PMID- 33133437 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220418 IS - 2008-2010 (Print) IS - 2008-322X (Electronic) IS - 2008-322X (Linking) VI - 15 IP - 4 DP - 2020 Oct-Dec TI - Memantine, Simvastatin, and Epicatechin Inhibit 7-Ketocholesterol-induced Apoptosis in Retinal Pigment Epithelial Cells But Not Neurosensory Retinal Cells In Vitro. PG - 470-480 LID - 10.18502/jovr.v15i4.7781 [doi] AB - PURPOSE: 7-ketocholesterol (7kCh), a natural byproduct of oxidation in lipoprotein deposits is implicated in the pathogenesis of diabetic retinopathy and age-related macular degeneration (AMD). This study was performed to investigate whether several clinical drugs can inhibit 7kCh-induced caspase activation and mitigate its apoptotic effects on retinal cells in vitro. METHODS: Two populations of retinal cells, human retinal pigment epithelial cells (ARPE-19) and rat neuroretinal cells (R28) were exposed to 7kCh in the presence of the following inhibitors: Z-VAD-FMK (pan-caspase inhibitor), simvastatin, memantine, epicatechin, and Z-IETD-FMK (caspase-8 inhibitor) or Z-ATAD-FMK (caspase-12 inhibitor). Caspase-3/7, -8, and -12 activity levels were measured by fluorochrome caspase assays to quantify cell death. IncuCyte live-cell microscopic images were obtained to quantify cell counts. RESULTS: Exposure to 7kCh for 24 hours significantly increased caspase activities for both ARPE-19 and R28 cells (P < 0.05). In ARPE cells, pretreatment with various drugs had significantly lower caspase-3/7, -8, and -12 activities, reported in % change in mean signal intensity (msi): Z-VAD-FMK (48% decrease, P < 0.01), memantine (decreased 47.8% at 1 microM, P = 0.0039 and 81.9% at 1 mM, P < 0.001), simvastatin (decreased 85.3% at 0.01 microM, P < 0.001 and 84.8% at 0.05 microM, P < 0.001) or epicatechin (83.6% decrease, P < 0.05), Z-IETD-FMK (68.1% decrease, P < 0.01), and Z-ATAD-FMK (47.7% decrease, P = 0.0017). In contrast, R28 cells exposed to 7kCh continued to have elevated caspase-3/7, -8, and -12 activities (between 25.7% decrease and 17.5% increase in msi, P > 0.05) regardless of the pretreatment. CONCLUSION: Several current drugs protect ARPE-19 cells but not R28 cells from 7kCh-induced apoptosis, suggesting that a multiple-drug approach is needed to protect both cells types in various retinal diseases. CI - Copyright (c) 2020 Neekhra et al. FAU - Neekhra, Aneesh AU - Neekhra A AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Tran, Julia AU - Tran J AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Esfahani, Parsa R AU - Esfahani PR AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Schneider, Kevin AU - Schneider K AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Pham, Khoa AU - Pham K AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Sharma, Ashish AU - Sharma A AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Chwa, Marilyn AU - Chwa M AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Luthra, Saurabh AU - Luthra S AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Gramajo, Ana L AU - Gramajo AL AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Mansoor, Saffar AU - Mansoor S AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Kuppermann, Baruch D AU - Kuppermann BD AD - Gavin Herbert Eye Institute, University of California, Irvine, California. FAU - Kenney, M Cristina AU - Kenney MC AD - Gavin Herbert Eye Institute, University of California, Irvine, California. AD - Department of Pathology and Laboratory Medicine, University of California Irvine, Irvine, CA, USA. LA - eng GR - R01 EY027363/EY/NEI NIH HHS/United States PT - Journal Article DEP - 20201025 PL - United Arab Emirates TA - J Ophthalmic Vis Res JT - Journal of ophthalmic & vision research JID - 101497643 PMC - PMC7591846 OTO - NOTNLM OT - 7-Ketocholesterol OT - Memantine OT - Epicatechin COIS- There are no conflicts of interest. EDAT- 2020/11/03 06:00 MHDA- 2020/11/03 06:01 PMCR- 2020/10/25 CRDT- 2020/11/02 06:17 PHST- 2020/03/20 00:00 [received] PHST- 2020/06/21 00:00 [accepted] PHST- 2020/11/02 06:17 [entrez] PHST- 2020/11/03 06:00 [pubmed] PHST- 2020/11/03 06:01 [medline] PHST- 2020/10/25 00:00 [pmc-release] AID - 10.18502/jovr.v15i4.7781 [doi] PST - epublish SO - J Ophthalmic Vis Res. 2020 Oct 25;15(4):470-480. doi: 10.18502/jovr.v15i4.7781. eCollection 2020 Oct-Dec.