Ординатура / Офтальмология / Английские материалы / Retinal Degeneration Disease_Hollyfield, Anderson, LaVail_1999
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Figure 15.3. Electron micrographs show relative normal RPE and outer segments in the 6.5-month-old r15 heterozygous control (A and C), and disorganized photoreceptor outer segments with membranous whorls (asterisks in B) and vacuoles in the RPE cells in the homozygous littermate (B and D). Scale bars: 2 mm in (A) and (B); 1 mm in (C) and (D).
Figure 15.4. Histology analysis of 1-year-old heterozygous (A and C) and homozygous (B, D, and E) r18 littermates. RPE hypertrophy and loss of outer nuclear layers are seen in homozygous r18 retina compared to the heterozygous retina. Scale bars: 50 mm in (A) and (B); 20 mm in (C) and (D); 10 mm in (E).
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Figure 15.5. Electron micrographs show the apical sides of RPE cells of 2-month-old r18 heterozygous and homozygous littermates. Scale bars: 1 mm.
EM study of the r18 mutant retina reveals that substantial amount of microvilli from the apical side of RPE cells accumulate in the subretinal space in the homozygous mutation but not in the heterozygous control (Fig. 15.5).
Thus, in comparison to homozygous r15 mutation, r18 homozygous mutation represents a different phenotype in the RPE cells with a much slower degeneration of photoreceptor cells. We hypothesize that both r15 and r18 gene mutations either directly or indirectly modulate the apical microvilli to cause the degeneration of photoreceptor cells. We believe that further investigation of both mutations will lead to new knowledge for genes that play important roles in the functions of RPE cells.
3. ACKNOWLEDGEMENTS
We thank the National Eye Institute for the travel award provided to CX to attend this meeting. XG is supported by NIH grants RO1 EY12808 and RO1 EY13849.
4. REFERENCES
Della, N. G., Campochiaro, P. A., Zack, D. J., 1996, Localization of TIMP-3 mRNA expression to the retinal pigment epithelium. Invest. Ophthalmol. Vis. Sci. 37:1921-1924.
D’Cruz, P. M., Yasumura, D., Weir, J., Matthes, M. T., Abderrahim, H., LaVail, M. M., Vollrath, D., 2000, Mutation of the receptor tyrosine kinase gene Mertk in the retinal dystrophic RCS rat. Hum. Mol. Genet. 9:645651.
Du, X., Tabeta, K., Hoebe, K., Liu, H., Mann, N., Mudd, S., Crozat, K., Sovath, S., Gong, X., Beutler, B., 2004, Velvet, a dominant Egfr mutation that causes wavy hair and defective eyelid development in mice. Genetics. 166:331-340.
Duncan, J. L., LaVail, M. M., Yasumura, D., Matthes, M. T., Yang, H., Trautmann, N., Chappelow, A. V., Feng, W., Earp, H. S., Matsushima, G. K., Vollrath, D., 2003, An RCS-like retinal dystrophy phenotype in mer knockout mice. Invest. Ophthalmol. Vis. Sci. 44:826-838.
Gal, A., Li, Y., Thompson, D. A., Weir, J., Orth, U., Jacobson, S. G., Apfelstedt-Sylla, E., Vollrath, D., 2000, Mutations in MERTK, the human orthologue of the RCS rat retinal dystrophy gene, cause retinitis pigmentosa.
Nat. Genet. 26:270-271.
Gu, S. M., Thompson, D. A., Srikumari, C. R., Lorenz, B., Finckh, U., Nicoletti, A., Murthy, K. R., Rathmann, M., Kumaramanickavel, G., Denton, M. J., Gal, A., 1997, Mutations in RPE65 cause autosomal recessive child- hood-onset severe retinal dystrophy. Nat. Genet. 17:194-197.
Hoebe, K., Du, X., Goode, J., Mann, N., Beutler, B., 2003, Lps2: a new locus required for responses to lipopolysaccharide, revealed by germline mutagenesis and phenotypic screening. J. Endotoxin. Res. 9:250-255.
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Marmorstein, A. D., Marmorstein, L. Y., Rayborn, M., Wang, X., Hollyfield, J. G., Petrukhin, K., 2000, Bestrophin, the product of the Best vitelliform macular dystrophy gene (VMD2), localizes to the basolateral plasma membrane of the retinal pigment epithelium. Proc. Natl. Acad. Sci. U S A 97:12758-12763.
Mullen, R. J., LaVail, M. M., 1996, Inherited retinal dystrophy: primary defect in pigment epithelium determined with experimental rat chimeras. Science 192:799-801.
Petrukhin, K., Koisti, M. J., Bakall, B., Li, W., Xie, G., Marknell, T., Sandgren, O., Forsman, K., Holmgren, G., Andreasson, S., Vujic, M., Bergen, A. A., McGarty-Dugan, V., Figueroa, D., Austin, C. P., Metzker, M. L., Caskey, C.T., Wadelius, C., 1998, Identification of the gene responsible for Best macular dystrophy. Nat. Genet. 19:241-7.
Ruiz, A., Brett, P., Bok, D., 1996, TIMP-3 is expressed in the human retinal pigment epithelium. Biochem. Biophys. Res. Commun. 226:467-474.
Weber, B. H., Vogt, G., Pruett, R. C., Stohr, H., Felbor, U., 1994, Mutations in the tissue inhibitor of metallopro- teinases-3 (TIMP3) in patients with Sorsby’s fundus dystrophy. Nat. Genet. 8:352-356.
Zarbin, M. A., 1998, Age-related macular degeneration: review of pathogenesis. Eur. J. Ophthalmol. 8:199-206.
CHAPTER 16
ROD AND CONE PIGMENT REGENERATION IN RPE65-/- MICE
Baerbel Rohrer1,2* and Rosalie Crouch1
1. INTRODUCTION
RPE65 is a major protein in the retinal pigment epithelium (RPE) (Hamel et al., 1993), where it is required for the regeneration of 11-cis retinal, the native ligand of rod and cone opsins, in the dark (Redmond et al., 1998). Therefore, the retina of the Rpe65-/- mouse is almost completely depleted of 11-cis retinal, resulting in a minimal level of photosensitivity. This observation poses several questions, of which we will only address three: first, which cell type (rods and/or cones) is responsible for the remaining photosensitivity; second, if only one cell type remains photosensitive, what happens to the other one; and third, what is the chromophore that enables the formation of light-sensitive pigment? Early reports have disagreed whether the remaining photosensitivity can be attributed to rod (Seeliger et al., 2001) or cone function (Redmond et al., 1998; Ekesten et al., 2001). Double knockout experiments, crossing the Rpe65-/- with either the rhodopsin or the cone cGMP-gated channel knockout, respectively, revealed that the remaining photosensitivity in the young adult and old Rpe65-/- mouse retina (>6 weeks-of-age) can be attributed to rod sensitivity (Seeliger et al., 2001). This leaves open the question as to the possible fate of the cone photoreceptors in the absence of RPE65. Likewise, early reports demonstrated a slow degeneration in particular of the rod photoreceptors (Redmond et al., 1998), suggesting that the accumulation of the retinyl ester in the RPE might contribute to the demise of the photoreceptors. However, in the Rpe65-/-::Gnat1-/- mouse, in which similar elevated amounts of retinyl ester have been reported to accumulate in the RPE, no rod degeneration occurs (Woodruff et al., 2003). And finally, with respect to the available chromophore; several groups have tried to obtain a spectrum of the pigment from pooled tissue and have failed to do so (Ablonzcy et al., 2001; C. H. Remé, personal communication). Thus, here we would like
1 Departments of Ophthalmology1 and Physiology and Neuroscience2, Medical University of South Carolina, Charleston, SC. * Department of Ophthalmology, Medical University of South Carolina, 167 Ashley Avenue, SEI 511, Charleston, South Carolina, 29425; phone: (843) 792-5086; fax (843) 792-1723; e-mail: rohrer@musc.edu.
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to further address these three key issues and how our laboratories have investigated them over the past 5 years.
2. RESULTS
2.1. Rod Responses in Rpe65-/- Mice
Patients, in which the function of RPE65 is eliminated, have impaired light sensitivity, with the main loss in sensitivity under dark-adapted conditions (e.g., Van Hooser et al., 2000). This has led to the classification of this condition in Rpe65 patients as a rod-cone dystrophy. However, Seeliger and coworkers (2001) have demonstrated convincingly that the remaining light sensitivity in the young adult Rpe65-/- mouse retina (>6 weeks-of-age) results from the activity of rod photoreceptors. Interestingly, this activity, and thus the mechanism for chromophore generation, persists even in old animals (18 months-of-age) (Rohrer et al., 2003). However, what was puzzling was that these apparent rod responses from the Rpe65-/- mouse retina appeared to have different kinetics than those recordable from the agematched wild type mice. This was easiest seen in the scotopic flicker ERG (see Figure 16.1). Responses with faster kinetics are indicative of light-adapted rod responses. Light-adapted responses might also in part explain the reduced light-sensitivity (Cornwall and Fain, 1994; Cornwall et al., 1990). This hypothesis was tested by Woodruff and colleagues (2003), who used single cell recordings in isolated Rpe65-/- mouse rods. In this preparation they were able to demonstrate that Rpe65-/- mouse rods have significantly smaller circulating current, reduced light sensitivity, and accelerated response kinetics. In accordance with the lightadaptation hypothesis, these rods were also found to exhibit lower intradiscal calcium concentrations, due to the partial closure of the cGMP-gated cation channels in the photoreceptor outer membrane.
The lack of RPE65 has been shown to result in slow rod photoreceptor degeneration (Redmond et al., 1998; Katz and Redmond, 2001; Rohrer et al., 2003). Opsin in the absence of ligand has been shown to activate the photoreceptor signal transduction cascade, albeit at a much lower rate than activated rhodopsin (Cornwall and Fain, 1994; Cornwall et al.,
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Figure 16.1. Flicker ERGs in young Rpe65-/- and
C57BL/6 mice. 10 Hz flicker ERGs were recorded under scotopic conditions. Light intensities were adjusted to elicit flicker ERGs of approximately equal amplitudes (Rpe65-/-: 1.9 ¥ 1012 photons/mm2; C57BL/6: 3.1 ¥ 107 photons/mm2). Flicker ERG responses peaked earlier in the mutant than in the wild type responses. (Redrawn from Ablonczy et al., 2001; © Journal of Biological Chemistry.)
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1995). Interestingly, this constant background activity has been proposed to lead to photoreceptor degeneration (Fain and Lisman, 1993). However, rod photoreceptors also possess a protective mechanism to prevent the activity of bleached, unliganded opsin, which is opsin phosphorylation and arrestin binding. We have shown that in the Rpe65-/- mouse retina, opsin is constitutively phosphorylated at an elevated level of ~25%. This level of phosphorylation is approximately half of the maximal light-inducible (transient) amount of phosphorylation in the wild type retina (Ablonczy et al., 2001). In addition, this constitutively phosphorylated opsin was found to bind arrestin at similar levels as bleached wild type opsin (Crouch et al., 2003). Accordingly, it was not surprising that arrestin distribution in the Rpe65-/- retina has been shown to mimic that of a light-adapted wild type retina (Mendez et al., 2003). We therefore argue that the kinetics of rod degeneration is controlled by both constitutive opsin activity and constitutive opsin phosphorylation.
2.2. Cone Responses in Rpe65-/- Mice
Rod photoreceptors appear to be more susceptible to degeneration either during aging (e.g., Gresh et al., 2003; Curcio, 2001) or as a consequence of insults (light damage; Cicerone, 1976). Thus, we chose to revisit the question of cone function and survival in the Rpe65-/- mouse. Classically, cone responses are recorded in single flash experiments in the presence of a rod-adapting background, or in flicker ERGs. However, due to the reduced light sensitivity in the Rpe65-/- rods, it is impossible to bleach them sufficiently to be certain that they no longer contribute to the elicited light response. To be able to record unequivocally from Rpe65-/- cones, we obtained the Rpe65-/-::Rho-/- cross, in which rod responses are eliminated genetically (Seeliger et al., 2001). Elimination of rhodopsin causes a delayed rod degeneration (onset ~P60), thus all experiments were performed in animals <1 month-of- age. Interestingly, if photopic ERGs were recorded using normal averaging conditions (averaging 3-5 traces) using a maximal white flash of ~2.2 ¥ 1013 photons/mm2, no ERGs could be recorded; however, if averaging was increased to 50 traces, a small but reliable cone ERG response (13.7 ± 1.87 mV; n = 9) could be recorded from these mice.
If constitutive cone opsin activity were to contribute to the reduced sensitivity of the cones, one would predict that cone degeneration would likewise occur. However, as the amplification in the signal transduction cascade is lower in cones then in rods, one might predict cone degeneration to be slower than rod degeneration. However, the small cone ERG response was virtually eliminated by 4 months-of-age (unpublished results; BR 2004), suggesting that a different mechanism is responsible for the demise of the cones. Interpretation of these data is complicated by the finding that RPE65 is present in all mouse cones (Znoiko et al., 2002). The role of this protein in cones is unknown.
2.3. Rod and Cone Opsin Distribution in the Rpe65-/- Mouse Retina
Recently, Chapple and coworkers (2001) have speculated that the chromophore 11-cis retinal might act as a pharmacological chaperone that facilitates opsin folding into an appropriate conformational state that allows for its proper transport through the trans-Golgi network and integration into the photoreceptor outer membrane. Likewise, it would allow for appropriate posttranslational modifications. Wild type rhodopsin is a relatively stable protein that appears to be transported appropriately in the absence of 11-cis retinal (Figure 16.2A). However, the P23H mutation, which does not fold properly, can only be targeted
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Figure 16.2. UV-cone and rod opsin distribution in C57BL/6 (wt) and Rpe65-/- mice. (Top row) UV cone opsin localization at P25 (using a polyclonal antibody against mouse UV cone opsin, generously provided by J. Chen, University of Southern California, Los Angels, CA, USA). (A) In the wt retina, cone opsin was localized predominantly to the outer segment (OS). (B) UV cone apoprotein was found to be distributed throughout the entire cone in Rpe65-/-::Rho-/- mice. [Green cone opsin (localized with a polyclonal antibody against human MWL cone opsin, generously provided by J. Nathans, Johns Hopkins University School of Medicine, Baltimore, MD, USA) showed a similar distribution profile, but is not depicted here.] (Bottom row) Rod opsin localization at P30 (using monocolonal antibody against bovine rhodopsin, generously provided by R. Molday; University of British Columbia, Vancouver, BC, Canada). Rhodopsin (C) and apoprotein (D) localization was indistinguishable between the wt and Rpe65-/- mouse retina, respectively. Scalebar: 15 mm.
appropriately in the presence of ligand (either 9-cis or 11-cis retinal; Noorwez et al., 2003). The accumulation of misfolded P23H rhodopsin apparently leads to photoreceptor degeneration (e.g., Olsson et al., 1992). Cone opsins appear to be more thermally unstable (Matsumoto et al., 1975), suggesting that they may be more dependent on a pharmacological chaperone for stabilization. We therefore tested the hypothesis that the cone opsin apoproteins are mislocalized in the cones of the Rpe65-/-::Rho-/- mice. Cone opsin in the absence of 11-cis retinal was found to be localized throughout the cones. Here we show the distribution of UV cone opsin (Figure 16.2B), a distribution profile that is recapitulated by green cone opsin (data not shown). Whether cone opsin is misfolded in the Rpe65-/-::Rho-/- retinas will be difficult to determine. One of the presumed results of misfolding is the lack of appropriate glycosylation. However, these retinas contain such small amounts of cone opsin that Western blotting to determine a difference in molecular weight will be a challenge.
2.4. Isolation of the Chromophore for Rhodopsin
Rpe65-/- mouse photoreceptors have been found to exhibit minimal levels of light sensitivity. However, even after careful pooling of retinas isolated from Rpe65-/- mice, no pigment could be measured. We recently found, however, that prolonged dark-adaptation resulted in slow accumulation of chromophore (~0.4 pmol/day), demonstrating that the process is very inefficient (Fan et al., 2003). Young adult Rpe65-/- mice were transferred into complete darkness, and retinas were collected at weekly intervals. The two retinas from each animal were pooled for pigment measurements in 1% dodecylmaltoside, determining the
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Figure 16.3. Isolation of isorhodopsin from Rpe65-/- mouse retinas. Absorption spectra of endogenous pigments isolated after 2 months of dark adaptation from a wild type (black trace) and a Rpe65-/- mouse (grey trace). Nomograms were fitted to the difference spectra to determine a peak of the absorbance. The wild type spectrum could be fitted with a nomogram with a peak absorbance of 500 nm, which corresponds to rhodopsin, whereas the pigment isolated from the Rpe65-/- mouse had a blue-shifted spectrum, indicative of isorhodopsin, which is formed in the presence of 9-cis retinal. (Adapted from Fan et al., 2003; © PNAS.)
difference spectra from measurements before and after bleaching. Interestingly, the pigment isolated from the Rpe65-/- mouse retinas was found to be isorhodopsin, which is the rod pigment regenerated with 9-cis rather then 11-cis retinal (Figure 16.3). The presence of 9- cis retinal in these retinas and the RPE was confirmed by higher performance liquid chromatography (Fan et al., 2003). It is unclear at this point as to how 9-cis retinal is formed; the only definitive statements that can be made are that it is independent of light (see Figure 16.3), the light-dependent, RGR-mediated mechanism (unpublished results; J. Fan, 2003) and RPE65 (Fan et al., 2003). In addition, it is unclear whether 9-cis retinal is also the chromophore for the cones, as the amount of cone pigment generated in these retinas is too minute to be measured. Single cell spectrophotometry or electrophysiology may shed some light on this question. However, our experiments do provide indirect evidence that the proposed Müller-cell-mediated mechanisms for chromophore regeneration in cone-dominant retinas, which is independent of RPE65 (Mata et al., 2003), does not exist in the roddominant mouse retina.
3. DISCUSSION
Here we have discussed the differences in behavior between rods and cones in the absence of RPE65 and thus endogenous chromophore. We have presented evidence that both rod and cone responses can be recorded in the young Rpe65-/- mice. Rods degenerate very slowly and those kinetics are controlled by the constitutive activity of the free opsin and opsin phosphorylation. In the absence of chromophore, the apoprotein appears to be folding correctly and thus proper targeting to the rod outer segments occurs. In contrast, cones degenerate very quickly in the absence of chromophore. Cone opsin is not targeted properly to the outer segments, but is distributed throughout the entire cell membrane. We are suggesting that folding and thus targeting of the cone opsin to the cone outer segment requires a chromophore as a pharmacological chaperone.
In addition, we have demonstrated that the chromophore available for the formation of pigment in the Rpe65-/- mouse retina is 9-cis retinal. For the sake of argument, let’s assume that the cones in the Rpe65-/- mouse retina use the same chromophore. Based on the amount of chromophore generated (~0.4 pmol/day; Fan et al., 2003), the Rpe65-/- mouse retina con-
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tains less then 0.2% of normal levels of chromophore. As rods outnumber cones by a factor of ~100 : 1 (Jeon et al., 1998), cone opsin has a lower affinity for chromophore than rhodopsin (Matsumoto et al., 1975) and the cone outer segments are further away from the RPE (the presumed source of the chromophore); it is, therefore, difficult to understand how any cone pigment is formed in the Rpe65-/- mouse retina. We suggest that chromophore delivery in the rods is dependent upon diffusion of IRBP-bound chromophore to the outer segments, whereas chromophore delivery to the cones is aided by the presence of the cone sheath, an extension of the RPE that ensheathes the entire cone outer segment (Fisher and Steinberg, 1982). These observed differences between rods and cones need to be addressed when considering treatment strategies for LCA patients.
4. ACKNOWLEDGEMENTS
Funding was provided by NIH grants EY-13520, EY-04939, EY-14793; Foundation Fighting Blindness; and an unrestricted grant to MUSC from Research to Prevent Blindness, Inc., New York, NY. RKC is a RPB Senior Scientific Investigator. The authors thank Jie Fan, Jian-xing Ma, Sergey Znoiko and Patrice Goletz for contributing experiments for this review; Mathias Seeliger, Michael Redmond and Peter Humphries for contributing mice, Jeannie Chen, Jeremy Nathans and Robert Molday for providing antibodies and Luanna Bartholomew for editorial assistance.
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Crouch, R. K., Znoiko, S., Kono, M., Rohrer, B., Goletz, P. W., Gresh, J., Redmond, T. M., and Ma, J. X., 2003, Can delivery of 11-cis retinal to the RPE65 KO mouse restore normal rod and cone function? Invest Ophthalmol Vis Sci 44-CD:PR# 44.
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Katz, M. L., and Redmond, T. M., 2001, Effect of Rpe65 knockout on accumulation of lipofuscin fluorophores in the retinal pigment epithelium. Invest Ophthalmol Vis Sci 42:3023-3030.
Mata, N. L., Radu, R. A., Clemmons, R. C., and Travis, G. H., 2003, Isomerization and oxidation of vitamin A in cone-dominant retinas: A novel pathway for visual-pigment regeneration in daylight. Neuron 36:69-80.
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