Ivert L, Gouras P, Naeser P, Narfstrom K
Swedish University of Agricultural Sciences, Department Medicine & Surgery, Uppsala, Sweden.
Graefes Arch Clin Exp Ophthalmol. 1998 Nov;236(11):844-52. doi: 10.1007/s004170050169.
Photoreceptor transplants provide a potential means to restore function in a degenerate retina and/or rescue degenerating host photoreceptors by trophic influences. We have examined photoreceptor allografts in the Abyssinian cat model of hereditary photoreceptor degeneration to determine the viability and influence of such transplants on the host retina.
Small pieces of 3- to 5-day-old normal kitten retina containing undifferentiated photoreceptors were injected into the subretinal space of adult Abyssinian cats at an early stage of retinal degeneration using standard vitreo-retinal surgical techniques. The retinas were examined by ophthalmoscopy and fundus photography, then by light and electron microscopy at different times after surgery.
Such allografts survive for at least 6 months after surgery. The photoreceptors develop outer segments, invariably in rosettes. The transplants gradually integrate with the host retina but detach the host photoreceptor layer from the retinal pigment epithelium (RPE), which tends to reduce the number of host photoreceptors over the transplant. There is no slowing of the photoreceptor degeneration in neighboring non-detached retina. Inflammation or rejection was not detected.
Undifferentiated, neonatal photoreceptor allografts survive and develop outer segments in the subretinal space of the Abyssinian mutant feline retina. The allografts gradually integrate with the host neural retina without inducing rejection. In the vicinity of the transplant there is increased loss of host photoreceptors, considered to be due to their detachment from the RPE layer. There is no evidence of any rescue of host photoreceptors elsewhere in this mutant retina.
光感受器移植为恢复退化视网膜的功能和/或通过营养影响挽救退化的宿主光感受器提供了一种潜在手段。我们在遗传性光感受器退化的阿比西尼亚猫模型中研究了光感受器同种异体移植,以确定此类移植的生存能力及其对宿主视网膜的影响。
使用标准玻璃体视网膜手术技术,在视网膜退化的早期阶段,将含有未分化光感受器的3至5日龄正常小猫视网膜小块注入成年阿比西尼亚猫的视网膜下间隙。术后不同时间通过检眼镜和眼底摄影检查视网膜,然后进行光镜和电镜检查。
此类同种异体移植在术后至少存活6个月。光感受器形成外节,总是呈玫瑰花结状。移植逐渐与宿主视网膜整合,但使宿主光感受器层与视网膜色素上皮(RPE)分离,这往往会减少移植上方宿主光感受器的数量。相邻未分离视网膜中的光感受器退化没有减缓。未检测到炎症或排斥反应。
未分化的新生光感受器同种异体移植在阿比西尼亚突变猫视网膜的视网膜下间隙中存活并形成外节。同种异体移植逐渐与宿主神经视网膜整合,不诱导排斥反应。在移植附近,宿主光感受器的损失增加,认为这是由于它们与RPE层分离所致。在这种突变视网膜的其他部位没有证据表明宿主光感受器得到任何挽救。