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Hypoxia tolerance in the Norrin-deficient retina and the chronically hypoxic brain studied at single-cell resolution
Contributed by Jeremy Nathans, March 6, 2019 (sent for review December 11, 2018; reviewed by Bo Chen and Tiansen Li)

Significance
Chronic CNS hypoxia is a characteristic of diverse vascular disorders and environmental conditions. There is strong physiologic evidence that neurons and glia mount a protective response in the face of hypoxic stress. We used single-cell RNA sequencing and metabolic profiling to study the hypoxia responses of neurons and glia in the retina in a mouse model of familial exudative vitreoretinopathy, a developmental disorder in which retinal vascularization is incomplete. These responses were compared with those induced in the mouse cerebral cortex by a 1-week exposure to low atmospheric oxygen. These experiments reveal a distinctive set of genomic and metabolic responses in the hypoxic retina and a related set of genomic responses in the hypoxic cerebral cortex.
Abstract
The mammalian CNS is capable of tolerating chronic hypoxia, but cell type-specific responses to this stress have not been systematically characterized. In the Norrin KO (NdpKO) mouse, a model of familial exudative vitreoretinopathy (FEVR), developmental hypovascularization of the retina produces chronic hypoxia of inner nuclear-layer (INL) neurons and Muller glia. We used single-cell RNA sequencing, untargeted metabolomics, and metabolite labeling from 13C-glucose to compare WT and NdpKO retinas. In NdpKO retinas, we observe gene expression responses consistent with hypoxia in Muller glia and retinal neurons, and we find a metabolic shift that combines reduced flux through the TCA cycle with increased synthesis of serine, glycine, and glutathione. We also used single-cell RNA sequencing to compare the responses of individual cell types in NdpKO retinas with those in the hypoxic cerebral cortex of mice that were housed for 1 week in a reduced oxygen environment (7.5% oxygen). In the hypoxic cerebral cortex, glial transcriptome responses most closely resemble the response of Muller glia in the NdpKO retina. In both retina and brain, vascular endothelial cells activate a previously dormant tip cell gene expression program, which likely underlies the adaptive neoangiogenic response to chronic hypoxia. These analyses of retina and brain transcriptomes at single-cell resolution reveal both shared and cell type-specific changes in gene expression in response to chronic hypoxia, implying both shared and distinct cell type-specific physiologic responses.
Footnotes
- ↵1To whom correspondence should be addressed. Email: jnathans{at}jhmi.edu.
Author contributions: J.S.H., A.R., B.W.J., H.J.V., L.A.G., and J.N. designed research; J.S.H., A.R., B.L.W., B.W.J., and J.N. performed research; J.S.H., G.L.S.-O., and L.A.G. contributed new reagents/analytic tools; J.S.H., A.R., G.L.S.-O., B.W.J., H.J.V., L.A.G., and J.N. analyzed data; and J.S.H., L.A.G., and J.N. wrote the paper.
Reviewers: B.C., Icahn School of Medicine at Mount Sinai; and T.L., National Eye Institute.
The authors declare no conflict of interest.
Data deposition: The sequencing data reported in this paper have been deposited in the Gene Expression Omnibus (GEO) database, https://www.ncbi.nlm.nih.gov/geo/ (accession no. GSE125708). The annotated datasets can be viewed at https://jacobheng.shinyapps.io/cnshypoxia/ and loom.gofflab.org. Supplementary code for processing and visualizing the scRNA-seq data can be found in an R package, cellwrangler (https://github.com/jacobheng/cellwrangler).
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1821122116/-/DCSupplemental.
Published under the PNAS license.
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