In this study, postnatal mice in the ocular developmental stage were treated with TMT to determine the mechanisms underlying retinal developmental toxicity. Although TMT is known to cause various neurological abnormalities, changes of the retinal development have been rarely reported. Kim et al. reported that TMT affects zebrafish ocular development, and stated ROS generation as a possible mechanism (Kim et al. 2019). To reveal underlying mechanism, this study examined the effect of TMT toxicity on retinal development by treating postnatal mice with TMT. We hypothesized that excitotoxicity and EAAT, among several potential neurotoxic mechanisms of TMT, would cause retinal developmental toxicity.
We administered TMT from PND 4 to PND 14 when eye opening and functional eye development were completed, and thereafter developmental abnormalities were observed. First, body weight was measured to evaluate general toxicity, and as the administration progressed, it was confirmed that the weight decreased significantly compared to the control group. In addition to body weight, it was also observed that the length of the body was shortened; in particular, it was confirmed that the proportion of mice with open eyes and the size of the eye decreased. Such delayed eye opening or microphthalmia, may be due to one or more genetic or chromosomal abnormalities, insufficient nutritional intake during pregnancy, radiation exposure, or infection. In addition, it has been reported that exposure to certain substances, including alcohol, may cause ocular developmental abnormalities during the development process (Kashyap et al. 2011; Stromland and Pinazo-Duran 2002). Environmentally toxic substances, such as perfluorooctane sulfonate or perfluorooctanoic acid, which are perfluorinated compounds remaining in the environment after industrial use, may cause eye dysgenesis when passed through mother to the child. However, the mechanisms by which these substances affect eye development have not yet been clearly elucidated (Abbott et al. 2009; Abbott et al. 2007).
To further analyze eye malformation, we performed retinal layer thickness measurements and TUNEL assay. It was confirmed that the overall retinal thickness decreased with TMT exposure, and among the various layers constituting the retina, INL was significantly thinned in both the central and peripheral parts. Previous studies have reported that sodium L-glutamate has a toxic effect on the inner layer of the developing retina (Lucas and Newhouse 1957). After oral administration of glutamate to mice pups at PND 2–4, pyknotic nuclei were observed in the cells of the INL, and after PND 6 to 8, INL was found to be thinner than control. On the other hand, changes in ONL were insignificant and there was little effect on retinal differentiation. Although these results are different from ours in that external glutamate was administered, it has been reported that TMT also induces glutamate release in the nervous system (Patel et al. 1990). Since the concentration of glutamate in the retina also increased in our experiment (Fig. 4A), it can be presumed that this change in retinal thickness, especially the decrease in INL thickness, is due to excessive glutamate exposure of the retina. In addition to the thinning, TUNEL assay confirmed that cells constituting the retina exhibited apoptosis and apoptotic marker genes were upregulated at the mRNA level. In a previous study, chromatin clumping of nuclear membrane and apoptotic cells with dense cytoplasm occurred by the activation of endonuclease in the GCL and INL of the central and peripheral retina when N-methyl-D-aspartate (NMDA), which induces excitotoxicity, is intravitreally introduced in rat. However, no obvious changes were observed in the ONL (Lam et al. 1999). These changes are consistent with our histopathological changes and apoptosis assay, and therefore, it can be inferred that these toxic effects are due to excitotoxicity caused by exposure to TMT.
With respect to developmental toxicity of the retina, it is important to determine whether not only histopathological lesions but also impairment of retinal function occur. To confirm this, we conducted a functional evaluation of the retina using MEA. Micro-ERG is the sum of the changes in the electrical potential of various retinal cells (Fujii et al. 2016), and the spontaneous spike is the reaction of ganglion cells that convert light into electrical signals, which are transmitted to the brain (Marrese et al. 2019). Micro-ERG consists of two waves, and the first negative a-wave that occurs following light stimulation is known to originate from the photoreceptor cells. The positive b-wave that follows comes from bipolar cells and Müller glial cells. It can be inferred that nerve cells in the retina were damaged through ERGs, and a decrease in the b-wave was observed in our results. In a previous study, when kainic acid (KA) and NMDA, which are glutamate agonists, were applied, it was observed that the thickness of the inner plexiform layer and INL decreased with the decrease in b-wave (Calvo et al. 2020), which is consistent with our micro-ERG and histopathological changes. As a follow-up study, researchers measured spike signals in ON, OFF, and ON/OFF RGCs, and it was confirmed that a significant decrease in spike signals occurred (Milla-Navarro et al. 2021). This is consistent with the tendency of decreasing MFR in dark conditions and decreasing MFR, burst, and synchrony index under light stimulation in our results. In addition, others also reported that excitotoxins, NMDA and glycine, when introduced intravitreally in concentrations of 15 nmol and 10 nmol, respectively, caused retinal cell apoptosis, decrease in spontaneous spike activity, and abnormalities in light-evoked response (Seki et al. 2010). The toxicity of TMT also causes functional changes in the retina layer, possibly inducing excitotoxicity and affecting the cells present in the INL, which appears in the form of b-wave and spike reduction.
Glutamate concentration of retina as well as the expression of Müller cells, astrocytes of the retina, and EAAT changes in various pathological conditions (Ishikawa 2013). It has been reported that when high pressure is applied to the ex vivo retinal model, ischemia is induced, and the level of extracellular glutamate increases (Louzada-Junior et al. 1992), thereby increasing the expression of GFAP, a pathological marker of Müller cell stress (Ishikawa et al. 2010). In addition, it is also known that when astrocytes are activated in a glutamate-excess condition, AQP4, a water channel protein present in the astrocyte endfeet is activated to maintain water and ion homeostasis (Shi et al. 2017). These changes were consistent with our mRNA changes and changes seen in IF staining. In particular, AQP4 regulates synaptic plasticity and neural function by regulating EAAT expression as well as ion and water balance (Szu and Binder 2016). EAATs work to remove synaptic glutamate in response to increased glutamate concentration. EAAT1 and 2 located in astrocytes, exhibit a neuroprotective effect by increasing their expression (Rothstein et al. 2005; Woldemussie et al. 2004), and neurotoxicity occurs when abnormal down regulation occurs (Rothstein et al. 1996). In particular, EAAT2 normally limited on the photoreceptors in humans and rats, but when the concentration of glutamate is increased, it has been reported that additional expression appears in the RGC layer as a protective mechanism (Sullivan et al. 2006). This was consistent with the increased expression of these two transporters in our mRNA and IF results.
EAAT3-5 are mainly located in retinal neurons, and among them, EAAT3, also called excitatory amino acid carrier 1, is mainly expressed in neurons of the inner retina and in the inner and outer plexiform layers (Sarthy et al. 2005). It is known that in EAAT3 deficient mice, abnormal postnatal development retinal development occurs such as thinner inner retinal layer and decreased visual response (Semba et al. 2014). These changes are similar to our results in that the INL was thinned, and the MEA signal was reduced. It is presumed that the gene and protein expression of EAAT3-5 proportionally decreases with a decrease in retinal layer thickness and neuronal death (Arriza et al. 1997; Vorwerk et al. 2000).
In conclusion, our results show that TMT induces retinal developmental toxicity. When the developing mammalian retina is exposed to TMT, excitotoxicity is induced by changes in the expression of EAATs and overexposure of glutamate. These events lead to functional impairment in retina and related histological abnormalities. In response to TMT-induced high concentration of glutamate in the retina, the expressions of EAAT1 and EAAT2 located in Müller cells are increased, and the expression of GFAP and AQP4 increases due to the activation of Müller cells. However, it seems that cytotoxicity induced in the neurons constituting the retina, leads to a decrease in EAAT3-5 expression, reduced apoptosis, and a decrease in the thickness of the INL. These changes induced abnormalities in the electrophysiological function of the retina, reducing the b-wave and RGC spike reactivity (Fig. 6). To the best of our knowledge, this study is the first to reveal the retinal developmental toxicity of TMT at the mammalian model and analyze the molecular, functional as well as morphological aspects of elucidate possible underlying mechanisms. These mechanisms may suggest not only a method to treat TMT toxicity, but also a clue to prevent the damaging effects of other environmental toxic substances with similar toxicity profiles.