Abstract
purpose. To observe the morphology and physiology of the retina in rats 11 weeks
after a constant (24-hour) but moderate (500-lux) illumination for 1
week.
methods. Levels of aspartate, γ-aminobutyric acid (GABA), glutamate,
glutamine, and taurine were measured by high-pressure liquid
chromatography (HPLC) in the retina and vitreous humor of albino
(Wistar) and pigmented (Long-Evans) rats. Semithin sections were used
to determine retinal morphology. The TUNEL method was used to detect
cells degenerating by apoptosis. Because the GABAergic system has been
shown to be particularly sensitive to the loss of photoreceptors, an
additional immunohistochemical study using anti-GABA, anti-glutamate
decarboxylase (GAD)67 and anti-GAD65 antibodies
was performed.
results. No apparent morphologic changes were found in the retina of pigmented
rats after constant illumination, whereas in albino rats disappearance
of photoreceptors (except in the extreme retinal periphery) and cell
bodies was observed. A significant number of TUNEL-positive nuclei also
occurred in the remaining nuclear and ganglion cell layers. However, no
change in the distribution of GABA, GAD67, and
GAD65 immunoreactivities was found in either strain under
constant illumination compared with control animals. Constant
illumination affected the retinal levels of aspartate, glutamate,
glutamine, glycine in both strains, whereas GABA contents did not
change and taurine was decreased only in albino rats. A significant
increase of vitreal glutamate levels was also found in both strains and
of taurine levels only in albino rats.
conclusions. Phototoxicity can provoke durable retinal alterations beyond the period
of lighting, suggesting progressive and probably continuous
modifications of retinal physiology, even in pigmented animals in which
the retina seems morphologically normal.
Constant illumination damages the pigment epithelium and
the neural retina.
1 2 3 In severe cases, photoreceptor
degeneration by fragmentation of DNA and apoptotic mechanisms
occurs.
4 5 6 Damage is thought to be initiated by a
dysfunction in the phototransduction cascade after constant
illumination
2 3 and can appear after short exposure to
high light intensities or after exposure to relatively low light
intensities over longer periods.
7 8 The capacity of
photoreceptors to recover from light damage is enabled when only their
inner and outer segments are affected,
9 10 but when
nuclear damage occurs, degeneration becomes definitive. Although it has
been suggested that light damage is initiated by overactivation of the
phototransduction cascade, the degree of alteration depends on the
number of melanosomes concentrated in the epithelial cells of the iris
and retina. Ocular melanin may protect the retina, probably by the
absorption of light.
11 12 Because of this, albino rat
retinas are particularly sensitive to the deleterious effects of
artificial constant light, whereas several months of light exposure
seem unable to produce morphologic damage in the retinas of pigmented
animals.
13 14 In most cases, such observations have been
made immediately or shortly after cessation of illumination. Whether
the degenerative processes continue for longer periods has seldom been
investigated.
The present study focused on the possible long-term continuation of
morphologic and biochemical damage in albino and pigmented rat retinas
after exposure to moderate (500 lux) but continuous illumination for 1
week. Biochemical damage was assessed by variation, at the retinal and
vitreous levels, of several neuroactive amino acids: aspartate,
glutamate, glutamine, glycine, taurine, and γ-aminobutyric acid
(GABA). We observed that rats killed 11 weeks after the end of constant
illumination showed dramatic morphologic and/or biochemical retinal
modifications. We confirmed findings in previous studies that
demonstrated the disappearance of photoreceptors, over a large
percentage of the retinal surface. We show that, almost 3 months after
the light exposure, cellular degeneration persisted, as suggested by
the presence of TUNEL-positive nuclei in inner retinal layers in albino
rats, and a dysfunction in amino acid metabolism, not only in albino
but also pigmented rats in which the retinas seem morphologically
normal.
All experimental procedures conformed to the ARVO Statement for
the Use of Animals in Ophthalmic and Vision Research and the guidelines
of the Institut National de la Santé et de la Recherche
Médicale (INSERM) committee on Animal Research. Two-month-old
rats (five males and five females) of both Wistar and Long-Evans
strains, were purchased from Janvier Breeding Facilities (Le Genest
St-Isle, France). On arrival, they were housed separately in clear
plexiglas cages and exposed to continuous light by two 20-W white
fluorescent bulbs (Osram L; Osram Sylvania, Munich, Germany) suspended
30 cm above the cages at an illumination of 500 lux. Animals had free
access to food and water. After continuous illumination, rats were kept
in a temperature-controlled room in 12 hours of light (25–30 lux) and
12 hours of dark for 11 weeks. The results were compared with those
obtained in rats of the same age, sex, and strains maintained under the
latter conditions for 12 weeks.
All rats were killed by decapitation between 10 AM and noon to avoid
possible circadian fluctuations in the metabolism of amino acids. One
eye was collected for biochemical measurements and the other for
semithin sectioning, immunohistochemistry, or demonstration of
presumptive apoptotic cells by the TdT-mediated dUTP-digoxigenin
nick-end labeling (TUNEL) method.
Five animals for each strain and each sex were used. One retina
(vitreous body as retinal pigment epithelium was carefully peeled from
the retina) and vitreous body were collected separately from each
animal. Taurine, glutamate, aspartate, glutamine, glycine, and GABA
concentrations were determined within the retina and corresponding
vitreous body by high-pressure liquid chromatography (HPLC) with a
fluorescence monitor (Merck, Darmstadt, Germany). The amino
acids were chosen for their major function in the retinal physiology
and preferential localization in retinal cells. Glutamate, and possibly
aspartate, are neurotransmitters located in various retinal cells,
including photoreceptors; glutamine, which is a precursor and a
degradative product of glutamate, is found in Müller cells;
taurine, with a function that remains poorly known (it may be involved
in the control of osmolarity and in the protection of photoreceptor
membrane), is synthesized in cells located in the inner retina and
taken up by photoreceptors; and GABA, which is an inhibitory
neurotransmitter located preferentially in amacrine and inner plexiform
cells.
15 16 Individual retina and vitreous bodies were
homogenized in 10
−3 M hydrochloric acid (HCl): 1
mg sample in 100 mL HCl, centrifuged at 15,000
g for 10
minutes at 4°C. Twenty microliters of supernatant of vitreous bodies
and 10 μL of retinas were used for the determination of amino acid
concentrations. The stock reagent contained 27 mg
o-phthaldialdehyde (OPA), 1 mL methanol, 5 μLβ
-mercaptoethanol, and 9 mL 0.1 M sodium tetraborate. The working
solution was prepared by diluting the stock solution with 0.1 M sodium
tetraborate (1:5 vol/vol). Precolumn derivation was performed by mixing
20 μL (vitreous bodies) or 10 μL (retina) sample volumes with
working-strength OPA. Separation of the different amino acids was
achieved by reverse-phase liquid chromatography (column AccQ.Tag,
Waters Chromatography, Guyancourt, France). The mobile phase (pH 7.8),
with a flow rate of 1 mL/min, consisted of water-acetonitrile-methanol
containing 0.1 M dibasic sodium phosphate buffer. Excitation and
emission wavelengths were set at 340 and 450 nm, respectively. Results
were expressed in nanomolar per milligram protein estimated by the
Lowry method.
17
Variations in the extracellular pool of amino acids and changes in
their retinal reuptake mechanisms due to the lighting conditions were
estimated by the ratio of amino acid content in the vitreous and
retina.
Descriptive statistics were provided by Icare (Massy, France). They
were computed on the original variables—that is, concentrations in the
retina and the ratio between concentrations in the vitreous humor and
retina of each amino acid. The original measurements were log
transformed to stabilize and to equalize the variances of the studied
variable. Cross analyses of variance for 2 × 2 × 2
factorial experiments were used to estimate the second- and third-order
interactions and the effects of rat strain, sex, and light. When
second- and third-order interactions were not significant, they were
removed from the model, and then the principal factors were tested.
Statistical significance was concluded when
P <
0.01.
18
With both techniques, eyes were collected and fixed by immersion
in 0.1 M phosphate-buffered saline (PBS, pH 7.4), containing 4%
paraformaldehyde. For immunohistochemistry, two eyes for each
experimental condition were rinsed in PBS containing 20% sucrose and
embedded in optimal cutting temperature (OCT) compound (Tissue-Tek;
Sakura Finetechnical, Zoeterwoude, The Netherlands). Sections 10-μm
thick were cut with a cryostat (Bright Instrument Co., Huntington, UK)
at −20°C and mounted on gelatin-coated slides. Sections were
incubated in 1:1 methanol-H2O containing 3%
H2O2 mixture for 5 minutes
to remove endogenous peroxidases. They were then incubated in PBS
containing 0.01% Triton X-100 and 0.2% gelatin (PBSTG) for 30 minutes
The sections were incubated with either a rabbit polyclonal anti-GABA
antibody (Sigma-Aldrich Chimie, Lyon, France) diluted 1:9000, or
antibodies direct against its synthesizing enzymes: glutamate
decarboxylase (GAD)67 and
GAD65. The rabbit polyclonal
anti-GAD67 (Chemicon, Euromedex,
Souffelweyersheim, France) was diluted 1:2500, and the rabbit
polyclonal anti-GAD65 (Chemicon, Euromedex) was
diluted 1:3000. All antibodies were diluted in PBSTG and incubated for
24 hours at 4°C. The immunoreactivity was demonstrated using 3,3′
diaminobenzidine (DAB) as a chromogen. The sections were dehydrated and
mounted in prehardened medium (Eukitt; Kindler; Freiburg, Germany).
Control experiments were performed by omitting the primary antibody;
the other steps of the procedure were the same. In this case, no
labeling was observed.
For the TUNEL method, two eyes for each experimental condition were
embedded in paraffin, and 1-μm-thick midsagittal sections were
obtained. TUNEL-positive nuclei were detected by a kit (Apoptag; Oncor,
Gaithersburg, MD). Endogenous peroxidases were inactivated by
incubating sections in
H2O2. Sections were
preincubated in the equilibration buffer for 30 seconds at room
temperature and were then treated with terminal deoxynucleotidyl
transferase (TdT) and digoxigenin deoxyuridine triphosphate (dUTP) for
1 hour at 37°C. They were rinsed in buffer for 30 minutes at 37°C.
Retinas were incubated with a peroxidase-coupled anti-digoxigenin
antibody for 30 minutes at room temperature. The 3′-OH DNA tail was
detected by incubating retinas with a
DAB-H2O2 solution and were
stained with methyl green for 10 minutes. Control samples were made by
omitting TdT during the first step of the procedure. No labeling was
observed in control sections.
TUNEL-labeled nuclei were rarely found in the retinas of control
and light-exposed Long-Evans and control Wistar rats. Far more numerous
TUNEL-positive nuclei were observed in the retinal nuclear layers of
light-exposed Wistar rats. Most cells were found either in the
remaining outer nuclear layer or in the distal and proximal parts of
the inner nuclear layer. More rarely, some labeled nuclei were present
in the ganglion cell layer. Apoptotic cells were observed only
occasionally in control rat retina
(Fig. 1) .
GABA-, GAD
67-, and
GAD
65-immunoreactive profiles were observed in
the inner nuclear, inner plexiform, and ganglion cell layers in control
albino and pigmented rats
(Fig. 2) . In such animals, the distribution and the intensity of immunolabeling
varied according to the retinal area observed and, in part, to
methodologic considerations. However, when compared with light-exposed
animals, no apparent changes in the distribution of GABA-,
GAD
67-, and
GAD
65-immunoreactive profiles were observed in
spite of the loss of photoreceptors in albino rats
(Fig. 3) .
Because for each amino acid except taurine, neither the rat strain
nor sex was a significant factor, results were pooled, and light
effects were tested on the totality of the animals (i.e., on control
and light-exposed groups). For taurine, because the second-order
interaction for rat strain × light was significant, analysis was
conducted separately for pigmented Long-Evans and albino Wistar rats.
The retinal content of amino acids tended to decrease in
continuously light-exposed animals, compared with control rats, except
for GABA and taurine. The level of GABA (
Fig. 4a ) was not significantly changed by the light conditions, and the level
of taurine
(Fig. 4b) was decreased only in albino rats.
Because the vitreous body is thought to be the recipient of neuroactive
substances not taken up by the retina,
19 it seemed
appropriate to determine the ratio between retinal and vitreal
levels for each amino acid. Except for glutamate, for which an increase
in the ratio was observed in continuously light-exposed animals (
Fig. 5a ), and taurine, for which an increase of the ratio was observed in
light-exposed albino rats
(Fig. 5b) , no significant difference was
observed between experimental and control animals.
Exposure to constant illumination has been used as a model to
study the effects of photoreceptor loss in retinal diseases, such as
vitamin A deprivation or retinitis pigmentosa.
20 It is
well known that exposure to constant illumination, even at moderate
intensities, can provoke retinal damage, often accompanied by the
destruction of photoreceptors.
21 22 23 However, whether the
deleterious effects cease immediately after the animals are replaced in
normal lighting conditions has seldom been studied. We showed that at
least 11 weeks after the end of a period of moderate illumination,
retinas continue to present important morphologic and/or biochemical
changes. As observed by others, we found that the outer nuclear layer
is almost totally lacking in the retina of albino rats, although
several photoreceptors persist at the extreme periphery. We also show
that cellular degeneration (probably by apoptosis, as suggested by the
TUNEL method
24 ) continues to occur within the remaining
inner layers. A decrease in the number of nuclei in the inner nuclear
layer has already been reported in the rat retina under constant
illumination.
23 Although the type of degenerating cells
remains to be determined, it can be suggested that they are residual
photoreceptors and/or second-order neurons. Furthermore, such a loss of
second-order neurons has been already described in the degenerative
retina in Royal College of Surgeon (RCS) rats.
25 In this
case, the degeneration could be explained, either by the loss of
synaptic input because of the disappearance of photoreceptors and its
consecutive failure to release trophic factors and
neurotransmitters,
26 or by the fact that the lighting
conditions in which the rats were maintained after the experiment (12
hours of light at 25–30 lux and 12 hours of dark) do not alter the
retina in control animals but provoke cellular degeneration in more
fragile RCS retinas.
The retinas of pigmented rats exposed to the same continuous
illumination did not exhibit visible morphologic changes. It is
possible that cellular degeneration may occur after constant light
exposure, although it was not visible after 11 weeks. Obviously, some
protection exists in the retina of pigmented rats, probably due to
melanin pigment in the iris and retinal pigment epithelium (RPE). The
pigmented iris is thought to limit the effect of constant illumination,
and pupillary dilatation is generally necessary to induce cellular
degeneration in the retina of pigmented species.
2 27 However, the protective role of melanin in RPE is controversial. It
seems dependent on the light’s intensity, because it becomes cytotoxic
by producing free radicals at high light
intensities.
28 29 30 We cannot exclude the influence of
genetic factors in explaining the protection against light, because the
degree of retinal susceptibility varies between two strains exposed to
the same light intensity.
12 31 32
Except for GABA in both strains and taurine in pigmented rats, the
exposure to light provoked a reduction in the content of retinal amino
acids examined, not only in albino but, more surprising, in pigmented
rats. Aspartate and glutamine retinal levels are decreased, whereas
their proportional levels in the vitreous body do not vary, suggesting
that their turnover remains unchanged.
Aspartate is an amino acid located in almost all retinal cells
(including rods
33 ), predominantly in ganglion cells. Its
function remains unclear, but it is often accumulated in the same cells
as glutamate. A neurotransmitter action has sometimes been proposed
but, even if it is able to activate a subpopulation of glutamate
receptors (
N-methyl-
d-aspartate[
NMDA]-sensitive), it seems more likely to be involved in the
cellular intermediary metabolism. The reason for the reduction in
aspartate levels remains to be determined, but it cannot be fully
explained by the disappearance of rods, because the percentage
reduction remains approximately the same in illuminated albino rats
(without photoreceptors) as in pigmented rats (in which a loss of
photoreceptors is not evident). Glutamine is synthesized by glial
Müller cells and used as a precursor and indirect product for
glutamate. In a previous study, the existence of Müller cell
gliosis was observed in the retina of light-exposed albino
rats.
34 Although such gliosis was not determined in the
current study, alterations in Müller cells may exist and
influence the functional and biochemical equilibrium of the retina. The
decrease of glutamine may also be explained by dysfunction of the
glutamatergic metabolism. Indeed, glutamate is the neurotransmitter
used in the principal retinal chain including
photoreceptors,
15 35 and it is also neurotoxic when its
receptors are overstimulated, as in ischemia, for
instance.
36 In light-exposed animals, these cells cannot
use this amino acid, provoking in turn a reduction in the synthesis of
its precursor-degradation product glutamine, with no change in its
turnover, as suggested by the steadiness of its proportional level in
the vitreous body. Retinal glutamate levels are also decreased by light
exposure. Such a decrease may be explained, at least partially, by the
loss or by the alteration of photoreceptors, which become unable to
synthesize it. Moreover, as suggested by the increased glutamate levels
in the vitreous humor (except in light-exposed male Long-Evans rats),
the release and/or reuptake is probably also modified.
Light provoked a significant decrease in retinal taurine levels, only
in light-exposed Wistar rats in which photoreceptors clearly
degenerated. Taurine is present in high concentration in the
retina
15 37 and appears to be synthesized mostly in cells
located in the inner retina (probably in the ganglion cells) before
being transported to the photoreceptors.
38 The decrease in
taurine previously reported in light-exposed albino rats
39 can be easily explained by the loss or by the alteration of
photoreceptors. However, its synthesis in the cells of the inner retina
may continue, as demonstrated by the increased levels in the vitreous.
Glycine and GABA are inhibitory neurotransmitters in the
retina.
15 They are located in interneurons in the inner
nuclear and ganglion cell layers, and glycine is particularly involved
in rod circuitry.
40 The decrease observed in retinal
glycine levels suggests that light induces neuronal dysfunction in the
retina in addition to photoreceptors. Why the alteration in the
glycinergic system was particularly dramatic in light-exposed male rats
remains to be determined, but because no significant changes in glycine
levels were observed in the vitreous humor, the regulation in glycine
metabolism may be only slightly altered (as for aspartate and
glutamine). GABA levels were statistically unchanged by light exposure,
even when photoreceptors had disappeared. Immunohistochemical studies
confirmed the biochemical results: no apparent changes in
immunolabeling patterns were observed in light-exposed animals.
Consequently, the GABAergic system may be very resistant to light
damage and not modified by the loss of photoreceptors. Thus, it is
possible that the disappearance of GABA immunoreactivity in dystrophic
Abyssinian cats
41 may have no direct correspondence with
loss of photoreceptors, but rather with the disease itself.
Finally, we showed that even though the photoreceptors were not
necessarily massively destroyed by constant light exposure, as in
pigmented rats, retinal physiology was durably, perhaps permanently,
affected. These alterations, which are probably due to cellular
degeneration that is less extensive than in albino rats, could also
reflect a biochemical adaptation to the initial lighted conditions.
The authors thank Jeanine Nguyen-Legros, Nick Blackett, and David
Hicks for helpful discussions.