We followed a cohort of 17 D2.hGFAPpr-GFP mice with measurements of the IOP. Like the parental DBA/2J strain, some D2.hGFAPpr-GFP mice developed elevated IOP at ages greater than 6 months (
Fig. 2). We expected the D2.hGFAPpr-GFP strain to progress to ganglion cell loss. In the parental DBA/2J strain this ganglion cell loss is sectorial in moderate stages, and in severe stages the whole ganglion cell population can be lost. In an earlier study we found that staining for the non-phosphorylated heavy neurofilament is a sensitive marker for axon loss.
11 We, therefore, assessed the severity of glaucomatous damage to the retina with SMI32 (neurofilament) staining. We evaluated male and female mice of various age groups: there were 7 mice in the 0 to 3 months group, 10 in the 4 to 6 months group, 15 in the 7 to 9 months group, 17 in the 10 to 12 months group, and 23 in the group 13 months and older. In animals younger than 6 months, the retinas showed intense labeling of ganglion cell axons, which converge on the optic nerve from all sectors of the retina (
Fig. 3A). Beginning at age 7 months, some retinas had signs of degeneration. Individual ganglion cells started showing signs of remodeling; the somata were shrunken and their dendritic arbors had lost complexity in the sense that their higher order branches had been lost. This is a typical finding in glaucomatous retinas.
11 Another typical finding was a sectorial loss of ganglion cells and their axons. In more severe cases, over half of the axons in the retina were lost. We classified the retinas into 3 stages: normal, with no signs of disease; moderate, with remodeled ganglion cells and sectorial axon loss under 50% of the retina; and severe, with ganglion cell and axon loss in more than 50% of the retina. In extreme cases, virtually all of the ganglion cells and their axons were lost (
Fig. 3C). This is comparable to what is found in the parental DBA/2J strain.
11 We then tested whether the axonal loss apparent in neurofilament staining corresponded to loss of retinal ganglion cells. For this purpose, cells in the ganglion cell layer were counted in 39 retinas with no loss of axons apparent in SMI32 staining, 29 retinas with moderate loss, and 65 retinas with severe loss. Cell counts were obtained from midperiphery in the superior, inferior, nasal, and temporal quadrants. Generally, the cell density in the inferior and nasal quadrants was slightly higher than in the superior and temporal quadrants (
Table). In retinas with no signs of glaucoma in SMI32 staining, the mean cell count in the ganglion cell layer was 8306 ± 117 (mean ± SEM,
n = 39), which is comparable to numbers obtained from C57bl/6 mice and from pre-glaucomatous DBA/2J mice.
11,24 In moderately affected retinas, the total cell count in the ganglion cell layer was 6937 ± 128 (mean ± SEM,
n = 29), and in severely affected eyes it was 4866 ± 80 (mean ± SEM,
n = 65). These differences were significant (
P < 0.05). The ganglion cell layer contains the somata of ganglion cells, but also of displaced amacrine cells, which make up 59% of the cell bodies in that layer.
24 Given that in the severely affected retinas the cell count in the ganglion cell layer dropped to 58.6% of the values of unaffected eyes, almost all the ganglion cells have degenerated in these retinas.