Absence of Sigma 1 Receptor Accelerates Photoreceptor Cell Death in a Murine Model of Retinitis Pigmentosa

Purpose Sigma 1 Receptor (Sig1R) is a novel therapeutic target in neurodegenerative diseases, including retinal disease. Sig1R−/− mice have late-onset retinal degeneration with ganglion cell loss that worsens under stress. Whether Sig1R plays a role in maintaining other retinal neurons is unknown, but was investigated here using rd10 mice, a model of severe photoreceptor degeneration. Methods Wild-type, rd10, and rd10/Sig1R−/− mice were subjected to ERG and spectral-domain optical coherence tomography (SD-OCT) to assess visual function/structure in situ. Retinas imaged microscopically were subjected to morphometric analysis, immunodetection of cones, and analysis of gliosis. Oxidative and endoplasmic reticulum (ER) stress was evaluated at mRNA/protein levels. Results Photopic ERG responses were reduced significantly in rd10/Sig1R−/− versus rd10 mice at P28 (31 ± 6 vs. 56 ± 7 μV), indicating accelerated cone loss when Sig1R was absent. At P28, SD-OCT revealed reduced retinal thickness in rd10/Sig1R−/− mice (60% of WT) versus rd10 (80% of WT). Morphometric analysis disclosed profound photoreceptor nuclei loss in rd10/Sig1R−/− versus rd10 mice. rd10/Sig1R−/− mice had 35% and 60% fewer photoreceptors, respectively, at P28 and P35, than rd10. Peanut agglutinin cone labeling decreased significantly; gliosis increased significantly in rd10/Sig1R−/− versus rd10 mice. At P21, NRF2 levels increased in rd10/Sig1R−/− mice versus rd10 and downstream antioxidants increased indicating oxidative stress. At P28, ER stress genes/proteins, especially XBP1, a potent transcriptional activator of the unfolded protein response and CHOP, a proapoptotic transcription factor, increased significantly in rd10/Sig1R−/− mice versus rd10. Conclusions Photoreceptor cell degeneration accelerates and cone function diminishes much earlier in rd10/Sig1R−/− than rd10 mice emphasizing the importance of Sig1R as a modulator of retinal cell survival.

T he major cause of untreatable blindness worldwide is retinal degenerative disease, most often due to death of photoreceptor or ganglion cells (RGCs). 1 Retinitis pigmentosa (RP), a photoreceptor cell (PRC) degenerative disease, affects 1:3000 to 5000 people. 2 Initially, rod PRCs are lost compromising vision in dim light (nyctalopia); slow, insidious loss of the visual field eventually leads to ''tunnel vision.''Assessment of visual function by ERG reveals an extinguished scotopic (dark-adapted) response reflecting rod dysfunction.Subsequent cone loss, reflected as a decline of visual acuity, decreased vision in bright light, and diminished photopic ERG, is the most debilitating consequence of RP. [2][3][4] If strategies can be developed to preserve cone function, even when rods are lost, the therapeutic impact on this devastating disease would be enormous.
RP is caused by more than 3000 mutations in more than 50 different genes. 5Given its heterogeneity, developing treatments for RP aimed at common disease mechanisms may be more successful than targeting specific genetic defects.Useful in this endeavor is the availability of models of RP, including the Pde6b rd10 /J (rd10) mouse.7][8] Mice lose rod PRCs beginning at postnatal day 18 (P18), the rod cell loss peaks at P25. Cone cell death occurs in this model.By P35 most cones are lost and the cone function is minimal. 8e recently investigated the consequences of activating the sigma 1 receptor (Sig1R) in attenuating cone cell loss in the rd10 mouse. 9Sig1R is a 25.3-kDa transmembrane receptor protein.Unlike many transmembrane receptors belonging to large, extensively studied families (e.g., G-protein-coupled receptors, ligand-gated ion channels), Sig1R is an evolutionary isolate with no discernible similarity to other proteins.Its recently published crystal structure in humans reveals a trimeric architecture with a single transmembrane domain in each protomer. 10Sig1R, a putative molecular chaperone, 11 is an enigmatic protein whose precise physiological function is unknown.][26][27][28] Several laboratories reported that Sig1R activation attenuates RGC death, [29][30][31][32][33][34] mitigates retinal glial cell reactivity, [35][36][37] and diminishes light-induced PRC loss. 38We evaluated effects of activation of Sig1R in rd10 mice following administration of (þ)-pentazocine ([þ]-PTZ), a high-affinity Sig1R ligand. 9Photopic (cone) ERGs obtained at P35 showed that b-wave amplitudes were significantly improved compared with nontreated animals.We then subjected mice to an electrophysiological test termed the pseudorandom luminance noise test, which provides a light stimulus that is more similar to natural vision. 39Using this test, we observed responses in (þ)-PTZtreated rd10 mice that were similar to wild type (WT) suggesting significant rescue of cones in mutant animals. 9hen we examined retinal histologic sections from these mice using immunohistochemical methods, we determined that the functional improvement in cone function was associated with attenuated cone cell death as noted by increased labeling using the cone-specific markers cone arrestin and peanut agglutinin (PNA).Protective effects of (þ)-PTZ were attributable to Sig1R activation because cone function and structure were not preserved in (þ)-PTZ-treated rd10 mice that lacked Sig1R (rd10/Sig1R À/À mice). 9Whether the rate or severity of PRC degeneration characteristic of rd10 mice was altered in rd10/ Sig1R À/À mice was not investigated.
Assessment of consequences of Sig1R deletion on mouse retina reveal normal development and no overt retinal phenotype or dysfunction through 6 months. 40By 1 year, however, Sig1R À/À mice develop a late-onset loss of RGC function, 40 which is accelerated when the mice are made diabetic 41,42 or subjected to optic nerve crush. 43Interestingly, although RGC death worsens in Sig1R À/À mice, the remainder of the retina is not affected.There is no alteration in outer nuclear layer (ONL) thickness nor apparent loss of PRCs.In the current study, we were interested in determining the consequences on retina function and morphology when mice lacking Sig1R were bred to homozygosity with rd10 mice.Given that Sig1R may be a modulator of cell survival, [12][13][14] we investigated rate/severity of PRC loss in rd10 mice lacking Sig1R (rd10/Sig1R À/À ) beginning at P15, age that precedes PRC loss in rd10 mice.

METHODS Animals
A total of 272 mice were used in the study (Supplementary Table S1).All animals were maintained according to guidelines of the Institutional Animal Care and Use Committee at Augusta University and the ARVO Statement for Use of Animals in Ophthalmic and Vision Research.Animals were subjected to standard light cycles (12 hours light:12 hours dark) and the light level measured from the bottom of cages was approximately 10 to 15 lux.Breeding pairs of homozygous rd10 mice (B6.CXBI-Pde6brd10/J) were shipped from The Jackson Laboratory (Bar Harbor, ME, USA) to the animal facility of Augusta University.To confirm the genotype of rd10 mice, PCR was performed using the following primers to amplify genomic DNA: Pde6b forward 5 0 -CTTTCTATTCTCTGTCAGCAAAGC-3 0 and reverse 5 0 -CATGAGTAGGGTAAACATGGTCTG-3 0 .Amplification was followed by CfoI enzyme digestion per the method of Chang et al. 7 The generation of Sig1R À/À mice has been described 44 and retinal phenotype of homozygous (Sig1R À/À ) mice has been documented comprehensively. 40Pde6brd10/J mice were bred with Sig1R À/À mice to produce Pde6brd10 þ/À / Sig1R þ/À mice, which were crossed to generate Pde6brd10/ Sig1R À/À mice (hereafter referred to as rd10/Sig1R À/À mice).Absence of Pde6b and Sig1R was confirmed by genotyping. 9he rd10 and Sig1R À/À mice are on the C57BL/6 background, thus C57BL/6J mice (Jackson Laboratory) were used as WT controls.Mice were screened also for the Crb1 rd8/rd8 mutation and were negative.The Crb1 rd8/rd8 mutation, which causes focal disruption of the retina, has been reported in some mouse strain stocks; it is essential to exclude the Crb1 rd8/rd8 mutation before studying new retinal models. 45

Electroretinogram
ERGs were obtained from dark-adapted mice anesthetized with isoflurane.Silver-coated nylon fibers joined to flexible wires were carefully placed on the cornea, and a drop of hypromellose coated the eye and provided improved electrical contact.Optic fibers of 1 mm diameter were positioned just in front of the pupils.A 55008 white light-emitting diode provided highly controllable illumination that was led to the eyes through the optic fibers.Experiments consisted of a series of tests with 5-ms flashes of increasing luminance, followed by photopic testing with 5-ms flashes above a pedestal, as well as other photopic stimuli that included a ''natural'' noise stimulus.The natural noise was a slowly varying luminance time series with amplitude inversely proportional to temporal frequency, termed the pseudorandom luminance noise test. 39ata were averaged across the two eyes for each animal, then averages were computed for each group across the animals.Kernels were computed from the responses to the natural noise stimulus by correlating the responses with the stimuli.

Spectral-Domain Optical Coherence Tomography (SD-OCT)
The integrity of the retina was assessed in vivo using SD-OCT.Mice were anesthetized using a rodent anesthesia cocktail containing ketamine 100 mg/mL, xylazine 12 mg/mL (Sigma-Aldrich Corp., St. Louis, MO, USA).Pupils were dilated with 1% tropicamide (Bausch & Lomb, Tampa, FL, USA) followed by application of GenTeal Lubricant Eye Gel (Alcon, Ft.Worth, TX, USA).Systane lubricant eye drops (Alcon) were applied throughout the procedure to keep the cornea moist.SD-OCT images were obtained using the Bioptigen Spectral-Domain Ophthalmic Imaging System (Envisu R2200; Bioptigen, Morrisville, NC, USA).Imaging included averaged single B scan and volume intensity scans (VIP) with images centered on the optic nerve head.Postimaging analysis included auto segmentation report analysis and manual assessment of all retinal layers using InVivoVue Diver 2.4 software (Bioptigen).The OCT data from rd10 mice younger than P21 could be processed using autosegmentation report analysis; however, OCT data from rd10 mice older than P21 required manual segmentation analysis.We measured total retinal thickness (TRT), thickness of nerve fiber layer thickness, inner plexiform layer (IPL), inner nuclear layer (INL), outer plexiform layer (OPL), ONL, inner/ outer segment thickness, and RPE thickness.Each layer thickness was plotted separately, and the data for a given retinal layer in each group were averaged.

Immunofluorescence Studies in Retinal Cryosections and Flatmounted Retinas
Retinal cryosections were incubated with primary antibodies (anti-cone, anti-glial fibrillary acidic protein [GFAP]) or FITCconjugated PNA followed by incubation with secondary antibodies (Supplementary Table S2).Oxidative stress was detected in retinal cryosections using chloromethyl derivative of 2 0 ,7 0 -dichlorodihydrofluorescein diacetate (CM-H 2 DCFDA) (C6827; Molecular Probes/Thermo Scientific, Eugene, OR, USA) following the manufacturer's protocol.For flatmounted retinal preparations, eyes were enucleated, fixed in 4% PFA, and washed with PBS.The neural retina was dissected, incubated with 0.3% Triton X-100 in PBS, and blocked with 10% goat serum.Samples were incubated with FITC-PNA or with anti-Iba1 at 48C overnight followed by incubation with secondary antibodies.Retinas were then cut partially with sharp scissors to create petals allowing the retina to be flattened and placed on a microscope slide.Retinas were examined using a Zeiss LSM 780 upright laser-scanning confocal microscope equipped with ZEN lite software.Retinal areas (measuring 0.12 mm 2 ) located 0.5 mm superior, inferior, temporal, and nasal to the center of the optic nerve were photographed, and positive cells quantified using Image J 1.48v software (http://imagej.nih.gov/ij/;provided in the public domain by the National Institutes of Health, Bethesda, MD, USA).
Total RNA was purified from isolated neural retinas using Trizol (Invitrogen, Carlsbad, CA, USA) according to the manufacturer's protocol and quantified.RNA (2 lg) was reverse-transcribed using the iScript Synthesis kit (BioRad Laboratories, Hercules, CA, USA).cDNAs were amplified for 40 cycles by using SsoAdvanced SYBR Green Supermix (BioRad Laboratories) and gene-specific primers (Supplementary Table S3) in a CFX96 Touch Real-Time PCR Detection System (BioRad Laboratories).Expression levels were calculated by comparison of Ct values (delta-delta Ct). 36Protein was extracted from neural retina and subjected to SDS-PAGE; nitrocellulose membranes, to which the proteins had been transferred, were incubated with primary antibodies (Supplementary Table S2).Immunoblotting was performed to assess oxidative stress-related proteins (NRF2, KEAP1, SOD1, Catalase, NQO1, HMOX1) and ER stress-related proteins (IRE1a, XBP1, ATF4, CHOP, BIP/GRP78, PERK, IP3R3).Proteins were visualized using the SuperSignal West Pico Chemiluminescent Substrate detection system (Pierce Biotechnology, Waltham, MA, USA).Band densities were quantified using Image J 1.48v software.

Statistical Analysis
Statistical analysis was conducted using the GraphPad Prism analytical program (LaJolla, CA, USA), or for the ERG results, Igor Pro (Lake Oswego, OR, USA).Significance was established as P < 0.05.Data were analyzed by 1-way ANOVA for studies comparing one parameter among the three mouse groups or 2way ANOVA (factors: mouse group and retinal region measured; mouse group and gene expression).We followed the recommendations for appropriate post hoc testing, which included Holm-Bonferroni, Tukey's, and Newman-Keul's Multiple Comparison Tests.Graphic representation of data significance was depicted as *P < 0.05; **P < 0.01; ***P < 0.001.

Sig1R Deletion Accelerates Retinal Cell Loss in rd10 Mice
Consequences of Sig1R deletion on retinal structure in rd10 mice in vivo, monitored by SD-OCT, showed that over the period of study (P21-P42), TRT of WT mice averaged approximately 250 lm (Figs.3A-D).In rd10 mice (P21), TRT was 80% that of WT (approximately 200 lm), whereas in rd10/Sig1R À/À mice, it was 60% that of WT (approximately 150 lM).TRT in rd10/Sig1R À/À mice was significantly less than rd10 mice through P35 (Figs. 3E-G), suggesting accelerated retinal degeneration in mice lacking Sig1R.Only at P42 was the TRT equivalent between rd10 and rd10/Sig1R À/À mice (Fig. 3H).The decrease in rd10 TRT by P42 is consistent with earlier reports. 46NL thickness (ONL-T) measured by SD-OCT in WT mice ranged from approximately 65 to 85 lm over the period analyzed.rd10 mice had significantly reduced ONL-T of approximately 40 to 60 lm at P21; ONL-T diminished further in rd10/Sig1R À/À mice to only approximately 20 lm (Fig. 3I).Over the time course studied, P28, P35, P42, the rd10 ONL-T decreased from approximately 12 to approximately 7 to approximately 4 lm, respectively (Figs. 3J-L).Decreased ONL-T accelerated dramatically in rd10/Sig1R À/À mice (approximately 5 lm at P28 and P35; only approximately 2 lm by P42 [Figs.3J-L]).The inner/outer segments typically measure approximately 15 lm in WT mice and approximately 12 lm in rd10 (Fig. 3M).The thickness was reduced significantly in rd10/Sig1R À/À mice versus rd10 at P21, P28, and P35 (Figs. 3N-P).It has been reported by others that as the PRC loss becomes severe in rd10 mice (i.e., after P35 when there is less than one row of nuclei), the remaining retina may separate from the underlying RPE.[7][8][9] An OCT analysis of rd10 mice reported by Hasegawa and colleagues 46 noted approximately 30% of mice demonstrated this phenomenon.We observed a similar trend in rd10 mice by P35, whereas we observed this earlier (beginning at P28) in rd10/ Sig1R À/À mice.Note that the data shown in Figures 3E-T represent 25 individual points within the retina where measurements are made.The software provided by the manufacturer reports data as a 5 3 5 grid.The 25 separate points (with the optic nerve head in the center #13) are depicted in Figure 3U.
The OPL is composed of synapses between PRCs and INL cells.It is approximately 10-lm thick in WT mice (Fig. 3Q).rd10 mice maintain an OPL similar to WT through P28, with gradual reduction by P35 (Figs. 3R-T); only at P42 is OPL reduced to 4 lm.In rd10/Sig1R À/À mice, OPL thickness decreased dramatically as early as P28 to approximately 5 lm (Fig. 3R), suggesting significantly diminished input to neurons within the INL.
OPL-T was similar between WT, rd10, and rd10/Sig1R À/À mice at P18 and P21 (Figs. 4T, 4U); however, differences in this synaptic layer were detectable by P24; OPL-T was significantly less in rd10/Sig1R À/À mice compared with rd10 mice through P35 (Figs. 4V-Y).Despite the accelerated loss of outer retinal layers (ONL, OPL) there was no change in numbers of cells in the ganglion cell layer in rd10 or rd10/Sig1R À/À retinas over the period studied (data not shown).

Sig1R Deletion Increases Oxidative and ER Stress in rd10 Mice
A pathogenic feature common in retinal disease is oxidative stress.Rod PRCs are prime oxygen consumers in retina.When they die, as in RP, inner retinal capillaries undergo atrophy.However, choroidal vessels supplying the outer retina with nutrients and oxygen do not autoregulate, thus oxygen from this vascular source is unchecked leading to a hyperoxic retinal environment. 2,53Oxidative damage is implicated in PRC death in rd10 mice. 54,55We evaluated oxidative stress in mutant mice at P21 because PRC loss was significantly greater at this age in rd10/Sig1R À/À versus rd10 mice (Figs.1-4).We subjected retinal cryosections to CM-H 2 DCFDA, which fluoresces green in the presence of reactive oxygen species.Minimal fluorescence was detected in WT retinas; a modest level of green fluorescence was noticeable in P21 rd10 mice, whereas a stronger green fluorescence was observed in rd10/Sig1R À/À mice (Fig. 7A).A common cellular response to oxidative stress is upregulation of Nrf2, which encodes NRF2 (nuclear factor erythroid 2-related factor 2), a molecule that regulates transcription of more than 500 antioxidant/cytoprotective genes. 56,57In the absence of overt stress, NRF2 is retained in cytoplasm by KEAP1 (kelch-like ECH-associated protein 1).Under cellular stress, KEAP1 releases NRF2, which translocates to the nucleus to activate ''antioxidant response elements'' of genes that encode cell defense proteins/enzymes.Under such situations, levels of NRF2 can increase, as has been reported in rd10 mice by age P42 when PRC loss is considerable. 9We examined levels of Nrf2 and Keap1 at P21.There was no increase in Nrf2 or Keap1 expression in rd10 mice compared with WT, but there was a significant increase in Nrf2 in rd10/ Sig1R À/À mice (Fig. 7B).NRF2 protein levels increased significantly in rd10 retinas, but were greater still in rd10/ Sig1R À/À retinas (Figs.7C, 7D).Expression of several NRF2regulated antioxidant genes, including Sod1, Cat, Nqo1, Hmox1, and Gstt3, was greater in rd10/Sig1R À/À compared with rd10 mice (Fig. 7E).Protein levels of SOD1, NQO1, and HMOX-1 were elevated in rd10/Sig1R À/À versus rd10 retinas (Figs.7F, 7G).The data indicate upregulation of the NRF2 antioxidant pathway in mutants lacking Sig1R compared with those expressing Sig1R.
Apoptotic death of PRCs is a feature of retinal degenerative diseases, including RP. C/EBP homologous 68 protein (CHOP) is a proapoptic transcription factor activated in some models of RP. 58 Expression of Chop mRNA in P21 rd10/Sig1R À/À mice was greater than rd10 mice (Fig. 8A), which was accompanied by increased CHOP protein levels (approximately 5-fold increase in rd10/Sig1R À/À mice versus WT compared with 2fold increase in rd10 mice) (Figs.8B, 8D).
or severity of rd10 PRC degeneration had not been addressed.The present work investigated this and provides evidence that rd10 PRC degeneration, especially cone dysfunction, is accelerated when Sig1R is absent.
Deletion of Sig1R (with no other known genetic mutations) does not have immediate deleterious consequences on retina.Rather, a late-onset RGC loss, with subtler dysfunction, manifests as mice age. 40Aside from RGC loss, the retina in Sig1R À/À mice appears intact with no discernible loss of INL or ONL neurons.2][43] To address whether Sig1R has a role in maintaining retinal neurons other than RGCs, we took advantage of an early-onset retinal pathology that predominantly affects outer retina.The highly predictable PRC degeneration in rd10 mice allowed comprehensive assessment of effects of Sig1R deletion on rate/severity of outer retinal degeneration functionally and histologically.The analysis of rd10/Sig1R À/À mice revealed accelerated PRC degeneration and loss of cone function much earlier than rd10/Sig1R þ/þ mice.Interestingly, the RGC loss characteristic of Sig1R À/À mice at approximately 9 to 12 months did not manifest at young ages (P15-P42) examined in rd10/Sig1R À/À mice.
Functional tests used in this study included ERG and OCT.As expected, rod function (measured by scotopic ERG) was reduced markedly in rd10 mice compared with WT by P28.On the other hand, cone function was robust at this age (approximately 50% of WT).In P28 rd10/Sig1R À/À mice, however, cone function was reduced to approximately 25% that of WT.The marked reduction in cone function in rd10/ Sig1R À/À mice was confirmed using natural noise stimuli in photopic ERG analysis.Assessment of retina using SD-OCT allowed measurements of retinal layer thicknesses in vivo.ONL-T at P21 in rd10 mice was approximately 75% of WT, whereas in rd10/Sig1R À/À mice, it was approximately 25% of WT.This represents a markedly accelerated PRC loss in mutant mice lacking Sig1R.Functional retinal assessments were complemented by histologic and morphometric analyses.We observed accelerated PRC loss in rd10/Sig1R À/À mice compared with rd10 mice as early as P21.When we used immunohistochemical methods to specifically label cone PRCs, we found significantly reduced labeling in rd10/Sig1R À/À mice.We also detected increased gliosis in rd10/Sig1R À/À mice in the form of increased GFAP labeling of Müller glial cells and increased Iba-1 levels indicative of increased microglial activity compared with rd10 mice.Taken collectively, the data indicate that in the absence of Sig1R, PRC degeneration and gliosis accelerate in this mutant model.
We acknowledge that the SD-OCT analysis showed separation of the neural retina from RPE at an earlier age (P28) in  S3, and antibodies for immunodetection are provided in Supplementary Table S2.Data are the mean 6 SEM of three assays from three different mice retinas in each group.*P < 0.05; **P < 0.01; ***P < 0.001.rd10/Sig1R À/À mice compared with rd10 mice.There could be ischemia occurring in rd10/Sig1R À/À mice, which could severely affect PRC viability.The present study did not investigate retinal vasculature, but this would be an intriguing line of future work.It is noteworthy that the loss of PRCs in the ONL of the rd10/Sig1R À/À mice was significantly greater than rd10 mice at P18 and P21, ages that preceded detection of the neural retina-RPE separation.The decrease in inner segment/ outer segment thickness is also of note, especially because the inner segment houses mitochondria and the absence of Sig1R may affect these organelles in the PRCs.Investigating this was beyond the scope of the present work, but warrants further study.
Retinal neuron death in degenerative diseases, such as RP, involves a variety of pathologic mechanisms, most notably oxidative stress [2][3][4] and ER stress. 58,62As a putative molecular chaperone, Sig1R has been studied for its role in modulating these mechanisms; experimental evidence suggests that Sig1R activation attenuates both types of stress. 9,13,36,63Oxidative stress leads to activation of the NRF2-KEAP1 pathway. 64We observed a modest increase in NRF2 levels in P21 rd10 mice compared with WT, but significantly higher NRF2 levels in agematched rd10/Sig1R À/À mice.This was accompanied by increased levels of antioxidant proteins Sod1, Catalase, NQO1, and Hmox1 in rd10/Sig1R À/À mice compared with rd10 mice.The data suggest that if Sig1R is deficient, oxidative stress in an existing retinopathy increases.We find it intriguing and somewhat counterintuitive that NRF2 levels increase with concomitant increase of downstream antioxidants in the rd10/ Sig1R À/À mutant mouse retina, because this pathway is considered a protective cellular mechanism to combat stress levels.The expectation would be that increased production of antioxidants would improve cellular survival.Perhaps when oxidative stress overwhelms the retina, as occurs in rd10/ Sig1R À/À mice, the pathway remains upregulated.It is noteworthy that in an earlier study we also observed increased NRF2 levels and upregulation of antioxidants in rd10 mouse retinas, but administration of (þ)-PTZ (i.e., activation of Sig1R) for many weeks gradually attenuated NRF2 and antioxidant gene expression, suggesting that oxidative stress had been reduced. 9The data raise intriguing questions as to whether Sig1R has any role in regulating aspects of the NRF2 antioxidant pathway.
In our study, we also observed an increase in ER stress proteins BiP/GRP78, XBP1, and PERK in rd10/Sig1R À/À mice compared with rd10 mice.The most dramatic increase was in the ER-stress-related downstream protein XBP1, which is associated with ER-associated degradation of proteins. 59In P21 rd10 mice, XBP1 was 2-fold greater than WT mice; however, it was 11-fold greater in rd10/Sig1R À/À mice.XBP1 is regulated by IRE1 and earlier reports demonstrate that Sig1R stabilizes IRE1 at the mitochondrion-associated ER membrane. 13A major consequence of excessive ER stress is apoptosis, and CHOP is a key mediator of apoptosis. 65As expected, because PRCs are beginning to die at P21, CHOP was elevated at the mRNA and protein levels in rd10 mice at P21; however, levels in rd10/Sig1R À/À mice were significantly greater than rd10 mice at this age.Thus, assessment of oxidative and ER stress reveals increased levels of both in the absence of Sig1R.Future studies could examine additional pathways that are likely involved in Sig1R-mediated cellular survival, including several proteins known to bind this molecular chaperone. 14n summary, there is considerable evidence supporting the role of Sig1R in maintaining ganglion cell function within retina. 29,20,32,33,39,66,67The present work provides compelling evidence that Sig1R has a role in maintaining PRCs as well particularly in a preexisting PRC-degenerative condition.Retinal phenotype, especially cone survival and function, in an existing model of PRC degeneration worsened markedly in the absence of Sig1R.The findings provide strong in vivo data supporting the role of Sig1R as a modulator of retinal cell survival and may have far-reaching implications for Sig1R as a pathologic mediator in many organ systems.

FIGURE 2 .
FIGURE 2. Photopic ERG and natural luminance noise test.(A) Photopic ERG traces.Averaged photopic responses to 5-ms flashes at a series of contrasts are provided for WT, rd10, and rd10/Sig1R À/À mice at P28. (B) Mean b-wave amplitudes of averaged photopic responses to 5-ms flashes above a fixed pedestal luminance of 0.105 lumens (four contrasts of the flash; contrast ¼ [flash-pedestal]/pedestal luminance).Data are the mean 6 SEM of four assays using eyes from six to nine mice.*Significantly different from the WT and rd10 groups, *P < 0.05.(C) Averaged responses to photopic flash of contrast ¼1 (replotted after superimposition).(D) Averaged responses to 0.5-second-long luminance steps are shown.The photopic negative response occurs after stimulus offset at 0.5 second, and originates in part from RGCs.(E) Averaged kernels derived from responses to natural noise stimuli.Green, WT mice; red, rd10 mice; blue, rd10/Sig1R À/À mice.

FIGURE 3 .
FIGURE 3. SD-OCT assessment.(A-D) Representative SD-OCT data obtained from WT mice, rd10 mice, and rd10/Sig1R À/À mice at P21 (A), P28 (B), P35 (C), and P42 (D).(E-T) Data for segmentation analysis for TRT at P21, P28, P35, and P42 (E-H), for ONL thickness at P21 to P42 (I-L), for IS/OS thickness at P21 to P42 (M-P), and for OPL thickness at P21 to P42 (Q-T).(U) The template (5 3 5 grid) for the OCT measurements.It represents the 25 points within the retina where retinal thickness is measured.Data are the mean 6 SEM of analyses in 4 to 10 mice per group at each age.**P < 0.01, ***P < 0.001.Note: For the OCT analyses, the x-axis represents the 25 points shown in (U), with point #13 representing the optic nerve, where the thickness is always zero.