Ординатура / Офтальмология / Английские материалы / Ocular Neuroprotection_Levin, Polo _2003
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then move toward your goal by making and evaluating changes one at a time. Isolate your cell culture activities from other laboratory activities as much as possible. Standardize all procedures. Meticulously document the source, age, lot number, and usage of all media components. Minimize delay in the generation of cultures. Regularly examine cultures after they have become attached (this usually occurs within 8 h). Do not examine too many cultures at one time as they are sensitive to pH and temperature shock. Finally, document your results as completely as possible with each experiment, even when it seems that it did not work. This will often help considerably in identifying problems and developing improved methods for retinal cell cultures.
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pigment epithelial cells during mechanical and pharmacologic stimulation. Invest Ophthalmol Vis Sci 1997;38:176–187.
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2
Crush Injury of the Optic Nerve
Michal Schwartz and Eti Yoles
The Weizmann Institute of Science
Rehovot, Israel
I.INTRODUCTION
Optic neuropathies are chronic neurodegenerative diseases of the optic nerve [1–3], in which degeneration of the axons leads eventually to death of their corresponding cell bodies, the retinal ganglion cells (RGCs). The mechanism underlying the progression of disease is not yet fully understood but probably involves the activity of physiological compounds that become cytotoxic when their normal concentrations are exceeded. In order to study the mechanisms of RGC death, identify the nerve-derived mediators of toxicity causing the ongoing spread of damage, and screen compounds for their neuroprotective potential (i.e., their ability to arrest or reduce this secondary degeneration), suitable animal models are needed. We have established a rat model in which the optic nerve is subjected to a well-calibrated partial crush injury of the required severity [4,5]. Use of the model has made it possible to demonstrate self-propagating secondary degeneration [5], identify some of the mediators of degeneration common to many neurodegenerative disorders [6], study the molecular mechanisms underlying RGC death, and discover processes of neuroprotection [7–12]. Molecular mechanisms can also be studied in the severely crushed optic nerve of the mouse, an easily obtained model in which the availability of transgenic mice can be exploited for studies of the effects of relevant genes on RGC survival [13,14].
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Figure 1 Anatomy of the rat visual system.
II. ANATOMY OF THE RAT VISUAL SYSTEM
The axons of RGCs in the rat and mice, after exiting the retina through the optic nerve head, form the optic nerve. At the optic chiasm most of the fibers cross to the contralateral optic tract to reach the optic tectum (superior colliculus). Fewer than 10% of the fibers beyond the optic chiasm are ipsilateral [15]. Nearly all of the RGCs in each tract project to the superior colliculus on that side, and fewer than 40% of them have collateral projections to the dorsal lateral geniculate nucleus (LGN) [15–17].
III.PARTIAL CRUSH INJURY OF THE RAT OPTIC NERVE
A.Surgical Exposure of the Optic Nerve Intraorbitally
The intraorbital part of the optic nerve is longer in rodents than in other species, making it relatively easy to carry out experimental manipulations without impinging on adjacent tissues or harming the nerve itself. All surgical procedures are done under general anesthesia. We use a binocular operating microscope; the conjuctiva is incised lateral to the cornea, the retractor bulbi muscles are separated using curved blunt forceps, and the optic nerve is identified and exposed near
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Figure 2 Cross-action forceps.
the eyeball by blunt dissection for 2.5–3 mm, and care is taken not to stretch the nerve.
B. Calibrated Crush Injury
A reproducible crush injury of graded severity is inflicted on the optic nerve by the use of pre-calibrated cross-acting (self-closing) forceps, which open when the handles are pressed and close when the handles are released [4]. The force exerted by the grasping jaws (and thus the severity of the crush lesion inflicted) is adjusted by varying the number of revolutions of the screw attached to the handle.
Using the forceps, a moderate, mild, or very mild crush injury is inflicted on the exposed optic nerve about 1 mm distal to the eye, for a period of 30 seconds.
IV. SEVERE CRUSH INJURY OF THE MOUSE
OPTIC NERVE
To identify and characterize the molecules participating in the process of RGC death, it is necessary to devise an animal model that allows molecular manipulation. Establishment of the mouse model makes it possible to study the effects of severe optic nerve injury in genetically manipulated mice. For this purpose, all RGCs must be labeled 72 h before optic nerve crush. With the aid of a binocular operating microscope, the conjunctiva over the posterior pole of the eye of the anesthetized mouse is incised. The optic nerve is exposed by gentle blunt dissection between the surrounding muscle and the retrobulbar region, as described above for the rat. Using cross-action forceps and taking care not to interfere with the blood supply, we then crush the nerve for 2 s.
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V.RETROGRADE LABELING OF RETINAL GANGLION CELLS
Because of the anatomical construction of the visual system, retinal ganglion cell (RGC) survival at any time after axonal injury can be quantified by the use of retrograde neuronal tracers. Properties of the tracers selected for this purpose should include (1) lack of any effect on neuronal viability and activity; (2) intense fluorescence; (3) resistance to fading; (4) absence of diffusion from labeled cells; and (5) relatively prolonged survival time.
The RGCs that survive an optic nerve crush injury, and are potentially capable of being rescued by neuroprotective therapy, are the cell bodies of damaged fibers and of intact fibers that escaped the injury. To determine the total number of surviving RGCs, the protocol of choice is of the labeling prior to the injury. To assess the number of surviving RGCs with still-intact fibers the protocol of choice is the post-injury labeling. These two protocols are done by employing the retrograde labeling procedures, as described in the following section.
A.Labeling of All Retinal Ganglion Cells Prior to Injury
The total number of RGCs in the retina is determined after stereotactic injection of a fluorescent dye to the superior colliculus of both hemispheres, where almost all of the optic axons form synapses.
1. The Rat Model
The anaesthetized rat is placed in a stereotactic device, the skull is exposed and kept dry and clean, and the bregma is identified and marked (see diagram below). The designated point of injection is 6 mm rostral to the bregma and 1.2 mm lateral to the midline. A window is drilled in the scalp above the designated coordinates in both hemispheres. Using a Hamilton syringe, 2 L of the neurotracer dye FluoroGold [18] (5% solution in saline; Fluorochrome, Denver, CO), which meets all of the criteria mentioned above, is injected into the superior colliculus 3.8 mm, 4 mm, and 4.2 mm below the bony surface, at a rate of 1 L/min at each of the three depths. The needle is then slowly withdrawn and the skin is sutured.
2. The Mouse Model
Anesthetized mice are placed in a stereotactic device, the skull is exposed and kept dry and clean, and the bregma is identified and marked. The designated point of injection is at a depth of 2 mm from the brain surface, 2.92 mm posterior to the bregma and 0.5 mm lateral to the midline. A window is drilled in the scalp above the designated coordinates in both hemispheres. With a Hamilton syringe,
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Figure 3 The rat skull.
the neurotracer dye FluoroGold (5% solution in saline) is then applied (1 L, at a rate of 0.5 L/min) and the skin over the wound is sutured.
B.Post-injury Labeling of Cell Bodies of Rescude Fibers
Post-injury application of the fluorescent lipophilic dye 4-(4-(didecylamino)st- yryl)-N-methylpyridinium iodide (4-Di-10-Asp) [19] (Molecular Probes, Europe BV) distal to the site of optic nerve lesion results in the labeling of RGCs with intact axons, as only axons whose continuity is preserved across the site of injury are capable of transferring the dye to RGC bodies.
At different times after crush injury, the optic nerve is reexposed intraorbitally as described above. With the use of a 27-G syringe, a small hole is made in the dura 1 mm from the distal border of the site of injury, and the axons are cut to allow dye uptake. Solid crystals (0.2–0.4 mm diameter) of the dye are deposited at the cut edge of the optic nerve. Five days after dye application, the number of labeled RGCs is determined. The dye application procedure has no effect on RGC survival during the period until retinal excision [5].
Figure 4 Application of a dye distally to the lesion site.
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Figure 5 Whole-mounted flattened retina.
VI. COUNTING OF LABELED RGCs
At the end of the experimental period, the rats or mice are killed and their eyes are excised into petri dishes containing phosphate-buffered saline (PBS). The retina is detached from the eye without the vitreous body and fixed in freshly prepared 4% paraformaldehyde. Four cuts are made in the fixed retina to allow flattening of the retina onto a nitrocellulose filter.
Labeled RGCs are counted using the fluorescent microscope. It should be noted that RGC density across the rat retina ranges from about 1000 cells/mm2 at the periphery to 6000 cells/mm2 in the center. However, over most of the retina, except at the outer periphery, the average density is about 3000 cells/mm2 [5,15]. Nevertheless, after optic nerve injury the rate of RGC death is higher at the periphery than at the center of the retina [5]. Accordingly, labeled RGCs are counted in four to six fields at the same distance from the center of the retina, at a magnification of 250. The numbers of labeled RGCs per field are averaged, and the mean number of RGCs per square millimeter is calculated.
VII. ELECTROPHYSIOLOGICAL MEASUREMENTS
The visual evoked potential (VEP) response to light indicates the integrity of an animal’s visual system and can be used to assess the effects of injury and treatment on the system’s functional integrity. Only those axons that escaped the primary lesion and remain intact, with or without protection from secondary de-
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generative processes, are capable of conducting action potentials. The pattern of field potentials in response to light stimulation is recorded from the primary visual cortex. The potential evoked by the light originates in the retina and is propagated along the surviving axons to reach the superior colliculus, their target in the brain. Electrodes are implanted above the primary visual cortex as follows: The anesthetized rat is placed in a small stereotactic instrument and two holes are drilled in the skull. Through each hole an electrode is implanted epidurally, with the dura kept intact to minimize cortical damage. The electrodes are gold contact pins (Wire-Pro, Salem, NJ) soldered to stainless steel screws, which are screwed into the holes and cemented to the skull with acrylic cement. An electrode inserted through a hole drilled in the nasal bone is used as a reference point. The second hole is in area V1 (primary visual cortex), with coordinates bregma 8 mm and lateral 3 mm.
Field potentials, before and after injury, are recorded from the visual cortex in response to stroboscopic light stimulation (xenon flash tube 4 W/s, 1–2 ms duration, 0.3 Hz). The signal evoked in the cortex is amplified 1000 times with a microelectrode AC amplifier, model 1800 (AM Systems) and digitized (12 bits, 5000 samples/s) with an MIO16–9 board and the LabView 2.2.1 data acquisition and management system (National Instruments). Potentials should be presented as the means of six recordings, three with and three without light, each involving 60 light flashes.
VIII. SOME PRACTICAL TIPS
1.When incising the conjunctiva, make sure that you do it as far as possible from the limbal area, which has abundant vasculature. An incision at this site might cause massive bleeding, obscuring the area close to the optic nerve.
2.While exposing the optic nerve, separate it as much as possible from the adjacent fat and fascia.
3.While labeling the RGCs with a lipophilic fluorescent dye such as 4- Di-10-Asp, make sure that the dye is completely immersed in the hole you have made in the dura sheath by injecting a drop of incomplete Freund’s adjuvant.
4.If the view of the retina under the microscope is too blurred to count the cells, the problem might be caused by one or more of the following:
The vitreous body is still attached to the retina.
The paraformaldehyde solution in which the retina is soaked is not fresh.
Dye application process went wrong.
