1. Endothelial activation of caspase-9 promotes neurovascular injury in retinal vein occlusion
- Author
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Claire W. Chen, Maria Avrutsky, Jacqueline Lawson, Stephanie K. Yuen, Anna Michelle Potenski, Ying Y. Jean, Fatima N. Morales, Kendra V. Johnson, Crystal Koralis Colón Ortiz, Scott J. Snipas, Carol M. Troy, Guy S. Salvesen, Alexandra J. White, and Elisa Canepa
- Subjects
0301 basic medicine ,Cell death ,Programmed cell death ,Pathology ,medicine.medical_specialty ,Cell biology ,Retinal Vein ,Science ,Central nervous system ,Ischemia ,General Physics and Astronomy ,Inflammation ,Pathogenesis ,General Biochemistry, Genetics and Molecular Biology ,Article ,Endothelial activation ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,medicine ,lcsh:Science ,Multidisciplinary ,business.industry ,Neurodegeneration ,fungi ,food and beverages ,Retinal ,General Chemistry ,medicine.disease ,030104 developmental biology ,medicine.anatomical_structure ,Mechanisms of disease ,chemistry ,030221 ophthalmology & optometry ,lcsh:Q ,medicine.symptom ,business ,Neuroscience - Abstract
Central nervous system ischemic injury features neuronal dysfunction, inflammation and breakdown of vascular integrity. Here we show that activation of endothelial caspase-9 after hypoxia-ischemia is a critical event in subsequent dysfunction of the blood-retina barrier, using a panel of interrelated ophthalmic in vivo imaging measures in a mouse model of retinal vein occlusion (RVO). Rapid nonapoptotic activation of caspase-9 and its downstream effector caspase-7 in endothelial cells promotes capillary ischemia and retinal neurodegeneration. Topical eye-drop delivery of a highly selective caspase-9 inhibitor provides morphological and functional retinal protection. Inducible endothelial-specific caspase-9 deletion phenocopies this protection, with attenuated retinal edema, reduced inflammation and preserved neuroretinal morphology and function following RVO. These results reveal a non-apoptotic function of endothelial caspase-9 which regulates blood-retina barrier integrity and neuronal survival, and identify caspase-9 as a therapeutic target in neurovascular disease., Retinal vein occlusion can cause blindness, and features neuronal dysfunction, inflammation and breakdown of vascular integrity. Here the authors report a non-apoptotic role of endothelial caspase-9 in regulating blood-retina barrier integrity and neuronal survival, which can be therapeutically targeted in a mouse model of retinal vein occlusion.
- Published
- 2020
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