Abstract
purpose. To assess the effect of accelerated rod damage on the integrity of cones in the rat retina.
methods. Rhodopsin-mutant P23H-3 and Sprague-Dawley (SD) rats were raised in scotopic ambient conditions (12 hours dark, 12 hours 5 lux) and then exposed to photopic conditions (12 hours dark, 12 hours 300 lux). Rods and cones were assessed for cell death, outer segment (OS) morphology, and electroretinogram (ERG) responses.
results. Cones in the P23H-retina were affected rapidly by photopic exposure. Exposure for 2 days caused 50% reductions in LM- and S-cone OS length and cone ERG responses, associated with and preceded by reductions in rod OS length and ERG responses. Although 2 days’ exposure increased the rate of rod death, outer nuclear layer thinning was minimal, and no evidence of cone death was detected. In the SD retina, the same photopic exposure had no measurable effects on death rates, OS length, or ERG responses in either rods or cones. Longer (7 days) photopic exposure reduced cone and rod OS length and ERG responses in SD, as well as P23H-3 retinas, but less severely than in the P23H-3 strain.
conclusions. Cones are damaged rapidly in the P23H-3 retina when rod damage is accelerated by raised ambient illumination. This close dependence of cone integrity on rod integrity contrasts with the life-long persistence of cone function in the scotopic reared P23H-3 rat. In humans suffering comparable photoreceptor dystrophies, the maintenance of steady, low ambient light may, by minimizing acute rod damage, optimize the function of surviving cones.
The vulnerability of cone photoreceptors when rods degenerate is a clinically important feature of retinal disease. Mutations in proteins specifically expressed in rods, for example rhodopsin, cause the degeneration of rods primarily, and of cones secondarily.
1 The loss of cone vision is devastating for the patient, giving urgency to understanding the mechanisms that make cones vulnerable.
To date, three mechanisms of cone–rod dependence have been proposed. Evidence has been reported that rods secrete a factor essential for cone survival.
2 3 4 Alternatively, we have noted that tissue oxygen levels in outer retina rise chronically in the photoreceptor-depleted retina,
5 6 7 that oxygen is specifically toxic to photoreceptors,
8 9 10 and that the toxicity involves oxidative damage.
11 We proposed therefore that rod depletion causes oxidative damage to cones (the oxygen toxicity hypothesis).
12 More recently, Ripps
13 has proposed that a toxin generated by dying rods reaches cones by gap junctions and induces their damage and death. None of these mechanisms is exclusive, and more than one may contribute to the vulnerability of cones to rod damage.
Previous work in the P23H transgenic rat suggests that the rate of rod degeneration may influence the onset of cone dysfunction. The genetic defect in the P23H strain, a point mutation in the rhodopsin gene, causes an autosomal dominant photoreceptor dystrophy characterized by a rod–cone sequence of degeneration; however, the onset of cone dysfunction varies between genetic subtypes. P23H line 1 (P23H-1) animals and P23H homozygotes have a higher level of transgene expression and display faster rod degenerations than do P23H line 3 (P23H-3) animals and heterozygotes. Cone ERG responses in P23H-1 heterozygotes are normal at P28 but are significantly depressed by P56.
14 In P23H-3 heterozygotes they are normal until postnatal day (P)360 and are depressed by P540.
15 In the young adult P23H-1 animal, cone ERG responses are 12% of control values in the homozygote,
16 but remain at 50% of control values in the heterozygote.
14 In all these cases, severe rod loss precedes the onset of cone ERG changes.
In this study, we investigated the effect of rod damage on cone integrity in the P23H-3 heterozygous strain. In the adult P23H-3 retina, rod loss is continuous but slow and cones are highly stable.
14 15 In this study, we accelerated the rate of rod damage in the P23H-3 strain by a modest increase in ambient illumination.
17 18 19 Evidence is presented that cones are damaged rapidly when rods are damaged rapidly, even in the absence of substantial rod loss. The temporal effects of photopic exposure on cone and rod morphology and function are also described.
All procedures were in accordance with the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research and with the requirements of The Australian National University Animal Experimentation Ethics Committee. Observations were made in two strains of rat, the P23H-3 transgenic (Beckman Laboratories, University of California, San Francisco) and Sprague-Dawley (SD) albino, aged P90 to P150. The P23H-3 animals were heterozygotes, the offspring of mating P23H-3 homozygotes with SD rats.
All animals were raised from birth in cyclic light (12 hours dark, 12 hours white light), with the brightness of the light phase set at 5 lux (scotopic conditions). At adulthood, some rats were moved to photopic ambient conditions (12 hours dark, 12 hours 300 lux) for up to 7 days. P23H-3 animals were exposed to photopic cyclic light for 1, 2, or 7 days, whereas SD animals were exposed for 2, 4, or 7 days.
Animals were euthanatized with an overdose of sodium pentobarbital (>60 mg/kg, intraperitoneal). Eyes were marked at the superior aspect of the limbus for orientation, enucleated, and immersion-fixed in 4% paraformaldehyde in 0.1 M phosphate-buffered saline (PBS) at pH 7.4 for 3 hours. One eye from each animal was processed for cryosectioning, whereas the fellow eye was processed for wholemounting. For cryosectioning, the eyes were rinsed twice in 0.1 M PBS and left in a 15% sucrose solution overnight to provide cryoprotection. They were embedded in OCT compound (Tissue-Tek; Sakura Finetek, Tokyo, Japan) and snap frozen in liquid nitrogen before they were cryosectioned at 12 μm (CM1850 Cryostat; Leica, Wetzlar, Germany). Sections were mounted on gelatin and poly-l-lysine–coated slides and dried overnight at 50°C before they were stored at −20°C. For retinal wholemounts, the retina was dissected from the eye cup, flattened by making radial incisions, gently sandwiched between two glass slides and immersed in 4% paraformaldehyde at 4°C for up to 2 weeks before immunolabeling.
Retinal thickness measurements were made on digital images of bisbenzamide-stained cryosections. Sections were scanned from the superior to inferior edge and the retinal thickness was determined every 500 μm (a total of eight measurements per retina). At each measurement location, the thickness of the outer nuclear layer (ONL) and the thickness of the retina, from inner to outer limiting membrane (ILM–OLM), were recorded. The ratio of the thickness of the ONL to the thickness of the retina (measured from the ILM to the OLM) was used for analysis, to account for obliquely cut sections.
Measurements of rod and cone OS length were made on digital images of immunolabeled cryosections. Retinal sections were scanned from superior to inferior edge and, at regularly spaced intervals, the length of rhodopsin, LM opsin-labeled, and S opsin-labeled OSs were measured (a total of at least 24 measurements per retina). For measurements of OS length and retinal thickness, results from five animals at each time point were averaged and analyzed.
Most organisms make some investment in light detection, to optimize their behavioral adaptation and individual survival. In higher primates it is often judged that vision is the most powerful of the senses and has dedicated to it numerous subcortical structures and a large component (the occipital lobe and beyond) of neocortex. Less structurally conspicuous visual pathways control circadian rhythms, eye movements, and pupil size. In plants, light is directly harnessed to create energy-rich molecules.
It is an interesting paradox that, although good vision is clearly a major factor in the individual’s struggle for survival and quality of life, and photosynthesis is the source of plant life, the absorption of light—whether by 11-cis retinal in animals or by photosystems in plants—is an intrinsically damaging process. Light-experienced photoreceptors
30 31 32 and the photosynthetic organelles of plant cells consistently show evidence of damage and an upregulation of protective factors,
33 34 35 a seemingly unavoidable accompaniment of light absorption.
The paradox is particularly clear in vertebrate photoreceptors. Light decreases dark current, ion pump activity in inner segments, and oxidative phosphorylation (in response to a decrease in ATP turnover). Thus, light can be expected to decrease the production of reactive oxygen species in photoreceptor mitochondria. Nevertheless, light exposure causes severe damage to OSs. It appears possible that the absorption of light is directly damaging to membranes in which the chromophore is embedded. Winkler
36 has recently argued that the rapid turnover of OS membrane is a substitute for membrane repair, evolving because of the magnitude of the repair task in photoreceptors.
The point of this argument is that repair of the OSs, by continuous rebuilding of its membranes at the cilial base, is prominent in vertebrate photoreceptors, and can be harnessed to restore vision in human patients where (as in most cases) many photoreceptors survive but are poorly functional.
Supported by grants from Retina Australia, the National Health and Medical Research Council of Australia, and the Australian Research Council.
Submitted for publication October 14, 2008; revised December 14, 2008, and January 12, 2009; accepted April 16, 2009.
Disclosure:
V. Chrysostomou, None;
K. Valter, None;
J. Stone, None
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked “
advertisement” in accordance with 18 U.S.C. §1734 solely to indicate this fact.
Corresponding author: Vicki Chrysostomou, Visual Sciences Group, Research School of Biological Sciences, The Australian National University, GPO Box 475, Canberra ACT 2601, Australia;
[email protected].
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