The morphologic transdifferentiation observed with
ath5 and
NSCL1 coexpression was robust, and the resemblance to RGCs is indicative of the cooperation among
ath5,
NSCL1, and bFGF in bringing about neural differentiation that may involve a spectrum of genes. Note, however, that not every gene that is expressed by RGCs in the developing retina was expressed at a detectable level in the transdifferentiating cells. The cells did not, for instance, stain positively with antibodies against Islet-1 or Brn3A. This could be because of several factors, singly or in combination. First, it is possible that
ath5 and
NSCL1 induce a portion of genes needed for RGC development, and thus their coexpression inherently could elicit only a limited number of genes. Second, the RPE cells provided a different cellular context than retinal cells, and thus coexpression of
ath5 and
NSCL1 in RPE cells was unable to induce the entire repertoire of genes that are otherwise downstream of
ath5 and
NSCL1 in retinal cells. It should be pointed out, nonetheless, that previous studies have indicated that RPE cells have the capacity to transdifferentiate into cells with characteristics of RGCs. For instance, ectopic expression of
ngn2 in cultured RPE cells induces de novo production of cells morphologically and molecularly resembling RGCs,
19 and bFGF induces RPE tissues in young chick embryos to transdifferentiate into a neural retina encompassing retinal neurons including RGCs.
21 22 23 24 Third, dissociated RPE cells used in this study were more fastidious than intact RPE tissue, and thus certain neural traits would only be detected with factors of high inducing power. Notably, studies have shown that dissociated RPE cells failed to manifest the neural transdifferentiation phenomenon that was observed with RPE tissue.
23 Fourth, the ATH5 and NSCL1 protein levels in the RPE cells were insufficient to induce certain genes. This is supported by the lack of embryonic lethality of the coexpression construct. Fifth, the microenvironment under our experimental conditions was not permissive for RGC development. The observed increases in Islet-1
+ and Brna3A
+ cells in the developing retina coexpressing
ath5 and
NSCL1 argues that the developing retina provides additional factors that are lacking in culture conditions and that are required for expression of these genes and for RGC differentiation.
23 29 30 31 32 33 34 35 Together with those factors,
ath5 and
NSCL1 may regulate a spectrum of targets associated with RGC development and differentiation. In light of this, in vitro–generated cells may manifest a greater degree of differentiation on exposure to the native microenvironment than when grown in culture.