Anatomical evidence of photoreceptor degeneration induced by iodoacetic acid in the porcine eye
Highlights
► Systemic administration of IAA induces preferential damage to photoreceptors in the pig. ► IAA induces rapid robust degeneration of photoreceptors. ► Rods appear to be more sensitive to IAA than cones. ► IAA induces subtle changes to specific cell populations in the inner retina. ► IAA induces photoreceptor degeneration while relatively sparing the inner retina.
Introduction
Age-related macular degeneration (AMD) and retinitis pigmentosa (RP), an inherited retinal dystrophy, are two common forms of progressive blindness that share a grossly similar pathology that preferentially damages photoreceptors, while leaving the interneurons (e.g. bipolar and horizontal cells) and output cells (ganglion cells) of the inner retina relatively intact (Humayun et al., 1999, Kim et al., 2002, Medeiros and Curcio, 2001, Santos et al., 1997, Stone et al., 1992). The blindness that ensues is irreversible and current treatments only retard or inhibit progression of the disease and do not restore sight (Sharma and Ehinger, 1999). Because the inner retina and central visual system remain relatively spared in AMD and RP, photoreceptor rescue and replacement strategies such as retinal prostheses, photoreceptor and retinal pigment epithelium transplants, stem cell therapies, genetic modification therapies, and survival factor therapies are being pursued to take advantage of the remaining neural circuitry of surviving neurons in an attempt to restore vision (Musarella and MacDonald, 2011). Many cellular retinal rescue strategies are contingent upon the remaining neural framework of the retina tolerating and responding to these therapies; however, remodeling of the neural retina often accompanies degeneration of photoreceptors (Marc et al., 2003), which may render some therapies unfeasible. Testing of retinal rescue strategies in animal models of photoreceptor degeneration that bear similar resemblance to human conditions is critical to determine which therapies have realistic potential.
Transgenic and non-genetic rodent models of photoreceptor degeneration (Chader, 2002, Chang et al., 1993, D’Cruz et al., 2000, Fauser et al., 2002, Jaissle et al., 2001, Li et al., 1996, Olsson et al., 1992, Roof et al., 1994, Sung et al., 1994, Strauss et al., 1998), as well as models developed in canines (Acland et al., 2001, Aguirre and Rubin, 1974), and felines (Ivert et al., 1998) have been invaluable for furthering our understanding of the pathogenesis of inherited photoreceptor disease. However, small eye size and/or differences in retinal anatomy and histology make many established models ill-suited for developing retinal rescue strategies that are to be used in humans. In contrast, the porcine eye is remarkably similar to the human eye in size, retinal anatomy and histology (Beauchemin, 1974, Braekvelt, 1983), and retinal vasculature (De Schaepdrijver et al., 1992, Simoens et al., 1992). The major anatomical difference is that the pig eye lacks a rod-free fovea. Rather, the pig retina contains an ‘area centralis’ that contains both rods and cones, which is functionally comparable to the human fovea (Chandler et al., 1999, Gerke et al., 1995). Transgenic pigs have been produced that express a mutant rhodopsin transgene, Pro347Leu (Petters et al., 1997). These animals exhibit photoreceptor degeneration that resembles the autosomal dominant form of RP in the human (Li et al., 1998, Petters et al., 1997). However, genetic engineering of Pro347Leu transgenic pigs is intrinsically slow and expensive. Therefore, our group sought to develop an inducible (non-genetic) model of photoreceptor degeneration in the pig using the photoreceptor toxin iodoacetic acid (IAA).
IAA inhibits anaerobic glycolysis by reacting with the sulfhydryl group of glyceraldehyde-3-phosphate dehydrogenase (Winkler et al., 2003) causing lower production of metabolic energy that ultimately leads to impaired function and cell death. In the retina, IAA toxicity may have the greatest effect on photoreceptors because these cells have the highest rate of glycolytic activity in the body (Noell, 1953). Previous studies in the rat (Graymore and Tansley, 1959), rabbit (Lasansky and De Robertis, 1959, Liang et al., 2008, Noell, 1953, Orzalesi et al., 1970), ground squirrel (Farber et al., 1983), and monkey (Noell, 1952, Noell, 1953), suggest that IAA preferentially damages photoreceptors, while sparing the neurons of the inner retina. In the rabbit retina, the photoreceptor loss was greatest in a region inferior to the visual streak, which may be related to the unusual vascular patterns in the rabbit eye (Liang et al., 2008).
In this study we examined retinae from pigs after systemic injection of IAA to determine whether the toxin induced photoreceptor degeneration in this species, whether there was a topographical pattern of damage across the retina, and to determine whether the damage was preferential for rods or cones. A range of doses of IAA was used to determine the effective dose for producing photoreceptor loss, and to determine whether a dose that was not lethal to photoreceptors would induce remodeling in the retina, which is a hallmark of the retinal response to genetically-mediated photoreceptor loss (Marc et al., 2003), and which has been detected in other retinal injury models (Fisher and Lewis, 2003, Linberg et al., 2006, Marc et al., 2008, Nagar et al., 2009, Peichl and Bolz, 1984). Cell loss and the topographical distribution of photoreceptor damage were assessed using standard histological techniques, specific cell populations were examined using immunohistochemistry and confocal microscopy, and ultrastructure was examined using transmission electron microscopy.
Section snippets
Animals
Domestic pigs (age range, 6–8 weeks; weight range, 12–16 kg) were acquired from Oak Hill Genetics (Ewing, IL) and cared for by our collaborators in the Department of Ophthalmology and Visual Sciences, University of Louisville, Louisville, KY. Pigs were given a single intravenous injection of sterile IAA (Sigma, St. Louis, MO) dissolved in normal saline at a dosage of 5.0 mg/kg, 7.5 mg/kg, 10.0 mg/kg, and 12.0 mg/kg, via a catheter placed in the ear vein. After a 2–5 week survival period, pigs
Nuclear counts
Systemic administration of IAA in pigs resulted in a robust reduction in the number of rows of photoreceptor nuclei in the ONL, as compared to controls (Fig. 2A). Fig. 2A shows that there was a significant reduction in the mean number of rows of photoreceptor nuclei in the ONL in the treated retinae at all locations at doses above 5.0 mg/kg IAA, compared to control retinae (P < 0.05). In fact, 118/132 locations analyzed (all treated eyes, all doses) had a significant reduction in the number of
Discussion
Iodoacetic acid (IAA) has been used to produce an experimental model of photoreceptor degeneration for sixty years (Noell, 1951). Subsequent histological and electrophysiological studies in small animal models have shown that IAA induces preferential damage to photoreceptors without causing significant alterations to cell morphology in the inner retina (Farber et al., 1983, Graymore and Tansley, 1959, Humayun et al., 1995, Lasansky and De Robertis, 1959, Liang et al., 2008, Noell, 1952, Noell,
Acknowledgments
Supported by the Discovery Eye & Lincy Foundations, and the American Optometric Foundation Ezell Fellowship. We thank Jennifer Noel and Wei Wang at the Dept. of Ophthalmology and Visual Sciences, University of Louisville, Louisville KY for their work developing this model and for providing these eyes to us. We are grateful to Dr. Robert S. Molday for providing us with rho 4D2 antibody.
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2018, Experimental Eye ResearchCitation Excerpt :Interestingly, inner segment pathology in rods was found earlier than corresponding changes in cones. Cones have been described to be more resilient to trauma in the form of light toxicity as well as iodoacetic acid damage (Scott et al., 2011; Organisciak and Vaughan, 2010). Cone/rod discrepancy related to sensitivity to experimental detachment has been detailed in the literature, but the herein findings regarding inner segment pathology has to or knowledge not been described previously (Lewis et al., 2003; Rex et al., 2002).
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Grant support: The Discovery Eye & Lincy Foundations and the American Optometric Foundation William C. Ezell Fellowship.
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Grant support: The Discovery Eye & Lincy Foundations and the Kentucky Challenge Research Trust Fund.
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Grant support: The Discovery Eye & Lincy Foundations.