Expression of early growth responsive gene-1 in the visual cortex of monocular form deprivation amblyopic kittens

Purpose The present study compared the expression of early growth responsive gene-1 (Egr-1) in visual cortex between amblyopia kittens and normal kittens, and to explore the role of Egr-1 in the pathogenesis of amblyopia. Methods A total of 20 healthy kittens were randomly divided into deprivation group and control group with 10 kittens in each group. Raised in natural light, and covered the right eye of the deprived kittens with a black opaque covering cloth. Pattern visual evoked potentials (PVEP) were measured before and at the 1st, 3rd and 5th week after covering in all kittens. After the last PVEP test, all kittens were killed. The expression of Egr-1 in the visual cortex of the two groups was compared by immunohistochemistry and in situ hybridization. Results PVEP detection showed that at the age of 6 and 8 weeks, the P100 wave latency in the right eye of deprivation group was higher than that in the left eye of deprivation group (P < 0.05) and the right eye of control group (P < 0.05), while the amplitude decreased (P < 0.05). The number of positive cells (P < 0.05) and mean optical density (P < 0.05) of Egr-1 protein expression in visual cortex of 8-week-old deprivation group were lower than those of normal group, as well as the number (P < 0.05) and mean optical density of Egr-1 mRNA-positive cells (P < 0.05). Conclusions Monocular form deprivation amblyopia can lead to the decrease of Egr-1 protein and mRNA expression in visual cortex, and then promote the occurrence and development of amblyopia.


Background
Amblyopia is one of the important diseases causing visual loss of children in the world, and its incidence rate in Asia is 1.09% [1]. In recent years, with the in-depth research on the pathogenesis of amblyopia in molecular biology, neurobiology and other disciplines [2], relevant studies have confirmed that the basic basis of amblyopia treatment lies in the existence of visual plasticity during the sensitive period of visual development [3]. The plasticity mechanism of visual development is related to many neurotransmitters, but the specific pathogenesis of amblyopia has not been fully elucidated, and the changes of critical period and plasticity of amblyopia can not be explained in detail at the molecular level [4][5][6].
Synapse is currently considered as the most critical link in amblyopia, and its plasticity can be divided into long-term potentiation (LTP) and long-term depression (LTD) according to time [7,8]. As a member of the Egr family of Immediate-early genes (IEGs), early growth responsive gene-1 (Egr-1) acts as a transcription factor encoding zinc finger structure. The increase of Egr-1 expression is associated with synaptic plasticity, memory consolidation, LTP induction and learning [9,10]. At the same time, immediate early genes also have the effect of coupling short-term signals with long-term changes Open Access *Correspondence: zychun03@163.com 1 Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China Full list of author information is available at the end of the article [11]. However, there has been no study on the correlation between the expression of Egr-1 and amblyopia. Therefore, we examined changes in Egr-1 in the visual cortex in amblyopia to investigate the significance of this body in the pathogenesis of amblyopia and provide theoretical support for the occurrence and development of amblyopia.

Animals
We used 20 healthy 3-week-old kittens weighing between 240 g and 350 g, regardless of coat color and gender. The examination reveals no opacity of refractive medium or obvious abnormality of fundus, and the refractive error was + 1.25 ~ + 3.25D. All kittens were kept in a room with plenty of natural light and a temperature of 24 ± 1 °C. Up to the age of 5 weeks, all kittens were fed milk powder and water 6 times a day as they were unable to feed on their own. After 5 weeks of age, the kitten has fed solid food and drank water four times a day. The kittens were provided by the Experimental Animal Center of North Sichuan Medical College. The study was supervised by the Experimental Animal Ethics Committee of North Sichuan Medical College and it has been performed according to the ARRIVE guidelines (NSMC Appl. No. 2021 [24]).

Animals model establishment
The Kittens were divided into a control group (n = 10) and a monocular deprivation group (n = 10) by random number table methods. The right eye of all deprived kittens was covered with black opaque eye mask to ensure the formation of amblyopia. At the 1st, 3rd and 5th week after covering, the Pattern Visual Evoked Potential (PVEP) test was used to measure each eye of kittens in the control group and the monocular deprivation group. According to the American Veterinary Medical Association (AVMA) Guidelines for the Euthanasia of Animals (2020), we euthanized all kittens with 2% sodium pentobarbital (100 mg/kg) after the last PVEP test. The visual cortex was separated and the expression of Egr-1 was detected by immunohistochemistry and in situ hybridization. (Fig. 1).

PVEP detection
The Kittens were intraperitoneally injected with 1 % pentobarbital sodium (35 mg/kg). The refractive error of the kittens was detected by static retinoscopy and corrected accordingly with lenses. During the PVEP test on all kittens, three animal electrode needles (RL-1223000030-RC-D, Roland Consult Stasche Finger Gmbh) were inserted respectively in the following ways: the blue positive pole inserted the middle of the forehead, the red negative pole inserted the middle of the occiput, and the black ground pole inserted the subcutaneous back of the ear tip in the same direction as the measured eye. Position the kitten on a platform 40 cm away from the display screen and position the head so that the center of the rear pole of the retina is level with the center of the computer screen. PVEP (RETI-port/scan 21, Roland Consult Stasche Finger Gmbh) measurement parameters were adjusted to checkerboard flip stimulation, 0.3 cpd mode, and the time frequency was 1 Hz, a contrast of 97%, sampling time of 300 ms and superimposed 64 times. Measurements of each eye were repeated three times to obtain an average. (Fig. 1).

Immunohistochemical detection
Paraffin sections were dewaxed to water and placed in 3% hydrogen peroxide solution and phosphate buffer saline (pH 7.4) (Boster Biological Technology Co., Ltd., China, AR0030) in turn to block endogenous peroxidase. The slices were placed in a repair box containing citric acid (pH 6.0) (Boster Biological Technology Co., Ltd., China,  ) antigen repair buffer for antigen repair. The tissue was then evenly covered with 5% BSA blocking solution in the culture dish for serum blocking. Followed by the addition of the first antibody (Egr-1) (Beijing Biosynthesis Biotechnology Co., Ltd., China, BS-1076R), second antibody (Biotin Conjugated goat anti-rabbit IgG) and strept avidin biotin complex (SABC) (Boster Biological Technology Co., Ltd., China, SA1022). DAB (Boster Biological Technology Co., Ltd., China, AR1022) was used to show colour, and positive results ranged from yellow to brownish yellow. The nucleus of haematoxylin staining (Beijing Solarbio Science & Technology Co., Ltd., China, Ltd., G1080) was blue and sealed via dehydration. Chemiluminescence was measured using image analysis by Image-Pro Plus.

Statistical analysis
SPSS 25.0 statistical software was used. The data are expressed as means ± standard deviation ( X ± s), using one-way analysis of variance (SNK), paired-samples t-test and two independent sample t-test. The P100 waves of each eye in the control group and the deprivation group were analyzed by one-way ANOVA (SNK). The comparison between the right eye and left eye of the deprivation group was performed by paired-samples t-test, and the comparison between the control group and the deprivation group was performed by two independent sample t-test. The results of immunohistochemistry and in situ hybridization were analyzed by independent samples t-test. The correlation among PVEP data and the protein and mRNA expression from the control and deprivation groups was performed by Person correlation coefficient.

P100 wave of PVEP
The PVEP examination showed that the main wave image of kitten PVEP showed N75-P100-N135 complex wave, which was composed of two positive waves and one negative wave, showing an "M" shape ( Fig. 2). At the age of 3 weeks, there was no statistical difference in latency (F = 0.254, P = 0.778) and amplitude (F = 0.009, P = 0.990) of P100 wave between right eye and left eye of deprivation group and right eye of control group.
At the age of 6 weeks, the latency (F = 26.768, P < 0.001) and amplitude (F = 12.142, P < 0.001) of P100 wave were statistically different among the three groups; the latency of P100 wave in the right eye of deprivation group was higher than that in the left eye of deprivation group (P = 0.0002) and the right eye of control group (P = 0.0004). The amplitude of the right eye of the deprivation group was lower than that of the left eye of the deprivation group (P < 0.001) and the right eye of the control group (P < 0.0001).
At the age of 8 weeks, the latency of P100 wave in the right eye of deprivation group was higher than that in the left eye of deprivation group (P < 0.0001) and the right eye of control group (P < 0.0001). The amplitude of the right eye of the deprivation group was lower than that of the left eye of the deprivation group (P = 0.0001) and the right eye of the control group (P = 0.0001).

Immunohistochemical
Four visual fields were randomly selected from each slice for statistical analysis. All of the sections showed Egr-1 protein expression in the cytoplasm, which was   brown-yellow, and the nucleus was blue. At 8 weeks of age, the mean optical density of positive cells in the control group was higher than that in the deprivation group (P < 0.001). The number of positive cells in the control group was greater than that in the deprivation group (P < 0.001) (Fig. 4, Table 3). (relevant data is available at https:// figsh are. com/s/ b237d 9430f 77928 923df ).

In situ hybridization
Four visual fields were randomly selected from each slice for statistical analysis. All of the sections showed Egr-1 mRNA expression in the nucleus, which was brown-yellow, and the nucleus was blue. At 8 weeks of age, the mean optical density of positive cells in the control group was higher than that in the deprivation group (P < 0.001). The number of positive cells in the control group was greater than that in the deprivation    group (P < 0.001) (Fig. 5, Table 4). (relevant data is available at https:// figsh are. com/s/ b237d 9430f 77928 923df ).

The analysis of correlation
Person correlation coefficient analysis showed that the amplitude of PVEP was positively correlated with mean optical density of positive and positive cell number from Egr-1 protein and mRNA expression. And the latency of PVEP was negatively correlated with with mean optical density of positive and positive cell number from Egr-1 protein and mRNA expression. (Table 5).

Discussion
At present, the classic method of modeling form deprivation amblyopia is upper eyelid suture [12][13][14]. In the past, our team selected 3-week-old kittens to establish amblyopia models by monocular form deprivation and used the Suture Covering Method [15], that is, using black covering cloth instead of eyelid suture to model amblyopia. The continuous observation of PVEP changes in experimental animals was realized by suture while preventing eye injury caused by eyelid suture. This method can effectively block the light from covering the eyes of animals in all directions and successfully establish amblyopia animal models. However, during the modeling period, some kittens still had head movements, which led to light passing through the side of the covering cloth. In order to improve this situation, this experiment increased the diameter of the covering cloth in the original covering method, and made a black opaque covering ring with a certain height in the center of the covering cloth to further enhance the covering efficiency. Some studies have shown that the dark environment will affect the plasticity of visual cortex in kittens, which will increase the amplitude of P100 waves and improve their eyesight [16,17]. Therefore, in the process of establishing amblyopia kittens model, we only removed the black opaque covering cloth during detection. Moreover, we use natural light throughout the whole process to ensure the stability of their biological rhythm.
In this experiment, checkerboard flip stimulation was used to detect PVEP, and the wave images of PVEP in kittens were recorded, which were composed of two positive waves and one negative wave, showing an "M" shape.
By comparing the amplitude and latency of P100 waves between different eyes at the same time and the same eye at different times, we found that P100 waves in three groups of PVEP detection, with the increase of age, the latency gradually shortened and the amplitude gradually increased. The amplitude of P100 wave decreased and the latency of P100 wave increased in the right eye of deprivation group compared with the left eye of deprivation group and the right eye of control group. This is similar to the previous amblyopia modeling results by other schemes [18,19]. The critical period of visual development in kittens is from 4 weeks to 16 weeks after birth [20,21]. During this period, abnormal visual environment may lead to the influence of visual development. In the PVEP test, with the increase of age, the change of amplitude and latency of P100 wave in amblyopia eyes decreased compared with normal eyes. The changes of PVEP suggest that the appearance of form deprivation amblyopia in kittens makes various fine visual functions of visual system such as analytical perception, motion perception and stereo vision change. At present, some studies believe that establishing binocular stereo vision is one of the purposes of preventing and treating amblyopia [22]. The realization of this goal is based on synaptic plasticity.
Many neurotransmitters are considered to be related to the critical period of amblyopia and its plasticity changes [23,24]. Moreover, in some studies, some protooncogenes are closely related to it [25,26]. As a class of proto-oncogenes encoding transcription factors, immediate early genes have the effect of coupling short-term signals with long-term changes, mainly including C-fos, Egr family and Arc, among which many transcription factors are regulated by visual activities. Among them, there is sufficient evidence to show the association between C-fos and amblyopia [13,27]. The transcription factor of Egr-1 in the Egr family of immediate early genes is essential in the changes of visual cortex plasticity [28]. Egr-1 is a transcription factor encoding zinc finger structure, and its expression increases during synaptic plasticity, memory consolidation, LTP induction and learning [7,8]. Cytoskeleton related gene Arc, as one of the target genes of Egr-1, is an effector molecule induced by synaptic activity and plays an important role in late LTP. Studies have shown that under certain conditions, Egr-1 can regulate the transcription of late activity-dependent Arc gene in the hippocampus CA1 region, and the immediate early gene Arc can connect the change pattern of neural activity and synaptic plasticity because of its pluripotent and fine tuning system, thus optimizing the information storage of nervous system [28]. In addition, previous studies on amblyopic animal models have found that there are structural changes in ganglion cells, lateral geniculate body and visual cortex of amblyopic animals, accompanied by a decrease in synaptic density, which will lead to further changes in their functions [29,30]. Immunohistochemistry and in situ hybridization were used to compare and analyze the expression of Egr-1 protein and mRNA in the visual cortex of 8-week-old amblyopia kittens and normal kittens. We found that positive cell numbers and the mean optical density of positive in the visual cortex of 8-week-old amblyopic kittens and normal kittens decreased. And the results show that there is a correlation among PVEP, IHC and ISH data. The appearance of this result provides strong proof for the association between Egr-1 and amblyopia. However, in terms of PVEP, although the amplitude of PVEP in the left eye of deprived kittens was lower than that in the right eye of the control group, there was no statistical difference between the two groups. Similar phenomena have been found in other studies [31]. Considering that the optic chiasma of cats is semi-chiasma, the change of visual cortex will affect both eyes. We speculate that this may be due to PVEP reflecting the conduction, transmission and excitation intensity of ocular ganglion cells to occipital visual cortex. Studies have shown that amblyopia is related to macular development and retinal fibrous layer thickness in addition to the changes of visual cortex-related protein expression [32][33][34].
The occurrence of amblyopia is related to synaptic plasticity changes, and long-term changes will occur in the process of amblyopia. The balance of excitation and depression at axonal level of the visual cortex is the condition of maintaining normal development and function of the visual cortex, and it is also an important factor affecting the plasticity of visual system [35]. The plasticity of nerve is mainly manifested in the plasticity of synaptic structure and function [36,37]. Egr-1 and Arc genes are closely related to long-term changes of synapses. At present, most studies also show that perceptual learning can improve the visual function of amblyopia patients [5]. Perceptual learning can effectively restore the visual function through repeated visual stimulation and visual experience with supervision and feedback [38][39][40]. Researchers found that its mechanism may be related to the balance of excitement and depression related to plasticity, and Egr-1 and Arc play an important role in learning and memory of humans and animals [41,42].
This study not only confirmed the correlation between Egr-1 protein and mRNA expression in visual cortex and amblyopia, that is to say, due to the unequal input of binocular vision, the number and morphology of visual cortex cells may change, resulting in the decrease of Egr-1 protein and mRNA expression, which further affects the normal physiological function of visual cortex and affects visual development, thus promoting the occurrence and development of amblyopia. But also indirectly verified the correlation between perceptual learning and amblyopia.
However, this study still has some limitations. In the process of modeling, we only use the random number table method to divide the kittens into two groups, but did not randomize the deprived eyes of the deprived kittens. On the other hand, we proved that the expression protein and mRNA of Egr-1 was down-regulated in the visual cortex of amblyopia kittens, but we failed to detect dynamically change of Egr-1, or set different groups to observe its changes with age.

Conclusions
To sum up, the animal model of amblyopia can be established and the dynamic measurement of eyeball parameters can be realized by using the method of ocular covering. Based on this method, the expression of Egr-1 in the visual cortex decreased significantly in amblyopia animal model. This experiment speculates that Egr-1 plays an important role in visual development. This study provides a new idea and direction for further exploring how monocular form deprivation regulates visual cortex neurons, and for treating amblyopia and deeply understanding its pathogenesis.