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Publication : Endothelial activation of caspase-9 promotes neurovascular injury in retinal vein occlusion.

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.
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