Prostacyclin-stimulating factor (PSF) acts on vascular endothelial cells to
stimulate the synthesis of the vasodilatory molecule prostacyclin (PGI2).
We have examined the expression, regulation, and hemodynamic bioactivity of
PSF both in whole retina and in cultured cells derived from this tissue. P
SF was expressed in all retinal cell types examined in vitro, but immunohis
tochemical analysis revealed PSF mainly associated with retinal vessels. PS
F expression was constitutive in retinal pericytes (RPCs) but could be modu
lated in bovine retinal capillary endothelial cells (RECs) by cell confluen
cy, hypoxia, serum starvation, high glucose concentrations, or inversely by
soluble factors present in early vs. late retinopathy, such as TGF-beta, V
EGF, or bFGF. In addition, RPC-conditioned media dramatically increased REC
PGI2 production, a response inhibited by blocking PSF with a specific anti
sense oligodeoxynucleotide (ODN). In vivo, PGI2 increased retinal blood flo
w (RBF) in control and diabetic animals. Furthermore, the early drop in RBF
during the initial weeks after inducing diabetes in rats, as well as the l
ater increase in RBF, both correlated with levels of retinal PSF. RBF also
responded to treatment with RPC-conditioned media, and this effect could be
partially blocked using the antisense PSF ODN. We conclude that PSF expres
sed by ocular cells can induce PGI2, retinal vascular dilation, and increas
ed retinal blood flow, and that alterations in retinal PSF expression may e
xplain the biphasic changes in RBF observed in diabetes.