This competitive revision application seeks additional funding for new aims that are being proposed for original grant application RO1EY10343. The original application sought funds to further our studies of the mechanisms of ischemic preconditioning (IPC) in the rat retina in vivo. IPC is a brief period of ischemia that is capable of inducing robust tolerance to the effects of damaging ischemia. Thus, IPC provides neuroprotection, and the study of its mechanisms is expected to lead to clinically translatable means to prevent ischemic injury. Significant visual loss may result from retinal ischemia in retinal arterial or venous occlusion, glaucoma, atherosclerosis, or in systemic disorders such as diabetes mellitus. Because treatment of these disorders remains unsatisfactory, the prospect of activating endogenous neuroprotective mechanisms is exciting and of significance to preventing these disorders that result in significant disability. We also recently observed that an even more robust neuroprotection could be induced by placing the brief ischemic stimulus AFTER the damaging ischemia, which is the reverse of the protocol used in preconditioning. This effect is known as post- conditioning. Preliminary data presented in this proposal support the protective effect of post-conditioning (Post-C), but also suggest that the mechanisms, while related, may not be the same as IPC. Examining mechanisms of Post-C has the potential to yield new insights into endogenous neuroprotection in the retina. Moreover, Post-C, unlike IPC, may itself be directly applied clinically, after an episode of ischemia. Accordingly, we propose a competitive revision that will expand our studies into a new specific aim, i.e., to examine the mechanisms of Post-C. We hypothesize that Post-C alters the molecular environment of retinal cells during reperfusion following ischemia, via activation of MAP kinases. The research design in this competitive revision builds upon that used in the currently funded grant, adding detailed study of the MAP kinases. We will use innovative methodology developed during the current period, i.e., the use of interfering RNA to procude a targeted, specific knock down in vivo of MAP kinase subtypes. Combining state of art retinal functional electrophysiological assessment, histological examination, and characterization of cell death and molecular mechanisms by both well established and newer technologies, we will use a powerful and robust model to elucidate the mechanisms of a promising means to induce endogenous neuroprotection in the retina.

Public Health Relevance

Combining state of art retinal functional electrophysiological assessment, histological examination, and characterization of cell death and molecular mechanisms by both well established and newer technologies, we will use a powerful and robust model to elucidate the mechanisms of a promising means to induce endogenous neuroprotection in the retina.

Agency
National Institute of Health (NIH)
Institute
National Eye Institute (NEI)
Type
Research Project (R01)
Project #
3R01EY010343-15S1
Application #
7811729
Study Section
Biology and Diseases of the Posterior Eye Study Section (BDPE)
Program Officer
Neuhold, Lisa
Project Start
1994-01-01
Project End
2012-05-31
Budget Start
2009-06-01
Budget End
2012-05-31
Support Year
15
Fiscal Year
2009
Total Cost
$174,174
Indirect Cost
Name
University of Chicago
Department
Anesthesiology
Type
Schools of Medicine
DUNS #
005421136
City
Chicago
State
IL
Country
United States
Zip Code
60637
Kadzielawa, Konrad; Mathew, Biji; Stelman, Clara R et al. (2018) Gene expression in retinal ischemic post-conditioning. Graefes Arch Clin Exp Ophthalmol 256:935-949
Calway, Tyler; Rubin, Daniel S; Moss, Heather E et al. (2018) Perioperative Retinal Artery Occlusion: Incidence and Risk Factors in Spinal Fusion Surgery From the US National Inpatient Sample 1998-2013. J Neuroophthalmol 38:36-41
Roth, Steven; Moss, Heather E (2018) Update on Perioperative Ischemic Optic Neuropathy Associated With Non-ophthalmic Surgery. Front Neurol 9:557
Roth, Steven; Dreixler, John; Newman, Nancy J (2018) Haemodilution and head-down tilting induce functional injury in the rat optic nerve: A model for peri-operative ischemic optic neuropathy. Eur J Anaesthesiol 35:840-847
Mathew, Biji; Poston, Jacqueline N; Dreixler, John C et al. (2017) Bone-marrow mesenchymal stem-cell administration significantly improves outcome after retinal ischemia in rats. Graefes Arch Clin Exp Ophthalmol 255:1581-1592
Rubin, Daniel S; Matsumoto, Monica M; Moss, Heather E et al. (2017) Ischemic Optic Neuropathy in Cardiac Surgery: Incidence and Risk Factors in the United States from the National Inpatient Sample 1998 to 2013. Anesthesiology 126:810-821
Calway, Tyler; Rubin, Daniel S; Moss, Heather E et al. (2017) Perioperative Retinal Artery Occlusion: Risk Factors in Cardiac Surgery from the United States National Inpatient Sample 1998-2013. Ophthalmology 124:189-196
Roth, Steven; Dreixler, John C; Mathew, Biji et al. (2016) Hypoxic-Preconditioned Bone Marrow Stem Cell Medium Significantly Improves Outcome After Retinal Ischemia in Rats. Invest Ophthalmol Vis Sci 57:3522-32
Rubin, Daniel S; Parakati, Isaac; Lee, Lorri A et al. (2016) Perioperative Visual Loss in Spine Fusion Surgery: Ischemic Optic Neuropathy in the United States from 1998 to 2012 in the Nationwide Inpatient Sample. Anesthesiology 125:457-64
Roth, Steven (2015) Inhaled Anesthesia, Apoptosis, and the Developing Retina: A Window into the Brain? Anesth Analg 121:1117-8

Showing the most recent 10 out of 51 publications