Title:
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Role of extracellular ATP and adenosine in the human lens and retinal pigment epithelium
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Purpose: To detennine the potential impact through signalling, that A TP and its metabolites
have on lenticular and retinal ceJJs. To achieve this, I aimed to detennine the levels of ATP
and its metabolites in human ocular fluids and to examine the etTect of environmental stress
on release of A TP and its metabolites into the extracellular medium. I also aimed to identify
functional roles for A TP and its metabolites and for this end I studied growth control and
activation of intraceJJular signalling pathways
Methods: Two cell-lines were routinely cultured and used for these studies: FHL-124 a
human lens epithelial cell-line and hTERT RPE a telomerase transfected human retinal
pigment epithelial cell-line. In addition native lens and retinal pigment epithelial cells from
human donor material were incorporated into this study. AtTymetrix gene-arrays were used to
compare native eye tissue with its respective cell-line. A TP levels were determined using a
luciferinlluciferase Bioluminescence kit, specifically designed for A TP quantification. This
assay was used to determine levels in ocular fluids and in culture medium of cells maintained
under various experimental conditions. The etTects of ATP and its breakdown products on
growth of FHL-124 and hTERT RPE were investigated using the patch assay technique.
Expression of intracellular signalling proteins, SAPK and ERK were detennined using
western blot methods. Immunocytochemistry was employed to detennine the presence of cell
surface ecto-nucleotidases and cytokeratin.
Results: AtTymetrix gene microarrays revealed that FHL-124 and hTERT RPE cell-lines
showed strong agreement in gene expression with respect to their native tissues. Moreover,
cell specific markers were also expressed in the cell lines. Analysis of the A TP content of
aqueous humour from cataract patients and sub-retinal fluid showed mean concentrations of
37.8 ± 7.7nM and 0.362 ± 0.172nM respectively. Challenging both FHL 124 and hTERT
RPE cells with increased levels of NaCI, to induce an osmotic stress, induced a release of
A TP into the culture medium. The detectable levels were to stress levels related. The addition
of low concentrations of ATP (as low as lOOpM) induced a significant inhibition of growth
in both cell types. The A TP metabolite adenosine at 100pM also gave a significant inhibition
of growth in the two cell lines. The specific A 1 receptor agonist CPA added at l00pM
reproduced the adenosine effects. Immunocytochemical staining in addition to the gene array
analyses, identified the presence of cell-surface 5'ectonucleotidases in both cell types.
100pM A TP, adenosine and CPA increased the expression of pSAPK in both cell types
within I hr. In the case of hTERT RPE cells, all agonists led to decreased levels of pERK
within Ihr, while in FHL 124 cells this response was only observed with ATP and CPA.
Conclusions: A TP is present in human aqueous humour and sub-retinal fluid. Moreover,
FHL 124 and hTERT cells can release A TP in response to environmental stresses. Cell
surface ecto-nucleotidases are present in these cells and therefore have the potential to
generate A TP metabolites, such as ADP and adenosine. Physiological levels of A TP and its
metabolites can inhibit cell growth and it is adenosine that is most likely to play the greater
role.
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