Purpose
Chronic hypoxia, a key stimulus for neovascularization, has been implicated in the pathology of proliferative diabetic retinopathy, retinopathy of prematurity and wet age related macular degeneration. The aim of the present study was to determine the effect of chronic hypoxia on drug transporter mRNA expression and activity in ocular barriers.
Methods
Sprague Dawley rats were exposed to hypobaric hypoxia (PB = 380 mm Hg) for 6 weeks and neonatal calves were maintained under hypobaric hypoxia (PB = 445 mm Hg) for 2 weeks. Age matched controls for rats and calves were maintained at ambient altitude and normoxia. The effect of hypoxia on transporter expression was analyzed by qRT-PCR analysis of transporter mRNA expression in hypoxic and control rat choroid-retina. Effect of hypoxia on the activity of PEPT, OCT, ATB0+, and MCT transporters was evaluated using in vitro transport studies of model transporter substrates across calf cornea and sclera-choroid-RPE (SCRPE).
Results
Quantitative gene expression analysis of 84 transporters in rat choroid-retina showed that 29 transporter genes were up regulated or down regulated by ≥1.5-fold in hypoxia. Nine ATP binding cassette (ABC) families of efflux transporters including MRP3, MRP4, MRP5, MRP6, MRP7, Abca17, Abc2, Abc3, and RGD1562128 were up regulated. For solute carrier family transporters, 11 transporters including SLC10a1, SLC16a3, SLC22a7, SLC22a8, SLC29a1, SLC29a2, SLC2a1, SLC3a2, SLC5a4, SLC7a11, and SLC7a4 were up regulated, while 4 transporters including SLC22a2, SLC22a9, SLC28a1, and SLC7a9 were down regulated in hypoxia. Of the 3 aquaporin (Aqp) water channels, Aqp-9 was down regulated and Aqp-1 was up regulated during hypoxia. Gene expression analysis showed down regulation of OCT-1, OCT-2, and ATB0+ and up regulation of MCT-3 in hypoxic rat choroid-retina, without any effect on the expression of PEPT-1 and PEPT-2 expression. Functional activity assays of PEPT, OCT, ATB0+, and MCT transporters in calf ocular tissues showed that PEPT, OCT, and ATB0+ functional activity was down regulated, whereas MCT functional activity was up regulated in hypoxic cornea and SCRPE. Gene expression analysis of these transporters in rat tissues was consistent with the functional transport assays except for PEPT transporters.
Conclusions
Chronic hypoxia results in significant alterations in the mRNA expression and functional activity of solute transporters in ocular tissues.