First Author | Avrutsky MI | Year | 2020 |
Journal | Nat Commun | Volume | 11 |
Issue | 1 | Pages | 3173 |
PubMed ID | 32576823 | Mgi Jnum | J:292187 |
Mgi Id | MGI:6447536 | Doi | 10.1038/s41467-020-16902-5 |
Citation | Avrutsky MI, et al. (2020) Endothelial activation of caspase-9 promotes neurovascular injury in retinal vein occlusion. Nat Commun 11(1):3173 |
abstractText | 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. |