The retinal pigment epithelial cell (RPE cell) layer protects the photoreceptors of the retina against oxidative stress. The decline of this capacity is believed to be a major factor in the impairment of vision in age-related macular degeneration. Exposure of human adult RPE cells to UV light at predominantly 320 -400 nm (UVA light) in the presence of all-trans-retinaldehyde results in photooxidative cytotoxicity. Significant protection of RPE cells was obtained by prior treatment with phase 2 gene inducers, such as the isothiocyanate sulforaphane or a bis-2-hydroxybenzylideneacetone Michael reaction acceptor. The degree of protection was correlated with the potencies of these inducers in elevating cytoprotective glutathione levels and activities of NAD(P)H:quinone oxidoreductase. In embryonic fibroblasts derived from mice in which the genes for the transcription factor Nrf2, the repressor Keap1, or both Nrf2 and Keap1 were disrupted, the magnitude of resistance to photooxidative damage paralleled the basal levels of glutathione and NAD(P)H:quinone oxidoreductase in each cell type. Demonstration of protection of RPE cells against photooxidative damage by induction of phase 2 proteins may shed light on the role of oxidative injury in ocular disease. Moreover, the finding that dietary inducers provide indirect antioxidant protection suggests novel strategies for preventing chronic degenerative diseases, such as age-related macular degeneration.
Because oxidative damage is widely believed to contribute to the etiology and progression of many age-related chronic degenerative diseases, the development of methods for antioxidant protection is a priority and may be broadly relevant to disease prevention (1). Here, we describe a strategy for protecting retinal pigment epithelial cells (RPE cells) against photooxidative damage by coordinate elevation (induction) of the activities of a family of phase 2 genes that protect cells against injury by oxidants and electrophiles (2-5). This study complements and extends our recent demonstration that sulforaphane, a potent phase 2 gene inducer, protects human adult RPE cells against the cytotoxicity of the following oxidants: tert-butyl hydroperoxide, menadione, 4-hydroxynonenal, and peroxynitrite (6). The magnitude of this protection is correlated quantitatively with the elevation of phase 2 genes and glutathione (GSH) levels (6). Jones, Sternberg, and colleagues (7,8) have also demonstrated protection of RPE cells against oxidative damage by elevation of GSH levels and induction of the phase 2 response.Oxidative damage has been implicated in the etiology of age-related macular degeneration (AMD), which is the leading cause of blindness among the elderly. AMD entails progressive degeneration of both macular photoreceptors and associated RPE cells. This photoreceptor loss is widely believed to be, in part, secondary to degenerative changes in the RPE layer. Two significant risk indicators for AMD are the formation of drusen and the accumulation of lipofuscin within RPE cells. Dru...