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From the Neuroscience Center of Excellence and Louisiana State University School of Medicine, New Orleans, Louisiana 70112Department of Ophthalmology, Louisiana State University School of Medicine, New Orleans, Louisiana 70112 and
From the Neuroscience Center of Excellence and Louisiana State University School of Medicine, New Orleans, Louisiana 70112Department of Ophthalmology, Louisiana State University School of Medicine, New Orleans, Louisiana 70112 and
To whom correspondence should be addressed: Neuroscience Center, LSU School of Medicine, 2020 Gravier St., New Orleans, LA 70112. Tel.: 504-568-2141; Fax: 504-599-0891;
From the Neuroscience Center of Excellence and Louisiana State University School of Medicine, New Orleans, Louisiana 70112Department of Ophthalmology, Louisiana State University School of Medicine, New Orleans, Louisiana 70112 and
The retinal pigment epithelium (RPE)-dependent visual cycle provides 11-cis-retinal to opsins in the photoreceptor outer segments to generate functional visual pigments that initiate phototransduction in response to light stimuli. Both RPE65 isomerase of the visual cycle and the rhodopsin visual pigment have recently been identified as critical players in mediating light-induced retinal degeneration. These findings suggest that the expression and function of RPE65 and rhodopsin need to be coordinately controlled to sustain normal vision and to protect the retina from photodamage. However, the mechanism controlling the development of the retinal visual system remains poorly understood. Here, we show that deficiency in ciliary neurotrophic factor (CNTF) up-regulates the levels of rod and cone opsins accompanied by an increase in the thickness of the outer nuclear layers and the lengths of cone and rod outer segments in the mouse retina. Moreover, retinoid isomerase activity, expression levels of RPE65 and lecithin:retinol acyltransferase (LRAT), which synthesizes the RPE65 substrate, were also significantly increased in the Cntf−/− RPE. Rod a-wave and cone b-wave amplitudes of electroretinograms were increased in Cntf−/− mice, but rod b-wave amplitudes were unchanged compared with those in WT mice. Up-regulated RPE65 and LRAT levels accelerated both the visual cycle rate and recovery rate of rod light sensitivity in Cntf−/− mice. Of note, rods and cones in Cntf−/− mice exhibited hypersusceptibility to light-induced degeneration. These results indicate that CNTF is a common extracellular factor that prevents excessive production of opsins, the photoreceptor outer segments, and 11-cis-retinal to protect rods and cones from photodamage.
). Because apo-opsins without the 11cRAL chromophore are not responsive to light, 11cRAL must be regenerated and recombined with apo-opsins to form light-sensitive visual pigments in the photoreceptor OS. RPE65 is a key retinoid isomerase in the RPE-dependent visual cycle responsible regenerating 11cRAL (
). It catalyzes synthesis of 11-cis-retinol, the reduced form of 11cRAL, from all-trans-retinyl esters synthesized by LRAT and other enzymes in the RPE (
). In addition, higher expression level and activity of RPE65 are associated with an increase in susceptibility of the photoreceptors to light-induced degeneration (
). These findings suggest that the expression levels and function of rhodopsin and RPE65 need to be controlled to maintain normal vision and to protect photoreceptors from light-induced degeneration. However, the molecular mechanisms that coordinately control expressions of both opsin and RPE65 during the development and maturation of the retinal light-sensing system remain largely unknown.
), CNTF is an extracellular signaling protein in the neuroretinal and the interphotoreceptor matrix, which is associated with the membranes of the RPE, Muller, and photoreceptor cells (
). CNTF initiates its signaling by interacting with its receptor-α, which then recruits the leukemia inhibitory factor (LIF) receptor-β and gp130 to form a functional receptor complex in the cell membrane (
Cytokine-induced activation of signal transducer and activator of transcription in photoreceptor precursors regulates rod differentiation in the developing mouse retina.
). Furthermore, recent clinical trials in patients with retinitis pigmentosa, Usher syndrome type 2, or geographic atrophy showed that CNTF treatment increased retinal thickness and slowed the progression of vision loss (
Ciliary neurotrophic factor delivered by encapsulated cell intraocular implants for treatment of geographic atrophy in age-related macular degeneration.
Proc. Natl. Acad. Sci. U.S.A.2011; 108 (21444807): 6241-6245
Intravitreal injection of ciliary neurotrophic factor (CNTF) causes peripheral remodeling and does not prevent photoreceptor loss in canine RPGR mutant retina.
Ciliary Neurotrophic Factor Retinitis Pigmentosa Study Groups Randomized trial of ciliary neurotrophic factor delivered by encapsulated cell intraocular implants for retinitis pigmentosa.
). Despite the neuroprotective effect in some clinical trials and animal studies, CNTF treatment significantly suppressed visual function, as determined by electroretinography (ERG) (
Ciliary Neurotrophic Factor Retinitis Pigmentosa Study Groups Randomized trial of ciliary neurotrophic factor delivered by encapsulated cell intraocular implants for retinitis pigmentosa.
Intraocular gene delivery of ciliary neurotrophic factor results in significant loss of retinal function in normal mice and in the Prph2Rd2/Rd2 model of retinal degeneration.
Intraocular gene delivery of ciliary neurotrophic factor results in significant loss of retinal function in normal mice and in the Prph2Rd2/Rd2 model of retinal degeneration.
A gene profiling study showed that intravitreal injection of CNTF induced numerous genes associated with inflammation and gliosis in the Muller cells (
). In addition, CNTF increased secretion of neurotrophin-3 and decreased secretion of vascular endothelial growth factor, interleukin-8, and transforming growth factor-β2 in the RPE cells (
). These altered gene expression and protein secretion might cause many secondary effects in the CNTF-treated patients and animals, and therefore, increased difficulty in defining the primary role and mechanism of CNTF function in regulating development, function, and protection of the retinal photoreceptors and RPE. In this study, we analyzed neuroretinal and RPE phenotypes in Cntf−/− mice, and identified CNTF as a common extracellular signal that down-regulates expression of opsins in rod and cone photoreceptors, as well as RPE65 and LRAT in the RPE, to avoid excessive formation of both light-sensing organelles and light-sensitive visual pigments, which mediate phototransduction or photoreceptor degeneration, depending on the light intensity they have captured.
Results
Rod excessive development is associated with up-regulation of rhodopsin in the Cntf−/− retina
CNTF added into retinal cultures displayed distinct effects on rod development depending on species: it promoted chick rod development and rod-opsin expression (
). To define the effect of CNTF deficiency on rod development and rod-opsin expression, we first compared expression levels of rhodopsin in WT and Cntf−/− mice. As shown in Fig. 1A, expression levels of rhodopsin (Rho) in 3- and 5-week-old Cntf−/− mice were 45–50% higher than those in age-matched WT mice. Rho mRNA expression levels in 3-week-old Cntf−/− retina were increased by ∼53% as compared with those in the same age WT retina (Fig. 1B).
Figure 1.Increase in rhodopsin (Rho) expression, thickness of the ONL, and length of rod OS in Cntf−/− mouse.A, immunoblot analysis of Rho and IRBP in 3- and 5-week-old WT and Cntf−/− retinas. Actin was detected to normalize sample loading. The histogram shows percentages of the immunoblot intensities of Rho from Cntf−/− retinas relative to the Rho immunoblot intensities of WT retinas. Asterisks in this figure indicate significant differences between WT and Cntf−/− mice (p ≤ 0.05); error bars indicate S.D. (n ≥ 3). B, transcription level of Rho mRNA in 3-week-old Cntf−/− retina was determined by quantitative RT-PCR and expressed as fold of Rho mRNA in age-matched WT retina. C, immunohistochemistry showing localization of Rho (red) to the rod OS in the superior retinas of 3-week-old WT and Cntf−/− mice. Nuclei were stained with DAPI (blue). Histogram shows Rho-positive OS lengths in the sections. D, differential interference contrast (DIC) images of retinal sections from 3-week-old WT and Cntf−/− mice. All scale bars denote 20 μm. E, rod nuclear numbers counted in a 400-μm wide superior ONL area that is 600 μm away from the optic nerve head. F, TUNEL-positive cell numbers in the ONL-OPL and inner nuclear layer (INL)-inner plexiform layer (IPL) of retinal sections from WT and Cntf−/− mice at postnatal day 8.
To confirm these results, we analyzed morphology of WT and Cntf−/− retinas. Immunohistochemistry showed that length of the rod outer segments (ROS) in a 3-week-old Cntf−/− mouse was 15% longer than that of WT mouse (Fig. 1C). Differential interference contrast microscopy of retinal sections confirmed that both ROS length and thickness of the outer nuclear layer (ONL) in 3-week-old Cntf−/− retina are clearly greater than those in age-matched WT retina (Fig. 1D). To know if numbers of rods are increased in the Cntf−/− mouse, we counted nuclear numbers in a 400-μm wide region of the superior ONL that is 600 μm away from the optic nerve head. As shown in Fig. 1E, numbers of rods in the region of the Cntf−/− retina were 11% greater than those in WT retina. Numbers of TUNEL-positive cells in the ONL and the outer plexiform layer (OPL) of the Cntf−/− retina at postnatal day 8 were significantly smaller than those in age-matched WT retinal ONL-OPL (Fig. 1F).
Increase of cone-specific proteins in over-elongated OS of Cntf−/− cones
Exogenous CNTF has been shown to promote cone differentiation in the developing chick retina (
), suggesting that CNTF deficiency may reduce expression of cone-specific proteins. Unexpectedly, quantitative immunoblot analysis showed that cone arrestin (CAR), which expresses in both M- and S-cones (
), was increased ∼50% in 3- and 5-week-old Cntf−/− mouse retinas, as compared with age-matched WT mouse retinas (Fig. 2A). In agreement with this result, immunohistochemistry showed that length and numbers of CAR-positive outer segments in 3-week-old Cntf−/− retina were clearly greater than those in WT retina (Fig. 2, B and G).
Figure 2.Increase in expression of cone-specific proteins and length of cone OS in Cntf−/− mouse.A, immunoblot analysis of CAR in the retinas of 3- or 5-week-old WT and Cntf−/− mice. The histogram shows percentages of immunoblot intensities of CAR from Cntf−/− retinas relative to the CAR immunoblot intensities of WT retinas. B, immunohistochemistry showing CAR immunoreactivity in the superior (sup) retinas of 3-week-old WT and Cntf−/− mice (upper panels). ON, optic nerve. The areas of the rectangles are shown in the higher magnification images (bottom panels). C and E, immunoblot analysis of M-opsin (C) and S-opsin (E) from 3- or 5-week-old WT and Cntf−/− retinas. Histograms show percentages of immunoblot intensities of M-opsin (C) or S-opsin (E) in the Cntf−/− retinas relative to M-opsin or S-opsin intensities in WT retinas. D and F, immunohistochemistry for M-opsin (D) and S-opsin (F) in the superior (D) or inferior (F) retinas of 3-week-old WT and Cntf−/− mice. G, numbers of CAR- or cone opsin-positive cells in the superior (sup) or inferior (inf) retinas of 3-week-old WT and Cntf−/− mouse retinal sections taken from the dorsal-ventral midline of the eye. H, lengths of M- and S-cone OS in 3-week-old WT and Cntf−/− mouse retinal sections. I, relative mRNA levels of cone opsins in 3-week-old WT and Cntf−/− retinas were determined by quantitative RT-PCR. All asterisks indicate significant differences between WT and Cntf−/− mice (p < 0.05); error bars denote S.D. (n = 3∼4).
To know whether M- and S-opsins are also increased in the Cntf−/− retina, we performed quantitative immunoblot analysis for cone opsins. As shown in Fig. 2, C and E, expression levels of M- and S-opsins in 3- and 5-week-old Cntf−/− retinas are significantly higher than those in age-matched WT retinas. This increase in expression of cone opsins is associated with an increase in M- and S-cone numbers as well as length of cone outer segments in the Cntf−/− retina (Fig. 2, D and F–H). Quantitative RT-PCR revealed that transcripts for M- and S-opsins were increased by 60∼70% in 3-week-old Cntf−/− retina, as compared with those in age-matched WT retina (Fig. 2I).
Up-regulation of visual cycle enzymes in Cntf−/− RPE
Increased rod and cone opsins may need an increase in 11cRAL synthesis to form functional visual pigments. We therefore tested whether the visual cycle enzymes are changed in the Cntf−/− RPE. Immunoblot analysis showed that protein levels of RPE65 in 3- and 5-week-old Cntf−/− RPE were 40–60% higher than those in age-matched WT RPE (Fig. 3A). Similarly, expression levels of LRAT are also significantly increased in the Cntf−/− RPE, as compared with WT RPE (Fig. 3B). In agreement with these results, activities of the retinoid isomerase in the 3- and 5-week-old Cntf−/− RPE were at least 45% higher than those in age-matched WT RPE (Fig. 3C).
Figure 3.Up-regulation of the visual cycle enzymes in the Cntf−/− RPE.A and B, immunoblot analysis of RPE65 (A) and LRAT (B) in the RPE of 3- or 5-week-old WT and Cntf−/− mice. Histograms show immunoblot intensities of RPE65 or LRAT from the Cntf−/− RPE relative to RPE65 or LRAT intensities in WT mouse RPE. C, retinoid isomerase (RI) activities determined by measuring synthesis of 11cROL from all-trans-retinol substrate incubated with RPE homogenates of 3- or 5-week-old WT and Cntf−/− mice. D, light microscopic images of RPE layers in the superior retinal sections of 5-week-old WT and Cntf−/− mice. E, immunohistochemistry showing distribution patterns of RPE65 and LRAT in the superior retinal sections from 3-week-old WT or Cntf−/− mice. Scale bars in D and E denote 20 μm. F, immunoblot analysis of Ezrin in the eyecups of 3- or 5-week-old WT and Cntf−/− mice. The histogram shows relative immunoblot intensities of Ezrin in WT and Cntf−/− eyecups. G, relative expression levels of RPE65 mRNA in WT and Cntf−/− RPE were determined by quantitative RT-PCR. H, quantitative RT-PCR showing relative expression levels of RPE65 mRNA in Cntf−/− mouse eyecup RPE incubated with media with or without CNTF. I, immunoblot analysis of RPE65 in Cntf−/− mouse eyecup RPE in H. All asterisks indicate significant differences between WT and Cntf−/− mice or between test and control groups (p < 0.04); error bars are S.D. (n = 3 or 4).
To know if the number of RPE cells is increased in Cntf−/− mouse, we counted DAPI-positive RPE nuclear numbers in sections taken from the dorsal-ventral midline of the eye. We then calculated RPE cell density by dividing RPE nuclear numbers with arc length of retina in the sections. RPE cell densities in Cntf−/− sections (28.6 ± 2.0 nuclei/mm, n = 4) were similar to those in WT sections (27.8 ± 1.8 nuclei/mm, n = 4). RPE morphology in the Cntf−/− retinal section was similar to that in WT retinal section (Fig. 3D). Distribution patterns of RPE65 and LRAT in the Cntf−/− RPE were also similar to those in WT RPE (Fig. 3E). Consistent with these results, expression levels of the RPE microvilli protein Ezrin in the Cntf−/− RPE were similar to those in WT RPE (Fig. 3F).
To determine whether CNTF up-regulates RPE65 expression at the transcription level we performed quantitative RT-PCR. As shown in Fig. 3G, mRNA expression levels of RPE65 were increased ∼30% in the Cntf−/− mouse, as compared with WT mouse. To confirm this result, we incubated Cntf−/− eyecup RPE with media of 293T-LC cells transfected with pRK5 or pRK-CNTF. Quantitative RT-PCR and immunoblot analysis showed that both mRNA and protein levels of RPE65 were reduced in the eyecup RPE incubated with media containing CNTF (Fig. 3, H and I).
Rod hyperpolarization, but not rod ON bipolar depolarization, was increased in Cntf−/− mouse
Because rod-opsin is up-regulated in the Cntf−/− retina, we tested whether the Cntf−/− rods display an increased phototransduction. We recorded scotopic ERG responses of dark-adapted WT and Cntf−/− mice to a series of increasing light flashes. Representative ERG responses elicited with 0∼2 log candelas × s/m2 (cd × s/m2) flashes are shown in Fig. 4A. Amplitudes of a-waves elicited with 1∼2 log cd × s/m2 flashes were significantly greater in Cntf−/− mice, as compared with those in WT mice (Fig. 4, A and B). Unexpectedly, b-wave amplitudes in Cntf−/− mice were similar to those of WT mice (Fig. 4, A and C).
Figure 4.Enhanced rod phototransduction in Cntf−/− mice.A, representative raw scotopic ERG responses of dark-adapted WT and Cntf−/− mice to the indicated flashes. B and C, amplitudes of scotopic ERG a-wave (B) and b-wave (C) elicited with the indicated flashes in dark-adapted WT and Cntf−/− mice. Asterisks indicate significant differences between WT and Cntf−/− mice (*, p < 0.04; **, p < 0.01); error bars show S.D. (n = 6). D, times from stimulus onset to a- or b-wave peaks of WT and Cntf−/− mouse rods. E, immunoblot analysis of mGluR6 in 3- or 5-week-old WT and Cntf−/− mouse retinas or RPE. Actin was used as loading control. F, immunoblot analysis of PKCα in 3- or 5-week-old WT and Cntf−/− retinas.
To know if the synaptic function between rod and rod ON bipolar cell (ON-BC) was altered in the Cntf−/− mouse, we measured a- and b-wave implicit times (times from stimulus onset to a- or b-wave peak). As shown in Fig. 4D, a-wave implicit times of Cntf−/− rod ERG were similar to those of WT rod ERG. The b-wave implicit times of Cntf−/− rod ERG were also similar to those of WT rod ERG elicited with −4∼0 log cd × s/m2 flashes. When 0.7∼1.7 log cd × s/m2 flashes applied, the b-wave implicit times of Cntf−/− rod ERG were 10.5∼12.2% shorter than those of WT rods (p = 0.056, n = 6; Fig. 4D). Immunoblot analyses showed that expression levels of the ON-BC markers (mGluR6 and PKCα) in the Cntf−/− retina were similar to those in WT retina (Fig. 4, E and F).
Faster recovery rate of rod light sensitivity is underpinned by accelerated visual cycle in Cntf−/− mouse
Because rod opsin and the visual cycle enzymes are increased in the Cntf−/− mouse, we tested whether the recovery rate of rod light sensitivity is accelerated in Cntf−/− mouse. We exposed dark-adapted WT and Cntf−/− mice to 800 lux light for 5 min, and then returned the mice to darkness. At different times, we recorded scotopic ERG responses to three different flash stimuli (10, 25, and 50 cd × s/m2). WT and Cntf−/− mice kept in darkness for 5 min displayed similar a-wave amplitudes (Fig. 5A). However, a-wave amplitudes of Cntf−/− mice kept in darkness for 10–30 min were higher than those in WT mice under the same light conditions (Fig. 5A).
Figure 5.Faster recovery of rod light sensitivity in Cntf−/− mice.A, amplitudes of scotopic ERG a-waves elicited with the indicated flashes (10∼50 cd × s/m2) in WT and Cntf−/− mice, which were kept in darkness for the indicated minutes after photobleaching the visual pigments. Asterisks indicate significant differences between WT and Cntf−/− mice (*, p < 0.04; **, p ≤ 0.009; ***, p ≤ 0.003); error bars show S.D. (n = 6). B, relative contents of 11cRAL in eyecups of mice under the indicated light conditions: immediately after PB of the visual pigment or kept in darkness for the indicated minutes after PB. Error bars show S.D. (n = 4).
To know if this faster recovery of rod light sensitivity is supported by an accelerated visual cycle, we measured the regeneration rates of 11cRAL in WT and Cntf−/− mice kept in darkness for different times after photobleaching the visual pigments. Because both the ONL thickness and the OS length are greater in Cntf−/− retina than those of WT retina, we expressed the levels of 11cRAL in photobleached WT and Cntf−/− eyes as 100%. After keeping the mice in darkness for 15 or 30 min, the amounts of 11cRAL were increased 55 or 83%, respectively, in Cntf−/− mice, but only 15 or 30% in WT mice (Fig. 5B). These data indicate that the regeneration rates of the 11cRAL in the Cntf−/− eyes are faster than those in the WT eyes.
Hyper visual function of cones in Cntf−/− mouse
The up-regulation of cone opsins in the Cntf−/− retina (Fig. 2) prompted us to test if cone visual function was enhanced in the Cntf−/− mouse. Under a rod-saturating background light, we recorded photopic ERG responses of WT and Cntf−/− mice to a series of increasing achromatic flashes. As shown in Fig. 6, A–C, amplitudes of a- and b-waves elicited with a given intensity of flash were significantly higher in Cntf−/− mice than WT mice. Implicit times to photopic b-wave peaks elicited with 0.5∼2 log cd × s/m2 flashes were markedly shorter in Cntf−/− mice versus WT mice (Fig. 6D), suggesting that synaptic function between cone and cone ON-BC is normal or enhanced in Cntf−/− mice. To confirm these results, we recorded photopic flicker ERG. Consistent with the above results, amplitudes of b-waves elicited with 10- and 20-Hz flashes at 10 cd × s/m2 intensity were significantly increased in Cntf−/− mice, as compared with those in WT mice (Fig. 6, E and F). These results indicate that CNTF deficiency causes a “super vision” mediated by cones. These results also suggest that CNTF may have different roles in the development and/or function of cone ON-BC versus rod ON-BC systems.
Figure 6.Hyper cone phototransduction in Cntf−/− mice.A, representative raw photopic ERG responses of WT and Cntf−/− mice to the indicated flashes under a rod saturating background light (32 cd/m2). B and C, amplitudes of a-wave (B) and b-wave (C) in photopic ERG responses elicited with the indicated flash intensities in light (32 cd/m2)-adapted WT and Cntf−/− mice. Asterisks indicate significant differences between WT and Cntf−/− mice (*, p < 0.03; **, p ≤ 0.001); error bars show S.D. (n = 7). D, times from stimulus onset to photopic b-wave peaks of WT and Cntf−/− mouse cones. E, representative raw flicker ERG responses of WT and Cntf−/− mice to 10 cd × s/m2 flashes with frequencies of 10 or 20 Hz on the rod saturating background light. F, amplitudes of b-wave in the flicker ERG responses of WT and Cntf−/− mice. Error bars show S.D. (n = 5, **, p ≤ 0.001).
Rods and cones in Cntf−/− mouse exhibited hyper susceptibility to photodamage
Because the photoresponsiveness of rods and cones is increased in Cntf−/− mice, we investigated the effects of intense light on the retinal function and structure of Cntf−/− mice. We exposed mice to 12,000 lux light for different times (30∼75 min), and then kept them in darkness for 5 days. Retinoid analysis showed that the contents of 11cRAL and the total retinoids were significantly reduced in the Cntf−/− eyes exposed to the intense light for 75 min, as compared with those in WT mice under that same light conditions (Fig. 7A). Cntf−/−, but not WT, mice under that same light conditions displayed a significant reduction in rod visual function, as measured by scotopic ERG (Fig. 7B). Notably, both a- and b-wave amplitudes are markedly reduced in Cntf−/− mice (Fig. 7B). This reduction of rod visual function is associated with a dramatic decrease in rod OS length and contents of rhodopsin in the Cntf−/− retina (Fig. 7, C and D). Morphological analysis showed that 75 min exposure of 12,000 lux light caused a severe retinal degeneration in Cntf−/−, but not WT, mice (Fig. 8, B and C). The superior ONL in Cntf−/− retina was reduced in thickness to 2–8 nuclei versus 9–10 nuclei in WT retina whereas the inferior ONL in the Cntf−/− retina was reduced to 4–8 nuclei versus 10–11 nuclei in WT retina (Fig. 8D).
Figure 7.Reduction of retinoids, rod visual function, and rhodopsin contents in Cntf−/− mice exposed to intense light.A, contents of 11cRAL and total retinoids in the eyecups of WT and Cntf−/− mice kept in darkness for 5 days after exposing to 12,000 lux light for the indicated time. All asterisks indicate a significant difference between WT and Cntf−/− mice (p < 0.02); error bars show S.D. (n = 4). B, amplitudes of a-wave (upper panel) and b-wave (bottom panel) in scotopic ERG responses of WT and Cntf−/− mice to the indicated flashes. Error bars show S.D. (n = 5). All data shown in B–D are from mice kept in darkness for 5 days after exposing to 12,000 lux light for 75 min. C, immunohistochemistry for Rho in retinal sections of WT and Cntf−/− mice. Histograms show relative lengths of Rho-positive OS in WT and Cntf−/− retinal sections. Scale bar denotes 20 μm. D, immunoblot analysis of Rho in WT and Cntf−/− retinas. Histogram shows immunoblot intensities of Rho from Cntf−/− retinas relative to Rho intensity in WT retinas.
Figure 8.Retinal photodamage in Cntf−/− mice.A, light microscopic images of WT and Cntf−/− superior retinas before photodamage. Scale bar denotes 20 μm. B, light microscopy showing severe retinal degeneration in Cntf−/−, but not WT, mice kept in darkness for 5 days after exposing to 12,000 lux light for 75 min. C, higher magnification images of the superior retinas of WT and Cntf−/− mice exposed to the intense light. D, thickness of the retinal outer nuclear layers in WT and Cntf−/− mice in B. Numbers on the x-axis indicate distance from optic nerve head. Error bars show S.D. (n = 4).
). To know if CNTF deficiency increases susceptibility of cones to photodamage, we did immunohistochemistry for cones in WT and Cntf−/− mice exposed to the intense light for 75 min. Lengths of both S-cone and M-cone OSs are significantly shortened in Cntf−/− mice (Fig. 9, B and C). Consistent with these observations, immunoblot analysis showed that expression levels of S- and M-opsins were reduced at least 40% in the Cntf−/− retinas, as compared with those in WT retinas (Fig. 9, D and E).
Figure 9.Light-induced degeneration of cones in Cntf−/− mice.A, immunohistochemistry showing cone opsin-positive OS in WT and Cntf−/− mice before photodamage. B and C, immunohistochemistry for S-opsin (B) or M-opsin (C) in retinal sections of WT and Cntf−/− mice kept in darkness for 5 days after exposing to 12,000 lux for 75 min. Nuclei were counterstained with DAPI (blue). The areas of the rectangles are shown in the higher magnification images (bottom panels). Inf, inferior; sup, superior; ON, optic nerve. All data shown in this figure are from mice exposed to 12,000 lux light for 75 min. D and E, immunoblot analysis of S-opsin (D) or M-opsin (E) in WT and Cntf−/− retinas. Actin was detected as sample loading control. Histograms show relative immunoblot intensities of S-opsin (D) or M-opsin (E) in WT versus Cntf−/− retinas. Asterisks indicate significant differences between WT and Cntf−/− mice (p < 0.02); error bars show S.D. (n = 3).
Phototransduction and the visual cycle are the most important functions in sensing and converting light signal into biochemical and electrical signals in the retina. Light sensitivities of both rod and cone visual pigments rely on their 11cRAL chromophore provided by the visual cycle. In this study, we showed that CNTF deficiency resulted in up-regulation of opsins and the visual cycle enzymes, leading to an increase in thickness of ONL, length of rod and cone OSs, and the rates of the 11cRAL regeneration. These molecular and morphological changes led to 1) hyper phototransduction of rods and cones, 2) faster recovery of rod light sensitivity, and 3) increase in susceptibility of rods and cones to photodamage in Cntf−/− mouse.
Up-regulation of opsins and the visual cycle enzymes (Figure 1., Figure 2., Figure 3.) are the most important primary phenotypes in the Cntf−/− visual system. CNTF might down-regulate these proteins through the heterotrimeric receptor complex (
Cytokine-induced activation of signal transducer and activator of transcription in photoreceptor precursors regulates rod differentiation in the developing mouse retina.
) or through the Ras-MAPK and/or PI3K-AKT pathways in rods.
Opsin up-regulation was accompanied by morphological changes in the Cntf−/− retina. The ONL thickness and lengths of rod and cone OSs were increased in Cntf−/− mice. The increase in the ONL thickness might be associated with the decrease in programed cell death in the ONL of postnatal Cntf−/− mice (Fig. 1). CNTF has been shown to promote programed death of postmitotic rod precursor cells; and blocking the CNTF/LIF pathway reduced cell death during mouse retinal development, resulting a thicker ONL (
CNTF deficiency also resulted in an increase in lengths of both rod and cone OSs. This observation is consistent with three previous studies: 1) CNTF induced a reversible rod OS shortening in WT rat (
11cRAL bound with opsins functions as a molecular switch for initiating phototransduction in response to light stimuli. Light-mediated isomerization of 11cRAL to all-trans-retinal induces opsin activation and phototransduction. To restore light sensitivity to opsins that have lost 11cRAL, 11cRAL must be regenerated and recombined with apo-opsins. RPE65 and LRAT are critical enzymes in the visual cycle that generates 11cRAL. We found that the synthesis rate of 11-cis-retinol in the Cntf−/− RPE was increased due to up-regulation of RPE65 and LRAT. RPE65 and LRAT might be up-regulated in part through the gp130-STAT3 pathway in the RPE (
). We further found that recovery of rod light sensitivity was accelerated due to an increase in 11cRAL synthesis in the Cntf−/− RPE (Fig. 5).
Increase in opsin expression and 11cRAL synthesis suggest that the Cntf−/− rods and cones contain more light-sensitive visual pigments. This might cause the enhanced responses of Cntf−/− rods and cones to light stimuli (Figure 4., Figure 5., Figure 6.). The hyper phototransduction led to greater hyperpolarization of rods and cones, reflected in elevation of a-wave amplitudes in both scotopic and photopic ERGs of Cntf−/− mice.
Although scotopic a-wave amplitudes were increased in Cntf−/− mice b-wave amplitudes, implicit times were similar to those in WT mice. In addition, expression levels of mGluR6 and PKCα in the Cntf−/− retina were also similar to those in WT retina. These results suggest that synaptic function between rod and rod ON-BC, which produce b-wave responses (
). These studies and the similar b-wave amplitudes in Cntf−/− and WT mice suggest that CNTF plays an important role in the development, differentiation, and function of rod ON-BCs.
Interestingly, cone b-wave amplitudes and implicit times in photopic ERG elicited with certain flash intensities were significantly higher or shorter in Cntf−/− mice versus WT mice. These results are consistent with the previous studies that show significant reduction of photopic b-waves in WT animals overexpressing CNTF (
), our results suggest that the synaptic function between cone and cone ON-BC, as well as cone-induced depolarization of cone ON-BCs are enhanced in Cntf−/− mouse.
One of the pathological consequences of CNTF deficiency was retinal photodamage. Cntf−/− rods exhibited hyper susceptibility to light-induced degeneration. This phenotype is consistent with the well-known phenomenon: the rodent superior retina has much higher susceptibility to photodamage, as compared with the inferior retina. Length of photoreceptor OS in the superior retina is ∼30% longer than that in the inferior retina (
). The longer OSs in the Cntf−/− and the rodent superior retinas may contain more rhodopsin, the primary mediator of retinal degeneration induced by light (
Inhibition of the visual cycle in vivo by 13-cis retinoic acid protects from light damage and provides a mechanism for night blindness in isotretinoin therapy.
Proc. Natl. Acad. Sci. U.S.A.2001; 98 (11172037): 1835-1840
). RPE65 promotes retinal photodamage by facilitating the visual cycle that provides 11cRAL to generate light-sensitive visual pigments. Up-regulated RPE65 and LRAT have accelerated the synthesis rate of 11cRAL in the Cntf−/− mouse. This accelerated visual cycle plus increased expression of opsins resulted in an increase in the formation of light-sensitive visual pigment, therefore promoted retinal photodamage in Cntf−/− mice.
). In this study, however, we observed that intense light caused a severe degeneration of both M- and S-cones in the Cntf−/− mouse. This result suggests that CNTF deficiency itself and increased formation of cone visual pigments contributed to cone photodamage in Cntf−/− mouse. In addition, increased visual cycle and phototransduction rates may result in elevation of oxidative stress in cones due to an increase in contents of 11cRAL and all-trans-retinal in the Cntf−/− cones. Retinaldehydes have been shown to play a critical role in retinal photooxidative damage (
). Overexpression of NRF2, a master antioxidant transcription factor, effectively protected cones from degeneration in animal models of retinal degeneration (
). These studies and our results suggest that reduction of neuroprotective signals and increase in oxidative stress promoted light-induced cone degeneration in Cntf−/− mice. In summary, we identified CNTF as a critical signal that down-regulates rod and cone opsins, as well as RPE65 and LRAT, to suppress visual pigment over formation and retinal photodamage.
) with WT 129S2/Sv mice (Charles River Laboratories), then intercrossed the heterozygous offspring to yield Cntf−/− mice homozygous for the Leu-450 allele of the Rpe65 gene. The homologous Cntf knockout mutation and the Leu-450 alleles were confirmed by PCR and DNA sequencing, as described previously (
). Except where noted, mice were maintained in 12 h cyclic light at ∼30 lux. All animal experiments were performed on both sexes of WT and Cntf−/− mice at 3, 5, or 6 weeks of age in accordance with the Association for Research of Vision and Ophthalmology statement for the use of animals in ophthalmic and vision research and the protocols approved by the Institutional Animal Care and Use Committee for LSU Health Sciences Center.
Eyecup RPE, cell culture, and transfection
After removal of the anterior section and neural retina, the RPE in 3-week-old Cntf−/− mouse eyecups were maintained in DMEM/F-12 medium (Thermo Fisher Scientific Inc.) supplemented with 10% heat-inactivated fetal bovine serum (FBS) and antibiotics (
) were transfected with pRK5 or pRK5-CNTF plasmid DNA using the PolyJet transfection reagent (SignaGen Laboratories). After transfection, the cells were maintained overnight in DMEM/F-12 medium containing 5% FBS. These media with or without CNTF were incubated with the eyecup RPE for 6 h. All cultures were maintained in an incubator containing 5% CO2.
Immunoblot analysis
Protein samples in the Laemmli buffer containing 50 mm DTT were incubated for 10 min at 70 °C (or room temperature for opsins), separated by SDS-PAGE in a 10, 12, or 4–12% gradient polyacrylamide gel, and transferred to an Immobilon-P membrane (MilliporeSigma). The membrane was incubated in blocking buffer, primary antibody, and horseradish peroxidase-conjugated secondary antibody against rabbit, mouse, or goat IgG. Antibodies against RPE65 (
Secretory defect and cytotoxicity: the potential disease mechanisms for the retinitis pigmentosa (RP)-associated interphotoreceptor retinoid-binding protein (IRBP).
), mGluR6 (GeneTex), PKCα, rhodopsin, CAR, M-opsin (MilliporeSigma), S-opsin (MilliporeSigma, Santa Cruz Biotechnology), or β-actin (MilliporeSigma) were used as the primary antibodies. Immunoblots were visualized with the enhanced ECL-Prime and quantified (
Secretory defect and cytotoxicity: the potential disease mechanisms for the retinitis pigmentosa (RP)-associated interphotoreceptor retinoid-binding protein (IRBP).
Receptor interacting protein kinase-mediated necrosis contributes to cone and rod photoreceptor degeneration in the retina lacking interphotoreceptor retinoid-binding protein.
). Briefly, enucleated mouse eyeballs were fixed overnight with 4% paraformaldehyde in 0.1 m phosphate buffer (PB). After removing cornea and lens, eyecups were immersed in 15% sucrose in 0.1 m PB for 2 h, in 30% sucrose in 0.1 m PB for 2 h, and then in a 1:1 mixture of 30% sucrose and optimal cutting temperature (OCT) medium (Sakura Finetechnical) overnight at 4 °C. After embedding eyecups in OCT, 15-μm thick sections were cut on a Shandon Cryotome SME cryostat (Thermo Scientific). The sections were immunostained with the primary antibodies listed in the method of immunoblot analysis and secondary antibodies, as described previously (
Secretory defect and cytotoxicity: the potential disease mechanisms for the retinitis pigmentosa (RP)-associated interphotoreceptor retinoid-binding protein (IRBP).
). Nuclei were counterstained with DAPI (Sigma). Images were captured with a Zeiss LSM710 Meta confocal microscope with a ×20 objective lens or ×40 oil-immersion lens. Lengths of rod and cone OS as well as numbers of cells were measured using ImageJ software (National Institutes of Health).
TUNEL assay
This assay was performed using the in situ cell death detection kit (Roche Applied Science) following the manufacturer's protocol. Briefly, retinal cryosections washed with 0.1% sodium citrate in 0.1% Triton X-100, PBS were incubated with terminal deoxynucleotidyl transferase (TdT) and fluorescein-dUTP for 1 h at 37 °C. After rinsing three times in PBS containing 0.05% Tween 20, nuclei were counterstained with DAPI. Numbers of TUNEL-positive nuclear in the ONL-outer plexiform layer and in the inner nuclear layer-inner plexiform layer of whole retinal sections were counted separately using an Olympus BX61VS microscope equipped with a digital camera and VS-ASW FL software.
Quantitative RT-PCR
Total RNA was extracted from mouse retina or RPE using a PureLink RNA mini kit (Invitrogen), and was reverse-transcribed to cDNA using SuperScript III (Invitrogen). Quantitative PCR was performed on an iCylcer iQTM Real-Time PCR Detection System (Bio-Rad) using a two-step qRT-PCR kit with SYBR Green (Invitrogen) and primer sets specific for mouse RPE65, opsin, and 18S rRNA. Three mice of each genotype were analyzed and all samples were run in duplicates. Starting templates were normalized after determining 18S rRNA Ct values for each sample (
). Relative mRNA levels of RPE65 were determined from the ΔCt values.
Electroretinography (ERG)
Overnight dark-adapted 6-week-old mice were anesthetized with an intraperitoneal injection of 100 mg/kg of ketamine and 10 mg/kg of xylazine. The pupils were dilated with 1% tropicamide. ERG was recorded from the corneal surface using a silver-silver chloride wire electrode referenced to a subcutaneous electrode in the mouth. A needle electrode in the tail served as the ground. A drop of 2.5% methylcellulose was placed on the cornea to ensure good electrical contact and to prevent corneal desiccation during the entire procedure. Single-flash ERG recordings were performed in a Ganzfield dome (Espion e2, Diagnosys LLC) under dark-adapted (scotopic) and light-adapted (photopic) conditions. For scotopic ERG, single flash stimuli were presented with various intensities, reaching from −4 log cd × s/m2 to 2.5 log cd × s/m2, in interstimulus intervals of 0.5∼2 min (depending on the stimulus intensity). Three to four responses were averaged for each step. For photopic ERG, animals were light adapted for 10 min by exposing to a white 32 cd/m2 light, and ERG responses were obtained with white flashes (−0.3∼2.4 log cd × s/m2) on the rod-saturating background light (32 cd/m2). Five responses to 10-s interval flashes were averaged for each step. Intensity-response amplitude data were displayed on log-linear coordinates using SigmaPlot 11 software. Flicker ERG responses were recorded in light-adapted mice with flicker flashes on the rod-saturating background. The flicker stimuli had an intensity of 10 cd × s/m2 with frequencies of 10 or 20 Hz.
Retinoid isomerase assay
RPE homogenates in 20 mm HEPES buffer (pH 7.4) containing protease inhibitor mixture were prepared from mouse eyecups without the neural retina. The homogenates were irradiated for 10 min on ice with 365-nm light from a Spectroline Model EN-140L UV light source to destroy endogenous retinoids. Each assay mixture contained 200 μg of cell homogenate, 10 μm all-trans-retinol, and 6% BSA. After incubating for 2 h in darkness at 37 °C, retinoids were extracted with hexane and analyzed by HPLC, as described below.
Analysis of retinoids
Retinoids in mouse ocular tissues or in vitro enzyme assays were extracted with hexane and analyzed by normal-phase HPLC (
). In brief, retinoids in hexane extractions were evaporated, dissolved in 100 μl of hexane, and separated on a silica column (Zorbax-Sil 5 μm, 250 × 4.6 mm, Agilent Technologies) by gradient (0.2–10% dioxane in hexane at 2.0 ml/min flow rate) or nongradient (10% dioxane in hexane at 1.0 ml/min flow rate) elution of mobile phase on an Agilent 1100 HPLC system equipped with a photodiode array detector (Agilent Technologies). Spectral data were acquired for all eluted peaks. Quantitation was performed by comparison of peak areas to calibration curves established with authentic retinoid standards.
Light microscopy
Mouse retinal sections were prepared as described previously (
). In brief, mice were fixed by intracardiac perfusion with a mixture of 2% paraformaldehyde and 2.5% glutaraldehyde in 0.1 m PB (pH 7.4). Light cautery was applied at the superior pole of the cornea to mark the orientation before enucleation of the eyeball. A window was cut in the cornea, and the eye was immersed in primary fixative and rotated at room temperature for 2 h. The anterior segment was removed, and the remaining eyecup was refrigerated overnight in primary fixative. The eyecup was trimmed into temporal and nasal hemispheres and immersed in 1% osmium tetroxide in 0.1 m PB (pH 7.2) for 1 h. Following dehydration in a graded series of alcohols, the hemispheres were embedded in an Epon/Araldite mixture (5:3, v/v). Care was taken to orient the eyecups so that sections were obtained through the vertical meridian to ensure sampling of both the superior, green-sensitive cones and the inferior, blue-sensitive cones. Sections were cut at 1 μm and stained with 1% toluidine blue and 1% sodium borate, then photographed using a ×20 objective lens or a ×60 oil-immersion lens in the Olympus BX61VS microscope mentioned above. Except for whole retinal images, all images were obtained from retinal sections at a distance of 600 μm superior or inferior to the optic nerve.
Light-induced retinal degeneration
WT and Cntf−/− mice were dark-adapted for 3 days. After dilation of the pupils under dim red light (Kodak Wratten 1A), mice were exposed to 12,000 lux of white fluorescent light for 30, 60, and 75 min and then kept in darkness for 5 days. Retinoid contents, visual function, and retinal structures of these mice were analyzed as described above.
Statistical analysis
SigmaPlot Version 11 (Systat Software, Inc.) was used for statistical analyses. Data were expressed as the mean ± S.D. of three or more independent experiments indicated in the figure legends. Differences between WT and Cntf−/− mice were determined by single comparisons with an unpaired two-tailed Student's t test. The significance threshold was set at 0.05 for all statistical tests.
Author contributions
S. L. and M. J. conceptualization; S. L., K. S., W. C. G., and M. S. data curation; S. L., N. G. B., and M. J. formal analysis; S. L. and M. J. validation; S. L. and M. J. investigation; S. L. and W. C. G. visualization; S. L., K. S., and W. C. G. methodology; S. L. and M. J. writing-original draft; S. L., W. C. G., N. G. B., and M. J. writing-review and editing; M. S. and N. G. B. resources; M. S., N. G. B., and M. J. funding acquisition; N. G. B. and M. J. project administration; K. S. and M. S. writing-review.
Acknowledgments
We are grateful to Dr. Paul A. Sieving for some ERG data analysis and valuable advice on some animal experiments, and Drs. Dean Bok, Marcin Golczak, and Krzysztof Palczewski for the antibodies against IRBP or LRAT.
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Secretory defect and cytotoxicity: the potential disease mechanisms for the retinitis pigmentosa (RP)-associated interphotoreceptor retinoid-binding protein (IRBP).
Receptor interacting protein kinase-mediated necrosis contributes to cone and rod photoreceptor degeneration in the retina lacking interphotoreceptor retinoid-binding protein.
This work was supported by National Institutes of Health Grants EY021208 (to M. J.), GM103340 (to N. G. B.), and EY005121 (to N. G. B), Louisiana State University School of Medicine Research Enhancement Fund (to M. J.), and Interdisziplinäres Zentrum für Klinische Forschung Grant N-304 (to M. S.). The authors declare that they have no conflicts of interest with the contents of this article. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
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