Humphrey M F, Constable I J, Chu Y, Wiffen S
Western Australian Retinitis Pigmentosa Research Centre, Nedlands.
J Comp Neurol. 1993 Aug 22;334(4):545-58. doi: 10.1002/cne.903340404.
A wide variety of retinal pathology is associated with an increase in Müller glial cell expression of glial fibrillary acidic protein (GFAP). In this study the time course and spatial spread of the Müller cell GFAP response following argon laser photocoagulation lesions was examined in wholemounted rabbit retina. At 24 hours single focal lesions were surrounded by GFAP positive Müller cell end feet which declined in density with distance but extended as far as 2-3 mm from the lesion. The Müller cell reaction reached a maximal spread of 4-5 mm at 14 to 21 days and had started to contract by 30 days, leaving a core of GFAP positive processes immediately around the lesion site at 60 days. This zone of spread was much larger than the area of disrupted pigment epithelium. Isodensity plots did not reveal any correlation with the trajectory of retinal ganglion cell axons. The spread of reaction was more confined for lesions within the visual streak than in the dorsal or ventral retinal periphery. Multiple lesions within a focal region of retina resulted in a greater density of GFAP reactive end feet with a corresponding greater spread. However, when five to ten lesions were made in a horizontal row, the Müller cells over the entire retina became GFAP immunoreactive. This pan-retinal reaction took several days to spread, peaked at 7-14 days, and contracted back to the primary lesion sites by 2 months. This spread of Müller cell reactivity may be triggered by the diffusion of substances released by injury or it may be due to direct cellular communication. The extensive indirect effect on Müller cells of laser irradiation might be an important component of the clinical effect of laser photocoagulation and indicates a long distance communication mechanism between retinal glia which is poorly understood. This study also shows the importance of the time at which the Müller cell response is assessed.
多种视网膜病变与缪勒神经胶质细胞中胶质纤维酸性蛋白(GFAP)表达增加有关。在本研究中,我们在兔视网膜全层标本中检测了氩激光光凝损伤后缪勒细胞GFAP反应的时间进程和空间扩散情况。24小时时,单个局灶性损伤被GFAP阳性的缪勒细胞终足包围,其密度随距离下降,但从损伤处延伸至2 - 3毫米远。缪勒细胞反应在14至21天时达到最大扩散范围4 - 5毫米,到30天时开始收缩,60天时在损伤部位周围留下一圈GFAP阳性的突起核心。这个扩散区域比色素上皮破坏区域大得多。等密度图未显示与视网膜神经节细胞轴突轨迹有任何相关性。与视网膜背侧或腹侧周边相比,视区内损伤的反应扩散更局限。视网膜局灶区域内的多个损伤导致GFAP反应性终足密度更高,相应地扩散范围更大。然而,当在水平行制造五到十个损伤时,整个视网膜的缪勒细胞都变为GFAP免疫反应性。这种全视网膜反应需要几天时间扩散,在7 - 14天时达到峰值,并在2个月时收缩回到原发损伤部位。缪勒细胞反应性的这种扩散可能由损伤释放物质的扩散触发,也可能是由于直接的细胞间通讯。激光照射对缪勒细胞的广泛间接影响可能是激光光凝临床效果的一个重要组成部分,表明视网膜胶质细胞之间存在一种尚未完全理解的长距离通讯机制。本研究还显示了评估缪勒细胞反应时间的重要性。