Despite the obvious similarities between the results of our study and those of Hikita et al.,
28 three notable differences were apparent that related to the tissue location, the duration and the cell types responsible for expression of OPN after injury. With regard to location, we identified OPN-positive microglia solely within the inner retina rather than the entire retinochoroid. This finding would be expected, however, as NMDA is detrimental only to retinal neurons expressing ionotropic glutamate receptors, which are subsets of RGCs and amacrine cells found in the inner retina; the outer retina is completely spared by NMDA.
39 In contrast, EAU primarily affects the outer retina and choroid.
40 It can be concluded therefore that synthesis of OPN by retinal microglia is limited to the immediate microenvironment of the injury. In relation to the other differences, expression of OPN was documented in EAU retinas at an advanced disease stage, and by infiltrating CD4-positive T cells and macrophages as well as activated microglia.
28 Conversely, we observed immunoreactive OPN to be associated solely with activated microglia and only for a day or two after excitotoxic or ischemic injury, a time period that is likely to be before neuronal death. We did not observe OPN expression by any putative infiltrating monocytes/macrophages; nevertheless, it should be acknowledged that immunohistochemical delineation of macrophages from activated microglia is highly problematic because both cell types express many of the same markers, including ED1, OX-42, and F4/80.
41 The conclusion was based largely on the density of cells and assessment of morphology, infiltrating cells being characterized by their large, round shape and possessing few cytoplasmic processes. An explanation for the differing results is afforded by understanding the distinct characteristics of the paradigms of injury used. EAU is a T-cell-mediated autoimmune disease characterized by chronic inflammation, which displays similarities to other clinical and experimental autoimmune diseases. Prolonged expression of OPN at the site of injury by infiltrating leukocytes and macrophages, as well as resident microglia, has been described for several of these conditions.
42 43 44 45 The excitotoxic and ischemic paradigms of neurodegeneration used in our study display few pathologic similarities to EAU; for example, infiltration of CD4-positive T cells is not a hallmark of these conditions. Instead, they are analogous to many brain models of neurodegeneration. The short-lived time course of OPN expression observed in our study is comparable to those found in CNS models of focal
20 21 22 and global
23 ischemia and kainic acid administration,
24 and suggests that OPN may play distinct roles in autoimmune diseases and neurodegenerative conditions.