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Retinal Pathology in Retinitis Pigmentosa

Considerations for Therapy

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Abstract

Retinitis pigmentosa (RP) causes primary degeneration of photoreceptors, followed by reactive changes in the retinal pigment epithelium (RPE) and Müller glia, death of inner retinal neurons, and atrophy of the retinal vasculature. Current strategies for retinal therapy include transplantation of normal photoreceptors, delivery of corrective genes to diseased photoreceptors, and electrical stimulation of inner retinal neurons [1–5]. This chapter will review the histopathology of the retina in RP, including the characteristic changes found in the photoreceptors, subretinal space, RPE and choriocapillaris, Müller glia, inner retinal neurons and blood vessels. Changes in these retinal components secondary to death of photoreceptors are important considerations in developing new therapies for RP

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References

  1. Bok, D., 1993, Retinal transplantation and gene therapy. Present realities and future possibilities, Invest. Ophthalmol Vis. Sci. 34: 473–476.

    CAS  PubMed  Google Scholar 

  2. Bok, D., Hageman, G. S. and Steinberg, R. H., 1993, Repair and replacement to restore sight. Report from the panel on photoreceptor/retinal pigment epithelium, Arch. Ophthalmol. 111: 463–471.

    Article  CAS  PubMed  Google Scholar 

  3. Milam, A. H., 1993, Strategies for rescue of retinal photoreceptor cells, Curr. Opin. Neurobiol. 3: 797–804.

    Article  CAS  PubMed  Google Scholar 

  4. Zack, D. J., 1993, Ocular gene therapy. From fantasy to foreseeable reality, Arch. Ophthalmol. 111: 1477–1479.

    Article  CAS  PubMed  Google Scholar 

  5. Humayun, M., Propst, R., de Juan Jr, E., McCormick, K. and Hickingbotham, D., 1994, Bipolar surface electrical stimulation of the vertebrate retina, Arch. Ophthalmol 112: 110–116.

    Article  CAS  PubMed  Google Scholar 

  6. Woodford, B. J., Chen, J. and Simon, M. I., 1994, Expression of rhodopsin promotor transgene product in both rods and cones, Exp. Eye Res. 58: 631–635.

    Article  CAS  PubMed  Google Scholar 

  7. Milam, A. H., Fliesler, S. J., Chaitin, M. H. and Jacobson, S. G., 1991, Histopathology and immunocytochemistry of human retinal dystrophies, In: Retinal Degenerations, Anderson, R. E., Hollyfield, J. G. and LaVail, M. M., eds., Boca Raton, FL: CRC Press, Inc, pp 361–368.

    Google Scholar 

  8. Stone, J. L., Barlow, W. E., Humayun, M. S., de Juan Jr., E. and Milam, A. H., 1992, Morphometric analysis of macular photoreceptors and ganglion cells in retinas with retinitis pigmentosa, Arch. Ophthalmol. 110: 1634–1639.

    Article  CAS  PubMed  Google Scholar 

  9. Li, Z.-Y, Kljavin, I. J. and Milam, A. H., 1995, Rod photoreceptor neurite sprouting in retinitis pigmentosa, J. Neurosci. (Submitted).

    Google Scholar 

  10. Perlman, I. and Auerbach, E., 1981, The relationship between visual sensitivity and rhodopsin density in retinitis pigmentosa, Invest. Ophthalmol. Vis. Sci. 20: 758–765.

    CAS  PubMed  Google Scholar 

  11. Kemp, C. M., Jacobson, S. G. and Faulkner, D. J., 1988, Two types of visual dysfunction in autosomal dominant retinitis pigmentosa, Invest. Ophthalmol. Vis. Sci. 29: 1235–1241.

    CAS  PubMed  Google Scholar 

  12. Berson, E. L., Gouras, P. and Gunkel, R. D., 1968, Rod responses in retinitis pigmentosa, dominantly inherited, Arch. Ophthalmol. 80: 58–67.

    Article  CAS  PubMed  Google Scholar 

  13. Hood, D. C. and Greenstein, V., 1990, Models of the normal and abnormal rod system, Vis. Res. 30: 51–68.

    Article  CAS  PubMed  Google Scholar 

  14. Greenstein, V. C. and Hood, D. C., 1992, The effects of light adaptation on L-cone sensitivity in retinal disease, Clin. Vis. Sci. 1: 1–1.

    Google Scholar 

  15. Cideciyan, A. V. and Jacobson, S. G., 1993, Negative electroretinograms in retinitis pigmentosa, Invest. Ophthalmol. Vis. Sci. 34: 3253–3263.

    CAS  PubMed  Google Scholar 

  16. Falsini, B., Iarossi, G., Porciatti, V, Merendino, E., Fadda, A., Cermola, S. and Buzzonetti, L., 1994, Postreceptoral contribution to macular dysfunction in retinitis pigmentosa, Invest. Ophthalmol. Vis. Sci. 35: 4282–4299.

    CAS  PubMed  Google Scholar 

  17. Kljavin, I. J. and Reh, T. A., 1991, Mü ller cells are a preferred substrate for in vitro neurite extension by rod photoreceptor cells, J. Neurosci. 11: 2985–2994.

    CAS  PubMed  Google Scholar 

  18. Mandell, J. W., MacLeish, P. R. and Townes-Anderson, E., 1993, Process outgrowth and synaptic varicosity formation by adult photoreceptors in vitro, J. Neurosci. 13: 3533–3548.

    CAS  PubMed  Google Scholar 

  19. Kljavin, I. J., Lagenaur, C., Bixby, J. L. and Reh, T. A., 1994, Cell adhesion molecules regulating neurite growth from amacrine and rod photoreceptor cells, J. Neurosci. 14: 5035–5049.

    CAS  PubMed  Google Scholar 

  20. Hicks, D., Forster, V., Dreyfus, H. and Sahel, J., 1994, Survival and regeneration of adult human photoreceptors in vitro, Brain Res. 643: 302–305.

    Article  CAS  PubMed  Google Scholar 

  21. Gao, H. and Hollyfield, J. G., 1995, Basic fibroblast growth factor in retinal development: differential levels of bFGF expression and content in normal and retinal degeneration (rd) mutant mice, Devel. Biol. (In press).

    Google Scholar 

  22. Sanyal, S., 1993, Synaptic growth in the rod terminals after partial photoreceptor loss., In: Progress in Retinal Research, Osborne, N. N. and Chader, G. J., eds., Oxford, England: Pergamon Press, pp 247–270.

    Google Scholar 

  23. Blair, J. R., Gaur, V, Laedtke, T. W., Li, L., Liu, Y., Sheedlo, H., Yamaguchi, K., Yamaguchi, K. and Turner, J. E., 1991, In oculo transplantation studies involving the neural retina and its pigment epithelium, In: Progress in Retinal Research, Osborne, N. N. and Chader, G. J., eds., Oxford, England: Pergamon Press, pp 69–88.

    Google Scholar 

  24. Schuschereba, S. T. and Silverman, M. S., 1992, Retinal cell and photoreceptor transplantation between adult New Zealand red rabbit retinas, Exp. Neurol. 115: 95–99.

    Article  CAS  PubMed  Google Scholar 

  25. Gouras, P., Du, J., Kjeldbye, H., Yamamoto, S. and Zack, D. J., 1994, Long-term photoreceptor transplants in dystrophic and normal mouse retina, Invest. Ophthalmol Vis. Sci. 35: 3145–3153.

    CAS  PubMed  Google Scholar 

  26. Bunt-Milam, A. H., Saari, J. C., Klock, I. B. and Garwin, G. G., 1985, Zonulae adhé rentes pore size in the external limiting membrane of the rabbit retina, Invest. Ophthalmol. Vis. Sci. 26: 1377–1380.

    CAS  PubMed  Google Scholar 

  27. Li, T., Adamian, M., Roof, D. J., Berson, E. L., Dryja, T. P., Roessler, B. J. and Davidson, B. L., 1994, In vivo transfer of a reporter gene to the retina mediated by an adenoviral vector, Invest. Ophthalmol. Vis. Sci. 35: 2543–2549.

    CAS  PubMed  Google Scholar 

  28. Bennett, J., Wilson, J., Sun, D., Forbes, B. and Maguire, A., 1994, Adenovirus vector-mediated in vivo gene transfer into adult murine retina, Invest. Ophthalmol. Vis. Sci. 35: 2535–2542.

    CAS  PubMed  Google Scholar 

  29. Bird, A. C., 1992, Investigation of disease mechanisms in retinitis pigmentosa, Oph. Paed. Genet. 13: 57–66.

    Article  CAS  Google Scholar 

  30. Hollyfield, J. G., Fliesler, S. J., Rayborn, M. E., Fong, S.-L., Landers, R. A. and Bridges, C. D., 1985, Synthesis and secretion of interstitial retinol-binding protein by the human retina, Invest. Ophthalmol. Vis. Sci. 26: 58–67.

    CAS  PubMed  Google Scholar 

  31. Bunt-Milam, A. H. and Saari, J. C., 1983, Immunocytochemical localization of two retinoid-binding proteins in vertebrate retinas, J. Cell Biol. 97: 703–712.

    Article  CAS  PubMed  Google Scholar 

  32. Huang, P., Gaitan, A., and Wong, F., 1993, Cellular interactions implicated in the mechanism of photoreceptor degeneration in transgenic mice expressing a mutant rhodopsin gene, Proc. Nat. Acad. Sci. USA. 90: 8484–8488.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  33. Steinberg, R. H., 1994, Survival factors in retinal degenerations, Curr. Opin. Neuwbiol 4: 515–524.

    Article  CAS  Google Scholar 

  34. Eisenfeld, A. J., Bunt-Milam, A. H. and Sarthy, P. V., 1984, Mü ller cell expression of glial fibrillary acidic protein after genetic and experimental photoreceptor degeneration in the rat retina, Invest. Ophthalmol. Vis. Sci. 25: 1321–1328.

    CAS  PubMed  Google Scholar 

  35. Erickson, P. A., Fisher, S. K., Guerin, C. J., Anderson, D. H. and Kaska, D. D., 1987, Glial fibrillary acidic protein in Mü ller cells after retinal detachment, Exp. Eye Res. 44: 37–48.

    Article  CAS  PubMed  Google Scholar 

  36. Lewis, G. P., Erickson, P. A., Guerin, C. J., Anderson, D. H. and Fisher, S. K., 1989, Changes in the expression of specific Mü ller cell proteins during long-term retinal detachment, Exp. Eye Res. 49: 93–111.

    Article  CAS  PubMed  Google Scholar 

  37. Guerin, C. J., Anderson, D. H. and Fisher, S. K., 1990, Changes in intermediate filament immunolabeling occur in response to retinal detachment and reattachment in primates, Invest. Ophthalmol. Vis. Sci. 31: 1474–1482.

    CAS  PubMed  Google Scholar 

  38. Milam, A. H. and Jacobson, S. G., 1990, Photoreceptor rosettes with blue cone opsin immunoreactivity in retinitis pigmentosa, Ophthalmol 97: 1620–1631.

    Article  CAS  Google Scholar 

  39. Korte, G. E., Hageman, G. S., Pratt, D. V., Glusman, S., Marko, M. and Ophir, A., 1992, Changes in Mü ller cell plasma membrane specializations during subretinal scar formation in the rabbit, Exp. Eye Res. 55: 155–162.

    Article  CAS  PubMed  Google Scholar 

  40. Li, Z.-Y., Possin, D. E. and Milam, A. H., 1995, Histopathology of bone spicule pigmentation in retinitis pigmentosa, Ophthalmol (In press).

    Google Scholar 

  41. Szamier, R. B., 1981, Ultrastructure of the preretinal membrane in retinitis pigmentosa, Invest. Ophthalmol. Vis. Sci. 21: 227–236.

    CAS  PubMed  Google Scholar 

  42. Abraham, F. A., Ivry, M. and Tsvieli, R., 1976, Sector retinitis pigmentosa. A fluorescein angiographie study, Ophthalmol, Basel. 172: 287–297.

    Article  CAS  Google Scholar 

  43. Krill, A. E., Archer, D. and Newell, F. W., 1970, Fluorescein angiography in retinitis pigmentosa, Am J Ophthalmol 69: 826–835.

    Article  CAS  PubMed  Google Scholar 

  44. Faktorovich, E. G., Steinberg, R. H., Yasumura, D., Matthes, M. T. and LaVail, M. M., 1990, Photoreceptor degeneration in inherited retinal dystrophy delayed by basic fibroblast growth factor, Nature. 347: 83–86.

    Article  CAS  PubMed  Google Scholar 

  45. Faktorovich, E. G., Steinberg, R. H., Yasumura, D., Matthes, M. T. and LaVail, M. M., 1992, Basic fibroblast growth factor and local injury protect photoreceptors from light damage in the rat, J. Neurosci. 12: 3554–3567.

    CAS  PubMed  Google Scholar 

  46. Berson, E. L., Rosner, B., Sandberg, M. A., Hayes, K. C., Nicholson, B. W., Weigel-DiFranco, C. and Willett, W, 1993, A randomized trial of vitamin A and vitamin E supplementation for retinitis pigmentosa, Arch. Ophthalmol 111: 761–772.

    Article  CAS  PubMed  Google Scholar 

  47. Rosner, M., Lam, T. T., Fu, J. and Tso, M. O. M., 1992, Methylprednisolone ameliorates retinal photic injury in rats, Arch. Ophthalmol 110: 857–861.

    Article  CAS  PubMed  Google Scholar 

  48. Li, J., Edward, D. P., Lam, T. T. and Tso, M. O. M., 1993, Amelioration of retinal photic injury by a combination of flunarizine and dimethylthiourea, Exp. Eye Res. 56: 71–78.

    Article  CAS  PubMed  Google Scholar 

  49. Edward, D. P., Lam, T. T., Shahinfar, S., Li, J. P. and Tso, M. O. M., 1991, Amelioration of light-induced retinal degeneration by a calcium overload blocker, Arch. Ophthalmol. 109: 554–562.

    Article  CAS  PubMed  Google Scholar 

  50. Li, Z.-Y. and Milam, A. H., 1995, Apoptosis in Retinitis Pigmentosa, In: Retinal Degeneration II, Anderson, R. E., Hollyfield, J. G. and LaVail, M. M., eds., New York: Plenum, In press.

    Google Scholar 

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Milam, A.H., Li, ZY. (1995). Retinal Pathology in Retinitis Pigmentosa. In: Anderson, R.E., LaVail, M.M., Hollyfield, J.G. (eds) Degenerative Diseases of the Retina. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1897-6_31

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  • DOI: https://doi.org/10.1007/978-1-4615-1897-6_31

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5774-2

  • Online ISBN: 978-1-4615-1897-6

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