Abstract
Background: Hyperbaric oxygen (HBO) therapy has been widely used in various diseases, which is considered safe and effective. Whereas recent studies discovered that HBO therapy could result in oxidative damage to tissues. The goal of our study was to investigate the oxidative effect of hyperbaric oxygen therapy on human retinal pigment epithelium (RPE) cells. Method: Human REP cells (ARPE-19) were cultured in vitro, and divided into normoxic group (incubated with DMEM/F12 broth)and hypoxic group (incubated with DMEM/F12 broth containing 200μmol/L CoCl2) randomly. The experimental groups were exposed to 100% pure oxygen under different pressures (0.15MPa, 0.2MPa, and 0.25MPa) for 60 and 90 minutes thrice, with 24 hours interval. Then the cell viability, 8-OHdG expression and hOGG1 expression of RPE cells were detected by MTT assay, immunocytochemistry (ICC) and western blot seperately. Result: After HBO exposure, cell proliferation decreased, 8-OHdG and hOGG1 expression increased in normoxic RPE cells compared with control group, whereas in hypoxic RPE cells, cell proliferation increased, 8-OHdG and hOGG1 expression decreased compared with hypoxic control group. Conclusion: HBO therapy could suppress the cell proliferation and cause oxidative DNA damage of RPE cells in normoxic status. Conversely, in hypoxic status, HBO therapy could promote the proliferation and ameliorate oxidative DNA damage of human retinal pigment epithelium cells. Meanwhile, HBO therapy could trigger the oxidative DNA damage repair of RPE cells in both normoxic and hypoxic statues.