Zinc-chelating agents, including ethambutol and its metabolite 2,2'(ethylen
ediamino)-dibutyric acid (EDBA) are toxic to retinal ganglion cells through
a glutamate dependent mechanism. We explored whether such cell death was m
ediated through the caspase family of cysteine proteases. Retinal cultures
were treated with EDBA alone, or EDBA plus a variety of known caspase inhib
itors, and ganglion cell viability was assayed. EDBA killed 20-30% of gangl
ion cells. A general caspase inhibitor, BAF, prevented EDBA induced ganglio
n cell death. Specific inhibitors of caspase-3 and caspase-6 showed a simil
ar ability to BAF in preventing EDBA mediated ganglion cell loss, whereas i
nhibitors of caspase-8 and caspase-9 were not able to rescue EDBA treated g
anglion cells. A caspase-1,4 inhibitor was less effective than BAF. These s
tudies show that a caspase mediated mechanism of apoptosis accents for a po
rtion of EDBA mediated retinal ganglion cell death. This toxicity was media
ted by downstream effector caspases, 3 and 6. Caspase inhibitors may preven
t ganglion cell death secondary to ethambutol treatment. NeuroReport 11:229
9-2302 (C) 2000 Lippincott Williams & Wilkins.