Department of Ophthalmology, Summa Health System, Akron, Ohio, USA.
Invest Ophthalmol Vis Sci. 2012 Apr 6;53(4):1764-72. doi: 10.1167/iovs.11-7685.
Retinal injuries that affect the photoreceptors and/or the retinal pigment epithelium (RPE) may result in the leakage of retinal proteins into the systemic circulation. This study was designed to determine whether an immune response is elicited after an acute retinal injury resulting in circulating anti-retinal antibodies in the serum.
Fifty laser burns of different grades (minimally visible lesion [MVL], grade II [GII], or grade III [GIII] lesions) were created in the retinas of Dutch Belted rabbits. The degree of laser burns was confirmed by fundus imaging and histology. Serum samples were collected from the animals 3 months after the retinal injury. Candidate autoantigens were identified by two-dimensional (2-D) Western blots of rabbit retinal lysate probed with sera from either control or laser-treated animals. Candidate autoantigens were further characterized by immunostaining to confirm their retinal localization.
Seven and 11 protein spots were selected from the MVL and GII laser-treated samples, respectively, for autoantigen identification. No protein spots were detected in the GIII laser-treated samples. Four candidate autoantigens were common to both MVL and GII lesions: dihydropyrimidinase-related protein 2, fructose-bisphosphate aldolase C, chaperonin-containing T-complex polypeptide 1 subunit zeta, and pyruvate kinase isozyme.
Laser-induced retinal injuries resulted in circulating anti-retinal antibodies that were detectable 3 months after the injury. The response appeared to vary with the severity of the laser retinal damage. The identification of the candidate antigens in this study suggest that this approach may permit future development of new diagnostic methods for retinal injuries.
影响光感受器和/或视网膜色素上皮(RPE)的视网膜损伤可能导致视网膜蛋白渗漏到全身循环中。本研究旨在确定急性视网膜损伤后是否会引发免疫反应,导致血清中出现循环抗视网膜抗体。
在荷兰带兔的视网膜上创建 50 个不同等级(最小可见病变[MVL]、等级 II [GII]或等级 III [GIII]病变)的激光灼伤。通过眼底成像和组织学确认激光灼伤的程度。在视网膜损伤后 3 个月从动物收集血清样本。通过用来自对照或激光处理动物的血清探测兔视网膜裂解物的二维(2-D)Western 印迹鉴定候选自身抗原。通过免疫染色进一步表征候选自身抗原,以确认其视网膜定位。
从 MVL 和 GII 激光处理的样本中分别选择了 7 和 11 个蛋白质斑点用于自身抗原鉴定。在 GIII 激光处理的样本中未检测到蛋白质斑点。两种 MVL 和 GII 病变共有 4 种候选自身抗原:二氢嘧啶酶相关蛋白 2、果糖-1,6-二磷酸醛缩酶 C、含有 chaperonin 的 T 复合物多肽 1 亚基 ζ 和丙酮酸激酶同工酶。
激光诱导的视网膜损伤导致可在损伤后 3 个月检测到的循环抗视网膜抗体。该反应似乎随激光视网膜损伤的严重程度而变化。本研究中候选抗原的鉴定表明,这种方法可能允许未来开发新的视网膜损伤诊断方法。