Resveratrol Protects Optic Nerve Head Astrocytes from Oxidative Stress-Induced Cell Death by Preventing Caspase-3 Activation, Tau Dephosphorylation at Ser422 and Formation of Misfolded Protein Aggregates

  • John C. Means
  • Adam A. Lopez
  • Peter KoulenEmail author
Original Research


Optic nerve head astrocytes (ONHAs) are the major cell type within the optic nerve head, providing both structural and nutrient support to the optic nerve. Astrocytes are necessary for the survival of neurons with controlled activation of astrocytes being beneficial to neurons. However, overactive astrocytes can be harmful and the loss of normal astrocyte function can be a primary contributor to neurodegeneration. The neuroprotective properties of reactive astrocytes can be lost or they might gain neurotoxic properties in neurodegenerative diseases. The activated astrocytes are crucial in the development of glaucoma, where they serve as a source for cytotoxic substances that participate in ganglion apoptosis. There is increasing evidence indicating that neuroinflammation is an important process in glaucoma. Under pathological conditions, astrocytes can induce an inflammatory response. Extensive evidence shows that inflammatory responses mediated by astrocytes can also influence pathology development, synapse health, and neurodegeneration. The elimination of activated astrocytes by apoptosis is also expected in unfavorable conditions. In neurodegenerative diseases, a common feature is the presence of aggregates found in astrocytes, which can disrupt astrocyte function in such a way as to be detrimental to the viability of neurons. The biological processes involved in vision loss in glaucoma are not well understood. Despite the rapid advances in our understanding of optic nerve head (ONH) structure and function, numerous potential contributions of the ONHAs to optic nerve damage remain unanswered. The present study investigated the role of ONHAs during oxidative stress in order to determine novel cell biological processes underlying glaucoma pathogenesis. ONHAs were exposed to chemically induced oxidative stress using tert-butyl hydroperoxide (tBHP) in order to model extracellular oxidative stress as it occurs in the glaucomatous retina and ONH. In order to determine the impact of an intervention approach employing potential glioprotective treatments for central nervous system tissue we pretreated cells with the polyphenolic phytostilbene and antioxidant trans-resveratrol (3,5,4′-trihydroxy-trans-stilbene). ONHAs exposed to tBHP-mediated oxidative stress displayed decreased viability and underwent apoptosis. In addition, increased levels of activated caspases, dephosphorylation of Tau protein at Ser422, an important site adjacent to the caspase cleavage site controlling Tau cleavage, caspase-mediated Tau cleavage, and cytoskeletal changes, specifically formation of neurofibrillary tangles (NFTs) were detected in ONHAs undergoing oxidative stress. When cells were pretreated with resveratrol cell viability increased along with a significant decrease in activated caspases, cleaved Tau, and NFT formation. Taken together, ONHAs appear to act similar to neurons when undergoing oxidative stress, where proteolytic cleavage of Tau by caspases leads to NFT formation. In addition, resveratrol appears to have promise as a potential protective treatment preventing ONHA dysfunction and degeneration. There is currently no cure for glaucoma or a neuro- and glioprotective treatment that directly targets the pathogenic mechanisms in the glaucomatous retina and optic nerve. The present study identified a potential mechanism underlying degeneration of astrocytes that is susceptible to pharmaco-therapeutic intervention in the eye and potentially elsewhere in the central nervous system. Identification of such mechanisms involved in glaucoma and other disorders of the eye and brain is critical to determine novel targets for effective therapies.


Brain Central nervous system Eye Glaucoma Neurofibrillary tangles Phosphorylation Phytostilbene Retina Tau cleavage 


Amyloid β–peptide


Alzheimer’s disease


Analysis of variance


Cerebral spinal fluid


Glial fibrillary acidic protein


Neurofibrillary tangle


Optic nerve head


Optic nerve head astrocyte


Phosphate buffered saline




Tert-butyl hydroperoxide



Research reported in this publication was supported in part by grants from the National Institutes of Health, National Eye Institute Grants EY014227 and EY022774, National Institute on Aging grant AG027956, National Center for Research Resources/National Institute of General Medical Sciences Grant RR027093 (PK) and a National Institutes of Health Clinical and Translational Science Award Grant (UL1 TR002366) awarded to the University of Kansas. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Additional support by the Felix and Carmen Sabates Missouri Endowed Chair in Vision Research and a Challenge Grant from Research to Prevent Blindness (PK) is gratefully acknowledged.

Author contributions

JCM and PK conceived and designed the experiments; JCM, AAL and PK performed the experiments; JCM, AAL, and PK analyzed the data and wrote the paper. All authors read and approved the final manuscript.


Research reported in this publication was supported in part by grants from the National Institutes of Health, National Eye Institute grants EY014227 and EY022774, National Institute on Aging Grant AG027956, National Center for Research Resources/National Institute of General Medical Sciences grant RR027093 (PK) and a National Institutes of Health Clinical and Translational Science Award Grant (UL1 TR002366) awarded to the University of Kansas. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Additional support by the Felix and Carmen Sabates Missouri Endowed Chair in Vision Research and a Challenge Grant from Research to Prevent Blindness (PK) is gratefully acknowledged.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

Not applicable.

Supplementary material

10571_2019_781_MOESM1_ESM.docx (832 kb)
Electronic supplementary material 1 (DOCX 832 kb)


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Authors and Affiliations

  1. 1.Vision Research Center, Department of Ophthalmology, School of MedicineUniversity of Missouri –Kansas CityKansas CityUSA
  2. 2.Department of Biomedical Sciences, School of MedicineUniversity of Missouri –Kansas CityKansas CityUSA

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