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Inhibition of oxidative stress by coenzyme Q10 increases mitochondrial mass and improves bioenergetic function in optic nerve head astrocytes

Oxidative stress contributes to dysfunction of glial cells in the optic nerve head (ONH). However, the biological basis of the precise functional role of mitochondria in this dysfunction is not fully understood. Coenzyme Q10 (CoQ10), an essential cofactor of the electron transport chain and a potent antioxidant, acts by scavenging reactive oxygen species (ROS) for protecting neuronal cells against oxidative stress in many neurodegenerative diseases. Here, we tested whether hydrogen peroxide (100 μM H2O2)-induced oxidative stress alters the mitochondrial network, oxidative phosphorylation (OXPHOS) complex (Cx) expression and bioenergetics, as well as whether CoQ10 can ameliorate oxidative stress-mediated alterations in mitochondria of the ONH astrocytes in vitro. Oxidative stress triggered the activation of ONH astrocytes and the upregulation of superoxide dismutase 2 (SOD2) and heme oxygenase-1 (HO-1) protein expression in the ONH astrocytes. In contrast, CoQ10 not only prevented activation of ONH astrocytes but also significantly decreased SOD2 and HO-1 protein expression in the ONH astrocytes against oxidative stress. Further, CoQ10 prevented a significant loss of mitochondrial mass by increasing mitochondrial number and volume density and by preserving mitochondrial cristae structure, as well as promoted mitofilin and peroxisome-proliferator-activated receptor-γ coactivator-1 protein expression in the ONH astrocyte, suggesting an induction of mitochondrial biogenesis. Finally, oxidative stress triggered the upregulation of OXPHOS Cx protein expression, as well as reduction of cellular adeonsine triphosphate (ATP) production and increase of ROS generation in the ONH astocytes. However, CoQ10 preserved OXPHOS protein expression and cellular ATP production, as well as decreased ROS generation in the ONH astrocytes. On the basis of these observations, we suggest that oxidative stress-mediated mitochondrial dysfunction or alteration may be an important pathophysiological mechanism in the dysfunction of ONH astrocytes. CoQ10 may provide new therapeutic potentials and strategies for protecting ONH astrocytes against oxidative stress-mediated mitochondrial dysfunction or alteration in glaucoma and other optic neuropathies.

Impaired mitochondrial oxidative phosphorylation (OXPHOS) generates excessive reactive oxygen species (ROS), leading to mitochondrial damage, oxidative stress and apoptotic cell death. 1,2 Increasing evidence demonstrates that oxidative stress links to mitochondrial dysfunction in glaucomatous neurodegeneration. [2][3][4][5] A recent study reported that lamina cribrosa cells in the optic nerve head (ONH) from glaucomatous human patients showed increased ROS production, impaired mitochondrial function and elevated cytosolic Ca 2 þ , 3 suggesting that a cycle of oxidative stress, mitochondrial dysfunction and dysregulation of calcium homeostasis may contribute to the pathogenesis of ONH degeneration in glaucoma. 3 Although alteration of antioxidant enzymes has been implicated in glaucomatous ONH astrocytes, 6 it remains unknown whether oxidative stress alters the mitochondrial network and triggers bioenergetic dysfunction in the ONH astrocytes.
Glaucoma is the leading cause of irreversible blindness and affects 70 million people worldwide. 7 Although elevated intraocular pressure (IOP) is an important risk factor for ONH degeneration and retinal ganglion cell (RGC) death in glaucoma, lowering IOP is not always effective for preserving 1 visual function in patients. 7 Alterations in astrocytes have been implicated as important pathophysiological mechanisms in glaucomatous ONH degeneration. [8][9][10] However, the biological basis of the precise functional role of ONH astrocytes in glaucomatous neurodegeneration is not fully understood.
Since the first evidence of impaired mitochondrial respiration-mediated mitochondrial dysfunction in patients with primary open-angle glaucoma, 4 we have found that mitochondrial dysfunction is associated with ONH degeneration and RGC death in a mouse model of glaucoma, [11][12][13] suggesting a distinct mitochondrial dysfunction-mediated degenerative pathway in glaucomatous neurodegeneration. Growing evidence indicates that glaucomatous damage, including elevated IOP, contributes to dysfunction of glial cells or loss of astrocytic processes in the ONH of rodent models of glaucoma. 10,14 Regardless, the relationship between mitochondrial dysfunction and ONH astrocytes in glaucomatous neurodegeneration remain unknown.
Coenzyme Q10 (CoQ 10 ), an essential cofactor of the electron transport chain, acts by maintaining the mitochondrial membrane potential, supporting adenosine triphosphate (ATP) synthesis and inhibiting ROS generation, thus protecting neuronal cells against oxidative stress in neurodegenerative diseases. [15][16][17] Of note, the levels of CoQ 10 in the human retina can decline by B40% with age, 18 raising the possibility that this decline of CoQ 10 may contribute to age-related ROS generation in glaucomatous ONH neurodegeneration. Previous studies demonstrated that CoQ 10 protects retinal cells against oxidative stress in vitro and in vivo, as well as prevents retinal damage induced by acute IOP elevation or excitotoxicity in vivo. [19][20][21][22] Here, we tested whether hydrogen peroxide (H 2 O 2 )induced oxidative stress alters the mitochondrial network, bioenergetics and OXPHOS complex (Cx) expression, and whether CoQ 10 can ameliorate oxidative stress-mediated alterations in mitochondria of ONH astrocytes in vitro.

Results
CoQ 10 ameliorates oxidative stress in the ONH astrocytes. Pure ONH astrocytes were generated from postnatal day 5 Sprague-Dawley rats using a modification of a previous protocol by Hernandez et al. 23 As shown in Figure 1, the cells migrated from cultured ONH tissues were purified by vigorous shaking and serum deprivation (Figure 1a). To confirm whether purified cells were astrocytes, we performed Western blot and immunocytochemical analyses using markers for astrocytes, microglial cells and oligodendrocytes. We found that the purified cells were positive for glial fibrillary acidic protein (GFAP), a marker for astrocytes, but were negative for Iba1, a marker for microglial cells, and myelin basic protein (MBP), a marker for oligodendrocytes ( Figure 1b). In contrast, the protein extract from rat ON tissues contained all four of markers. Immunocytochemistry showed a strong immunoreacitivity for GFAP in cultured ONH astrocytes (Figure 1b), suggesting that the purified cells from ONH tissues were astrocytes.
As reduction of oxidative stress has been proposed to be protective against glaucomatous damage, 24,25 we determined whether CoQ 10 treatment prevents oxidative stress-mediated activation of ONH astrocytes in vitro using antibodies for GFAP, superoxide dismutase 2 (SOD2) and heme oxygenase-1 (HO-1). We observed that GFAP protein expression was significantly increased by 1.23 ± 0.10-fold in the ONH astrocytes exposed to H 2 O 2 (100 mM) compared with control cells exposed to vehicle. In contrast, CoQ 10 significantly reduced GFAP protein expression by 0.97 ± 0.08-fold in the ONH astrocytes exposed to H 2 O 2 ( Figure 2a). Intriguingly, we also found that SOD2 and HO-1 protein expression was significantly increased by 1.40 ± 0.13-and 1.2 ± 0.14-fold in the ONH astrocytes exposed to H 2 O 2 compared with control cells, respectively. In contrast, CoQ 10 significantly reduced SOD2 and HO-1 protein expression by 0.63 ± 0.11-and 0.63 ± 0.07-fold in the ONH astrocytes exposed to H 2 O 2 , respectively ( Figure 2a). To determine whether oxidative stress alters SOD2 distribution and expression in the ONH astocytes, we performed immunocytochemistry in cultured ONH astrocytes using the antibody for SOD2. Consistently, we found that SOD2 immunoreactivity was present in the mitochondria of the ONH astrocytes. Moreover, we observed that ONH astrocytes exposed to H 2 O 2 showed increase of SOD2 immunoreactivity in the mitochondria and cytoplasm compared with control cells. In contrast, CoQ 10 decreased SOD2 immunoreactivity in the ONH astrocytes exposed to H 2 O 2 ( Figure 2b). These results indicate that CoQ 10 prevents activation of ONH astrocytes by blocking oxidative stress.
CoQ 10 triggers mitochondrial biogenesis against oxidative stress. To determine whether oxidative stress triggers alteration of the intracellular mitochondrial network in ONH astrocytes and whether CoQ 10 treatment inhibits this alteration in mitochondria against oxidative stress, the mitochondrial morphology of ONH astrocytes were assessed by MitoTracker Red (Invitrogen-Molecular Probes, Eugene, OR, USA) staining, a marker for mitochondria. Further, we quantified the aterations of mitochondrial number, length and volume density following exposure of H 2 O 2 using transmission electron microscopy (TEM) analysis. Our results showed that control ONH astrocytes contained classic elongated tubular mitochondria. However, ONH astrocytes exposed to H 2 O 2 contained small rounded mitochondria. Interestingly, ONH astrocytes pretreated with CoQ 10 and exposed to H 2 O 2 showed a partial preservation of mitochondrial morphology compared with the ONH astrocytes exposed to H 2 O 2 ( Figure 3). Of note, representative 2D images from TEM showed that ONH astrocytes exposed to oxidative stress produced fewer mitochondria. In good agreement with this result, quantitative analyses importantly showed that the number of mitochondria, normalized to the total area occupied by somas in each image, was significantly decreased in the ONH astrocytes exposed to H 2 O 2 (0.15±0.01 mm 2 ) compared with control ONH astrocytes (0.52 ± 0.07 mm 2 ; Po0.001; Figures 4a and b). In contrast, pretreatment of CoQ 10 increased mitochondrial numbers to a lesser extent (0.26±0.03) compared with ONH astrocytes exposed to H 2 O 2 (Po0.05; Figure 4b). In addition, mitochondrial volume density, defined as the volume occupied by mitochondria divided by the volume occupied by the cytoplasm in terms of a percentage, was decreased in the ONH astrocytes exposed to H 2 O 2 (3.58 ± 0.38%) compared with control ONH astrocytes (6.36 ± 0.87%; Po0.01; Figures  4a and b). In contrast, pretreatment of CoQ 10 significantly increased the mitochondrial volume density (5.84±0.75%) compared with ONH astrocytes exposed to H 2 O 2 (Po0.05; Figure 4b). Interestingly, however, there was no difference in mitochondrial length among control, H 2 O 2 -and CoQ 10 /H 2 O 2treated ONH astrocytes (Figures 4a and b), indicating that mitochondrial biogenesis by CoQ 10 did not come from increased mitochondrial fusion but rather by nascent mitochondria.
CoQ 10 promotes mitofilin and PGC-1a protein expression against oxidative stress. The mitochondrial inner membrane protein mitofilin is critical for maintenance of mitochondrial cristae morphology and is reduced following oxidative stress. 26,27 To determine whether H 2 O 2 -induced oxidative stress triggers loss of mitofilin protein expression in the ONH astrocytes and whether CoQ 10 treatment prevents this loss, we examined the protein expression level of mitofilin using western blot analysis. We found that oxidative stress triggered a significant loss of mitofilin protein expression by 0.36 ± 0.04-fold in the ONH astrocytes (Po0.01; Figure 4c). In contrast, CoQ 10 significantly promoted mitofilin protein expression by 0.59 ± 0.02-fold in the ONH astrocytes exposed to H 2 O 2 compared with H 2 O 2 -treated ONH astrocytes (Po0.05; Figure 4c). However, there was no difference of porin protein expression between H 2 O 2 and CoQ 10 /H 2 O 2treated ONH astrocytes (Figure 4c), suggesting that CoQ 10 could be protective in the mitochondria of ONH astrocytes by increasing the expression of mitofilin that in turn may protect mitochondrial cristae structure and ultimately OXPHOS capacity against oxidative stress. On the basis of increased mitochondrial mass by increasing mitofilin protein expression, we also determined whether CoQ 10 triggers mitochondrial biogenesis using the antibody for peroxisome-proliferatoractivated receptor-g coactivator-1 (PGC-1a), a transcriptional coactivator and a mediator of mitochondrial biogenesis, in the ONH astrocytes exposed to H 2 O 2. We found that oxidative stress significantly increased PGC-1a protein expression by 1.34±0.22-fold in the ONH astrocytes The protein extracts from ONH astrocytes were positive for GFAP, a marker for astrocytes but were negative for Iba1, a marker for microglial cells, and MBP, a maker for oligodendrocytes. The protein extract from rat optic nerve tissue was used for positive control. A representative image shows that GFAP immunoreactivity is present in the ONH astrocytes. GFAP, glial fibrillary acidic protein; MBP, myelin basic protein. Scale bar, 20 mm (Po0.05; Figure 4c). Of interest, CoQ 10 showed greater increase of PGC-1a protein expression by 1.74 ± 0.40-fold in the ONH astrocytes exposed to H 2 O 2 (Po0.05; Figure 4c), suggesting that CoQ 10 could also be protective in the ONH astrocytes by triggering mitochondrial biogenesis against oxidative stress.
To better visualize the cristae, we performed electron tomography, a technique that provides the highest resolution three-dimensional (3D) structure determination of mitochondria. We generated tomographic reconstructions of 15 control, 60 H 2 O 2 -exposed and 33 CoQ 10 /H 2 O 2 -treated mitochondria and noticed that the cristae appeared dilated in the H 2 O 2 -exposed mitochondria ( Figure 5). Measurements of cristae widths in the mitochondrial volumes showed that control cristae were 32 ± 5 nm (mean ± S.D.) across (membranes included), CoQ 10 /H 2 O 2 -treated cristae were 31±6 nm across, yet H 2 O 2 -exposed cristae were 48 ± 17 nm across, a value statistically different from control and CoQ 10 /H 2 O 2 -treatment values (Po0.001, Figure 5). The variation in cristae width was much greater in the H 2 O 2 -exposed mitochondria reflecting that not all the cristae were dilated. In comparison, the cristae widths in control and CoQ 10 /H 2 O 2 -treated mitochondria were more uniform ( Figure 5). The abnormal cristae associated with oxidative stress are consistent with our finding of reduced ATP production. To further determine cristae abundance, we also 2 CoQ 10 ameliorates oxidative stress in ONH astrocytes. (a) GFAP, SOD2 and HO-1 protein expression were significantly increased in the ONH astrocytes exposed to H 2 O 2 (100 mM) compared with vehicle-treated control ONH astrocytes. In contrast, CoQ 10 significantly reduced GFAP, SOD2 and HO-1 protein expression compared with ONH astrocytes exposed to H 2 O 2 . Relative intensity of chemiluminescence for each protein band was normalized using actin. Values are mean±S.D. *Po0.05 compared with vehicle-treated control ONH astrocytes or H 2 O 2 -treated ONH astrocytes. (b) Representative images show that SOD2 immunoreactivity was present in mitochondria of the ONH astrocytes. Of note, SOD2 immunoreactivity was increased in the ONH astrocytes exposed to H 2 O 2 . However, CoQ 10 decreased SOD2 immunoreactivity in the ONH astrocytes exposed to H 2 O 2 . GFAP, glial fibrillary acidic protein; SOD2, superoxide dismutase 2; HO-1, heme oxygenase-1; CoQ 10 , coenzyme Q10; H 2 O 2 , hydrogen peroxide. Scale bars, 10 mm performed measurment of mitochondrial cristae abundance. The parameter is cristae membrane surface area (SA) normalized to the outer membrane area, that is, cristae membrane SA divided by outer membrane SA that is dimensionless. Measurement of cristae abundance in the mitochondria showed that H 2 O 2 -exposed cristae significantly increased cristae abundance by 1.75 ± 0.09 (n ¼ 5, mean ± S.E.M.) compared with control cristae abundance by 0.95±0.26 (n ¼ 5; Po0.05, Figure 5). Pretreatment of CoQ 10 decreased cristae abundance by 1.43 ± 0.33 (n ¼ 5) in the ONH astrocytes exposed to H 2 O 2 ; however, there was no statistical difference between H 2 O 2 and CoQ 10 /H 2 O 2 -treated ONH astrocytes ( Figure 5).
CoQ 10 preserves OXPHOS Cx protein expression against oxidative stress. Pretreatment of CoQ 10 has been proposed to have a beneficial effect in the treatment of OXPHOS disorders. [28][29][30] To determine whether H 2 O 2 -induced oxidative stress alters OXPHOS Cx protein expression and whether CoQ 10 preserves OXPHOS Cx protein expression in ONH astrocytes, we examined the protein expression level of OXPHOS Cxs using western blot analysis. As shown in Figure 6, H 2 O 2 -induced oxidative stress significantly increased OXPHOS Cx (Cx I and II) protein expression by 2.56±0.08-(Po0.001) and 1.93±0.09-fold (Po0.01) compared with control ONH astrocytes, respectively. However, there were no significant difference in OXPHOS Cx (Cx III-V) protein expression between control and H 2 O 2 -treated ONH astrocytes. We also found that pretreatment of CoQ 10 significantly decreased OXPHOS Cx (Cx I, II and V) protein expression by 0.33±0.06-(Po0.001), 1.36±0.16-(Po0.01), and 0.62 ± 0.07-fold (Po0.05), respectively, compared with ONH astrocytes exposed to H 2 O 2 , However, there was no significant difference in OXPHOS Cx (Cx III and IV) protein expression between H 2 O 2 -and CoQ 10 /H 2 O 2 -treated ONH astrocytes, indicating that CoQ 10 may preserve OXPHOS Cx protein expression in the ONH astrocytes against oxidative stress.
CoQ 10 prevents alteration of mitochondrial bioenergetics due to oxidative stress. To determine whether H 2 O 2 -induced oxidative stress alters mitochondrial bioenergetics in ONH astrocytes and whether CoQ 10 treatment inhibits the alteration of mitochondrial bioenergetics, we measured cell viability, ROS generation and cellular ATP level. As shown in Figure 7, our findings show that H 2 O 2 -induced oxidative stress significantly decreased cell viability to 80.8 ± 5.4% of the control value in the ONH astrocytes (Po0.05). However, pretreatment of CoQ 10 significantly boosted cell viability to 92.6 ± 4.6% in the ONH astrocytes exposed to H 2 O 2 (P ¼ 0.001). In comparison with control ONH astrocytes, H 2 O 2 -induced oxidative stress significantly increased ROS generation by 7.82 ± 0.81-fold over the control in the ONH astrocytes (P ¼ 0.01). In contrast, pretreatment of CoQ 10 significantly decreased ROS generation to 4.67±0.83-fold of the control in the ONH astrocytes exposed to H 2 O 2 (Po0.05). In addition, we found that H 2 O 2 -induced oxidative stress significantly decreased the cellular ATP level to 83.8±3.7% of the control value in the ONH astrocytes (Po0.01). However, pretreatment of CoQ 10 nearly completely restored the cellular ATP level (96.9 ± 4.3% of the control) in the ONH astrocytes exposed to H 2 O 2 (Po0.05), suggesting that CoQ 10 restores bioenergetic function in the ONH astrocytes to counter oxidative stress.

Discussion
We addressed the question of whether oxidative stress triggers mitochondria-mediated dysfunction in the ONH Figure 3 CoQ 10 partially preserves mitochondrial structure of ONH astrocytes against oxidative stress-induced mitochondrial fission. The mitochondria of ONH astrocytes were stained with MitoTracker Red. Control ONH astrocytes exposed to vehicle contained classic elongated tubular mitochondria. In contrast, ONH astrocytes exposed to H 2 O 2 contained small rounded mitochondria. However, ONH astrocytes pretreated with CoQ 10 showed a partial preservation of mitochondrial morphology compared with the ONH astrocytes exposed to H 2 O 2 . CoQ 10 , coenzyme Q10; H 2 O 2 , hydrogen peroxide. Scale bars, 10 mm astrocytes because oxidative stress has been implicated as an important pathophysiological mechanisms in the pathogenesis of glaucoma. 4,9,31,32 It has been proposed that reduction of oxidative stress could be protective in glaucomatous ONH treatment 24,[33][34][35] and that mitochondrial dysfunction may have a critical role in oxidative stress-mediated glaucomatous neurodegeneration. 2,4,5,36,37 Interestingly, oxidative stress leads to antioxidant or immune responses in human ONH astrocytes. 24,32,38 Support for our investigations came from a recent study demonstrating oxidative stress, mitochondrial dysfunction and Ca 2 þ overload in GFAP-negative human lamina cribrosa cells in the ONH from glaucoma donor eyes. 3 Figure 5 3D reconstruction of mitochondrial cristae in the ONH astrocytes. Oxidative stress dilated cristae that were prevented by CoQ 10 /H 2 O 2 treatment. Electron tomography generated high-resolution, 3D reconstructions of control, H 2 O 2 -exposed and CoQ 10 /H 2 O 2 -treated mitochondria. Slices (1.4-nm thick) through the middle of electron microscopy tomographic volumes of mitochondria are shown on the left. Surface-rendered volumes of the segmented mitochondria provide information concerning shape and cristae architecture. The outer mitochondrial membrane is shown in blue (made translucent to better visualize the cristae) and cristae are in various colors. The long control mitochondrion has 46 cristae, the H 2 O 2 -exposed has 47 cristae distributed in the four mitochondria that are lined up and the CoQ 10 /H 2 O 2 -treated mitochondrion has 27 cristae. The mean of cristae widths is 50% greater in the H 2 O 2 -exposed mitochondria compared with the control and CoQ 10 pretreatment samples. Scale bar, 250 nm (all panels). Values are mean ± S.E.M. *Significant at Po0.05 and ***Significant at Po0.001 compared with vehicle-treated control ONH astrocytes or H 2 O 2 -treated ONH astrocytes. Representative graphs show the measurement of cristae widths and abundance in the mitochondria. CoQ 10 , coenzyme Q10; H 2 O 2 , hydrogen peroxide Figure 4 CoQ 10 triggers mitochondrial biogenesis in ONH astrocytes that counters oxidative stress. (a) The representative 2D images from TEM analysis showed that control ONH astrocytes exposed to vehicle contained classic elongated tubular mitochondria. However, ONH astrocytes exposed to H 2 O 2 contained fewer mitochondria in the ONH astrocytes. Interestingly, ONH astrocytes pretreated with CoQ 10 showed a greater number compared with the ONH astrocytes exposed to H 2 O 2 . (b) Quantitative analysis showed that mitochondrial number per area and volume density were significantly decreased in the ONH astrocytes exposed to H 2 O 2 . However, ONH astrocytes pretreated with CoQ 10 had a significant increase in mitochondrial number and volume density compared with the ONH astrocytes exposed to H 2 O 2 . There was no difference in mitochondrial length among control, H 2 O 2 and CoQ 10 /H 2 O 2 -treated ONH astrocytes. Values are mean ± S.E.M. *Po0.05, **Po0.01 and ***Po0.001 compared with vehicle-treated control ONH astrocytes or H 2 O 2 -treated ONH astrocytes. Scale bar, 500 nm. (c) Mitofilin protein expression was significantly increased in the ONH astrocytes exposed to H 2 O 2 compared with vehicle-treated control ONH astrocytes. In contrast, CoQ 10 significantly increased mitofilin protein expression compared with ONH astrocytes exposed to H 2 O 2 . PGC-1a protein expression was significantly increased in the ONH astrocytes exposed to H 2 O 2 compared with vehicle-treated control ONH astrocytes. Of interest, pretreatment of CoQ 10 showed greater increase of PGC-1a protein expression in the ONH astrocytes exposed to H 2 O 2 . Relative intensity of chemiluminescence for each protein band was normalized using actin. Values are mean±S.D. (n ¼ 3). CoQ 10 , coenzyme Q10; H 2 O 2 , hydrogen peroxide CoQ 10 is an attractive antioxidant and neurotherapeutic agent for us to test efficacy in glaucoma because published evidence supports its effectiveness against oxidative stress in many neurodegenerative diseases including Parkinson' and Huntington' diseases. 15,39,40 Recent studies increasingly demonstrated that CoQ 10 is neuroprotective in retinal cells in vivo and in vitro against pressure, oxidative stress, excitotoxicity, or apoptotic radiation. 19,21,22,41,42 In the current study, we found that oxidative stress triggers the activation of ONH astrocytes as well as the upregulation of SOD2 and HO-1 protein expression in the ONH astrocytes. In contrast, CoQ 10 not only prevents activation of ONH astrocytes but also significantly decreases SOD2 and HO-1 protein expression in the ONH astrocytes against oxidative stress. The upregulation of antioxidative enzymes such as SOD2 in astrocytes is accompanied by a higher resistance to oxidative stress induced by H 2 O 2 . 43 In addition, SOD2 activity directly stabilizes mitochondrial transmembrane potential and calcium-buffering ability. 44 Together with these findings, our results, therefore, raise the possibility that increasing SOD2 or HO-1 expression in the ONH astrocytes may contribute to compensatory endogenous antioxidant mechanisms that increase resistance or stabilization of mitochondria against oxidative stress. In addition, these results reflect that CoQ 10 could be an important antioxidant for ameliorating oxidative stress-mediated dysfunction in the ONH astrocyte. We believe that studying the benefits of CoQ 10 -mediated blockade of oxidative stress or enhancement of antioxidant enzymes in the ONH astrocytes may be rewarding in many optic neuropathy including glaucoma.
We further addressed the relationship between oxidative stress and the mitochondrial network in the ONH astrocytes. We demonstrated for the first time that oxidative stress induced a significant loss of mitochondrial mass by decreasing mitochondrial number and volume density in the ONH astrocytes. However, CoQ 10 treatment showed a partial inhibition of mitochondrial loss by increasing mitochondrial number and volume density in the ONH astrocytes, suggesting that CoQ 10 could protect ONH astrocytes by triggering mitochondrial biogenesis. In agreement with these findings, we also observed that oxidative stress significantly reduced the expression level of mitofilin protein in the ONH astrocytes. However, there was no significant difference in porin expression among groups, suggesting that the observed increase in number of mitochondria did not produce significantly more outer membrane where porin resides or alternatively that porin was diluted upon mitochondrial biogenesis. Intriguingly, CoQ 10 treatment partially increased mitofilin protein expression in the ONH astrocytes against oxidative stress. More importantly, we also found that CoQ 10 treatment showed greater increase of PGC-1a protein expression in the ONH astrocytes to protect against oxidative stress.
Mitofilin is anchored to the mitochondrial inner membrane and controls mitochondrial cristae morphology. 26 As a previous study suggests that mitofilin depletion decreases cellular proliferation and increases apoptosis, as well as triggers mitochondrial structural and functional abnormalities, 26 it is possible that a significant loss of mitofilin protein expression by oxidative stress may result in structural and functional dysfunction of mitochondria in the ONH astrocytes. PGC-1a activates mitochondrial biogenesis and oxidative metabolism 45,46 as well as regulates the transcription target proteins such as nuclear-encoded respiratory Cx proteins and mitochondrial transcription factor A that has an important role in mitochondrial gene expression and mitochondrial DNA maintenance, and therefore is essential for OXPHOSmediated ATP synthesis. 45,47,48 Collectively, therefore, increasing mitofilin or PGC-1a protein expression by CoQ 10 treatment also raises the intriguing possibility that mitofilin or PGC-1a can be a therapeutic target for protecting mitochondria or promoting mitochondrial biogenesis, especially cristae biogenesis or stablization of the ONH astrocytes to counter oxidative stress-mediated mitochondrial dysfunction. In addition, we found that oxidative stress significantly increased cristae widths and abundance in the mitochondria of the ONH astocytes. However, CoQ 10 treatment significantly preserved cristae widths, but partially preserved cristae abundance in the mitochondria of the ONH astrocytes against oxidative stress, suggesting that CoQ 10 can modulate mitochondrial cristae structure in the ONH astrocytes to protect against oxidative damage. Altogether, our findings suggest that CoQ 10 may have a therapeutic potential for ameliorating oxidative stress-induced alteration of the mitochondrial network in the ONH astrocytes. Future studies are needed to address how CoQ 10 directly promotes mitochondrial biogenesis and structural preservation in the ONH astrocytes against oxidative stress and whether oxidative stress-mediated mitofilin loss directly alters mitochondrial cristae morphology.  In the current study, we found that oxidative stress triggered the upregulation of OXPHOS Cxs (Cx I-IV) protein expression in the ONH astocytes. However, CoQ 10 treatment preserved OXPHOS Cx protein expression including the ATP synthase against oxidative stress. CoQ 10 regulates the mitochondrial OXPHOS system and prevents lipid peroxidation. 49,50 It has been demonstrated that a defective OXPHOS system may be induced by an insufficient fuel supply, defective electron transport chain enzymes (Cx I-IV) or lack of the electron carrier CoQ 10 . 49 In addition, CoQ 10 treatment significantly increases ATP synthetic capacity in lymphocytes from patients as well as in cultured control lymphocytes in vitro, 28 suggesting that CoQ 10 may have a beneficial effect in the treatment of OXPHOS disorders. 28,29 Although further investigations are needed, it is possible that oxidative stress may induce CoQ 10 deficiency in ONH astrocytes, triggering alteration of the OXPHOS system. Further, our findings showed that CoQ 10 -mediated partial preservation of mitochondrial cristae abundance supports CoQ 10 -mediated increase of certain OXPHOS Cxs against oxidative stress. Thus, our results reflect that the upregulation of OXPHOS Cx protein expression may contribute to a critical endogenous defense mechanism for protecting mitochondria of the ONH astrocytes against oxidative stress.
Oxidative stress-mediated ROS alters OXPHOS function. 51,52 This alteration of mitochondrial OXPHOS Cxs by oxidative stress in turn leads to reduction of ATP production and increase of ROS generation, consistent with our results. 2 Further, increased ROS generation results in mitochondrial bioenergetic dysfunction in many neurodegenerative diseases, 53,54 suggesting an oxidative stress-mediated mitochondrial vicious cycle involved in neurodegeneration that includes oxidative stress, ROS production, OXPHOS alteration and mitochondrial bioenergetic dysfunction. In the current study, we found that oxidative stress triggers an excessive increase of ROS generation, reduction of cellular ATP level and subsequent decrease of cell viability in the ONH astrocytes. Of note, we found that CoQ 10 treatment decreases ROS generation, increases cellular ATP production, and promotes cell viability in ONH astrocytes. It was shown that CoQ 10 improves mitochondrial bioenergetic parameters such as oxygen consumption rate, mitochondrial transmembrane potential and ATP synthesis in cultured T62 and H9c2 cell lines consistent with its role in the mitochondrial respiratory chain. 55 Moreover, a recent study demonstrated that CoQ 10 deficiency is associated with oxidative stress, increased ROS production, defective ATP synthesis and cell death. 56 Our findings also showed that oxidative stress triggered abnormal cristae morphology such as cristae dilation in the mitochondria of the ONH astroctyes. Moreover, because activation of PGC-1a correlates with increased cellular energy demand, 57 a significant increase of PGC-1a may reflect an increased energy demand from the mitochondria of ONH astrocytes against oxidative stress. This correlates with our findings of reduced ATP production. Altogether, these findings strongly suggest that CoQ 10 supplementation may have therapeutic potential for ameliorating a mitochondrial vicious cycle involved in ONH degeneration that includes oxidative stress, OXPHOS dysfunction, ROS generation and bioenergetics impairment in the ONH Figure 7 CoQ 10 prevents the alteration of mitochondrial bioenergetics caused by oxidative stress. Pretreatment of CoQ 10 significantly restored cell viability to 92.6 ± 4.6% of the control level in the ONH astrocytes exposed to H 2 O 2 . In comparison with control ONH astrocytes, H 2 O 2 -induced oxidative stress significantly increased ROS generation in the ONH astrocytes. In contrast, pretreatment of CoQ 10 significantly decreased ROS generation in the ONH astrocytes exposed to H 2 O 2 . In addition, H 2 O 2 -induced oxidative stress significantly decreased the cellular ATP level in the ONH astrocytes. However, pretreatment of CoQ 10 significantly restored the cellular ATP level in the ONH astrocytes exposed to H 2 O 2 . Values are mean±S.D. *Po0.05 and **Po0.01 compared with vehicle-treated control ONH astrocytes or H 2 O 2 -treated ONH astrocytes. CoQ 10 , coenzyme Q10; H 2 O 2 , hydrogen peroxide astrocytes during glaucomatous neurodegeneration. Finally, we believe that it would be useful to measure the origin of the energy defect by pharmacologically inhibiting glycolytic and mitochondrial pathways in the future studies.
On the basis of these observations, we suggest that oxidative stress-mediated mitochondrial dysfunction or alteration may be important pathophysiological mechanisms in the dysfunction of ONH astrocytes. Therefore, treatment with CoQ 10 may be neuroprotective and protect ONH astrocytes against oxidative stress-mediated mitochondrial dysfunction or alteration in glaucoma and other optic neuropathies. Isolation and culture of rat ONH astrocytes. Primary rat ONH astrocyte cultures were modified and derived as previously described. 23 After euthanizing with CO 2 gas, 10-20 pieces of ONH tissue were dissected from postnatal day 5 Sprague-Dawley rats and transferred to a 35-mm petri dish with 2 ml 0.2% bovine serum albumin (BSA)/Dulbecco's phosphate-buffered saline (DPBS). Under a dissecting microscope, pigmented and remnant non-neuronal tissues such as sclera and other neighboring tissues were removed, and the ONH tissue was identified and dissected using a microscissor and sharp blade. The ONH tissue was minced and transferred to a 60-mm petri dish and conditioned with growth medium: GlutaMAX/Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 100 U/ml penicillin and 100 mg/ml streptomycin (Invitrogen, La Jolla, CA, USA), and prewarmed in a humidified atmosphere 5% CO 2 incubator at 37 1C. After incubation for 10 days, the ONH explants were removed by 70-mm cell strainers (BD, Sparks, MD, USA). The cells that were grown from the ONH explants were plated in a 100-mm petri dish and incubated for 3 days at 37 1C. For further purification of the ONH astrocytes, the growth medium was changed to serum-deprived medium and the culture dish was shaken for 24 h at room temperature. After removing nonadherent cells, the adherent ONH astrocytes were collected, centrifuged and replated on poly-L-lysine-coated culture dishes. The homogeneity of ONH astrocyte cultures was evaluated by western blot analysis or immunohistochemistry as below.
Pharmacological treatment. Three groups of rat ONH astrocytes were studied following treatment of H 2 O 2 or CoQ 10  Bioreagents, San Diego, CA, USA), mouse monoclonal anti-mitofilin antibody (1 : 500; Mitosciences, Eugene, OR, USA), rabbit polyclonal anti-PGC-1a (1 : 1000; Santa Cruz Biotechnology), mouse monoclonal anti-total OXPHOS Cx antibody (containing a mixture of antibodies to CxI-IV and ATP synthase, 1 : 3000; Invitrogen), rabbit polyclonal anti-porin antibody (1 : 2000; Calbiochem, Rockland, MA, USA) and mouse monoclonal anti-actin antibody (1 : 5000; Millipore, Billerica, MA, USA). After several washes with PBST, the membranes were incubated for 1 h at room temperature with horseradish peroxidase-conjugated goat anti-mouse IgG (1 : 5000; Bio-Rad, Hercules, CA, USA) or goat anti-rabbit IgG (1 : 5000; Bio-Rad) and developed by chemiluminescence detection. The density of protein bands from the scanned images was analyzed using ImageJ (http://www.rsb.info.nih.gov/ij/). Immunocytochemical analysis. Immunofluorescent staining of cultured ONH astrocytes was performed as previously described. 11 Briefly, the cells were fixed with 4% paraformaldehyde (Sigma)/PBS for 1 h at room temperature. To prevent nonspecific background, the cells were incubated in 1% BSA/PBS for 1 h at room temperature before incubation with mouse monoclonal anti-GFAP antibody (1 : 300; Sigma) and rabbit polyclonal anti-SOD2 antibody ( Morphology analysis for mitochondria. Mitochondria in the ONH astrocytes were labeled by the addition of a red fluorescent mitochondrial dye to the cultures (100 nM final concentration; MitoTracker Red CMXRos; Invitrogen-Molecular Probes) and maintaining it for 20 min in a CO 2 incubator. This dye is concentrated in active mitochondria by a process that is dependent on mitochondrial membrane potential (i.e., accumulation is inhibited by actinomycin A but not by rotenone). The cultures were subsequently fixed with 4% paraformaldehyde (Sigma) in DPBS for 30 min at 4 1C and counterstained with Hoechst 33342 (1 mg/ml; Invitrogen-Molecular Probes) in DPBS. For a 3D reconstruction, images were obtained with optical section separation (z-interval) of 0.25 mm by Olympus FluoView1000. Isosurface rendition was obtained from the stack using Imaris 6.4.2 (Bitplane AG, Zurich, Switzerland).
Electron microscopy. For conventional electron microscopy, cultured ONH astrocytes after treatment were fixed with 2% paraformaldehyde, 2.5% glutaraldehyde (Ted Pella, Redding, CA, USA) in 0.15 M sodium cacodylate (pH 7.4) at 37 1C and placed in pre-cooled fixative on ice for 1 h. The following procedure was used to optimize mitochondrial structural preservation and membrane contrast. The cells were post-fixed with 1% osmium tetroxide, 0.8% potassium ferrocyanide, 3 mM calcium chloride in 0.1 M sodium cacodylate (pH 7.4) for 1 h, washed with ice-cold distilled water, post-stained with 2% uranyl acetate at 4 1C, dehydrated using graded ethanols, and embedded in Durcupan resin (Fluka, St. Louis, MO, USA). Ultrathin (70 nm) sections were post-stained with uranyl acetate and lead salts and evaluated by a JEOL 1200FX (JEOL, Tokyo, Japan) TEM operated at 80 kV. Images were recorded on film at Â 8000 magnification. The negatives were digitized at 1800 dpi using a Nikon Cool scan system (Nikon Instruments Inc., Melville, NY, USA), giving an image size of 4033 Â 6010 pixel array and a pixel resolution of 1.77 nm. Mitochondrial lengths were measured with ImageJ. The mitochondrial volume density, defined as the volume occupied by mitochondria divided by the volume occupied by the cytoplasm, was estimated using stereology as follows. A 112 Â 112 square grid (112 Â 112 chosen for ease of use with Photoshop) was overlaid on each image loaded in Photoshop (Adobe Systems Inc., San Jose, CA, USA), and the mitochondria and cytoplasm lying under intercepts were counted. The relative volume of the mitochondria was expressed as the ratio of intercepts coinciding with this organelle relative to the intercepts coinciding with the cytoplasm.
Electron microscope tomography. Sections of cells from each group were cut at thicknesses of 400-500 nm. Sections were then stained 30 min in 2% aqueous uranyl acetate, followed by 15 min in lead salts. Fiducial cues consisting of 20 nm and colloidal gold particles were deposited on opposite sides of the section.
For each reconstruction, a series of images at regular tilt increments was collected with a JEOL 4000EX intermediate-voltage electron microscope operated at 400 kV. The specimens were irradiated before initiating a tilt series in order to limit anisotropic specimen thinning during image collection. Tilt series were recorded using a 4 Â 4 k 2 CCD camera with an angular increment of 21 from À 601 to þ 601 about an axis perpendicular to the optical axis of the microscope using a computer-controlled goniometer to increment accurately the angular steps. The illumination was held to near parallel beam conditions and optical density was maintained constant by varying the exposure time. The magnification was 12 000 and the pixel resolution was 1.2 nm. The IMOD package (http://bio3d.colorado.edu/imod/) was used for rough alignment with the fine alignment and reconstruction was performed using the TxBR package (National Center for Microscopy and Imaging Research, San Diego, CA, USA). Volume segmentation was performed by manual tracing in the planes of highest resolution with the program Xvoxtrace. 58 The mitochondrial reconstructions were visualized using Analyze (Mayo Foundation, Rochester, MN, USA) or the surface-rendering graphics of Synu (National Center for Microscopy and Imaging Research, San Diego, CA, USA) as described. 58 These programs allow one to step through slices of the reconstruction in any orientation and to track or model features of interest in three dimensions.
Cell viability measurement. Cell viability was measured using 3-[4,5-dimethylthiazol-2yl]-2,5-diphenyl tetrazolium bromide (MTT) according to the manufacturer's recommendations (Cell Proliferation Kit 1; Roche Diagnostics, Indianapolis, IN, USA). Briefly, ONH astrocytes were plated on a 96-well plate (1 Â 10 3 per well) and after 24 h, the cells were pre-incubated with 50 mg/ml CoQ 10 for 24 h, and then exposed to H 2 O 2 . At various times, a mixture of 100-ml fresh medium and 10-ml MTT stock solution was added to each well including the negative control. The cells were incubated for 4 h in a humidified atmosphere of a 5% CO 2 incubator at 37 1C, 100 ml of solubilization solution was added per well to resolve the crystallized formazan. After incubation for 16-18 h in a humidified atmosphere of a 5% CO 2 incubator at 37 1C, the absorbance at 560 nm was measured with a microplate reader (Spectra MAX; Molecular Devices Corp., Sunnyvale, CA, USA). Each set of data was collected from multiple replicate wells of each experimental group (n ¼ 3).
ROS measurement. The intracellular ROS was measured by 5-(and-6)-chloromethyl-2 0 ,7 0 -dichlorodihydrofluorescein diacetate, acetyl ester (CM-H 2 DCFDA, Life Technologies), a chloromethyl derivative of H 2 DCFDA, useful as an indicator for ROS in cells. Briefly, ONH astrocytes were plated on a six-well plate (1.7 Â 10 4 per well) and after 24 h, cells were pre-incubated with 50 mg/ml CoQ 10 for 24 h, and then exposed to H 2 O 2 . The cells were detached with typsin/ EDTA and loaded with 20 mM CM-H 2 DCFDA at 37 1C for 20 min, and then fluorescence of the sample was measured immediately using flow cytometry (BD FACSCanto II, BD Bioscience, San Diego, CA, USA). Each set of data was collected from multiple replicate dishes of each experimental group (n ¼ 3).
Cellular ATP measurement. ATP levels were measured using a luciferasebased assay kit (CellTiter-Glo, Promega Corp., Madison, WI, USA). Briefly, ONH astrocytes were plated on a 96-well plate (1 Â 10 3 per well) and after 24 h, the cells were pre-incubated with 50 mg/ml CoQ 10 for 24 h, and then exposed to H 2 O 2 . ATP standard curves from 0 to 1000 nM of ATP in growth media were prepared. After H 2 O 2 treatment, 100 ml growth media was added, followed by 100 ml of the CellTiter-Glo reagent per well to lyse cells using vigorous shaking for 2 min at room temperature. At this point, the prepared ATP standard solution was aded. To stabilize the luminescence signal, cells at room temperature were incubated for 10 min. The luminescence was measured using a microplate luminometer (Labsystems Luminoskan, GMI Inc., Minneapolis, MN, USA). Each set of data was collected from multiple replicate wells of each experimental group (n ¼ 3).
Statistical analysis. Data were presented as the mean±S.D. or S.E.M. Comparison of two or three experimental conditions was evaluated using the unpaired, two-tailed Student's t-test or one-way analysis of variance and the Bonferroni t-test. Po0.05 was considered statistically significant.