In this study, nuclei expressing multiple markers of cell cycle progression were present in the outer nuclear layer of
rd-1 retinas, and these were nuclei of microglia. Resident microglial cells are known to migrate into the outer nuclear layer in the Royal College of Surgeons (RCS) rat,
33 34 and in murine models of light-induced retinal degeneration.
35 These studies describe activation and subsequent migration of resident microglial cells from the inner retina, where they are often associated with blood vessels, into the outer nuclear layer from the earliest time of photoreceptor damage. Our results in the
rd-1 mouse recapitulate these findings. In addition, we demonstrate that proliferation of microglia occurs at all levels of the retina, including the outer nuclear layer. A similar finding has been noted in vitro by de Kozak et al.,
36 who demonstrated that microglial cells isolated from RCS rats have a higher capacity to proliferate in culture than those obtained from normal control animals. The distribution of proliferating microglial cells in our study coincides with the spatiotemporal pattern of photoreceptor death, implying that microglial cells are intimately engaged with the degenerative process. Their relationship to dying photoreceptors is likely to be complex. On the one hand, they are a known source of neuronal cytotoxins such as tumor necrosis factor-α, reactive oxygen intermediates, reactive nitrogen oxides, and excitatory amino acids.
36 37 Roque et al.,
38 demonstrated that retina-derived microglial cells will kill photoreceptors by apoptosis in vitro, thus lending support to the hypothesis that microglia accelerate death of dystrophic photoreceptors. On the other hand, the protective effects of neurotrophic factors on photoreceptors may be mediated both directly (in the case of FGF2) or in the case of BDNF and CNTF (whose receptors are not present on photoreceptors), indirectly through activation of Müller cells and inner retinal neurons.
39 40 41
In vivo demonstration of cell cycle progression in human and murine neurodegenerative diseases has relied heavily on immunohistochemical demonstration of markers for G
1- and S-phases of the cell cycle.
20 21 22 23 26 27 28 29 Neuronal identity of cells expressing cell cycle markers is confirmed either by their obvious neuronal morphology
27 29 or by double labeling with a neuron-specific marker.
23 These reports conclude that G
1-S progression precedes apoptosis in terminally differentiated neurons. However, a question remains whether appearance of cell cycle enzymes indicates true cell cycle reentry or is merely a reflection of dysregulated enzyme synthesis. Using fluorescent in situ hybridization (FISH), Yang et al.
28 showed in Alzheimer’s disease autopsy tissue that predegenerate neurons will replicate their DNA and persist in a tetraploid state for some time before their demise. The mechanism(s) responsible for aberrant cell cycle progression in degenerating postmitotic neurons are unknown. Similarly, it is unclear whether cell cycle reentry will promote neuronal apoptosis or whether it is an incidental epiphenomenon.
42 43 Mitotic activation appears to be a consistent phenomenon in a cohort of etiologically distinct neurodegenerative diseases characterized by neurofibrillary tangle formation, suggesting that a broad array of insults may induce cell cycle reentry.
27 In the retina, unscheduled DNA replication induced by SV40 Tag in postmitotic photoreceptors results in their death by apoptosis,
44 suggesting that inappropriate cell cycle progression results in elimination of postmitotic neurons rather than division.
There is no evidence of photoreceptor cell cycle reentry in
rd-1 retinas. Apart from the work by Al-Ubaidi et al.,
44 little is known about cell cycle dysregulation and retinal degeneration. Klein et al.
23 describe cell cycle reentry in retinal neurons of the Harlequin (
Hq) mouse. In this model, a proviral insertion in the apoptosis-inducing factor (AIF) gene results in progressive retinal and cerebellar degeneration first noticeable at 3 months of age. In the retina, degeneration begins in the ganglion cell layer and proceeds to affect all cell layers. Cell cycle reentry (PCNA immunoreactivity, BrdU incorporation, and Cdc-47 immunoreactivity) and caspase-3 activation were noted in postmitotic ganglion, amacrine, and horizontal cells. These phenomena were not present in photoreceptor cells, despite photoreceptor loss. This implies that photoreceptors may use alternate pathways of cell death, and that these pathways may not intersect as intimately with the cell cycle machinery as in other neuronal types.
The potential for cell cycle progression in mutant photoreceptors may be of concern when considering neuroprotective strategies which use trophic agents which themselves stimulate proliferative pathways. In this study, there was no evidence of a preexisting condition for cell cycle reentry in rd-1 as there is in other neurodegenerative conditions. Therefore, in this model, evidence of photoreceptor cell cycle progression in retinas exposed to neurotrophic factors is likely to result from the therapy itself, rather than from the primary disease.