Skip to main content

Comparison of the neuroinflammatory responses to selective retina therapy and continuous-wave laser photocoagulation in mouse eyes

Abstract

Purpose

This study investigated microglia and inflammatory cell responses after selective retina therapy (SRT) with microsecond-pulsed laser in comparison to continuous-wave laser photocoagulation (cwPC).

Methods

Healthy C57BL/6 J mice were treated with either a train of short pulses (SRT; 527-nm, Q-switched, 1.7-μs pulse) or a conventional thermal continuous-wave (532-nm, 100-ms pulse duration) laser. The mice were sacrificed and their eyes were enucleated 1, 3, 7, and 14 days after both laser treatments. Pattern of cell death on retinal section was evaluated by TUNEL assay, and the distribution of activated inflammatory cells and glial cells were observed under immunohistochemistry. Consecutive changes for the expression of cytokines such as IL-1β, TNF-α, and TGF-β were also examined using immunohistochemistry, and compared among each period after quantification by Western blotting.

Results

The numbers of TUNEL-positive cells in the retinal pigment epithelium (RPE) layer did not differ in SRT and cwPC lesions, but TUNEL-positive cells in neural retinas were significantly less on SRT. Vague glial cell activation was observed in SRT-treated lesions. The population of inflammatory cells was also significantly decreased after SRT, and the cells were located in the RPE layer and subretinal space. Proinflammatory cytokines, including IL-1β and TNF-α, showed significantly lower levels after SRT; conversely, the level of TGF-β was similar to the cwPC-treated lesion.

Conclusions

SRT resulted in selective RPE damage without collateral thermal injury to the neural retina, and apparently produced negligible glial activation. In addition, SRT showed a markedly less inflammatory response than cwPC, which may have important therapeutic implications for several macular diseases.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

References

  1. Brinkmann R, Roider J, Birngruber R (2006) Selective retina therapy (SRT): a review on methods, techniques, preclinical and first clinical results. Bull Soc Belge Ophtalmol (302):51–69

  2. Brinkmann R, Huttmann G, Rogener J, Roider J, Birngruber R, Lin CP (2000) Origin of retinal pigment epithelium cell damage by pulsed laser irradiance in the nanosecond to microsecond time regimen. Lasers Surg Med 27(5):451–464

    CAS  Article  PubMed  Google Scholar 

  3. Kim HD, Han JW, Ohn YH, Brinkmann R, Park TK (2014) Functional evaluation using multifocal electroretinogram after selective retina therapy with a microsecond-pulsed laser. Invest Ophthalmol Vis Sci 56(1):122–131

    Article  PubMed  Google Scholar 

  4. Park YG, Seifert E, Roh YJ, Theisen-Kunde D, Kang S, Brinkmann R (2014) Tissue response of selective retina therapy by means of a feedback-controlled energy ramping mode. Clin Exp Ophthalmol 42(9):846–855

    Article  PubMed  Google Scholar 

  5. Framme C, Walter A, Prahs P et al (2009) Structural changes of the retina after conventional laser photocoagulation and selective retina treatment (SRT) in spectral domain OCT. Curr Eye Res 34(7):568–579

    Article  PubMed  Google Scholar 

  6. Framme C, Schuele G, Kobuch K, Flucke B, Birngruber R, Brinkmann R (2008) Investigation of selective retina treatment (SRT) by means of 8 ns laser pulses in a rabbit model. Lasers Surg Med 40(1):20–27

    Article  PubMed  Google Scholar 

  7. Elsner H, Porksen E, Klatt C et al (2006) Selective retina therapy in patients with central serous chorioretinopathy. Graefes Arch Clin Exp Ophthalmol 244(12):1638–1645

    CAS  Article  PubMed  Google Scholar 

  8. Klatt C, Saeger M, Oppermann T et al (2011) Selective retina therapy for acute central serous chorioretinopathy. Br J Ophthalmol 95(1):83–88

    CAS  Article  PubMed  Google Scholar 

  9. Koinzer S, Elsner H, Klatt C et al (2008) Selective retina therapy (SRT) of chronic subfoveal fluid after surgery of rhegmatogenous retinal detachment: three case reports. Graefes Arch Clin Exp Ophthalmol 246(10):1373–1378

    Article  PubMed  Google Scholar 

  10. Prahs P, Walter A, Regler R et al (2010) Selective retina therapy (SRT) in patients with geographic atrophy due to age-related macular degeneration. Graefes Arch Clin Exp Ophthalmol 248(5):651–658

    Article  PubMed  Google Scholar 

  11. Roider J, Liew SH, Klatt C et al (2010) Selective retina therapy (SRT) for clinically significant diabetic macular edema. Graefes Arch Clin Exp Ophthalmol 248(9):1263–1272

    Article  PubMed  Google Scholar 

  12. Colome J, Ruiz-Moreno JM, Montero JA, Fernandez E (2007) Diode laser-induced mitosis in the rabbit retinal pigment epithelium. Ophthalmic Surg Lasers Imaging 38(6):484–490

    PubMed  Google Scholar 

  13. Framme C, Kobuch K, Eckert E, Monzer J, Roider J (2002) RPE in perfusion tissue culture and its response to laser application. Preliminary report. Ophthalmologica 216(5):320–328

    Article  PubMed  Google Scholar 

  14. Lee SH, Kim HD, Park YJ, Ohn YH, Park TK (2015) Time-dependent changes of cell proliferation after laser photocoagulation in mouse Chorioretinal tissue. Invest Ophthalmol Vis Sci 56(4):2696–2708

    CAS  Article  PubMed  Google Scholar 

  15. Tababat-Khani P, Berglund LM, Agardh CD, Gomez MF, Agardh E (2013) Photocoagulation of human retinal pigment epithelial cells in vitro: evaluation of necrosis, apoptosis, cell migration, cell proliferation and expression of tissue repairing and cytoprotective genes. PLoS One 8(8):e70465

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  16. Chidlow G, Shibeeb O, Plunkett M, Casson RJ, Wood JP (2013) Glial cell and inflammatory responses to retinal laser treatment: comparison of a conventional photocoagulator and a novel, 3-nanosecond pulse laser. Invest Ophthalmol Vis Sci 54(3):2319–2332

    Article  PubMed  Google Scholar 

  17. Lehnardt S (2010) Innate immunity and neuroinflammation in the CNS: the role of microglia in toll-like receptor-mediated neuronal injury. Glia 58(3):253–263

    PubMed  Google Scholar 

  18. Mainster MA, White TJ, Tips JH, Wilson PW (1970) Retinal-temperature increases produced by intense light sources. J Opt Soc Am 60(2):264–270

    CAS  Article  PubMed  Google Scholar 

  19. Wood JP, Shibeeb O, Plunkett M, Casson RJ, Chidlow G (2013) Retinal damage profiles and neuronal effects of laser treatment: comparison of a conventional photocoagulator and a novel 3-nanosecond pulse laser. Invest Ophthalmol Vis Sci 54(3):2305–2318

    Article  PubMed  Google Scholar 

  20. Neumanna J, Brinkmann R (2008) Self-limited growth of laser-induced vapor bubbles around single microabsorbers. Am Inst Phys 93

  21. Kim HD, Jang SY, Lee SH et al (2016) Retinal pigment epithelium responses to selective retina therapy in mouse eyes. Invest Ophthalmol Vis Sci 57(7):3486–3495

    CAS  Article  PubMed  Google Scholar 

  22. Tackenberg MA, Tucker BA, Swift JS et al (2009) Muller cell activation, proliferation and migration following laser injury. Mol Vis 15:1886–1896

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Krady JK, Basu A, Allen CM et al (2005) Minocycline reduces proinflammatory cytokine expression, microglial activation, and caspase-3 activation in a rodent model of diabetic retinopathy. Diabetes 54(5):1559–1565

    CAS  Article  PubMed  Google Scholar 

  24. BenEzra D, Hemo I, Maftzir G (1990) In vivo angiogenic activity of interleukins. Arch Ophthalmol 108(4):573–576

    CAS  Article  PubMed  Google Scholar 

  25. Shimura M, Yasuda K, Nakazawa T et al (2009) Panretinal photocoagulation induces pro-inflammatory cytokines and macular thickening in high-risk proliferative diabetic retinopathy. Graefes Arch Clin Exp Ophthalmol 247(12):1617–1624

    CAS  Article  PubMed  Google Scholar 

  26. Carmi Y, Voronov E, Dotan S et al (2009) The role of macrophage-derived IL-1 in induction and maintenance of angiogenesis. J Immunol 183(7):4705–4714

    CAS  Article  PubMed  Google Scholar 

  27. Lavalette S, Raoul W, Houssier M et al (2011) Interleukin-1beta inhibition prevents choroidal neovascularization and does not exacerbate photoreceptor degeneration. Am J Pathol 178(5):2416–2423

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  28. Nelson CM, Ackerman KM, O’Hayer P, Bailey TJ, Gorsuch RA, Hyde DR (2013) Tumor necrosis factor-alpha is produced by dying retinal neurons and is required for Muller glia proliferation during zebrafish retinal regeneration. J Neurosci 33(15):6524–6539

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  29. Oliveira RG, Ferreira AP, Cortes AJ, Aarestrup BJ, Andrade LC, Aarestrup FM (2013) Low-level laser reduces the production of TNF-alpha, IFN-gamma, and IL-10 induced by OVA. Lasers Med Sci 28(6):1519–1525

    Article  PubMed  Google Scholar 

  30. Shi X, Semkova I, Muther PS, Dell S, Kociok N, Joussen AM (2006) Inhibition of TNF-alpha reduces laser-induced choroidal neovascularization. Exp Eye Res 83(6):1325–1334

    CAS  Article  PubMed  Google Scholar 

  31. Lee J, Choi JH, Joo CK (2013) TGF-beta1 regulates cell fate during epithelial-mesenchymal transition by upregulating survivin. Cell Death Dis 4:e714

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  32. Ie D, Gordon LW, Glaser BM, Pena RA (1994) Transforming growth factor-beta 2 levels increase following retinal laser photocoagulation. Curr Eye Res 13(10):743–746

    CAS  Article  PubMed  Google Scholar 

  33. Yamamoto C, Ogata N, Yi X et al (1998) Immunolocalization of transforming growth factor beta during wound repair in rat retina after laser photocoagulation. Graefes Arch Clin Exp Ophthalmol 236(1):41–46

    CAS  Article  PubMed  Google Scholar 

  34. Ishida K, Yoshimura N, Yoshida M, Honda Y (1998) Upregulation of transforming growth factor-beta after panretinal photocoagulation. Invest Ophthalmol Vis Sci 39(5):801–807

    CAS  PubMed  Google Scholar 

  35. Ito A, Hirano Y, Nozaki M, Ashikari M, Sugitani K, Ogura Y (2015) Short pulse laser induces less inflammatory cytokines in the murine retina after laser photocoagulation. Ophthalmic Res 53(2):65–73

    CAS  Article  PubMed  Google Scholar 

  36. Ogata N, Ando A, Uyama M, Matsumura M (2001) Expression of cytokines and transcription factors in photocoagulated human retinal pigment epithelial cells. Graefes Arch Clin Exp Ophthalmol 239(2):87–95

    CAS  Article  PubMed  Google Scholar 

  37. Er H, Doganay S, Turkoz Y et al (2000) The levels of cytokines and nitric oxide in rabbit vitreous humor after retinal laser photocoagulation. Ophthalmic Surg Lasers 31(6):479–483

    CAS  PubMed  Google Scholar 

  38. Jobling AI, Guymer RH, Vessey KA et al (2015) Nanosecond laser therapy reverses pathologic and molecular changes in age-related macular degeneration without retinal damage. FASEB J 29(2):696–710

    CAS  Article  PubMed  Google Scholar 

  39. Schuele G, Rumohr M, Huettmann G, Brinkmann R (2005) RPE damage thresholds and mechanisms for laser exposure in the microsecond-to-millisecond time regimen. Invest Ophthalmol Vis Sci 46(2):714–719

    Article  PubMed  Google Scholar 

  40. Kelly MW (1997) Intracellular cavitation as a mechanism of short-pulse laser injury to the retinal pigment epithelium. PhD thesis. Tufts University. 231

Download references

Funding

This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health and Welfare (grant number: H I 17C0966, TK Park). This work was partially supported by the Soonchunhyang University Research Fund. The sponsor had no role in the design or conduct of this research.

Author information

Affiliations

Authors

Corresponding authors

Correspondence to Jungmook Lyu or Tae Kwann Park.

Ethics declarations

Conflict of interests

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Animal experiments

All applicable international, national, and institutional guidelines for the care and use of animals were followed. All procedures performed in studies involving animals were in accordance with the ethical standards of the institution at which the studies were conducted.

Financial disclosure

None of the authors have any financial interests to disclose.

Additional information

Jung Woo Han and Juhye Choi are co-first authors.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Han, J.W., Choi, J., Kim, Y.S. et al. Comparison of the neuroinflammatory responses to selective retina therapy and continuous-wave laser photocoagulation in mouse eyes. Graefes Arch Clin Exp Ophthalmol 256, 341–353 (2018). https://doi.org/10.1007/s00417-017-3883-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-017-3883-7

Keywords

  • Continuous-wave laser photocoagulation
  • Inflammatory response
  • Selective retina therapy
  • Iba-1
  • CD11b
  • F4/80
  • IL-1β
  • TNF-α
  • TGF-β