Abstract
purpose. To relate the oxygen environment of the retina to photoreceptor stability, protection, and function in the P23H rat.
methods. Heterozygote P23H-3 (Line 3) rats were studied. Photoreceptor death rates were assessed with the TUNEL technique for detection of fragmenting DNA, in a developmental series from postnatal day (P)16 to P105 (adult). In adult retinas, trophic factor status was assessed with immunohistochemistry, intraretinal oxygen environment with O2-sensing electrodes, and photoreceptor function by the flash-evoked, dark-adapted electroretinogram (ERG), recorded in anesthetized animals.
results. Photoreceptor death begins by P16; peaks at P25, when the frequency of TUNEL+ profiles exceeds 70/mm of retina; and then declines to low (<5/mm) adult rates. Compared with that in nondegenerative Sprague-Dawley (SD) rats, the rate of photoreceptor death is abnormally high from P16 and remains several-fold higher than normal into young adulthood. In addition, the outer nuclear layer is reduced to approximately half of control thickness, and the levels of ciliary neurotrophic factor (CNTF), glial fibrillary acidic protein (GFAP), fibroblast growth factor (FGF)-2, and FGF-2/FGFR1 colocalization are markedly upregulated. O2 tension and uptake are relatively normal in the inner retina, but uptake is considerably reduced, and O2 tension is significantly raised in the outer retina. Surviving photoreceptors generate an a-wave with normal peak latency but sharply reduced amplitude.
conclusions. Excess photoreceptor degeneration in the P23H-3 retina begins just after eye opening, peaks in early postnatal life, and then slows, but persists into adulthood. In the adult retina, surviving photoreceptors operate in an environment that is chronically hyperoxic (and therefore toxic) and in which protective factors (CNTF, FGF-2) are chronically upregulated. The net result, slow degeneration and degraded function in an environment that is both toxic and protective, may be representative of adult photoreceptor status in a number of human retinal degenerations. Hyperoxia-induced photoreceptor death may be a self-reinforcing factor that increases oxidative stress in surviving photoreceptors.
In previous studies, we have explored the effects of photoreceptor depletion on environmental aspects of the surviving photoreceptors, including the expression of trophic factors, the rate of on-going photoreceptor death, the expression of functional molecules, the electroretinogram, and the oxygen status of the retina (its rate of oxygen consumption, and tissue oxygen levels).
1 2 3 4 5 In the current study, we explored photoreceptor death, trophic factor (CNTF, FGF-2) expression, oxygen status, and photoreceptor function in the P23H-3 rat, a model of an autosomal dominant rhodopsin-mutant form of human retinitis pigmentosa (Steinberg RH, et al.
IOVS 1996;37:ARVO Abstract 3190).
6 7 The results show early onset of the degeneration, soon after eye opening. By young adulthood, the degeneration of photoreceptors has slowed but is continuing, the outer retina is chronically hyperoxic and rich in stress-inducible, protective proteins, and the ERG is sharply reduced.
P23H-3 homozygous animals were obtained from the UCSF School of Medicine, Beckman Vision Centre. Those used in the present experiments were heterozygotes, the offspring of mating P23H-3 homozygotes with SD control animals. All rats were born and bred in the University of Sydney animal facility under dim cyclic light (12 hours at <5 lux, 12 hours in the dark). Rats used for intraretinal oxygen measurements were reared until P60 to P80 as above, when they were transferred to the Lions Eye Institute in Perth, where they were kept in brighter conditions (12 hours at ∼50 lux, 12 hours in the dark) until they were used for studies of intraretinal oxygen levels. The animals were fed standard laboratory rat chow with water provided ad libitum.
Animal Preparation.
Eleven P23H rats aged 15 to 29 weeks, and 11 SD control animals matched for age were used for intraretinal oxygen measurements. The rats were housed two per cage on sawdust. They were fed standard laboratory rat chow with water ad libitum. On the day of the experiment the rat was anesthetized with an intraperitoneal injection of 100 mg/kg 5-ethyl-5- (1′-methyl-propyl)-2-thiobarbiturate (Inactin; Sigma-Aldrich, St. Louis, MO). Atropine sulfate (20 μg) was administered intramuscularly to minimize salivation. The trachea was cannulated for mechanical ventilation, the left internal jugular vein for venous infusion, and the femoral artery for continuous blood pressure monitoring and occasional aspiration of arterial blood (60 μL) for blood gas analysis (CIBA-Corning 238; Corning, NY). The rat was then mounted prone in a modified stereotaxic apparatus and the head fixed in position. The rat was artificially respired (rodent respirator, model 683; Harvard Apparatus, Holliston, MA) with a ventilation rate of 90 breaths per minute and a tidal volume appropriate to ensure normal arterial pCO2 levels. Rectal temperature was monitored and maintained at 37.5°C by a homeothermic blanket (Harvard Apparatus). Experiments usually lasted 8 hours, after which the rat was killed with an anesthetic overdose.
Ocular Surgery.
Intraretinal Oxygen Profiles.
Statistics.
Electrophysiological recordings were taken from four SD and four P23H-3 animals at P120. Animals were dark adapted overnight (minimum of 12 hours) and set up under dim red illumination. Anesthesia was achieved with intramuscular injections of ketamine (60 mg/kg) and xylazine (10 mg/kg; Lyppard; Castle Hill, NSW, Australia). Pupils were dilated with 1 drop of tropicamide (Mydriacyl 0.5%; Alcon Laboratories). Corneal hydration was maintained through the duration of recordings with synthetic tears (Viscotears; Carbomer 940 2 mg/g; CIBA Vision, Baulkham Hills, NSW, Australia), which also aided in maintaining electrical contact with the corneal electrode. Body temperature was maintained close to 37°C with an electric blanket controlled by feedback from a rectal temperature probe (Harvard Apparatus). The ERG was recorded between a Pt wire touching the cornea and an Ag/AgCl pellet (Clarke electrode E206; SDR Clinical Technology, Middle Cove, NSW, Australia) in the mouth.
The animal was positioned with the head approximately in the center of a 60-cm diameter Ganzfeld, with the flash source positioned centrally at approximately 45° above the animal’s head. A further 10 minutes of dark adaptation was allowed before commencement of recording. The flash stimulus was provided by a (model 70; Metz GmbH, Zirndorf, Germany) flash unit and flash intensity was attenuated over a 7-log-unit range with neutral density filters. To minimize the cone contribution to the ERG, all stimulus flashes were delivered through a filter (Wratten 47A; Kodak, Rochester, NY) in place. Stimuli were controlled, recorded, and displayed on a computer workstation (MacLab/200 system and Scope software; ADInstruments, Castle Hill, NSW, Australia). Responses were band-pass filtered at 0.3 to 500 Hz. A 50-Hz notch filter was used to minimize mains noise. With attenuations between 1.4 and 7.0 log units, two to three responses were averaged with an interstimulus interval of between 20 (neutral density [ND] 7.0) and 120 (ND 1.4) seconds. At the lowest attenuation (i.e., the brightest flash) a single response was recorded, after an interval of at least 2 minutes from any prior flash.
The flash source was calibrated at the CSIRO National Measurement Laboratory (Lane Cove, NSW, Australia), using a photometer (SD2; Hagner). Conversion from illuminance to irradiance units involved adjustment for the spectral distribution of the flash source (spectral curve provided by Metz), duration of the light pulse (4 ms), and transmissive properties of the filter (Wratten-47; Eastman Kodak). The conversion from flash intensity at the cornea to photoisomerizations per rod per flash (Φ) was based on previously published methods,
14 15 with modifications accounting for the efficiency of photon capture in rodent scotopic vision. The final estimate of flash output (with a Wratten 47 filter) in photoisomerizations per rod per second was 1.09 × 10
7. In practice, the brightest flash used was with attenuation by the 0.7 neutral density filter (φ = 2.18 × 10
6). This was of sufficient intensity to elicit saturated a-wave responses.
The a-wave amplitude was measured from baseline to the a-wave trough and implicit time (latency) was measured to the trough peak. The b-wave amplitude was determined from a-wave trough to b-wave peak.
The question arises (reviewed in Ref.
2 ) whether chronic outer retinal hyperoxia contributes to the stress to which the depleted retina appears subject. It is well known that lack of oxygen, or anoxia, is a common environmental challenge. However, there is evidence to demonstrate that oxidative stress may not only be caused by hypoxia or anoxia, but also by hyperoxia.
24 25 Deviation of oxygen tension above or below normal physiological levels may dramatically change the intracellular redox equilibrium and may alter gene expression patterns in the manifestation of an adaptive stress response. The oxygen consumption of the retina on a per-gram basis has been described as higher than that of the that brain.
26 27 Since the brain consumes a highly disproportionate share of the total body’s oxygen uptake,
28 the retina is one of the highest oxygen-consuming tissues in the body.
5 29 Like the brain, the retina has low levels of the antioxidant enzyme catalase and is rich in iron, which can be a potent catalase for hydroxyl radical formation. These characteristics make the brain and retina particularly sensitive to oxidative stress. The roles of oxidative stress in neurodegenerative diseases such as retinal degeneration should not be underestimated.
In the rabbit,
30 and mouse,
31 hyperoxia has been shown to be directly and specifically toxic to photoreceptors. It is possible then that depletion-induced hyperoxia is a factor in making many retinal degenerations relentlessly progressive.
It is a clinical feature of human retinal degenerations that many begin with some specificity, affecting rods but not cones or vice versa, and then lose their specificity. This loss of specificity is common, even in degenerations caused by mutations specific to rods, such as the rhodopsin mutations. Depletion-induced hyperoxia could be a factor in this loss of specificity. If confirmed, this would suggest that oxygen management could provide some reduction of stress to depleted retinas, which might slow the rate of progression of the degeneration.