Investigative Ophthalmology & Visual Science, Vol. 30, No. 5, May 1989 Copyright © Association for Research in Vision and Ophthalmology Pyridine Nucleotides ond Phosphorylation Potential of Rabbit Corneal Epithelium and Endothelium Barry R. Masters,* Amal K. Ghosh,f Jeanne Wilson,f and Franz M. Marschinskyf In order to validate in situ corneal redoxfluorometry,the redox state and phosphorylation potential of freeze trapped rabbit corneal epithelium and endothelium were studied using quantitative histochemical methods. The results were compared with noninvasive measurements using an optically sectioning fluorometer microscope. Enucleated rabbit eyes were either frozen in Freon-12, cooled by liquid nitrogen or exposed for 1 hr in 1 mM NaCN to block oxidation and then freeze trapped. Corneas were sectioned, freeze-dried, samples of individual layers dissected, weighed, and analyzed for: NADH, NAD + , NADPH, NADP + , ATP, ADP, and P,. The aerobic epithelium showed a ratio for NAD + / NADH of 1.85 ± 0.08 (9). In anoxia this ratio decreased to 1.06 ± 0.07 (8). The NAD/NADH ratio of aerobic endothelium was 3.25 ± 0.28 (6); in anoxia this ratio was 0.68 ± 0.14 (5). The values of phosphorylation potential ATP/(ADP X P,) M ' were: 447.9 ± 40.2 (9) in aerobic epithelium, 378.2 ± 24.7 (5) in anoxic epithelium; 308.4 ± 25.2 (7) in aerobic endothelium and 225.4 ± 19.1 (5) in anoxic endothelium. Aerobic-anoxic transitions alter the concentrations of NADH and NAD + but did not affect the concentration of NADPH and NADP + . The microhistochemical data indicate that the redox state of rabbit epithelium is less sensitive to hypoxia than the endothelium. This difference between the two limiting layers is reflected in alterations of phosphorylation potential induced by hypoxia. The similarly high efficiencies of both layers in maintaining relatively high ATP levels during histotoxic hypoxia is most likely a result of compensatory ATP generation by enhanced glycolysis. Invest Ophthalmol Vis Sci 30:861-868,1989 The pyridine nucleotides are cofactors which interlink many metabolic reactions. The pyridine nucleotide redox ratios (NAD+/NADH and NADP + / NADPH) are determined by the oxidizing and reducing chemical reactions in the cornea.1 Cyanide is a reversible respiratory inhibitor which binds to the ferric form of cytochrome oxidase in the mitochondrial respiratory chain, and prevents the generation of ATP by oxidative phosphorylation. Cyanide can also bind to ferric and cupric forms of other enzymes. Since NADH is continuously synthesized and there is no functioning pathway to oxidize it in the presence of cyanide, the concentration of NADH increases. A decrease in the availability of oxygen leads to a similar result. A second oxidative pathway in the cornea is the hexose-monophosphate shunt which converts glucose to pentose and leads to the reduction of NADP+ to NADPH. NADPH is required for glutathione-coupled redox reactions providing protection against oxidative damage of corneal cells. The active transport systems in the limiting layers of the cornea are dependent upon metabolic energy generated by glycolysis and by oxidative phosphorylation. Glycolysis and respiration maintain the phosphorylation potential, 23 which is denned as ATP/(ADP X Pj) M" 1 . The phosphorylation potential is the molar concentration of ATP divided by the product of ADP and Pj (inorganic phosphate) and is directly related to the free energy available from ATP. Redox fluorometry4"6 is a noninvasive optical method for estimating the amount of reduced pyridine nucleotide in the tissue. The fluorescence emission obtained in the region of 450 nm in response to excitation wavelength at 366 nm contains components from reduced pyridine nucleotides (NADH and NADPH) present in both the cytoplasm and the mitochondria, and from nonspecific fluorophores. The bound pyridine nucleotides in the mitochondria have a higher quantum yield, which precludes direct calibration of the analytical method. The main advantage of the fluorometric redox technique is that it can be applied in situ, and therefore provide the basis of a From the Departments of 'Ophthalmology, Emory University, Atlanta, Georgia, and fBiochemistry and Biophysics, University of Pennsylvania, Philadelphia, Pennsylvania. Presented in part at the Annual Meeting of the Association for Research in Vision and Ophthalmology, Sarasota, Florida, May 4-8, 1987. Supported by National Institutes of Health Grant EY-06958 AM 19525, and Research to Prevent Blindness, Inc. Submitted for publication: July 25, 1988; accepted November 21,1988. Reprint requests: Barry R. Masters, PhD Emory University School of Medicine, 1327 Clifton Road, Atlanta, GA 30322. 861 Downloaded From: http://iovs.arvojournals.org/ on 07/31/2017 862 INVESTIGATIVE OPHTHALMOLOGY G VISUAL SCIENCE / May 1989 clinical noninvasive diagnostic technique7 to evaluate cellular respiratory function. Quantitative microhistochemical analysis of the pyridine nucleotides has the advantage of measuring directly and quantitatively both the reduced and the oxidized pyridine nucleotides and related metabolites and cofactors of energy metabolism; however, the technique is destructive. The purpose of the current study is to compare the fluorometric redox technique with the quantitative microhistochemical analysis, and to relate hypoxic alterations of redox state and phosphorylation potential of the corneal epithelium and endothelium. Furthermore, the possible difference in the sensitivity between the epithelium and endothelium to acute hypoxia was investigated. The study of cyanide-inhibited cytochrome oxidase represents complete hypoxia, while the aerobic cornea represents the other endpoint. Further studies involving the long-term effects of chronic hypoxia may yield different conclusions due to adaptive mechanisms such as alterations of enzyme activity and metabolite concentrations. Materials and Methods Microhistochemical Analysis8'1' Tissue preparation: The studies were carried out using male New Zealand white rabbits weighing 2.5-3.0 kg. The rabbits were maintained and handled in accordance with the ARVO Resolution on the Use of Animals in Research. The rabbits were anesthetized with an intramuscular injection of ketamine HC1, (40 mg/kg) and xylazine, (5 mg/kg). Lidocaine HC1 (20 mg/ml; 0.8 ml/eye) was given as a retrobulbar injection. The eyes were freed of adhering tissue, swiftly enucleated, and frozen within 3 sec in Freon12 cooled to -150 c C. with liquid nitrogen. The frozen tissue was stored at —80°C. Histotoxic anoxia was induced by suspending the eyes for 1 hr in a physiological saline solution (0.9% NaCl) containing sodium cyanide (1 mM) and HEPES (20 mM) adjusted to pH 7.0 at 25°C. The cyanide was weighed and the solution prepared immediately prior to the enucleation. Tangential sections (10 ixm) were cut from the corneas using a cryostat cooled to -20°C. The sections were then freeze-dried for 24 hr at -40°C. The epithelium, endothelium, and stromal sections were microdissected from the surrounding tissue and weighed on a quartz fiber balance under magnification. The sample weights varied between 0.05 and 0.1 /*g with the endothelium usually requiring pooling of two to three samples to reach the designated weight range. The tissue was stored in the wells of oil well racks Downloaded From: http://iovs.arvojournals.org/ on 07/31/2017 Vol. 30 under vacuum at -20°C. until the assay was performed. Chemical analytical procedures: ATP, ADP, Pj (inorganic phosphate), NADH, NAD + + NADH, NADP+ + NADPH, were analyzed by oil well techniques. Reduced and total nucleotides were determined and the oxidized nucleotides were calculated by the difference between these two quantities. Enzyme cycling methods were used for NAD(H) and NADP(H).8"10 Assays were conducted following published procedures." The concentrations (or content) of pyridine and adenine nucleotides are expressed in units of millimoles per kilogram of dry weight to ensure consistency between different tissues measured in different laboratories. Fluorometric Redox Analysis4712 The redox state of rabbit corneas was determined prior to and after incubation with cyanide (to induce histotoxic hypoxia) using an optically sectioning fluorometer microscope.12 The cornea was excited at an excitation wavelength of 366 ± 10 nm and the fluorescence is measured at an emission wavelength of 450 ± 10 nm using the optically sectioning corneal fluorometer microscope. The redox fluorometer microscope was used to measure the intensity of the pyridine nucleotide fluorescence from the corneal epithelium and endothelium. Immediately following enucleation, the intensity profile along the optic axis was determined. The eye was then incubated in the cyanide solution for 1 hr, after which the intensity profile was again determined (Fig. 1). The difference between the two intensity profiles was taken as a measure of the altered degree of reduction of the pyridine nucleotides of the component layers of the cornea. The percent increase of the fluorescence intensity was calculated as: 100 X (final intensity — initial intensity)/(initial intensity). Statistical Methods13 The data analysis was performed with RS/1 data analysis software. The left and right eye of each rabbit used in the study received identical treatment prior to freezing. The set of two eyes were either frozen immediately following enucleation (labeled aerobic) or were treated with cyanide (labeled anoxic). The significance of the difference between the aerobic and the anoxic eyes were first analyzed by the F-test for equality of variance. The case with equal variances used a pooled variance t-test, and the case with unequal variances used an unpooled variance t-test. In addition, in case the data were not normally distributed, a nonparametric test was employed (Wilcoxon No. 5 863 ANALYSIS OF CORNEAL NUCLEOTIDE CONTENT / Masrers er al rank sum test). All data points greater than three standard deviations from the mean were excluded. EPITHELIAL SIDE Results The experimental results14 from both analytical microhistochemistry and redox fluorometry analysis of rabbit corneal epithelium and endothelium are summarized in Tables 1-3 and Figure 2. Pyridine Nucleotides The concentrations and redox ratios of the pyridine nucleotides under aerobic and anoxic conditions are shown in Tables 1 and 2 and Figure 2. The aerobic epithelium and endothelium contain two redox couples NAD+/NADH (I) and NADP+/NADPH (II); the former is predominantly oxidized and the latter predominantly reduced. The epithelium contains a total concentration of redox couple (I) components at 16 times the total concentration of couple (II). This ratio is only eight in the endothelium. The aerobicanoxic transition for both the epithelium and the endothelium resulted in significant increases in NADH concentration, and significant decreases in NAD + concentration. In addition, there was a 12% statistically significant loss of total (NAD+ + NADH) following anoxia in both epithelium and endothelium. The apparent small changes in concentrations of NADP + and NADPH following hypoxia were not statistically significant. The redox state of the endothelium was more oxidized than that of the epithelium, using the NAD + /NADH couple as a redox indicator. The pyridine nucleotides significantly decreased following anoxia in both the epithelium and the endothelium. The epithelium contained NADH at about nine times the concentration of NADPH, and this ratio was constant for aerobic and hypoxic epithelium. However, the aerobic endothelium only contains NADH at 2.5 times the concentration of NADPH, and this ratio increased to 5 in the anoxic endothelium. Stromal samples were also analyzed for NADH, NAD + , and total NADH plus NAD+. The concentrations were 0.040 ± 0.060, 0.060 ± 0.004, and 0.100 ± 0.004 mmol/kg dry tissue, respectively. The concentration (expressed on a dry weight basis) of NADH in the stroma was about 2% of the concentration found in the epithelium. Adenine Nucleotides The concentrations and ratios of the adenine nucleotides under aerobic and anoxic conditions are shown in Table 3. The aerobic ratio of ATP/ADP is about 9 for the epithelium and about 6 for the endo- Downloaded From: http://iovs.arvojournals.org/ on 07/31/2017 ENDOTHELIAL SIDE 0 100 200 300 400 500 DISTANCE (MICRONS) Fig. 1. Effect of hypoxia on the fluorescence intensity profile through an enucleated rabbit cornea. The fluorescence was excited with light at 366 nm and the fluorescence emission was detected at 450 nm. The lower curve corresponds to the aerobic cornea and the upper curve corresponds to the hypoxic cornea, as described in Materials and Methods. The peaks on the left side of the figure correspond to the epithelium and the peaks on the right side correspond to the endothelium. thelium. The concentrations of ATP and Pj are approximately equal in these two layers. The phosphorylation potential for aerobic epithelium is about 30% greater than that for the aerobic endothelium. The transition from aerobic to anoxic condition results in significant decreases for the epithelial ATP/ADP ratio, and for both the endothelial ATP/ADP ratio and the endothelial phosphorylation potential. The small apparent change of the epithelial phosphoryla- 864 Vol. 00 INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE / May 1989 Table 1. Effect of hypoxia on the concentration of pyridine nucleotides of rabbit epithelium Parameter NADH NAD+ Total NAD+/NADH % Oxidized* % Reduced* NADPH NADP+ Total NADP7NADPH % Oxidized:): % Reduced* Normoxic (mmole/kg dry wt.) Anoxic (mmole/kg dry wt.) 1.84 ±0.09 (9)* 3.37 ±0.14(9) 5.21 ±0.20(9) 2.14 + 0.10(8) 2.25 ±0.16 (8) 4.39 ±0.21 (8) 1.85 ±0.08 (9) 64.70 ±1.01 (9) 35.30 ± 1.01 (9) 1.06 ±0.07 (8) 51.10 ± 1.74(8) 48.90 ± 1.74(8) -0.79 ±0.1 If -13.60 ±2.01f 13.60 ±2.0If 0.21 ±0.01(9) 0.11 ±0.01(9) 0.32 ± 0.01 (9) 0.25 ± 0.02 (5) 0.04 ±0.01 (5) 0.29 ±0.01 (5) 0.04 ± 0.03 -0.07 ± 0.01 -0.03 ± 0.02 0.52 ± 0.07 (9) 33.20 ±3.19 (6) 66.80 ±3.19 (6) 0.14 ±0.02 (5) 12.20 ±0.94 (5) 87.80 ± 7.55 (5) -0.38 ± 0.07t -21.00 ±3.33t 21.00 ± 8.19t * Numbers expressed as means ± SEM. Number of eyes given in parentheses. tion potential was not statistically significant. Adenine nucleotides were not determined in the stroma. Difference (mmole/kg dry wt.) 0.30 ± 0.13t — 1.12 ±0.21f -0.82 ± 0.29f t Differed significantly, P < 0.05. t % Oxidized (reduced) is oxidized (reduced) form divided by total. Discussion Redox Fluorometry Comparison of this Work with Previous Results of Others The effect of anoxia on the intensity of the fluorescence of the corneal epithelium and endothelium is shown in Figure 1. The larger peak on the left represents the corneal epithelium and the small peak on the right represents the corneal endothelium. The lower trace is the fluorescence scan through the aerobic cornea and the upper trace is the scan through the anoxic cornea. This figure was obtained from eye LI 5, and is typical of the fluorescence traces recorded in this study. The percent change of epithelial fluorescence was + 153% and the percent change of endothelial fluorescence was +48%. There was no significant change of the fluorescence intensity from the stromal region. In order to compare the chemical analytical results of this work with those of previous work, it is necessary to convert the units15 of concentration. The normal rabbit corneal hydration is 77%. There are 3.4 g of water/g dry weight of tissue. The following calculation was made: (concentration/kg wet wt) X 4.4 equals (concentration/kg dry wt). Morley and Toth16 measured the pyridine nucleotides of scraped rabbit epithelium. They reported values as: 4.22 mmol/kg dry wt for (NAD + + NADP+) and 2.8 mmol/kg dry wt for (NADH + NADPH). These values are somewhat higher than those reported in the current study for the epithelium. Table 2. Effect of hypoxia on the concentration of pyridine nucleotides of rabbit endothelium Parameter NADH NAD+ Total NAD7NADH % Oxidized* % Reduced* NADPH NADP+ Total NADP7NADPH % Oxidized* % Reduced* Normoxic (mmol/kg dry wt.) Anoxic (mmol/kg dry wt.) Difference (mmole/kg dry wt.) 0.48 ± 0.04 (6)* 1.58 ±0.18 (6) 2.06 ±0.21 (6) 1.12 ± 0.18 (5) 0.74 ±0.17 (5) 1.86 ±0.28 (5) 0.64±0.18t -0.84 ± 0.24t -0.20 ± O.35t 3.25 ± 0.28 (6) 76.00 ± 1.53(6) 24.00+ 1.53(6) 0.68 ±0.14 (5) 38.90 ±4.78 (5) 61.10 ±4.78 (5) -2.57 ± 0 . 3 I t -37.1O±5.02t 37.10+ 5.02t 0.18 ±0.02 (6) 0.06 ±0.01 (6) 0.24 ± 0.03 (6) 0.23 ± 0.02 (5) 0.04 ± 0.02 (5) 0.27 ± 0.03 (5) 0.35 ± 0.02 (6) 26.00 ± 1.29(6) 74.00+ 1.29(6) 0.17 ±0.06(5) 13.80 ±4.30 (5) 86.20 ± 4.30 (5) • Numbers expressed as means ± SEM. Number of eyes given in parentheses. Downloaded From: http://iovs.arvojournals.org/ on 07/31/2017 0.05 + 0.03 0.02 ± 0.02 0.03 ± 0.04 -O.18 + O.O6t - 1 2 . 2 0 + 4.49t 12.20 ± 4 . 4 9 t t Differed significantly, P < 0.05. $ % Oxidized (reduced) is oxidized (reduced) form divided by total. ANALYSIS OF CORNEAL NUCLEOTIDE CONTENT / Mosrers er al No. 5 865 Table 3. Effect of hypoxia on the adenine nucleotides and phosphorylation potential of rabbit corneal epithelium and endothelium Parameter Anoxic (mmol/kg dry wt.) Normoxic (mmol/kg dry wt.) Difference (mmol/kg dry wt.) Epithelium ATP ADP Pi ATP/ADP Phosphorylation potential^ 21.07 ± 2.31 ± 21.33 ± 9.34 ± 0.52(9)* 0.12(9) 0.94(9) 0.59(9) 19.66 ± 2.75 ± 19.13 ± 7.17 ± 447.90 ± 40.20 (9) 0.72(5) 0.99(5) 0.84(5) 0.30(5) -1.41 ± 0.44 ± -2.20 ± -2.17 ± 378.25 ± 24.76 (5) 0.80 l.OOf 1.26 0.67t -69.65 ±47.21 Endothelium ATP ADP Pi ATP/ADP Phosphorylation potential^ 17.73 ± 2.91 ± 20.48 ± 6.26 ± 0.64(7) 0.18(7) 0.91 (7) 0.48(7) 16.86 ± 3.37 ± 22.57+ 5.02 ± 308.46 ± 25.22 (7) 0.59(5) 0.09(5) 1.05(5) 0.26(5) -0.88 ± 0.46 ± 2.09 ± -1.24 ± 225.40 ± 19.14(5) • Numbers expressed as means ± SEM. Number of eyes given in parentheses. 0.87 0.20 1.39 0.54f -83.05 ± 3 1 . 6 5 t t Differed significantly, P < 0.05. % Phosphorylation potential expressed as ATP/(ADP X Pj) M" 1 . A previous study by Masters et al17 on the pyridine nucleotide levels of rabbit epithelium and endothelium differed from the current study in two respects: azide was used to induce histotoxic anoxia, and the samples were obtained by scraping the tissue without freeze-trapping. The use of freeze-trapped material is thought to result in smaller losses of total pyridine nucleotides following anoxia. The process of scraping the tissue may alter the tissue metabolite levels. This could have led to disparate results between the two methods. Another study of the pyridine nucleotides of rabbit corneal epithelium used the cycling assay on tissue samples that were not freeze-trapped.18 The only result with the same value is the NAD + /NADH redox ratio for aerobic epithelium. The outcome for all other determinations differed. Reim et al'9"22 reported nucleotide concentrations and redox ratios on freeze trapped tissues. For bovine aerobic epithelium, he measured NADP+/NADPH ratio of 0.70 compared with 0.52 measured in this study. The measured ATP/ADP ratios for epithelium NADH NAD NADH + NAD Fig. 2. The concentrations of pyridine nucleotides under conditions of normoxia and hypoxia in rabbit epithelium and endothelium. In all Figures, the error bars show standard errors of the mean. NAD + /NADH • NADPH EPINORMOXIC H EPI-ANOXIC + M ENDONORMOXIC NADP NADPH + NADP H ENDOAN0XIC + NADP /NADPH I I I i i l l I I I 1 2 3 4 MMOL/KG DRY WT OR RATIO Downloaded From: http://iovs.arvojournals.org/ on 07/31/2017 l I I I I 5 866 INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE / May 1989 (12.8) and endothelium (6.9) are very close to the values reported in the current study. The phosphorylation potential of aerobic toad corneal epithelium23 obtained by scraping was measured to be 599 ± 226 NT1. These independent investigations indicate the reliability of freeze-trapping, and also indicate the great resistance of corneal epithelium to hypoxia. Comparison of Differences between Epithelium and the Endothelium The microhistochemical method measures the total cellular amount of nucleotide expressed in terms of mmol/kg dry wt of tissues. Two levels of complexity are to be dealt with in the interpretation of the data thus obtained. The first level is the anatomical heterogeneity of the tissue sample. Since the samples were usually taken from the central cornea, we can ignore possible differences between central and peripheral regions. The analytical method measures the average value of the cells in the sample. Therefore, cell-to-cell differences within a sample cannot be detected. For endothelial samples, the single cellular layer does not present a problem if it is assumed that all the endothelial cells are in the same metabolic state. However, if there exists heterogeneity of metabolic states,24 this assumption would not be valid. The epithelial layers exhibit differences in anatomical structure and chemical composition. The epithelium consists of a basal cell layer of high mitotic and metabolic activity and four additional layers with diminishing metabolic activity in the direction of the tear film. Desquamating epithelial cells probably have minimal metabolic activity. Although quantitative histochemical technology offers the spatial resolution to differentiate between these defined epithelial layers, that approach was not taken here for practical reasons.25 The second level of complexity involves the compartmentalization of metabolites in the cells. The nucleotides exist in the mitochondrial space and in the cytoplasmic space. They can be bound to enzymes or exist in the free state. There can be local pools of nucleotides that are at different concentrations than the average concentration determined by the analytical microchemical methods. The analysis of such compartmentation is beyond the resolution of quantitative histochemistry. Differences between aerobic epithelium and endothelium were measured. Both the concentrations (content reported on a dry weight basis) of NADH and NAD"1" are higher in the epithelium. The cellular redox ratio given by NAD+/NADH is greater in the endothelium. Thus, the endothelium appears to be more oxidized than the epithelium. A similar conclusion was reached by Chance and Lieberman,5 who Downloaded From: http://iovs.arvojournals.org/ on 07/31/2017 Vol. 30 used fluorometry to measure the fluorescence intensity ratio of the flavoproteins2627 to the pyridine nu^ cleotides for freeze-trapped epithelium and endothelium. It should be stressed that while quantitative histochemical techniques for pyridine nucleotides (cytoplasmic and mitochondrial) are well developed, equivalent quantitative histochemical techniques for the flavoproteins do not exist. The specific flavoproteins responsible for the redox fluorometric signal (450 nm excitation, 550 nm emission) have never been characterized. The analytical result that the endothelium is more oxidized is also consistent with its higher rate of oxygen uptake2829 and its aerobic enzyme activity.30-31 The results of the redox potential measurements are consistent with the results of adenine nucleotide measurements. Both the phosphorylation potential and the ratio of ATP/ADP were significantly higher in the epithelium than in the endothelium. These results are consistent with the rabbit corneal epithelium being more resistant to alterations of its redox state induced by hypoxia than the endothelium. One may postulate that this property serves to protect the epithelium from hypoxic stress, which can occur in cellular injury, lid closure and contact lens wear. The effect of anoxia on the phosphorylation potential showed similar characteristics. The epithelium was less sensitive to hypoxia than the endothelium, as indicated by the 50% smaller decrease in phosphorylation potential. The different concentrations of (NADH + NAD+) and (NADPH + NADP+) between the epithelium and the endothelium are probably related to different levels of mitotic activity in the two layers. Reim20 has demonstrated that NADP-dependent enzymes in the corneal epithelium reflect high levels of synthetic activity associated with cell replication. The endothelium has significantly lower levels of synthetic activity and this is evident in the lower levels of enzyme activity relating to synthesis. This difference in cellular function is also demonstrated by the data presented in the present paper. The apparent difference between corneal endothelium and epithelium in sensitivity to histotoxic anoxia should, however, not be overemphasized because the energy metabolism of both tissues appears to be designed to deal effectively with hypoxia, as demonstrated by the maintenance of ATP levels. The ATP/ADP ratio and the phosphorylation potential, both sensitive indicators of the energy state of the cell, are also remarkably stable and resistant to the effect of 1 raM cyanide. It is not unreasonable to assume that ATP generation by enhanced glycolysis compensates for impaired oxidative phosphorylation32 of all corneal cell layers. No. 5 ANALYSIS OF COP.NEAL NUCLEOTIDE CONTENT / Masters er al Comparison of Microchemical Analysis and Redox Fluorometry The fluorescence intensity increased for both the epithelium and the endothelium; however, there was no change measured in the stromal region. Three causes may account for this result: (1) the stromal fluorescence is not due to reduced pyridine nucleotides but originates from nonspecific fluorescence; (2) low levels of completely reduced pyridine nucleotides are present in the keratocytes but anoxia has no effect on their redox state; and (3) the keratocytes contain the NAD + /NADH redox couple that is altered in anoxia, but the failure to measure changes of fluorescence is due to the large nonspecific fluorescence level of the stromal region. The quantitative histochemical analysis of the stromal tissue is consistent with the first hypothesis. If the fluorescence was due to a homogeneously distributed concentration of NADH, then a doubling of the NADH concentration would result in a doubling of the fluorescence intensity. Anoxia resulted in epithelial NADH concentration increasing 16%; the fluorescence intensity increased 158%. The fluorescence intensity is proportional to the quantum yield. The quantum yield of the reduced pyridine nucleotides is significantly increased3334 when it is bound to dehydrogenase in the mitochondria, and this results in increased fluorescence intensity. The discrepancy between the analytical and the fluorometric results in the anoxic transition of the epithelium is consistent with the following argument. Redox fluorometry of the epithelium measured the increase of the mitochondrial pool of bound (high quantum yield) NADH. While the analytical method measured the total increase of NADH (16%), the fraction of the bound NADH underwent a large increase. The analytical method cannot discriminate between the bound and the free NADH; however, the redox fluorometry is extremely sensitive to the amount of bound NADH. The analytical results confirm the following conclusions: under conditions of anoxia, redox fluorometry measured changes of NADH concentrations, since the NADPH concentrations are not significantly altered in anoxia. The data are consistent with the interpretation that the bound mitochondrial pool of NADH might be the source of the fluorescence changes. Redox fluorometry has a potential resolution of 0.5 nm along the optic axis, and single-cell resolution in the plane of the cornea.35-36 An absolute calibration of redox cellular hypoxia can be defined that could give a useful measure of normal and altered respiratory function. The maximum value of fluorescence could Downloaded From: http://iovs.arvojournals.org/ on 07/31/2017 867 be defined at the point of 100% hypoxia. A graded scale of cellular hypoxia may then be constructed from these endpoints and be used to measure cellular respiratory function. Key words: adenine nucleotides, cornea, phosphorylation potential, pyridine nucleotides, redox fluorometry References Williamson DH, Lund P, and Krebs HA: The redox state of free nicotinamide-adenine dinucleotide in the cytoplasm and mitochondria of rat liver. Biochem J 103:514, 1967. Veech RL, Lawson JWR, Cornell NW, and Krebs HA: Cytosolic phosphorylation potential. J Biol Chem 254:6538, 1979. Veech RL, Cook GA, and King MT: Relationship of free cytoplasmic pyrophosphate to liver glucose content and total pyrophosphate to cytoplasmic phosphorylation potential. FEBS Letters 117:K65, 1980. Chance B: Pyridine nucleotide as an indicator of the oxygen requirements for energy-linked functions of mitochondria. Circ Res 38(5 Suppl 1):I31, 1976. Chance B and Lieberman M: Intrinsic fluorescence emission from the cornea at low temperatures: Evidence of mitochondrial signals and their differing redox states in epithelial and endothelial sides. Exp Eye Res 26:111, 1978. Chance B, Schoener B, Oshino R, Itshak F, and Nakase Y: Oxidation-reduction ratio studies of mitochondria in freezetrapped samples: NADH and flavoprotein fluorescence signals. J Biol Chem 254:4764, 1979. Masters BR: Noninvasive corneal redox fluorometry. Curr Top Eye Res 4:139, 1984. Matschinsky FM: Quantitative histochemistry of nicotinamide adenine nucleotides in retina of monkey and rabbit. J Neurochem 15:643, 1968. Matschinsky FM, Passonneau JV, and Lowry OH: Quantitative histochemical analysis of glycolytic intermediates and cofactors with an oil well technique. J Histochem Cytochem 16:29, 1968. Lowry OH and Passonneau JV: A Flexible System of Enzymatic Analysis. New York, Academic Press, 1972. Ghosh A, Finegold D, White W, Zawalich K, and Matschinsky FM: Quantitative histochemical resolution of the oxidationreduction and phosphate potentials within the simple hepatic acinus. J Biol Chem 257:5476, 1982. Masters BR: Effects of contact lenses on the oxygen concentration and epithelial mitochondrial redox state of rabbit cornea measured noninvasively with an optically sectioning redox fluorometer microscope. In The Cornea: Transactions of the World Congress on the Cornea III, Cavanagh HD, editor. New York, Raven Press, Ltd., 1988, pp. 281-286. Ray WA and O'Day DM: Statistical analysis of multi-eye data in ophthalmic research. Invest Ophthalmol Vis Sci 26:1186, 1985. Masters BR, Ghosh AK, Wilson J, and Matschinsky FM: Pyridine nucleotide levels and phosphorylation potential of freeze trapped rabbit corneal epithelium and endothelium in aerobic and hypoxic states. ARVO Abstracts. Invest Ophthalmol Vis Sci 28(Suppl):73, 1987. Masters BR, Subramanian VH, and Chance B: Rabbit corneal stromal hydration measured with proton NMR spectroscopy. Curr Eye Res 2:317, 1983. Morley NH and Toth A: Oxidized pyridine nucleotides and lactic acid in the corneal tissue of rabbits. Can J Biochem 39:477, 1961. 868 INVESTIGATIVE OPHTHALMOLOGY 6 VISUAL SCIENCE / May 1989 17. Masters BR, Riley MV, Fischbarg J, and Chance B: Pyridine nucleotides of rabbit cornea with histotoxic anoxia: Chemical analysis, non-invasive fluorometry and physiological correlates. Exp Eye Res 36:1, 1983. 18. Giblin FJ and Reddy VN: Pyridine nucleotides in ocular tissues as determined by the cycling assay. Exp Eye Res 31:601, 1980. 19. Reim M and Meyer D: Uber veranderungen von metabolitgehalten im corneaepithel in anaerobiose. Graefes Arch Klin Exp Ophthalmol 174:103, 1967. 20. Reim M, Foerster KH, and Cattepoel H: Some criteria of the metabolism in the donor cornea. Proc XXI Int Congr Ophthalmol, Excerpta Medica, Amsterdam, 728, 1971. 21. Reim M, Schuette E, Scharsich G, Seidl M, Kesternich HG, and Budi Santoso AW: Adenosine triphosphate, adenosine diphosphate, ascorbic acid, glutathione and lactate in experimental ultraviolet keratitis. Doc Ophthalmol Proc Ser 20:225, 1978. 22. Reim M, Weidenfeld E, and Budi Santoso AW: Oxidized and reduced glutathione levels of the cornea in vivo. Graefes Arch Klin Exp Ophthalmol 211:165, 1979. 23. Reinach PS and Pasnikowski E: Phosphorylated metabolites and effects of amphotericin B and ouabain on phosphorylation state in amphibian cornea. 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