The onset of GLAST synthesis by Müller cells does not, however,
result in a return of normal retinal function. The ERG b-wave, which is
significantly attenuated 5 days after antisense administration, remains
suppressed for at least 20 days (see
Fig. 6 ). The suppression of the
ERG b-wave, but not of the a-wave, observed in this study is in
agreement with the electrophysiological findings reported by Harada et
al.,
22 who used a GLAST knockout mutant mouse model. A
number of possibilities could explain the inhibition of the ERG b-wave
resulting from the perturbation of glutamate homeostasis. Glutamatergic
neurons such as photoreceptors and bipolar cells are dependent on a
supply of glutamine from Müller cells to synthesize glutamate for
neurotransmission.
16 This glutamine is synthesized by the
glial enzyme, glutamine synthetase, from accumulated glutamate. It is a
possibility that after the inhibition of GLAST expression, the supply
of glutamine to the neurons is cut off because of the unavailability of
its precursor glutamate in the Müller cells. It is unlikely,
however, that inadequate glutamine availability is the cause of the ERG
b-wave suppression reported here. Intraocular glutamine administration
had no effect on the ERG when injected on day 5, that is, when the ERG
was maximally suppressed
(Fig. 8) . Moreover, the pattern of glutamate
immunoreactivity is not altered by GLAST antisense treatment
(Fig. 3) .
Thus, the suppression of the ERG b-wave is not likely to be due to an
exhaustion of neuronal glutamate. The specificity of the
oligonucleotides ensures that the neuronally localized glutamate
transporters are unaffected and thus remain capable of taking up
sufficient glutamate to maintain intracellular neuronal glutamate
levels
(Figs. 2 3) . Furthermore, because
d-aspartate is
transported into photoreceptor and bipolar cells, but not into
Müller cells, 5 days after antisense administration
(Fig. 2) , it
is likely that neuronal reuptake rather than Müller cell
glutamate glutamine cycling
16 is responsible for
replenishing the transmitter pool of glutamate. A more plausible
explanation for the observed physiological effects is an increase in
the concentration of extracellular glutamate due to compromised
transporter activity. The rapid removal of glutamate from the
extracellular space is vital for neurotransmission from photoreceptors
to bipolar cells. A rise in extracellular glutamate concentration at
this synapse, which could occur in the absence of GLAST activity, would
block ON-bipolar cell depolarization and hence inhibit the generation
of the ERG b-wave.
23 However, this idea is complicated by
the finding that the ERG b-wave remains suppressed for 20 days after
the antisense treatment, even though
d-aspartate, and by
inference glutamate, uptake into Müller cells returns after 10
days. Although morphometric analysis revealed no significant changes in
retinal thickness, histologic alterations of Müller cells could
be seen clearly after antisense administration
(Fig. 4) . Although the
sustained increase in extracellular glutamate concentration did not
result in obvious excitotoxic neuronal cell death, the consequent
Müller cell edema seen in
Figure 4 could be contributing to the
long-term b-wave suppression, probably as a result of compromised
potassium siphoning capabilities.
24 Müller cell
swelling in response to exogenously applied glutamate recently has been
reported in rat retinal segments
ex vivo.
25 These authors also report no associated excitotoxic neuronal damage
unless a very high concentration (3 mM) of glutamate is applied. Thus,
the neuronal uptake of glutamate that occurs after the knockdown of
GLAST
(Fig. 2) probably maintains the extracellular glutamate
concentration below excitotoxic levels but above physiological levels
necessary for normal signaling between photoreceptors and bipolar
cells. These results strongly support and extend the emerging
literature, which shows that glial cells play a vital role in mediating
glutamatergic neurotransmission.
16 17 22 The direct
demonstration of a functional perturbation, as evinced by disruption of
the ERG, validates this role in the retina. Conversely, these data also
demonstrate that glial cells may exhibit long-term damage (as shown by
their swelling) if they are prevented from facilitating normal retinal
neurotransmission. Clearly, the association between retinal glia and
neurotransmission requires significant consideration when elucidating
the fundamental basis of clinically significant pathologic states. Such
conditions include ischemic retinal damage after central retinal
artery/vein occlusion, which is thought to be associated with elevated
extracellular glutamate; in glaucoma, there is evidence for perturbed
glutamate homeostasis, as demonstrated by elevated levels of glutamate
in Müller cells and in the vitreous humor.
26 27 28 29 30 31