PMID- 23383140 OWN - NLM STAT- MEDLINE DCOM- 20130722 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 1 DP - 2013 TI - Erythropoietin protects adult retinal ganglion cells against NMDA-, trophic factor withdrawal-, and TNF-alpha-induced damage. PG - e55291 LID - 10.1371/journal.pone.0055291 [doi] LID - e55291 AB - PURPOSE: This study aimed to evaluate the neuroprotective effect of EPO in the presence of N-methyl-d-aspartate (NMDA)-, trophic factor withdrawal (TFW)-, and tumor necrosis factor-alpha (TNF-alpha)-induced toxicity on total, small, and large retinal ganglion cells (RGCs). METHODS: Retinal cells from adult rats were cultured in a medium containing brain-derived neurotrophic factor (BDNF), ciliary neurotrophic factor (CNTF), basic fibroblast growth factor (bFGF), and forskolin. Expression of RGC markers and EPOR was examined using immunocytochemistry. RGCs were classified according to their morphological properties. Cytotoxicity was induced by NMDA, TFW, or TNF-alpha. RGC survival was assessed by counting thy-1 and neurofilament-l double-positive cells. RESULTS: EPO offered dose-dependent (EC(5)(0) = 5.7 ng/mL) protection against NMDA toxicity for small RGCs; protection was not significant for large RGCs. Time-course analysis showed that the presence of EPO either before or after NMDA exposure gave effective protection. For both small and large RGCs undergoing trophic factor withdrawal, EPO at concentrations of 1, 10, or 100 ng/mL improved survival. However, EPO had to be administered soon after the onset of injury to provide effective protection. For TNF-alpha-induced toxicity, survival of small RGCs was seen only for the highest examined concentration (100 ng/mL) of EPO, whereas large RGCs were protected at concentrations of 1, 10, or 100 ng/mL of EPO. Time-course analysis showed that pretreatment with EPO provided protection only for large RGCs; early post-treatment with EPO protected both small and large RGCs. Inhibitors of signal transduction and activators of transcription such as (STAT)-5, mitogen-activated protein kinases (MAPK)/extracellular-regulated kinase (ERK), and phosphatidyl inositol-3 kinase (PI3K)/Akt impaired the protective effect of EPO on RGCs exposed to different insults. CONCLUSION: EPO provided neuroprotection to cultured adult rat RGCs; however, the degree of protection varied with the type of toxic insult, RGC subtype, and timing of EPO treatment. FAU - Chang, Zhi-Yang AU - Chang ZY AD - Graduate Institute of Life Sciences, National Defense Medical Center, Neihu, Taipei, Taiwan. FAU - Yeh, Ming-Kung AU - Yeh MK FAU - Chiang, Chiao-Hsi AU - Chiang CH FAU - Chen, Yi-Hao AU - Chen YH FAU - Lu, Da-Wen AU - Lu DW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130130 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Ciliary Neurotrophic Factor) RN - 0 (Culture Media) RN - 0 (Tumor Necrosis Factor-alpha) RN - 103107-01-3 (Fibroblast Growth Factor 2) RN - 11096-26-7 (Erythropoietin) RN - 1F7A44V6OU (Colforsin) RN - 6384-92-5 (N-Methylaspartate) SB - IM MH - Analysis of Variance MH - Animals MH - Brain-Derived Neurotrophic Factor MH - Cell Count MH - Cell Culture Techniques MH - Ciliary Neurotrophic Factor MH - Colforsin MH - Culture Media MH - Dose-Response Relationship, Drug MH - Erythropoietin/*pharmacology MH - Fibroblast Growth Factor 2 MH - Immunohistochemistry MH - Microscopy, Fluorescence MH - N-Methylaspartate/*toxicity MH - Rats MH - Retinal Ganglion Cells/*cytology/*drug effects MH - Toxicity Tests MH - Tumor Necrosis Factor-alpha/*toxicity PMC - PMC3559395 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/02/06 06:00 MHDA- 2013/07/23 06:00 PMCR- 2013/01/30 CRDT- 2013/02/06 06:00 PHST- 2012/08/26 00:00 [received] PHST- 2012/12/20 00:00 [accepted] PHST- 2013/02/06 06:00 [entrez] PHST- 2013/02/06 06:00 [pubmed] PHST- 2013/07/23 06:00 [medline] PHST- 2013/01/30 00:00 [pmc-release] AID - PONE-D-12-25910 [pii] AID - 10.1371/journal.pone.0055291 [doi] PST - ppublish SO - PLoS One. 2013;8(1):e55291. doi: 10.1371/journal.pone.0055291. Epub 2013 Jan 30.