Retinal hypoxia and angiogenesis with methamphetamine

Minsup Lee1, Wendy Leskova1, Randa S Eshaq1

  • 1Department of Molecular & Cellular Physiology, Louisiana State University Health Shreveport, Shreveport, LA, 71103, USA.

Insights

Methamphetamine (METH) abuse can cause eye damage. This study shows METH induces retinal hypoxia, increasing blood vessel growth (angiogenesis) by activating hypoxia-inducible factor 1α (HIF-1α) and vascular endothelial growth factor (VEGF).

Area of Science:

  • Ophthalmology
  • Toxicology
  • Vascular Biology

Background:

  • Methamphetamine (METH) abuse is linked to severe ocular complications, including central retinal artery occlusion and retinopathy.
  • Retinal neovascularization, a condition where new blood vessels grow abnormally, has been observed in METH abusers.

Purpose of the Study:

  • To investigate if METH administration induces retinal neovascularization in a mouse model.
  • To determine if METH-induced neovascularization is associated with increased retinal hypoxia, hypoxia-inducible factor 1α (HIF-1α), and vascular endothelial growth factor (VEGF).

Main Methods:

  • Mice were administered METH or saline (vehicle control) via intraperitoneal injection over 26 days.
  • Retinal vascularity was assessed using in vivo imaging and flat-mounted retinas stained with Griffonia simplicifolia lectin I.
  • Retinal hypoxia, HIF-1α, and VEGFa protein levels were measured using pimonidazole adducts and immunoblotting.

Main Results:

  • METH administration significantly increased retinal vascularity and the number of arterioles by Day 26.
  • Retinal VEGFa protein levels increased on Days 12 and 26 in METH-treated mice.
  • Increased retinal hypoxia and HIF-1α protein expression were observed on Days 12 and 26.

Conclusions:

  • Methamphetamine administration induces retinal hypoxia, HIF-1α activation, and VEGFa upregulation.
  • These molecular changes promote angiogenesis in the retina.
  • The findings suggest a mechanism by which METH abuse can lead to sight-threatening ocular neovascularization.