Ity, cells were washed in PBS and incubated with 2.0 mg/ml propidium iodide and 1.0 mg/ml Hoechst 33342 for 20 minutes at 37uC. Subsequently, cells were analyzed with a fluorescence microscope (Leica DMR, Leica ML-281 manufacturer Microsystems, Wetzlar, Germany). Representative areas were documented with Leica IM 1000 software (Leica Microsystems, Heerbrugg, Switzerland), 25033180 with three to five documented representative fields per well. The labelled nuclei were then counted in fluorescence photomicrographs, and dead cells were expressed as a percentage of total nuclei in the field. All experiments were run in triplicate in RPE cultures from three donors and repeated three times.Human RPE cell cultureThe human RPE cell suspension was added to a 50 ml flask (Falcon, Wiesbaden, Germany) containing 20 ml of DMEM supplemented with 20 FCS and maintained at 37uC and 5 CO2. Epithelial origin was confirmed by immunohistochemical staining for cytokeratin using a pan-cytokeratin antibody (SigmaAldrich, Verubecestat price Deisenhofen, Germany) [31]. RPE cells were characterized by positive immunostaining with RPE65-antibody, a RPEspecific marker (anti-RPE65, Abcam, Cambridge, UK), and quantified by flow cytometry showing that nearly 100 of cells were RPE65 positive in each cell culture. The cells were tested and found free of contaminating macrophages (anti-CD11, SigmaAldrich) and endothelial cells (anti-von Willbrand factor, SigmaAldrich). The expression of zonula occludens-1 (ZO-1; Molecular Probes, Darmstadt, Germany) was used as a marker of RPE tight junctions. After reaching confluence, primary RPE cells were subcultured and maintained in DMEM supplemented with 10 FCS at 37uC and in 5 CO2. Confluent primary RPE cells of passage 3 to 5 were exposed to cigarette smoke extract (CSE) in a concentration from 2, 4, 8 and 12 for 24 hours. To generate aqueous CSE, the smoke of commercially available filter cigarettes (Marlboro, Philip Morris GmbH, Berlin, Germany; nicotine: 0.8 mg; tar: 
10 mg) was bubbled through 25 ml prewarmed (37uC) serum-free DMEM as described in Bernhard et al. [26]. The cigarettes were syringe-smoked in a similar apparatus as described by Carp and Janoff [32] at a rate of 35 ml/2 sec followed by a pause of 28 sec. This rate of smoking should simulate the smoking habits of an average smoker [33]. The resulting suspension was adjusted to pH 7.4 with concentrated NaOH and then filtered through a 0.22-mM-pore filter (BD biosciences filter Heidelberg, Germany) to remove bacteria and large particles. This solution, considered to be 100 CSE, was applied to RPE cultures within 30 min of preparation. CSE concentrations in the current study ranged from 2 to 12 . CSE preparation was standardized by measuring the absorbance (OD, 0.8660.05) at a wavelength of 320 nm. The pattern of absorbance (spectrogram) observed at l320 showed insignificant variation between different preparations of CSE. The nicotine in the CSE was determined by high-performance liquid chromatography withAssessment of lipid peroxidationOxidative stress can be assessed by markers of lipid peroxidation. A sensitive and specific assay for lipid peroxidation is based on metabolic incorporation of the fluorescent oxidation-sensitive fatty acid, cis-parinaric acid (PNA), a natural 18-carbon fatty acid with four conjugated double bonds, into membrane phospholipids of cells [35,36]. Oxidation of PNA results in disruption of the conjugated double bond system that cannot be re-synthesized in mammalian cells. Therefo.Ity, cells were washed in PBS and incubated with 2.0 mg/ml propidium iodide and 1.0 mg/ml Hoechst 33342 for 20 minutes at 37uC. Subsequently, cells were analyzed with a fluorescence microscope (Leica DMR, Leica Microsystems, Wetzlar, Germany). Representative areas were documented with Leica IM 1000 software (Leica Microsystems, Heerbrugg, Switzerland), 25033180 with three to five documented representative fields per well. The labelled nuclei were then counted in fluorescence photomicrographs, and dead cells were expressed as a percentage of total nuclei in the field. All experiments were run in triplicate in RPE cultures from three donors and repeated three times.Human RPE cell cultureThe human RPE cell suspension was added to a 50 ml flask (Falcon, Wiesbaden, Germany) containing 20 ml of DMEM supplemented with 20 FCS and maintained at 37uC 
and 5 CO2. Epithelial origin was confirmed by immunohistochemical staining for cytokeratin using a pan-cytokeratin antibody (SigmaAldrich, Deisenhofen, Germany) [31]. RPE cells were characterized by positive immunostaining with RPE65-antibody, a RPEspecific marker (anti-RPE65, Abcam, Cambridge, UK), and quantified by flow cytometry showing that nearly 100 of cells were RPE65 positive in each cell culture. The cells were tested and found free of contaminating macrophages (anti-CD11, SigmaAldrich) and endothelial cells (anti-von Willbrand factor, SigmaAldrich). The expression of zonula occludens-1 (ZO-1; Molecular Probes, Darmstadt, Germany) was used as a marker of RPE tight junctions. After reaching confluence, primary RPE cells were subcultured and maintained in DMEM supplemented with 10 FCS at 37uC and in 5 CO2. Confluent primary RPE cells of passage 3 to 5 were exposed to cigarette smoke extract (CSE) in a concentration from 2, 4, 8 and 12 for 24 hours. To generate aqueous CSE, the smoke of commercially available filter cigarettes (Marlboro, Philip Morris GmbH, Berlin, Germany; nicotine: 0.8 mg; tar: 10 mg) was bubbled through 25 ml prewarmed (37uC) serum-free DMEM as described in Bernhard et al. [26]. The cigarettes were syringe-smoked in a similar apparatus as described by Carp and Janoff [32] at a rate of 35 ml/2 sec followed by a pause of 28 sec. This rate of smoking should simulate the smoking habits of an average smoker [33]. The resulting suspension was adjusted to pH 7.4 with concentrated NaOH and then filtered through a 0.22-mM-pore filter (BD biosciences filter Heidelberg, Germany) to remove bacteria and large particles. This solution, considered to be 100 CSE, was applied to RPE cultures within 30 min of preparation. CSE concentrations in the current study ranged from 2 to 12 . CSE preparation was standardized by measuring the absorbance (OD, 0.8660.05) at a wavelength of 320 nm. The pattern of absorbance (spectrogram) observed at l320 showed insignificant variation between different preparations of CSE. The nicotine in the CSE was determined by high-performance liquid chromatography withAssessment of lipid peroxidationOxidative stress can be assessed by markers of lipid peroxidation. A sensitive and specific assay for lipid peroxidation is based on metabolic incorporation of the fluorescent oxidation-sensitive fatty acid, cis-parinaric acid (PNA), a natural 18-carbon fatty acid with four conjugated double bonds, into membrane phospholipids of cells [35,36]. Oxidation of PNA results in disruption of the conjugated double bond system that cannot be re-synthesized in mammalian cells. Therefo.
