Evereklioglu Cem, Ozkiriş Abdullah, Alaşehirli Belgin, Sari Ibrahim, Güldür Emin, Cengiz Beyhan, Kontaş Olgun
Departments of Ophthalmology Pathology, Erciyes University Medical Faculty, Kayseri Gaziantep University Medical Faculty, Gaziantep, Turkey.
Ophthalmic Physiol Opt. 2003 Nov;23(6):527-33. doi: 10.1046/j.1475-1313.2003.00148.x.
Smoking is a significant risk factor in several debilitating and fatal diseases. It has been implicated in bilateral tobacco-toxic and Leber's hereditary optic neuropathies. Although it has been demonstrated that smoking has a cumulative effect on retinal and optic nerve functions and causes diffuse and localised retinal sensitivity decrease in healthy chronic heavy smokers, the affected retinal layer has not been identified and there is no experimental study investigating the effect of nicotine exposure during gestation on the newborn rat retina.
This experimental investigation evaluated histologically the influence in vivo of maternal nicotine treatment during pregnancy on the newborn rat retina. Different dosages of the test compound simulated the range of low, moderate, and heavy smokers in humans.
Experimentally naive, adult female Wistar-albino rats weighing 200-250 g were mated with adult male rats over 2 days for copulation in the proportion of two females for every male animal. After confirming pregnancy with vaginal smear method, 40 gravid rats (dams) were then randomly assigned into four equal groups (three experimental and one control; n = 10 in each). On day 9 of gestation, groups 1, 2, and 3 experimental dams were treated with intraperitoneal (i.p.) (-)-nicotine tartrate at doses of 0.5, 1, and 2 mg kg body weight-1 day-1, respectively during pregnancy from gestational day 9-21. Group 4 control dams were given i.p. saline solution daily for the same period. After normal delivery, the newborn litters were sacrificed at postnatal day 1 or day 30. The eyes were enucleated for histopathologic and morphometric analysis of the retinas. Nicotine-induced neuronal changes were measured by morphometric analyses on cell counts of ganglion cell layer (linear cell density in number per unit length of retina) and thickness of the various retinal layers.
The litters in control group 4, and experimental groups 1 and 2 had normal retinal findings. On the other hand, morphometric analysis of retinal sections in experimental group 3 eyes demonstrated a 20.7% decrease in the number of surviving ganglion cells (40.7 +/- 2.0) compared with controls (51.3 +/- 1.1; p < 0.001). The thickness of whole retina (126.6 +/- 5.4 microm) was also reduced by 13.5% compared with controls (146.3 +/- 4.5 microm; p = 0.007). The main site of retinal atrophy was the inner plexiform layer (30.1 +/- 1.6 microm vs 43.5 +/- 1.3 microm; p < 0.001) with almost no change in the other retinal layers.
Gestational nicotine treatment induces marked changes in the organisation of the developing retina in newborn rats histopathologically. Quantitative morphometric analysis clearly demonstrated that the two most affected structures were the retinal ganglion cells and the inner plexiform layer, both of which are supplied by central retinal artery.
吸烟是多种使人衰弱和致命疾病的重要风险因素。吸烟与双侧烟草中毒性视神经病变和莱伯遗传性视神经病变有关。尽管已经证明吸烟对视网膜和视神经功能有累积影响,并导致健康的慢性重度吸烟者出现弥漫性和局限性视网膜敏感度下降,但受影响的视网膜层尚未明确,也没有实验研究调查孕期尼古丁暴露对新生大鼠视网膜的影响。
本实验研究从组织学角度评估孕期母体尼古丁治疗对新生大鼠视网膜的体内影响。不同剂量的受试化合物模拟了人类低、中、重度吸烟者的范围。
选用体重200 - 250 g、未经实验的成年雌性Wistar白化大鼠,与成年雄性大鼠在2天内交配,每只雄性动物配两只雌性。用阴道涂片法确认怀孕后,将40只妊娠大鼠(母鼠)随机分为四组(三组实验组和一组对照组;每组n = 10)。在妊娠第9天,实验组1、2、3的母鼠在妊娠第9 - 21天期间分别腹腔注射(i.p.)酒石酸(-)-尼古丁,剂量分别为0.5、1和2 mg·kg体重-1·天-1。第4组对照组母鼠在同一时期每天腹腔注射生理盐水。正常分娩后,新生仔鼠在出生后第1天或第30天处死。摘除眼球,对视网膜进行组织病理学和形态计量学分析。通过对神经节细胞层细胞计数(视网膜单位长度的线性细胞密度)和各视网膜层厚度进行形态计量分析,测量尼古丁诱导的神经元变化。
第4组对照组以及实验组1和2的仔鼠视网膜检查结果正常。另一方面,实验组3仔鼠视网膜切片的形态计量分析显示,存活神经节细胞数量(40.7±2.0)与对照组(51.3±1.1;p < 0.001)相比减少了20.7%。整个视网膜厚度(126.6±5.4μm)也比对照组(146.3±4.5μm;p = 0.007)减少了13.5%。视网膜萎缩的主要部位是内网状层(30.1±1.6μm对43.5±1.3μm;p < 0.001),其他视网膜层几乎没有变化。
孕期尼古丁治疗在组织病理学上可引起新生大鼠发育中视网膜组织结构的明显变化。定量形态计量分析清楚地表明,受影响最严重的两个结构是视网膜神经节细胞和内网状层,两者均由视网膜中央动脉供血。