The model described here, offers a useful approach to evaluate the efficiency ofbiopharmaceutical agents for reducing oxidative stress in cells. We have used the model to investigate the protective effects of PEDF and GM-CSF on the H2O2-mediated oxidative stress on retinal pigment epithelial cells, which are exposed to high levels of O2, and visible light, and the phagocytosis of photoreceptor outer segment membranes, generating significant levels of reactive oxygen species (ROS)1,2. They are considered a major contributor to the pathogenesis of avascular age-related macular degeneration (aAMD)3,4,5,6,7,8. Besides, there is a decrease in RPE-synthesized neuroprotective factors, specifically the pigment epithelium-derived factor (PEDF), insulin-like growth factors (IGFs), and granulocyte macrophage-colony-stimulating factor (GM-CSF) leading to the dysfunction and loss of RPE cells, followed by photoreceptor and retinal ganglion cell (RGC) death3,4,5. AMD is a complex disease that results from the interaction between metabolic, functional, genetic, and environmental factors4. The lack of treatments for aAMD is the major cause of blindness in patients older than 60 years of age in industrialized countries9,10. The reconstitution of the neuroprotective and neurogenic retinal environment by the subretinal transplantation of genetically modified RPE cells overexpressing PEDF and GM-CSF has the potential to prevent retinal degeneration by mitigating the effects of oxidative stress, inhibiting inflammation and supporting cell survival11,12,13,14,15,16. Even though there are several methodologies to deliver genes to cells, we have chosen the non-viral hyperactive Sleeping Beauty transposon system to deliver the PEDF and GM-CSF genes to RPE cells because of its safety profile, the integration of the genes into the host cells' genome, and its propensity to integrate the delivered genes in non-transcriptionally active sites as we have shown previously17,18,19.
Cellular oxidative stress can be induced in cells cultured in vitro by several oxidative agents, including hydrogen peroxide (H2O2), 4-hydroynonenal (HNE), tertbutylhydroperoxide (tBH), high oxygen tensions, and visible light (full spectrum or UV irradiation)20,21. High oxygen tensions and light require special equipment and conditions, which limits transferability to other systems. Agents such as H2O2, HNE, and tBH induce overlapping oxidative stress molecular and cellular changes. We chose H2O2 to test the antioxidant activity of PEDF and GM-CSF because it is convenient and biologically relevant since it is produced by RPE cells as a reactive oxygen intermediate during photoreceptor outer segment phagocytosis22 and it is found in ocular tissues in vivo23. Since the oxidation of glutathione may be partially responsible for the production of H2O2 in the eye, we have analyzed the levels of GSH/glutathione in our studies, which are linked to H2O2-induced oxidative stress and the regenerative capacity of cells21,22. The analysis of glutathione levels is especially relevant since it participates in the anti-oxidative protective mechanisms in the eye24. Exposure to H2O2 is used frequently as a model to examine the oxidative stress susceptibility and antioxidant activity of RPE cells1,25,26,27,28,29,30, and, additionally, it shows similarities to light-induced oxidative stress damage, a "physiological" source of oxidative stress21.
To evaluate the functionality and the effectiveness of neuroprotective factors, we have developed an in vitro model that allows for the analysis to quantify the anti-oxidative effect of growth factors expressed by cells genetically modified to overexpress PEDF and GM-CSF. Here, we show that RPE cells transfected with the genes for PEDF and GM-CSF are more resistant to the harmful effects of H2O2 than are non-transfected control cells, as evidenced by cell morphology, density, viability, intracellular level of glutathione, and expression of UCP2 gene, which codes for the mitochondrial uncoupling protein 2 that has been shown to reduce reactive oxygen species (ROS)31.