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60 Functional Changes in Inner Retinal Neurons

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activation closes the cation channels, and therefore the loss of glutamatergic input from photoreceptors should open mGluR6-gated channels and produce agmatine uptake. Thus, these findings suggest either that an alternate source of glutamate drives channel closure or, more likely, that the mGluR6-gated cation channels are either absent, or not opened, due to disturbances in the transduction pathway in the rdcl mouse.

These same techniques have been used to evaluate kainate receptor activity in a human RP retina (Marc et al. 2007), and in the P347L rhodopsin transgenic rabbit (Jones et al. 2008). These studies revealed an unexpectedly high number of activated bipolar cells and it was suggested that this was most likely due to aberrant expression of iGluRs by rod bipolar cells. Although there is some evidence for gene expression of iGluRs by rod bipolar cells in the normal retina (Hughes 1997), to date, there has been no functional evidence to confirm this. Our laboratory recently investigated the sensitivity of rod bipolar cells to kainate/AMPA puff application in the wt and rd10 retina and found no evidence for iGluR-activated currents (Puthussery et al. 2009).

In summary, these data suggest that photoreceptor degeneration results in the loss of glutamate sensitivity in the rod bipolar cells that correlates with a loss of expression of the mGluR6 receptor.

60.2.2.2 Cone Bipolar Cells

Whole-cell patch clamp recordings from our laboratory indicate that ON cone bipolar cells show alterations in mGluR6-gated currents after death of cone photoreceptors (Puthussery et al. 2009). In contrast, OFF bipolar cells may remain responsive to glutamate agonists even after complete cone degeneration. Using patch-clamp electrophysiology on retinal slices from 6-month-old rd10 retina, we demonstrated robust inward currents in OFF bipolar cells when the glutamate agonists AMPA and kainate were puffed onto the dendrites. Marc et al. (2007) showed loss of KA driven agmatine entry into OFF bipolar cells in two rapidly progressing cone-decimating models of RP, the rdcl mouse and the hrhoG mouse. However, in regions of the hrhoG mutant mouse and also in a human retina where some residual, grossly deconstructed cone photoreceptors remained, KA could still drive agmatine entry into OFF bipolar cells suggesting that focal cone survival could spare local iGluR function. In our electrophysiology studies, we saw no immunohistochemical evidence for residual cones in the six-month old rd10 retina, although it is possible that cones were missed if the proteins used to identify them were no longer expressed after degeneration.

60.3 Ganglion Cell Function in Retinal Degeneration

Restoration of visual function in the late-stages of retinal degeneration requires the survival and function of the retinal ganglion cells. Examination of human patients

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reveals that after photoreceptor degeneration, the ganglion cells survive long after visual function is lost, and this has prompted efforts to restore vision by targeting retinal ganglion cells for stimulation either electrically, via prosthetic retinal implants, or by genetic techniques that render the ganglion cells, or their presynaptic cells light sensitive. Genetic expression of the photo-sensitive channels, channelrhodopsin (Bi et al. 2006) and melanopsin (Lin et al. 2008) in ganglion cells has resulted in behaviourally detectable visual responses in mouse models, and shows particular promise for future therapies.

The utility of mouse models in aiding the development of such treatment strategies lies in the similarity with the human diseases. In this regard, the most widely studied mouse model, the rd1 mouse, is problematic since photoreceptor apoptosis commences before the retina is fully developed, and therefore developmental and degenerative changes are confounded. Nonetheless, recent studies of the rd1 mouse have shown that, similar to the human condition, the retinal ganglion cells survive and, unlike bipolar cells, retain normal morphology and central projections after complete photoreceptor degeneration (Mazzoni et al. 2008). Analysis of the electrophysiological properties of the ganglion cells in the rd1 mouse by two groups (Margolis and Detwiler 2007; Stasheff 2008) found that in the degenerated retina the majority of ganglion cells were rhythmically active due to oscillatory excitatory and inhibitory inputs from bipolar and amacrine cells. Such spontaneous discharge demonstrates that the ganglion cells are functionally viable, and that the presynaptic cells are capable of generating potent synaptic drive. However, a potential complication is that a high level of spontaneous discharge in the ganglion cells would degrade the output from RD retinas, which had been rendered light sensitive either genetically or prosthetically, since many of the action potentials in the ganglion cells would not be correlated with the visual stimulus. On the other hand, it is possible that the spontaneous discharge of ganglion cells diminishes in treated retinas that receive light-evoked inputs. For example, the rd1 model that was rendered lightsensitive by introducing channelrhodopsin-2 into the bipolar cells, did not appear to generate high levels of spontaneous discharge in the ganglion cells (Lagali et al. 2008).

The origins of the oscillations, which arise within the presynaptic circuitry are unknown, and as others have noted (Stasheff 2008), they may represent developmental anomalies that arise due to the early onset of photoreceptor degeneration. In this respect, the rd1 model may not be a good proxy for human RP and it will be important to examine the structure and function of ganglion cells in other mouse models. The rd10 model, with its delayed onset of degeneration would be a good candidate.

Currently the outlook is very encouraging for the development of treatments for retinal degenerations, but it will be essential to further develop sensitive assays to evaluate the timing and extent of inner retinal dysfunction. This will be required not only to appropriately target intervention strategies, but also to evaluate the success of those treatments. Further work is also needed to investigate the nature of functional changes across a range of animal models of retinal degeneration.

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