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2015 ; 112
(50
): E6927-36
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Nrf2 in ischemic neurons promotes retinal vascular regeneration through
regulation of semaphorin 6A
#MMPMID26621751
Wei Y
; Gong J
; Xu Z
; Thimmulappa RK
; Mitchell KL
; Welsbie DS
; Biswal S
; Duh EJ
Proc Natl Acad Sci U S A
2015[Dec]; 112
(50
): E6927-36
PMID26621751
show ga
Delayed revascularization of ischemic neural tissue is a major impediment to
preservation of function in central nervous system (CNS) diseases including
stroke and ischemic retinopathies. Therapeutic strategies allowing rapid
revascularization are greatly needed to reduce ischemia-induced cellular damage
and suppress harmful pathologic neovascularization. However, key mechanisms
governing vascular recovery in ischemic CNS, including regulatory molecules
governing the transition from tissue injury to tissue repair, are largely
unknown. NF-E2-related factor 2 (Nrf2) is a major stress-response transcription
factor well known for its cell-intrinsic cytoprotective function. However, its
role in cell-cell crosstalk is less appreciated. Here we report that Nrf2 is
highly activated in ischemic retina and promotes revascularization by modulating
neurons in their paracrine regulation of endothelial cells. Global Nrf2
deficiency strongly suppresses retinal revascularization and increases pathologic
neovascularization in a mouse model of ischemic retinopathy. Conditional knockout
studies demonstrate a major role for neuronal Nrf2 in vascular regrowth into
avascular retina. Deletion of neuronal Nrf2 results in semaphorin 6A (Sema6A)
induction in hypoxic/ischemic retinal ganglion cells in a hypoxia-inducible
factor-1 alpha (HIF-1?)-dependent fashion. Sema6A expression increases in
avascular inner retina and colocalizes with Nrf2 in human fetal eyes.
Extracellular Sema6A leads to dose-dependent suppression of the migratory
phenotype of endothelial cells through activation of Notch signaling.
Lentiviral-mediated delivery of Sema6A small hairpin RNA (shRNA) abrogates the
defective retinal revascularization in Nrf2-deficient mice. Importantly,
pharmacologic Nrf2 activation promotes reparative angiogenesis and suppresses
pathologic neovascularization. Our findings reveal a unique function of Nrf2 in
reprogramming ischemic tissue toward neurovascular repair via Sema6A regulation,
providing a potential therapeutic strategy for ischemic retinal and CNS diseases.