release] AID - 143 [pii] AID - 2010MOLVIS0458 [pii] PST - ppublish SO - Mol Vis. 2011;17:1275-86. Epub 2011 May 7.