The present immunohistochemical studies performed on wholemount preparations confirmed that the persistence of hyaloid vessels in ND mice was accompanied by impaired angiogenesis of the retina.
12 Although in the first days of postnatal development, the superficial layer of retinal capillaries sprouted to the periphery in a manner similar to that in the controls, remodeling of these vessels and sprouting into the outer retina was sparse. This impaired capillarization was restricted to the retina. The other vascular beds of the eye as the choroidal vasculature or the limbal vessel were normal (Lütjen-Drecoll E, Ohlmann AV, unpublished observation, 2002). Vascularization of the retina and outgrowth of capillaries into the outer retina are impaired by lack of vascular endothelial growth factor (VEGF).
50 Hypoxia upregulates VEGF,
51 52 53 whereas hyperoxia suppresses VEGF expression.
51 53 Physiological hypoxia can be induced by an increased retinal thickness and increased metabolism of retinal cells concomitant with regression of hyaloid vessels. This has been discussed as being the driving force for retinal capillarization.
50 53 On the contrary, in retinopathy of the prematurity (ROP), high oxygen levels have been discussed as the most important factors in the pathogenesis of the impaired vascularization of the retina.
52 This increase in oxygen levels in ROP inhibits capillarization in the peripheral retina. Secondarily, proliferation of retinal vessels into the vitreous occurs with decreasing oxygen levels and an increase in VEGF.
54 In ND mice, as in ROP, angiogenesis is impaired. It is tempting to speculate that in addition to the absence of the ND gene product in the retina, increased oxygen levels due to persistence of hyaloid vessels may contribute to the observed changes in retinal vasculature in ND mice. In contrast, in ND mice, the morphology of the retinal and hyaloid vasculature differed from that in ROP. In ND mice, we found no sprouting of retinal vessels into the vitreous. The restriction of endostatin IR to the hyaloid vessels allowed a clear distinction between hyaloid and retinal vessels. There were only straight connections between vitreal vessels and retinal vasculature in ND mice,
12 and they were only seen in mice older than ∼1 year. Therefore, we assume that these connections occur secondarily. It is possible that sprouting of retinal vessels does not occur in ND mice because the oxygen levels in the vitreous presumably remain constantly increased.
55