PMID- 31026769 OWN - NLM STAT- MEDLINE DCOM- 20200303 LR - 20200309 IS - 2213-2317 (Electronic) IS - 2213-2317 (Linking) VI - 24 DP - 2019 Jun TI - Hyperhomocysteinemia-induced death of retinal ganglion cells: The role of Muller glial cells and NRF2. PG - 101199 LID - S2213-2317(19)30318-0 [pii] LID - 10.1016/j.redox.2019.101199 [doi] LID - 101199 AB - Hyperhomocysteinemia (Hhcy), or increased levels of the excitatory amino acid homocysteine (Hcy), is implicated in glaucoma, a disease characterized by increased oxidative stress and loss of retinal ganglion cells (RGCs). Whether Hhcy is causative or merely a biomarker for RGC loss in glaucoma is unknown. Here we analyzed the role of NRF2, a master regulator of the antioxidant response, in Hhcy-induced RGC death in vivo and in vitro. By crossing Nrf2(-/-) mice and two mouse models of chronic Hhcy (Cbs(+/-) and Mthfr(+/-) mice), we generated Cbs(+/-)Nrf2(-/-) and Mthfr(+/-)Nrf2(-/-) mice and performed systematic analysis of retinal architecture and visual acuity followed by assessment of retinal morphometry and gliosis. We observed significant reduction of inner retinal layer thickness and reduced visual acuity in Hhcy mice lacking NRF2. These functional deficits were accompanied by fewer RGCs and increased gliosis. Given the key role of Muller glial cells in maintaining RGCs, we established an ex-vivo indirect co-culture system using primary RGCs and Muller cells. Hhcy-exposure decreased RGC viability, which was abrogated when cells were indirectly cultured with wildtype (WT) Muller cells, but not with Nrf2(-/-) Muller cells. Exposure of WT Muller cells to Hhcy yielded a robust mitochondrial and glycolytic response, which was not observed in Nrf2(-/-) Muller cells. Taken together, the in vivo and in vitro data suggest that deleterious effects of Hhcy on RGCs are likely dependent upon the health of retinal glial cells and the availability of an intact retinal antioxidant response mechanism. CI - Copyright (c) 2019. Published by Elsevier B.V. FAU - Navneet, Soumya AU - Navneet S AD - Department of Cellular Biology and Anatomy, Medical College of Georgia, Augusta University, Augusta, GA, USA; James and Jean Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA. FAU - Zhao, Jing AU - Zhao J AD - James and Jean Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA; Department of Ophthalmology, Medical College of Georgia, Augusta University, Augusta, GA, USA. FAU - Wang, Jing AU - Wang J AD - Department of Cellular Biology and Anatomy, Medical College of Georgia, Augusta University, Augusta, GA, USA; James and Jean Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA. FAU - Mysona, Barbara AU - Mysona B AD - Department of Cellular Biology and Anatomy, Medical College of Georgia, Augusta University, Augusta, GA, USA; James and Jean Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA; Department of Ophthalmology, Medical College of Georgia, Augusta University, Augusta, GA, USA. FAU - Barwick, Shannon AU - Barwick S AD - Department of Cellular Biology and Anatomy, Medical College of Georgia, Augusta University, Augusta, GA, USA; James and Jean Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA. FAU - Ammal Kaidery, Navneet AU - Ammal Kaidery N AD - Department of Pharmacology and Toxicology, Medical College of Georgia, Augusta University, Augusta, GA, USA; Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA. FAU - Saul, Alan AU - Saul A AD - James and Jean Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA; Department of Ophthalmology, Medical College of Georgia, Augusta University, Augusta, GA, USA. FAU - Kaddour-Djebbar, Ismail AU - Kaddour-Djebbar I AD - Department of Physiology, Medical College of Georgia, Augusta University, Augusta, GA, USA; Charlie Norwood VA Medical Center, One Freedom Way, Augusta, GA, 30904, USA. FAU - Bollag, Wendy B AU - Bollag WB AD - Department of Physiology, Medical College of Georgia, Augusta University, Augusta, GA, USA; Charlie Norwood VA Medical Center, One Freedom Way, Augusta, GA, 30904, USA. FAU - Thomas, Bobby AU - Thomas B AD - Department of Pharmacology and Toxicology, Medical College of Georgia, Augusta University, Augusta, GA, USA; Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA; Department of Neuroscience, Medical University of South Carolina, Charleston, SC, USA; Department of Drug Discovery, Medical University of South Carolina, Charleston, SC, USA. FAU - Bollinger, Kathryn E AU - Bollinger KE AD - Department of Cellular Biology and Anatomy, Medical College of Georgia, Augusta University, Augusta, GA, USA; James and Jean Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA; Department of Ophthalmology, Medical College of Georgia, Augusta University, Augusta, GA, USA. FAU - Smith, Sylvia B AU - Smith SB AD - Department of Cellular Biology and Anatomy, Medical College of Georgia, Augusta University, Augusta, GA, USA; James and Jean Culver Vision Discovery Institute, Augusta University, Augusta, GA, USA; Department of Ophthalmology, Medical College of Georgia, Augusta University, Augusta, GA, USA. Electronic address: sbsmith@augusta.edu. LA - eng GR - R01 EY012830/EY/NEI NIH HHS/United States GR - R01 EY027406/EY/NEI NIH HHS/United States GR - R01 EY028103/EY/NEI NIH HHS/United States GR - R01 NS101967/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20190411 PL - Netherlands TA - Redox Biol JT - Redox biology JID - 101605639 RN - 0 (Biomarkers) RN - 0 (NF-E2-Related Factor 2) SB - IM MH - Animals MH - Biomarkers MH - Cell Count MH - Coculture Techniques MH - Disease Models, Animal MH - Electroretinography MH - Ependymoglial Cells/metabolism/pathology MH - Glycolysis MH - Hyperhomocysteinemia/genetics/*metabolism/*pathology MH - Intraocular Pressure MH - Mice MH - Mice, Knockout MH - NF-E2-Related Factor 2/genetics/metabolism MH - Retina/diagnostic imaging/metabolism MH - Retinal Ganglion Cells/*metabolism/pathology PMC - PMC6482349 OTO - NOTNLM OT - Cystathionine beta-synthase OT - Ganglion cells OT - Glaucoma OT - Homocysteine OT - Hyperhomocysteinemia OT - Methylene tetrahydrofolate reductase OT - Mouse OT - NRF2 OT - Retina EDAT- 2019/04/27 06:00 MHDA- 2020/03/04 06:00 PMCR- 2019/04/11 CRDT- 2019/04/27 06:00 PHST- 2019/03/13 00:00 [received] PHST- 2019/04/05 00:00 [revised] PHST- 2019/04/10 00:00 [accepted] PHST- 2019/04/27 06:00 [pubmed] PHST- 2020/03/04 06:00 [medline] PHST- 2019/04/27 06:00 [entrez] PHST- 2019/04/11 00:00 [pmc-release] AID - S2213-2317(19)30318-0 [pii] AID - 101199 [pii] AID - 10.1016/j.redox.2019.101199 [doi] PST - ppublish SO - Redox Biol. 2019 Jun;24:101199. doi: 10.1016/j.redox.2019.101199. Epub 2019 Apr 11.