Severe reductions of vision and blindness due to ocular disease and trauma are major clinical problems that have serious consequences on the Veteran's quality of life. Optic neuropathies from injury to the retina and optic nerve are characterized by a loss of ganglion cells and their axons. Ganglion cell death is initiated by excessive intracellular Ca2+ levels followed by a cascade of deleterious cellular processes that result in apoptosis. Consistent with this observation is the enhancement of ganglion cell survival when reducing intracellular Ca2+ levels with Ca2+ channel and calcium permeable AMPA receptor (CP-AMPAR) selective blockers. The rationale underlying the proposed studies is that the reduction of ganglion cell intracellular Ca2+ levels is an important component of protective strategies for the treatment of ocular injury. Suppression of elevated intracellular Ca2+ levels would provide a window for initiating ganglion cell survival and axonal recovery therapies following injury. Proposed studies will test the hypothesis that suppression of elevated intracellular Ca2+ after optic nerve trauma enhances ganglion cell survival.
Specific Aim 1 will determine the contributions of L-type Ca2+ channels and CP-AMPARs to ganglion cell Ca2+ levels following optic nerve injury. Investigations will determine A) the transcriptional and translational regulation of L-type Ca2+ channels, CP-AMPARs and the RNA-specific editing enzyme, ADAR2, and B) characterize the physiological and biophysical properties of the L-type Ca2+ channels and CP-AMPARs.
Specific Aim 2 will test the hypothesis that pharmacological antagonism or genetic suppression by siRNA of L-type Ca2+ channels stabilizes ganglion cell Ca2+ levels and enhances ganglion cell survival after optic nerve injury. Investigations will test A) the action of the Ca2+ channel antagonist lomerizine on the expression and function of L-type Ca2+ channels, B) if siRNA-mediated reduction of L-type Ca2+ channel subunit expression decreases ganglion cell intracellular Ca2+ levels and C) whether these treatments enhance ganglion cell survival following optic nerve injury.
Specific Aim 3 will test the hypothesis that pharmacological antagonism of AMPARs or genetic regulation of the AMPAR subunit, GluA2, the auxiliary subunit, GSG1L, or the editing enzyme, ADAR2, stabilizes ganglion cell intracellular Ca2+ levels, and enhances ganglion cell survival after optic nerve injury. Investigations will test if A) the CP-AMPAR blockers, philanthotoxin-433 and 1-naphthyl acetyl spermine and B) the siRNA-mediated reduction of GSG1L, which regulates GluA2 (edited and unedited) subunits and CP-AMPA expression, reduces ganglion cell Ca2+ permeability and intracellular Ca2+ levels; C) if GluA2(R) (edited) subunit or ADAR2 gene expression reduces ganglion cell Ca2+ permeability and intracellular Ca2+ levels and D) these pharmacological and genetic approaches enhance ganglion cell survival following optic nerve injury. Proposed studies will further the understanding of Ca2+ signaling in injured retinal ganglion cells, and develop novel approaches for controlling excessively elevated intracellular Ca2+ following nerve injury, a key step in saving vision. These studies are consistent with the health-related goals of the Veterans Administration to develop highly effective and novel treatments for eye injury and disease.

Public Health Relevance

Vision impairment, including acuity loss, blurred vision, photophobia and blindness due to ocular disease and trauma are serious and chronic clinical problems with dramatic consequences on the Veteran's quality of life. These disorders primarily involve the loss of retinal ganglion cells and their axons. This Merit Review will test the hypothesis that suppression of excessive Ca2+ entry induced by nerve injury enhances ganglion cell survival. We will test novel strategies for controlling intracellular Ca2+ levels using Ca2+ channel and calcium permeable AMPA glutamate receptor selective blockers, antisense siRNAs and gene regulation. These approaches are designed to regulate ganglion cell Ca2+ permeability and could set the stage for new therapeutic strategies to ameliorate ocular damage. These studies are consistent with the health-related goals of the Veteran Affairs to develop effective treatments for eye disease to prevent impaired vision and blindness.

Agency
National Institute of Health (NIH)
Institute
Veterans Affairs (VA)
Type
Non-HHS Research Projects (I01)
Project #
5I01BX000764-07
Application #
9636439
Study Section
Neurobiology F (NURF)
Project Start
2011-07-01
Project End
2020-12-31
Budget Start
2019-01-01
Budget End
2019-12-31
Support Year
7
Fiscal Year
2019
Total Cost
Indirect Cost
Name
VA Greater Los Angels Healthcare System
Department
Type
DUNS #
066689118
City
Los Angeles
State
CA
Country
United States
Zip Code
90073
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Wang, Yanling; Wang, Wenyao; Liu, Jessica et al. (2016) Protective Effect of ALA in Crushed Optic Nerve Cat Retinal Ganglion Cells Using a New Marker RBPMS. PLoS One 11:e0160309
Pérez de Sevilla Müller, Luis; Sargoy, Allison; Fernández-Sánchez, Laura et al. (2015) Expression and cellular localization of the voltage-gated calcium channel ?2?3 in the rodent retina. J Comp Neurol 523:1443-60
Fernández-Sánchez, Laura; de Sevilla Müller, Luis Pérez; Brecha, Nicholas C et al. (2014) Loss of outer retinal neurons and circuitry alterations in the DBA/2J mouse. Invest Ophthalmol Vis Sci 55:6059-72
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Rodriguez, Allen R; de Sevilla Müller, Luis Pérez; Brecha, Nicholas C (2014) The RNA binding protein RBPMS is a selective marker of ganglion cells in the mammalian retina. J Comp Neurol 522:1411-43
Wilson, Ariel M; Chiodo, Vince A; Boye, Sanford L et al. (2014) Inhibitor of apoptosis-stimulating protein of p53 (iASPP) is required for neuronal survival after axonal injury. PLoS One 9:e94175

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