Abstract
Purpose.
Endoplasmic reticulum (ER) stress has been observed in animal models of retinitis pigmentosa expressing P23H rhodopsin. We compared levels of tightly induced ER stress genes, Binding of immunoglobulin protein (BiP) and CCAAT/enhancer-binding protein homologous protein (Chop), in seven additional models of retinal degeneration arising from genetic or environmental causes.
Methods.
Retinas from transgenic S334ter rhodopsin (lines 3, 4, and 5) and Royal College of Surgeons (RCS and RCS-p+) rats from postnatal (P) days 10 to 120 were analyzed. In a constant light (CL) model of retinal degeneration, BALB/c mice were exposed to 15,000 lux of CL for 0 to 8 hours. Retinal tissues from three to eight animals per experimental condition were collected for histologic and molecular analyses.
Results.
S334ter animals revealed significant increases in BiP, S334ter-3 (3.3× at P15), S334ter-4 (4× at P60), and S334ter-5 (2.2× at P90), and Chop, S334ter-3 (1.3× at P15), S334ter-4 (1.5× at P30), and S334ter-5 (no change), compared with controls. P23H-3 rats showed significant increase of BiP at P60 (2.3×) and Chop (1.6×). RCS and RCS-p+ rats showed significant increases in BiP at P60 (2.4×) and P20 (1.8×), respectively, but no statistically significant changes in Chop. BALB/c mice showed increases in BiP (1.5×) and Chop (1.3×) after 4 hours of CL. Increased levels of these ER stress markers correlated with photoreceptor cell loss.
Conclusions.
Our study reveals surprising increases in BiP and to a lesser degree Chop in retinal degenerations arising from diverse causes. We propose that manipulation of ER stress responses may be helpful in treating many environmental and heritable forms of retinal degeneration.
We found surprising induction of endoplasmic reticulum stress markers, BiP and Chop, in seven different models of retinal degeneration arising from genetic and environmental insults.
Introduction
The endoplasmic reticulum (ER) is a membranous organelle responsible for the folding and maturation of secretory and membrane proteins, lipid and sterol synthesis, and is a major site of intracellular free calcium storage.1 Pathologic processes that disrupt ER functions cause ER stress.2 Many heritable mutations in secretory and membrane proteins cause protein misfolding and ER stress.3–5 Left uncontrolled, ER stress will ultimately cause cell death.6 ER stress has been reported in several retinal dystrophies arising from protein misfolding,7–10 including multiple models of retinal degeneration expressing P23H rhodopsin,11–13 the most common genetic cause of heritable retinitis pigmentosa in the North American population,14 as well as T17M rhodopsin and S334ter rhodopsin.15–17 ER stress has also been reported in retinal degeneration 1 mouse (rd1) strain that bear markedly elevated intracellular calcium levels in photoreceptors,18 and in a light-induced mouse model of retinal degeneration.19 These findings suggest that ER stress may be involved in retinal dystrophies arising from causes besides protein misfolding. To examine the involvement of ER stress in different retinal dystrophies in more detail, we analyzed expression levels of two genes that are induced by ER stress, Binding of immunoglobulin protein (BiP), and CCAAT/enhancer-binding protein homologous protein (Chop), in seven different rodent models of retinal degeneration arising from etiologies distinct from ER protein misfolding.
We specifically examined BiP and Chop because these are two of the best studied genes transcriptionally induced by ER stress, and robust protocols are available to quantify their mRNA levels in individual rodent retinas.20 BiP, also known as glucose-regulated protein 78kD (Grp78) and heat shock 70kDa protein 5 (HspA5), encodes an abundant, ER-localized HSP70-class chaperone that participates in protein folding in the ER and binding to misfolded ER proteins for further quality control/triage.21–23 Cells rapidly upregulate BiP mRNA levels when confronted with ER stress.24,25 Translation of BiP mRNA is further regulated by an internal ribosomal entry site located in 5′ untranslated region (UTR) of the mRNA.26 Elevated BiP mRNA levels are a sensitive indicator of ER stress and have been observed in diseases linked to ER stress27–29 and in retinal degeneration models arising from P23H rhodopsin expression.12,13 BiP helps cells to cope with ER stress, in part, by reducing levels of misfolded intermediates in the ER.2,30 In the retina, BiP localizes to the inner segment, where the ER is found.18,31 Other researchers additionally found BiP in the outline of the inner nuclear layer (ER membrane and nucleus membrane are connected), inner plexiform layer, and the inner segment.18,19 BiP has been reported to interact with rhodopsin,32 and with proapoptotic proteins, such as procaspase 7, procaspase 12, and Bcl-2-interacting killer (BiK).13,33,34 Intriguingly, viral transduction of BiP into rodent photoreceptors expressing P23H rhodopsin significantly improved visual function.13 Mice lacking BiP die during early embryogenesis (E3.5) underscoring BiP's importance in cellular functions essential for survival.35
Another well-studied gene transcriptionally induced by ER stress is Chop, also known as Growth arrest and DNA damage gene 153 (Gadd153) and DNA damage-inducible transcript 3 (Ddit3).36 Chop encodes a transcription factor that promotes apoptosis in response to uncontrolled ER stress.6,37 The CHOP protein heterodimerizes with other bZIP transcription factors including C/EBPα, C/EBPγ, C/EBPβ, C/EBPε, ATF-4, and p21SNFT.38,39 For example, under ER stress condition, CHOP interacts with liver inhibitory protein (LIP), a C/EBPβ isoform, to form a heterodimer.40 Upon heterodimerizatiion, CHOP is transported to the nucleus and induces ER stress-caused apoptosis.40 Elevated Chop mRNA levels have been identified in diseases associated with ER stress including in several animal models of retinal degeneration.10,12,13,41,42 Cells lacking Chop are resistant to many ER stress-inducing insults underscoring Chop's pro-apoptotic capabilities.41,43,44 Interestingly, reduction in Chop levels, seen after BiP overexpression, correlated with improved visual function in animals expressing misfolded P23H rhodopsin.13
In this study, we analyzed retinal degeneration models arising from etiologies mechanistically distinct from ER protein misfolding that included three lines of transgenic S334ter rhodopsin rats with different rates of retinal degeneration45; Royal College of Surgeons (RCS) rats in pink-eyed and pigmented backgrounds both with defective rod outer segment phagocytosis by retinal pigment epithelium (RPE)46–48; and BALB/c mice acutely exposed to strong light. We measured BiP and Chop levels in individual retinas from animals at time points before, and during early and late phases of retinal degeneration. Here, we report an unexpected increase in the expression of both ER stress biomarkers in all animal models studied, including S334ter rhodopsin rats, RCS rats, and in a BALB/c mouse model of acute light-induced retinal degeneration compared with controls. The onset of BiP and Chop expression tightly correlated with retinal degeneration in all models. Our findings reveal that ER stress is a common intracellular signaling mechanism activated during retinal degeneration and may contribute to the pathogenesis of many types of retinal dystrophies.
Methods
Animals and Histologic Analyses
All studies were conducted in accordance with the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research and the guidelines of the institutional animal care committees at the University of California, San Francisco, and the University of California, San Diego. S334ter and P23H rhodopsin transgenic rat lines were created previously (http://www.ucsfeye.net/mlavailRDratmodels.shtml).45,49 We examined retinal tissue from S334ter (lines 3, 4, and 5) and P23H (line 3) transgenic rats mated with wild-type Sprague-Dawley animals at P10, 15, 20, 30, 60, 90, or 120. As controls, we collected retinal tissue from age-matched Sprague-Dawley littermates.
Inbred, pink-eyed RCS and congenic, pigmented RCS-p+ rats with inherited retinal dystrophy were characterized previously46,50–52 (http://www.ucsfeye.net/mlavailRDratmodels.shtml). We collected retinal tissue from RCS and RCS-p+ animals at P10, 12, 20, 30, 45, 60, and 90. As controls, we collected retinal tissue from wild-type age-matched RCS-rdy+ rats.
BALB/c mice retinal tissue was collected for histologic and molecular analyses after constant light exposure. As controls, we collected retinal tissue from BABL/c mice without constant light (CL) exposure. For histologic studies, animals were euthanized and perfusion-fixed. Eyes were bisected, post-fixed, and embedded in an epoxy resin as described.45,46 One micrometer-thick sections were cut through the optic nerve head and stained with Toluidine Blue. To quantify outer nuclear layer (ONL) thickness, nine 440-μm adjacent fields on each side of the optic nerve head were measured. Three measurements of the ONL thickness were made in each field to obtain a mean thickness for each field.53 The average ONL thickness with SD for each field was based on measurements from at least three animals in each experimental cohort.
Constant Light Damage
For the BALB/c albino mice constant light study, BALB/c mice were dark adapted for 16 hours prior to exposure to 15,000 lux of constant fluorescence light for 0, 1, 2, 4, or 8 hours. Retinal tissues were collected immediately after light exposure for molecular or histologic analysis. For each animal, one eye was used for histologic studies, and the other eye was used for molecular analysis.
Molecular Analyses of BiP and Chop in Retina
Retinas from three to eight animals per experimental condition were individually collected for molecular analyses to quantify BiP and Chop mRNA levels. RNA was extracted from individual retinas (RNeasy mini kit; Qiagen, Hilden, Germany). cDNA was generated from total RNA (iScript cDNA synthesis kit; Bio-Rad, Hercules, CA). Quantitative PCR analysis was performed as previously described.20 Ribosomal protein L19 (Rpl19) mRNA levels were measured as a housekeeping gene to verify the quality of the qPCR.
PCR primers used include: rat Rpl19: 5′-TGGACCCCAATGAAACCAAC-3′ and 5′ TACCCTTCCTCTTCCCTATGCC-3′; mouse Rpl19: 5′-ATGCCAACTCCCGTCAGCAG-3′ and 5′-TCATCCTTCTCATCCAGGTCACC-3′, mouse/rat BiP: 5′-CCTGCGTCGGTGTGTTCAAG-3′ and 5′-AAGGGTCATTCCAAGTGCG-3′; mouse/rat Chop: 5′-ACGGAAACAGAGTGGTCAGTGC-3′ and 5′-CAGGAGGTGATGCCCACTGTTC-3.′
Biochemistry
Wild-type, P23H, or S334ter rhodopsins were transfected into HEK293 cells (Lipofectamine 2000 transfection reagent; Invitrogen, Carlsbad, CA) and lysates were collected (2% SDS, 62.5 mM Tris-HCl pH 6.8, protease inhibitors [Sigma-Aldrich, St. Louis, MO]). Total protein was separated by SDS-PAGE followed by Western blot analysis using the following antibodies: 1D4 anti-rhodopsin at 1:1000 (Santa Cruz Biotechnologies, Santa Cruz, CA); R2-12 anti-rhodopsin at 1:1000 (gift of W.C. Smith, University of Florida); anti-Glyceraldehyde 3-phosphate dehydrogenase (GAPDH) at 1:5000 (Santa Cruz Biotechnologies). After incubation with primary antibody, membranes were washed and incubated in a horseradish peroxidase-coupled secondary antibody (Promega, Madison, WI) at 1:5000 dilution. Immunoreactivity was detected using the SuperSignal West Dura chemiluminescent substrate (Pierce, Rockford, IL).
Rat retinas were lysed in 300-μL lysis buffer (PBS, 0.5 g/mL n-Dodecyl-beta-D-Maltoside [Calbiochem EMD Bioscience, Darmstadt, Germany], protease- [Roche Diagnostic, Indianapolis, IN], and phosphatase inhibitor [Thermo Scientific, Rockford, IL] and sonicated [3× 5 seconds]). Retinal protein lysate concentrations were measured using bicinchoninic acid assay (BCA; Pierce). Total protein was separated by SDS-PAGE followed by Western blot analysis using the following antibodies: anti-Grp78/BiP at 1:1000 (GeneTex, Irvine, CA), anti-GADD153/CHOP at 1:1000 (GeneTex) and anti-Hsp90 as loading control at 1:1000 (GeneTex). After incubation with the primary antibody, membranes were washed and incubated in a horseradish peroxidase-coupled rabbit secondary antibody (Santa Cruz Biotechnologies) at 1:7000 dilution. Immunoreactivity was detected using the SuperSignal West Pico and SuperSignal West Femto chemiluminescent substrate (Pierce).
Statistical Analyses
All results are presented as mean ±SD from at least three to eight individual animals per experimental condition. Student's two-tailed t-tests were performed to determine P values for paired groups. A value of P < 0.05 was considered significant.
Results
BiP and Chop Expression in Mutant Rhodopsin Rats
The S334ter rhodopsin mutation causes premature truncation of mouse opsin and leads to retinal degeneration.49,54 By contrast to “Class II” rhodopsin mutations such as P23H rhodopsin that misfold and aggregate, S334ter rhodopsin does not aggregate into dimers/oligomers and instead, shows protein mobility similar to wild-type (WT) rhodopsin on SDS-PAGE (see Supplementary Material and Supplementary Fig. S1, http://www.iovs.org/content/53/12/7590/suppl/DC1 ).17 The truncated S334ter protein lacks the last 15 amino acid residues that are needed for proper intracellular trafficking of rhodopsin proteins and phototransduction attenuation.49,54,55 It is unknown if abnormalities in rhodopsin protein trafficking or phototransduction trigger ER stress. We analyzed three different lines (S334ter-3, S334ter-4, and S334ter-5) of transgenic rats expressing S334ter that show distinct rates of retinal degeneration.45 For example, by P30, S334ter-3 rats show approximately 90% reduction in ONL thickness; S334ter-4 rats show approximately 20% reduction in ONL thickness; and S334ter-5 rats show approximately 60% reduction in ONL thickness when compared with wild-type age-matched Sprague-Dawley rats (Figs. 1A, 1C, 1E).45
We analyzed retinas from S334ter-3 rats at P10, 15, 30, and 60. Our prior studies showed that the ONL is indistinguishable in thickness between S334ter-3 and wild-type littermates at P10, but starts to diminish in size at P15.45 We found no difference in BiP and Chop mRNA levels between S334ter-3 and wild-type rats collected from P10 animals (Figs. 1A, 1B, and Table). However, we found strong increases in BiP mRNA levels at all other ages examined (P15, 30, and 60) (Fig. 1A and Table). The most significant change in BiP mRNA level was detected at P15 (∼3.3-fold increase, P = 1.40E-06), when compared with retinas from age-matched controls. We also identified increases in Chop mRNA levels at P15 and 60 when compared with age-matched littermate controls (Fig. 1B and Table).
Table. .
Animal Model |
Total N of Animals Analyzed for Each Individual Time Point |
Time Point |
Gene |
Mean |
SD |
P Value |
S334ter-3 | 4 | P10 | rBiP | 0.924 | 0.19 | 0.5800 |
P15 | rBiP | 3.254 | 0.26 | 1.40E–06 | ||
P30 | rBiP | 2.154 | 0.28 | 8.30E–05 | ||
P60 | rBiP | 2.950 | 0.32 | 9.70E–06 | ||
P10 | rCHOP | 1.120 | 0.12 | 0.1766 | ||
P15 | rCHOP | 1.265 | 0.15 | 0.0308 | ||
P30 | rCHOP | 0.915 | 0.18 | 0.4240 | ||
P60 | rCHOP | 1.257 | 0.21 | 0.1207 | ||
S334ter-4 | 3 to 4 | P10 | rBiP | 0.739 | 0.05 | 0.0206 |
P20 | rBiP | 1.569 | 0.35 | 0.0259 | ||
P30 | rBiP | 1.634 | 0.13 | 0.0010 | ||
P60 | rBiP | 3.965 | 0.55 | 9.40E–06 | ||
P120 | rBiP | 3.220 | 0.87 | 0.0006 | ||
P10 | rCHOP | 1.098 | 0.09 | 0.1809 | ||
P20 | rCHOP | 1.317 | 0.19 | 0.0186 | ||
P30 | rCHOP | 1.501 | 0.28 | 0.0053 | ||
P60 | rCHOP | 1.211 | 0.16 | 0.1853 | ||
P120 | rCHOP | 1.185 | 0.15 | 0.2381 | ||
S334ter-5 | 3 to 8 | P10 | rBiP | 0.693 | 0.09 | 0.0011 |
P20 | rBiP | 1.550 | 0.41 | 0.0195 | ||
P30 | rBiP | 0.982 | 0.25 | 0.8978 | ||
P60 | rBiP | 1.742 | 0.10 | 0.0028 | ||
P90 | rBiP | 2.220 | 0.81 | 0.0080 | ||
P10 | rCHOP | 0.940 | 0.16 | 0.4609 | ||
P20 | rCHOP | 1.013 | 0.11 | 0.8692 | ||
P30 | rCHOP | 0.810 | 0.13 | 0.0389 | ||
P60 | rCHOP | 0.990 | 0.19 | 0.9238 | ||
P90 | rCHOP | 1.200 | 0.15 | 0.1422 | ||
P23H-3 | 5 to 8 | P10 | rBiP | 1.009 | 0.31 | 0.9562 |
P15 | rBiP | 1.605 | 0.37 | 0.0106 | ||
P30 | rBiP | 0.864 | 0.20 | 0.2276 | ||
P60 | rBiP | 2.265 | 0.80 | 0.0048 | ||
P10 | rCHOP | 1.050 | 0.18 | 0.6103 | ||
P15 | rCHOP | 1.357 | 0.24 | 0.0138 | ||
P30 | rCHOP | 0.950 | 0.19 | 0.4240 | ||
P60 | rCHOP | 1.560 | 0.38 | 0.0073 | ||
RCS | 3 to 6 | P10 | rBiP | 0.765 | 0.20 | 0.0522 |
P12 | rBiP | 0.994 | 0.11 | 0.9703 | ||
P20 | rBiP | 1.384 | 0.33 | 0.0560 | ||
P30 | rBiP | 1.167 | 0.11 | 0.1933 | ||
P45 | rBiP | 2.028 | 0.49 | 0.0248 | ||
P60 | rBiP | 2.430 | 0.28 | 0.0006 | ||
P90 | rBiP | 1.979 | 0.26 | 0.0012 | ||
P10 | rCHOP | 0.820 | 0.11 | 0.0200 | ||
P12 | rCHOP | 0.920 | 0.21 | 0.4010 | ||
P20 | rCHOP | 1.020 | 0.06 | 0.7540 | ||
P30 | rCHOP | 1.170 | 0.29 | 0.3940 | ||
P45 | rCHOP | 0.850 | 0.23 | 0.4930 | ||
P60 | rCHOP | 0.950 | 0.15 | 0.6910 | ||
P90 | rCHOP | 0.530 | 0.08 | 0.0040 | ||
RCS-p+ | 5 to 8 | P10 | rBiP | 0.590 | 0.15 | 0.0013 |
P12 | rBiP | 1.460 | 0.57 | 0.0741 | ||
P20 | rBiP | 1.750 | 0.38 | 0.0046 | ||
P30 | rBiP | 1.190 | 0.21 | 0.2027 | ||
P60 | rBiP | 1.480 | 0.51 | 0.1269 | ||
P90 | rBiP | 1.650 | 0.45 | 0.0468 | ||
P10 | rCHOP | 0.4490 | 0.17 | 0.0003 | ||
P12 | rCHOP | 0.9470 | 0.11 | 0.3540 | ||
P20 | rCHOP | 0.6890 | 0.33 | 0.0790 | ||
P30 | rCHOP | 1.0760 | 0.14 | 0.4180 | ||
P60 | rCHOP | 1.0870 | 0.15 | 0.4480 | ||
P90 | rCHOP | 0.6330 | 0.11 | 0.0060 | ||
BALB-c | 4 | 0 hours | mBiP | 1.000 | 0.27 | – |
1 hours | mBiP | 1.106 | 0.21 | 0.5537 | ||
2 hours | mBiP | 1.268 | 0.38 | 0.2888 | ||
4 hours | mBiP | 1.490 | 0.23 | 0.0324 | ||
8 hours | mBiP | 1.249 | 0.33 | 0.2848 | ||
0 hours | mCHOP | 1.000 | 0.15 | – | ||
1 hours | mCHOP | 1.183 | 0.07 | 0.0642 | ||
2 hours | mCHOP | 1.309 | 0.14 | 0.0230 | ||
4 hours | mCHOP | 1.331 | 0.18 | 0.0285 | ||
8 hours | mCHOP | 1.295 | 0.23 | 0.0724 | ||
| ||||||
Control Animals |
Total Animals |
|||||
Animal Model |
Total N of Animals Analyzed for Each Individual Time Point |
Time Point |
|
Rodent |
Total |
|
RCS-rdy+ | 3 to 8 | P10 | Mice | 53 | ||
P12 | Rat | 186 | ||||
P20 | ||||||
P30 | ||||||
P45 | ||||||
P60 | ||||||
P90 | ||||||
SD controls | 5 to 6 | P10 | ||||
P15 | ||||||
P30 | ||||||
P60 |
Retinas from S334ter-4 rats were analyzed at P10, 20, 30, 60, and 120. Our prior studies showed that the ONL is indistinguishable between S334ter-4 and wild-type animals at P10 and starts to diminish in size at P20.45 We found no difference in BiP and Chop mRNA levels between S334ter-4 and wild-type littermates at P10. However, we found significant increases in BiP mRNA levels at all other ages examined (P20, 30, 60, and 120), with the strongest change at P60 (∼4-fold increase, P = 9.40E-06), when compared with retinas from age-matched controls. Significant increases of Chop mRNA levels were also detected at P20 and P30 when compared with age-matched controls (Figs. 1C, 1D, and Table). When we analyzed total retina protein lysates from S334ter-4 animals, we also found increased BiP protein at P10 and CHOP protein at P30 compared with Sprague-Dawley controls at equivalent ages (Figs. 2A–D).
We further analyzed retinas from S334ter-5 rats at P10, 20, 30, 60, and 90. Previous results showed that ONL is indistinguishable between S334ter-5 and wild-type littermates at P10 and starts to diminish in size at P20.45 We found no increase in BiP and Chop mRNA levels between S334ter-5 and wild-type littermates at P10. However, we found significant increases in BiP mRNA levels at P20, 60, and 90 when compared with age-matched controls (Fig. 1E and Table). When we analyzed total retina protein lysates from S334ter-5 animals, we also found increased BiP protein at P10 and P60 and CHOP protein at P10 compared with Sprague-Dawley controls at equivalent ages (Figs. 2A, 2B and Figs. 2E, 2F).
We previously saw increased BiP and Chop mRNA expression in vitro and in animals expressing P23H rhodopsin.12,13 For comparison with our current S334ter rhodopsin transgenic animals, we also analyzed retinas from transgenic rats expressing mutant P23H rhodopsin at P10, 15, 30, and 60. Consistent with prior reports, we found significant increases in BiP and Chop mRNA in these animals at P15 and P60 when compared to age-matched controls (Figs. 1G, 1H, and Table), which correlates with the occurrence of retinal degeneration as visualized by the decrease of the ONL (Fig. 1G). Intriguingly, the increase in BiP and Chop mRNA was comparable between P23H and S334ter lines despite the distinct molecular and cellular behavior of the individual mutant rhodopsins. Overall, these findings reveal an unexpected induction of BiP and Chop in S334ter-3, S334ter-4, and S334ter-5 retinas and suggest that ER stress contributes to retinal degeneration in these models, even though S334ter rhodopsin mutations are not “Class II” rhodopsin mutations (e.g., P23H rhodopsin). We also observed unexpected induction of BiP and CHOP proteins in the S334ter-4 and S334ter-5 animals, but there was a temporal discordance between BiP and Chop mRNA and protein levels that could reflect additional levels of translational control of BiP and Chop mRNAs in retinal cell types, by an internal ribosomal entry site on the BiP mRNA56–59 and an inhibitory 5′ upstream open reading frame on the Chop mRNA.60,61
BiP and Chop Expression in Royal College of Surgeons Rats
RCS rats bear mutations in the Mertk receptor tyrosine kinase.52 By contrast to the P23H or S334ter rhodopsin mutations that lead to expression of abnormal rhodopsin proteins, the Mertk mutation that causes retinal dystrophy in RCS animals results in the complete loss of MERTK protein expression.52 MERTK loss causes defects in photoreceptor rod outer segment phagocytosis by the RPE.47 The precise signaling processes activated by defective outer segment phagocytosis are not fully understood. The involvement of ER stress in this model is unknown. We examined, if there were alterations in BiP and Chop mRNA levels using inbred pink-eyed RCS and congenic pigmented RCS-p+ animals. Retinas from RCS animals at P10, 12, 20, 30, 45, 60, and 90 were analyzed. Prior histologic studies in RCS animals showed that decreases in ONL did not occur until P20 or later,46 which was confirmed in our histologic analysis (Figs. 3A, 3C). On the molecular level, we found no increases in BiP or Chop mRNA at P10 or P12 when there was no retinal degeneration (Figs. 3A, 3B, and Table). Surprisingly, we detected statistically significant increases in BiP mRNA at P45, 60, and 90 in RCS animals compared with age-matched RCS-rdy+ controls (Fig. 3A and Table). For pigmented RCS-p+ animals, we analyzed retinas at P10, 12, 20, 30, 60, and 90. Previous histologic analysis of RCS-p+ animals revealed decreases in the ONL after P20.46,51 We found mild, but statistically significant increases in BiP mRNA at P20 and 90, when compared with age-matched controls (Fig. 3C and Table). We also observed increases in Chop mRNA at P30 and 60 in RCS or RCS-p+ animals, respectively, but they were not statistically significant (Figs. 3B, 3D, and Table). These findings indicate that BiP mRNA is induced in RCS retinas. By contrast to the S334ter or P23H rhodopsin animals, induction of BiP mRNA occurred during later phases of retinal degeneration in RCS animals and not at earlier stages.
BiP and Chop Expression in BALB/c Constant Light Model of Retinal Degeneration
Albino animals are susceptible to retinal degeneration from CL exposure, and a prior report had shown increases in several ER stress markers, days after albino BALB/c mice were exposed to constant light.19 We examined BiP and Chop levels in retinas of BALB/c mice after 1, 2, 4, or 8 hours of 15,000 lux CL exposure. After 1 or 2 hours of CL, pyknotic nuclei appeared in the ONL (Figs. 4B, 4C). Furthermore, the thickness of the ONL decreased, and the inner and outer segments were shorter and disorganized after 1 or 2 hours of light injury (Figs. 4B, 4C), with the 2 hour light exposure resulting in the ONL being significantly thinner than the control retinas (Fig. 4A; P < 0.005) or those receiving 1 hour of light (P < 0.01). This loss of ONL thickness after 2 hours of light exposure is seen in spidergrams of the ONL (Fig. 4F). After 4 or 8 hours of photic injury, increased numbers of pyknotic photoreceptor nuclei were evident accompanied by increased vacuolization and disorganization of the rod inner and outer segments and edematous swelling throughout the ONL (Figs. 4D, 4E). This led the ONL to appear thicker than after 2 hours of light (Fig. 4F). After the longest exposure (8 hours), the ONL was particularly distorted and irregular, with some foci being as thin as 27.1 μm, similar to the left side of Figure 4E, and some regions being as thick as 64.9 μm (not shown), considerably thicker than those of the control retinas. Thus, the nuclear edema after 4 hours (Fig. 4D) and distortion and vacuolization after 8 hours of light (Fig. 4E) explain why the ONL spidergrams do not show a progressive loss of thickness with increasing exposure time (Fig. 4F), and why only the 2 hour exposure resulted in statistically different ONL thicknesses from one another; none of the other comparisons of mean ONL thickness was P < 0.05. All these durations of photic injury also caused pronounced retinal degeneration when the retinas of animals were examined at 1, 2, and 4 days (>50% reduction in ONL thickness, data not shown).
On a molecular level, we observed mild but statistically significant increases in both BiP and Chop after 2 and 4 hours of CL exposure, compared with animals that were not exposed to light (Figs. 4G, 4H). These findings indicate that BiP and Chop are induced acutely during photic injury in BALB/c mice and suggest that ER stress may contribute to retinal degeneration associated with acute phototoxic injury to the retina. By contrast to the molecular and histologic changes we observed in BALB/c mice after CL exposure, pigmented C57/B6 mice exposed to the same CL did not undergo retinal degeneration and showed no changes in BiP and Chop levels acutely or any time afterward (data not shown), suggesting that the dysregulation seen with BiP and Chop in BALB/c were linked to the acute retinal damage caused by CL.
Discussion
Prior studies have reported induction of BiP, Chop, and other markers of ER stress in animal models of retinitis pigmentosa arising from misfolded P23H rhodopsin expression in the retina.12,13 This builds on extensive in vitro data demonstrating that the P23H and other “Class II” rhodopsin missense mutations cause misfolding, retention in the ER and ER stress.62,63 Our findings reveal an unexpected induction of BiP and Chop in several additional models of retinal degeneration arising from causes besides primary ER protein misfolding, including defective rhodopsin protein intracellular trafficking and/or disruption of visual signal transduction in the case of S334ter rhodopsin,49,54,55 disruption of rod outer segment renewal in the case of RCS animals,47 and phototoxicity. Intriguingly, dysregulation of BiP and Chop broadly correlated with loss of ONL thickness in all animals suggesting a link between ER dysregulation and the onset or progression or retinal degeneration. How can such diverse insults converge in the induction of BiP and Chop in the retina? For the S334ter transgenic rats, the truncation removes the 15 carboxy-terminus residues from rhodopsin leading to the mislocalization of a substantial fraction of S334ter rhodopsin to rod inner segment membranes,49,54 as well as deleting amino acid residues in rhodopsin's carboxyl tail required for terminating the phototransduction cascade.55 S334ter rhodopsin could directly induce the transcription of BiP and Chop by causing ER stress after its mislocalization to the inner segment. S334ter rhodopsin could also indirectly cause ER stress by disrupting photoreceptor intracellular calcium homeostasis if the visual cycle cannot be terminated. Indeed, among all the animal models of retinal degeneration we examined, we consistently observed the greatest degree of BiP and Chop induction in S334ter animals underscoring S334ter rhodopsin's potency in eliciting ER stress. We also observed dysregulation of ER stress markers in the S334ter-4 line previously, albeit with differences in the timing of BiP and Chop dysregulation that may reflect differences in the environmental conditions under which the studies were performed.15
For RCS rats, the failure of the RPE to phagocytize photoreceptor rod outer segments interrupts the normal renewal of photoreceptor outer segments and causes the accumulation of outer segment debris in the subretinal space.47 The specific signaling mechanisms triggered by these events within photoreceptors that lead to their demise in RCS animals are unclear. However, it is likely that ER functions are compromised when photoreceptor metabolism is impaired, and consequently, ER stress is induced. By contrast to the S334ter rhodopsin animals, we observed a significant induction of BiP but not Chop. Our findings suggest that other mechanisms are triggered during initial stages of retinal damage in RCS animals while ER stress arises later on and could further amplify the intracellular damage that culminates in photoreceptor cell death. Photoreceptor damage also triggers inflammatory responses and glia activation in the remaining retina, and ER stress changes could also originate from these nonphotoreceptor cell types.64
In albino models of phototoxicity, multiple molecular mechanisms have been implicated in retinal degeneration induced by CL.65 During the acute period of light exposure itself, increased intracellular calcium levels and oxidative stress has been reported,65 while after light exposure ceases, transcription factors such as c-fos and AP-1 are required to further drive light-induced retinal degeneration several days after the photic injury event.66–68 Intracellular calcium dysregulation and oxidative stress both disrupt ER functions and induce ER stress. Consistent with this, we observed increased BiP and Chop shortly after light exposure (2 and 4 hours, Figs. 4G, 4H). Our findings are also in good agreement with a prior report from Tso and colleagues19 that also observed increased BiP early during constant light exposure (3 and 6 hours). Interestingly, Tso and colleagues19 observed no sustained increase in BiP after cessation of light, but instead, they found evidence of activation of other ER stress activated proteins, caspase-12 and phospho-PERK, several days after cessation of light exposure suggesting that other ER stress genes may be involved during later chronic phases of phototoxicity.
Multiple strategies have been proposed to reduce ER stress. Chemical chaperones including retinoids and genetic chaperones have shown efficacy in enhancing rhodopsin folding and/or preventing protein aggregation.13,69–72 BiP overexpression in retina enhanced visual function in P23H animals through mechanisms that could involve modulation of ER stress levels and/or protein aggregation.13 Chemical-genetic approaches to activate ER protein quality control pathways controlled by the unfolded protein response promote misfolded protein degradation in the cell.17,73 Nontargeted approaches that globally prevent oxidative stress, stabilize proteins, enhance lipid/sterol metabolism, or provide neurotrophic support (e.g., Ciliary neurotrophic factor [CNTF], leukemia inhibitory factor [LIF])74,75 may also reduce ER stress. Our identification of the induction of ER stress genes in many different models of retinal degeneration suggests that ER stress may be an important common mechanism in retinal degeneration. Therapies that reduce ER stress or upregulate ER stress-induced protective molecules and chaperones in the retina could be beneficial in preserving vision.
Supplementary Material
Footnotes
Supported by grants from the National Institute of Health (EY001919, EY002162, EY006842, EY018313, EY020846, EY020905), Hope for Vision, Research to Prevent Blindness, and the Foundation Fighting Blindness.
Disclosure: H. Kroeger, None; C. Messah, None; K. Ahern, None; J. Gee, None; V. Joseph, None; M.T. Matthes, None; D. Yasumura, None; M.S. Gorbatyuk, None; W.-C. Chiang, None; M.M. LaVail, None; J.H. Lin, None
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