Department of Ophthalmology, Columbia University, New York, New York.
Invest Ophthalmol Vis Sci. 2014 Mar 28;55(3):1910-8. doi: 10.1167/iovs.14-13867.
Bisretinoids form in photoreceptor cells and accumulate in retinal pigment epithelium (RPE) as lipofuscin. To examine the role of these fluorophores as mediators of retinal light damage, we studied the propensity for light damage in mutant mice having elevated lipofuscin due to deficiency in the ATP-binding cassette (ABC) transporter Abca4 (Abca4(-/-) mice) and in mice devoid of lipofuscin owing to absence of Rpe65 (Rpe65(rd12)).
Abca4(-/-), Rpe65(rd12), and wild-type mice were exposed to 430-nm light to produce a localized lesion in the superior hemisphere of retina. Bisretinoids of RPE lipofuscin were measured by HPLC. In histologic sections, outer nuclear layer (ONL) thickness was measured as an indicator of photoreceptor cell degeneration, and RPE nuclei were counted.
As shown previously, A2E levels were increased in Abca4(-/-) mice. These mice also sustained light damage-associated ONL thinning that was more pronounced than in age-matched wild-type mice; the ONL thinning was also greater in 5-month versus 2-month-old mice. Numbers of RPE nuclei were reduced in light-stressed mice, with the reduction being greater in the Abca4(-/-) than wild-type mice. In Rpe65(rd12) mice bisretinoid compounds of RPE lipofuscin were not detected chromatographically and light damage-associated ONL thinning was not observed.
Abca4(-/-) mice that accumulate RPE lipofuscin at increased levels were more susceptible to retinal light damage than wild-type mice. This finding, together with results showing that Rpe65(rd12) mice did not accumulate lipofuscin and did not sustain retinal light damage, indicates that the bisretinoids of retinal lipofuscin are contributors to retinal light damage.
双视黄醛在感光细胞中形成,并在视网膜色素上皮(RPE)中积累为脂褐素。为了研究这些荧光团作为视网膜光损伤介质的作用,我们研究了由于 ATP 结合盒(ABC)转运蛋白 Abca4 缺乏而导致脂褐素升高的突变小鼠(Abca4(-/-)小鼠)和由于缺乏 Rpe65 而没有脂褐素的小鼠(Rpe65(rd12)小鼠)发生光损伤的倾向。
Abca4(-/-)、Rpe65(rd12)和野生型小鼠暴露于 430nm 光下,在视网膜上半部分产生局部损伤。通过 HPLC 测量 RPE 脂褐素的双视黄醛。在组织学切片中,测量外核层(ONL)厚度作为光感受器细胞变性的指标,并计数 RPE 核。
如前所述,A2E 水平在 Abca4(-/-)小鼠中增加。这些小鼠还承受与光损伤相关的 ONL 变薄,比年龄匹配的野生型小鼠更明显;与 2 个月大的小鼠相比,5 个月大的小鼠的 ONL 变薄也更为明显。光应激小鼠的 RPE 核数量减少,Abca4(-/-)小鼠比野生型小鼠减少更多。在 Rpe65(rd12)小鼠中,RPE 脂褐素的双视黄醛化合物在色谱上未被检测到,也未观察到与光损伤相关的 ONL 变薄。
积累 RPE 脂褐素水平升高的 Abca4(-/-)小鼠比野生型小鼠更容易发生视网膜光损伤。这一发现,以及表明 Rpe65(rd12)小鼠不积累脂褐素且不发生视网膜光损伤的结果,表明视网膜脂褐素的双视黄醛是视网膜光损伤的原因之一。