(Investigative Ophthalmology and Visual Science. 2001;42:3301-3310.)
© 2001
by The Association for Research in Vision and Ophthalmology, Inc.
Light-Induced Migration of Retinal Microglia into the Subretinal Space
Tat Fong Ng and
J. Wayne Streilein
From The Schepens Eye Research Institute, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
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Abstract
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PURPOSE. To explore the effects of light exposure and deprivation on the
distribution and function of microglia in the subretinal space of mice.
METHODS. Using a monoclonal antibody, 5D4, that identifies resting, ramified
microglia, the distribution and density of microglia in the retina, and
the subretinal space were determined by confocal microscopy and by
immunohistochemistry of cryopreserved sections of eyes of albino and
pigmented mice exposed to diverse levels of light, ranging from
complete darkness to intense brightness. Axotomized retinal ganglion
cells were retrograde labeled by fluorescent tracer to
determine whether the marker colocalizes to 5D4+ cells.
Electron microscopy was used to evaluate microglia for evidence of
phagocytosis.
RESULTS. 5D4+ microglia in pigmented eyes were limited to the inner
retinal layers, but in albino eyes 5D4+ cells were found in
the outer retinal layers and subretinal space as well. The subretinal
space of eyes of albino mice raised from birth in complete darkness
contained few 5D4+ cells, but exposure to light caused the
rapid accumulation of 5D4+ cells at this site.
5D4+ cell density in the subretinal space correlated
directly with intensity of ambient light. Retrograde labeling of
axotomized ganglion cells resulted in 5D4+ cells in the
subretinal space that contained the retrograde label. Subretinal
microglia contained phagocytized rod outer segment discs. On intense
light exposure, 5D4+ cells adopted an active morphology,
but failed to express class II major histocompatibility complex (MHC)
molecules.
CONCLUSIONS. Light exposure induced retinal microglia migration into the subretinal
space in albino mice. Subretinal microglia appeared to augment through
phagocytosis the capacity of pigment epithelium to take up the
photoreceptor debris of light toxicity. The unexpected presence of
these cells in the subretinal space raises questions concerning their
potential contribution to immune privilege in this space and to the
fate of retinal transplants.
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Introduction
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For many of the blinding diseases of the retina, there are
no effective treatments or preventions. In this dire clinical
circumstance, retinal transplantation has been advocated as a means of
restoring sight. To date, there have been limited reports of successful
transplantation of a functioning mammalian retina, in experimental
animals or in human beings.1
2
3
The obstacles to
successful retinal transplantation are obvious and formidable, and they
include the potential of foreign retinal grafts to be rejected
immunologically. Because the eye is regarded as an immune-privileged
site, there is considerable interest in knowing the extent to which
immune privilege mitigates the threat of immune rejection of retinal
transplants, as it does for corneal transplants. Following a line of
investigation initiated more than a decade ago by Luke Qi Jiang et
al.,4
5
6
our laboratory has adopted a systematic approach
to understanding the vulnerability of neuronal retinal transplants to
immune rejection. One dimension of our approach is to inquire into the
existence of immune privilege in the subretinal spacethe most likely
site in which retinal transplants are to be placed. Another dimension
to our approach is to determine the extent to which neuronal retinal
tissue functions as an immune-privileged tissue.
In the course of studies into the fate of allogeneic neonatal neuronal
retina (NNR) transplants in the eye (anterior chamber, subretinal
space), we discovered that microglia indigenous to the graft have
important roles to play in dictating graft outcome.7
Both
syngeneic and allogeneic NNR allografts fulfill portions of their
development program when implanted into the anterior chamber and
subretinal space of eyes of adult mice. Photoreceptors differentiate,
but form rosettes, presumably because there are no retinal pigment
epithelial (RPE) cells nearby. As these rosettes form, a significant
number of microglia derived from the NNR graft migrate into the
rosettes center. At this site, the microglia become activatedthat
is, they express D-galactose, which binds the lectin
derived from Griffonia simplicifolia, and they express class
II major histocompatibility (MHC) molecules. As proposed originally by
Banerjee and Lund,8
this activation may coincide with, or
even result from, the acquisition of the capacity of these microglia to
phagocytize effete rod outer segments. The symbiosis of activated
microglia and photoreceptors in these aberrant rosettes appears to
promote the survival of photoreceptor cells in the absence of pigment
epithelium and thereby promotes survival of the NNR graft. Thus,
graft-derived microglia have a positive effect on graft outcome.
However, activation of microglia in this manner also has a
deleterious effect on survival of NNR allografts. Ma and
Streilein7
have reported that as NNR allografts gradually
deteriorate in the anterior chamber, they become infiltrated with
recipient-derived CD4+ T cells. Simultaneously,
donor-derived microglia within the grafts, especially those within
rosettes, express extremely high levels of class II MHC molecules.
Because microglia are the only cells within the graft that express
these molecules, the authors have proposed that effector
CD4+ T cells that recognize donor antigens on
microglia induce rejection, and the graft then deteriorates under the
influence of the proinflammatory cytokines that are released locally.
These results suggest that not only the ability of neonatal neuronal
retinal allografts to sensitize their recipients is due to their
content of microglia, but the vulnerability of these grafts to
rejection by CD4+ T cells is also largely
dictated by activated, graft-derived microglia.
To enhance our understanding of the immunobiology of microglia within
retinal tissue and in light of their changing states of activation and
expression of cell surface molecules, it is necessary to be able to
identify microglia unequivocally, irrespective of their state of
activation, and to distinguish them from monocytes and macrophages of
peripheral blood origin. It has been reported that resting microglia
express the complement receptor CR3 and CD11B and the molecules
identified by monoclonal antibody F4/80. In addition microglia,
especially when activated, can be stained with GS lectin and anti-MHC
class II antibodies.9
10
11
12
However, none of these reagents
permits us to distinguish resting, ramified microglia from
blood-derived macrophages. It has recently been
reported13
14
15
that a monoclonal antibody, 5D4, that is
directed at keratan sulfate proteoglycans (KSPGs), labels a subset of
resting, ramified microglia in the central nervous system (CNS) and can
distinguish these cells from blood-borne monocytes and macrophages. Not
only have we determined that 5D4 can identify resting microglia in the
retina, but the availability of this antibody has enabled us to
discover that exposure to light has a powerful effect on the
distribution and activation of retinal microglia, especially in albino
mice. The results of these experiments form the basis of this report.
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Materials and Methods
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Experimental Design
All experimental procedures concerning animals in this study
were performed according to the ARVO Statement for the Use of Animals
in Ophthalmic and Vision Research. All mice were housed and bred in two
different rooms. Mice in the light room were maintained in a 12-hour
dark12-hour light cycle (referred to as cyclic light), and the range
of exposure per cage was set experimentally between 100 and 500 lux.
Mice in the dark room were maintained in complete darkness for the full
24-hour daily cycle. Safe red light illumination was used only during
cage changing and experimental examinations.
Mice were killed by an overdose of anesthesia with a mixture of 150
mg/kg ketamine (Ketalar; Parke-Davis. Shawnee, KS) and 6 mg/kg xylazine
(Rompun; Haver-Lockhart, Morris Plains, NJ) at the appropriate time
points. Whole eye globes were extirpated, and the retina was dissected
and fixed as a wholemount in 4% paraformaldehyde in PBS
(n = 5 at each time point). For selected time points,
eyes were cryoprotected in 30% sucrose in PBS and cut into 10-µm
cryosections.
Presence of Microglia in the Subretinal Space
Young adult (postnatal weeks 6 and 7) pigmented (C57BL/6 and
DBA/2) and albino (BALB/c, A/J, and
C57BL/6J-Tyrc2J) mice were housed in our vivarium
under normal light (250 lux outside the cage) and were killed after 1
week. For some groups of C57BL/6 and BALB/c mice, two other light
conditions (100 and 500 lux) were also used. In general, the amount of
light, in lux units, measured inside the cage ranged between one fifth
and nine tenths the amount measured outside the cage. C57BL/6 and
BALB/c mice were raised in our animal colony (Schepens Eye Research
Institute, Boston, MA), DBA/2 mice were purchased from Taconic Farms
(Germantown, NY), and A/J and C57BL/6J-Tyrc2J
mice were purchased from Jackson Laboratory (Bar Harbor, ME).
Temporal Distribution of Subretinal Microglia in Retinas
BALB/c mice ranging in age from day of birth (P0) to 18 months
were raised under either complete darkness in a light-tight dark room
or conventional light, as provided in our vivarium. Mice were killed at
the selected ages, including postnatal days (P)0, P4, P8, P12, P15, and
P21 and 6 weeks, 12 months, and 18 months. Wholemount retinas were
dissected and examined microscopically after immunostaining. After
immunostaining, the number of 5D4+ cells was
counted in retinal wholemounts. A systematic, randomized sampling
method (the fractionator method) with the "forbidden-line"
rule16
was used. The orientation of the retinas was
entirely random on the slide. A systematic nonoverlapping series of
fields (3040) was examined across the whole retina at a magnification
of x200. The size of each field was 0.25 mm2.
The total area sampled from each retina ranged from 7.2 to 9.6
mm2 representing approximately 20% to 25% of
the area of the retina.
Section of Optic Nerve Followed by Fluorescent Tracer Labeling
Five young adult BALB/c mice (postnatal week 6, raised in the
dark room) were anesthetized with intraperitoneally injected anesthesia
of mixed ketamine and xylazine (as described earlier). The left optic
nerve was surgically exposed within the orbit and transected
approximately 1 mm behind the optic disc. Special care was taken when
opening the dura mater and when performing the transection of the optic
nerve to avoid damaging either the orbital blood vessels or the
internal ophthalmic artery. In mouse eyes, this artery lies beneath the
optic nerve. This careful surgical procedure insured that that normal
retinal circulation was preserved both during and after surgery. A
small piece of gelfoam soaked with 5% fluorescent tracer (FluoroGold;
Fluorochrome, Denver, CO) was deposited immediately at the
transection site. This dye is taken up by severed axons and is quickly
transported retrograde into the parent ganglion cell bodies in the
retina. It has been demonstrated that approximately 50% of retinal
ganglion cells die within 7 days after axotomy17
and that
microglial cells phagocytize membrane particles containing the
dye.18
Two weeks after axotomy, most microglial cells in
the ganglion cells layer should be specifically labeled. After axotomy,
experimental mice were transferred from an illumination condition of
100 to 500 lux in an effort to induce migration of microglia to the
subretinal space. After 1 week of illumination in 500 lux, the animals
were killed. Ten-micrometer cryosections were prepared and
immunolabeled using 5D4 antibodies.
Immunohistochemistry
The following antibodies, including anti-keratan sulfate
proteoglycan (5D4, 1:300; Sekagaku, Tokyo, Japan), macrophage marker
(F4/80, 1:100; Caltag, Burlingame, CA), anti-MHC II
(I-Ad, 1:100; PharMingen, San Diego, CA),
anti-neurofilament M (NF-M, 1:1000; Chemicon, Temecula, CA),
anti-inter-retinoid-binding protein (IRBP, 1:100) and
anti-zonula-occludentes (ZO-1; 1:250; Zymed, San Francisco, CA)
were used to label the microglia, retinal ganglion cells, and
photoreceptors. Secondary antibodies tagged with Cy-2 (1:100) and Cy-3
(1:1000; Jackson ImmunoResearch, West Grove, PA) directed against the
specific primary antibodies were used. Wholemount retinas were first
made permeable by incubating in 1% Trition X-100 in PBS for 1 hour and
washed three times in PBS. The retinas were then incubated in selective
primary antibodies in 0.1% TX-100 overnight and rinsed thoroughly
before the application of the secondary antibodies. For double
labeling, second primary antibodies were applied after the first
secondary antibodies were rinsed off. After the staining, confocal
microscopy with a confocal laser scanning microscope (TCS 4D; Leica,
Deerfield, IL) was used to examine the double-labeled cells.
Electron Microscopy
Animals were perfused with 0.8% saline and then with
half-strength Karnovsky fixative (pH 7.4). Eyes were removed and
postfixed in half-strength Karnovsky fixative for 24 hours The cornea
and the lens were removed to prepare a posterior eye cup, which was
embedded in Epon-Araldite. Semithin sections (12 µm) were stained
with toluidine blue; ultrathin sections (6090 nm) were stained with
uranyl acetate and lead citrate before examination in a transmission
electron microscope (EM410; Philips, Eindhoven, the Netherlands).
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Results
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Distribution of 5D4-Reactive Microglia in Normal Retina
Eyes of normal, adult BALB/c, A/J, DBA/2, and C57BL/6 mice were
enucleated. Wholemounts of retina were prepared, fixed in 4%
formaldehyde, and stained with 5D4 antibody. The wholemounts were then
observed by confocal microscopy. Cryopreserved sections were also
prepared from some eyes to describe the distribution of
5D4+ cells according to the various layers of the
retina. As displayed in Figures 1A and 1B
, extensively ramified microglia with slender cell bodies were
detected in the ganglion cell layer of all strains of mice. In eyes of
DBA/2 and C57BL/6 mice, this was the primary site of localization,
although, very infrequently, 5D4+ cells were also
present in the inner plexiform layer and inner nuclear layer. It is
important to point out that virtually no 5D4+
cells were detected in the outer retinal layers or in the subretinal
space. By contrast, in the retinas of BALB/c and A/J mice, large
numbers of 5D4+ cells were found well beyond the
ganglion cell, inner plexiform, and inner nuclear layers. Particularly,
5D4+ cells were detected within the outer nuclear
layer and even among the photoreceptors. In fact, the highest density
of 5D4+ cells within the retina was found among
the rod outer segments and, apparently, within the subretinal space. To
further localize these 5D4+ cells, wholemounts of
BALB/c retinas were counterstained with a monoclonal antibody directed
at ZO-1, a component of the tight junctions that unite RPE cells at
their apices. As the image displayed in Figure 1C
reveals,
5D4+ cells were found to be located immediately
adjacent to the RPE. To confirm the location of
5D4+ cells within the subretinal space, BALB/c
retinas were cryopreserved, sectioned, and stained with 5D4 and with an
antibody directed at interphotoreceptor retinoid-binding protein, a
component of the interphotoreceptor matrix of the subretinal space.
5D4+ cells were readily detected within the
subretinal space in these sections (Fig. 1D)
. These results indicate
that 5D4 detects resting, ramified retinal microglia, as it does
similar microglia in the brain. To show that the 5D4 cells we observed
were microglia rather than detached RPE cells, the wholemount
retina was double labeled with antibodies to 5D4 and F4/80. All
5D4-bearing cells were also F4/80+ (data not
shown). More important, these findings indicate that the distribution
of these microglia is not identical in the retinas of all mouse
strains. In certain strains, 5D4+ microglia are
not only present (as expected) in the inner layers of the retina, but
also in the outer layers, including the subretinal space.

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Figure 1. Immunolabeling of retinal microglia with 5D4 antibody.
Arrowheads indicate microglia in all panels.
(A) A ramified microglia stained with 5D4 antibody
(red) in the ganglion cell layer of a wholemount of
retina from adult BALB/c mouse. The section is counterstained with
neurofilament antibody (green). (B) Several
ramified microglia in the retinal ganglion cell layer of a 10-µm
cryosection. (C) Ramified 5D4+
microglia resting on the surface of an intact layer of RPE
counterstained (green) with anti-ZO-1 antibody.
(D) A ramified 5D4+ cell resting among
photoreceptor cells stained with anti-IRBP antibody
(green). (E) Ramified 5D4+
cells double labeled with fluorescent tracer (yellow) and
5D4 (red) in the ganglion cells layer. (F) A
fluorescent tracer (yellow)labeled microglia in the
subretinal space. GCL, ganglion cells layer; IPL, inner plexiform
layer; INL, inner nuclear layer; ONL, outer nuclear layer; OPL, outer
plexiform layer. Scale Bar, 20 µm.
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The density of 5D4+ cells within the subretinal
space of retina wholemounts was assessed by microscopy in all four
strains of mice. The results (Fig. 2)
indicate that rare to no 5D4+ cells were present
within the subretinal space of eyes of C57BL/6 and DBA/2 mice. By
contrast, upward of 60 5D4+
cells/mm2 were detected in the subretinal space
of BALB/c and A/J retinas. Because large numbers of
5D4+ microglia were found within the subretinal
space of eyes of albino mice (BALB/c, A/J) but not within this space in
eyes of pigmented mice (C57BL/6, DBA/2), we suspected that distribution
of 5D4+ microglia in mouse retinas may be
influenced by light exposure in relation to intraocular pigment
deposition.

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Figure 2. Density of 5D4+ cells in subretinal space of different
strains of adult mice. The density of 5D4+ microglia in the
subretinal space of retinal wholemounts (five eyes per group) was
determined by confocal microscopy for BALB/c and A/J mice (albino) and
for DBA/2 and C57BL/6 mice (pigmented). Bars, mean number of cells per
square millimeter ± SEM.
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Origins of 5D4+ Microglia that Accumulate in Subretinal
Space on Light Exposure
Because 5D4+ microglia are normally present
in the inner layers of the retina, it is simplest to speculate that
these microglia respond to light exposure and toxicity by migrating
into the outer layers and subretinal space. To evaluate the validity of
this speculation, we labeled microglia in the inner retinal layers as
follows. The optic nerve of BALB/c mice was transected, and a small
piece of gelfoam soaked with 5% fluorescent tracer was applied to the
transected end. The label was expected to be transported retrograde to
ganglion cells of the retina, and when these cells underwent
degeneration (as a consequence of the transection), the tracer was
released and could be taken up by resident microglia. Therefore, if
5D4+ cells containing fluorescent tracer appeared
in the subretinal space, this provides prima facie evidence that the
cells originated from the inner retinal layers. Adult BALB/c mice,
after optic nerve transection and fluorescent tracer labeling, were
kept in dim light (100 lux) for 2 weeks and then transferred to bright
light (500 lux). After an additional 2 weeks, the manipulated eyes were
enucleated, and the distribution of 5D4+ and
fluorescent tracer+ cells in the retina was
evaluated. Representative microscopic images are displayed in Figures 1E
and 1F
. As before, highly ramified 5D4+
microglia were present in the inner and outer layers of the retina, and
in the subretinal space. Fluorescent tracer+
cells were also detected in these locations (Fig. 1F)
. The
double-labeled image showed that some (but not all) of the
5D4+ cells in the inner layers of the retina were
labeled with fluorescent tracer+ (Fig. 1E)
,
indicating that they had phagocytized components of degenerating
ganglion cells. More important, some of the 5D4+
cells in the subretinal space were also found to contain fluorescent
gold tracer. We interpret these results to mean that at least some of
the 5D4+ cells in the subretinal space of retinas
exposed in vivo to bright light arose from the inner layers of the
retina and migrated into the outer layers and subretinal space.
Influence of Light Exposure on Microglia Distribution in Eyes of
Albino and Pigmented Mice
In our vivarium, average light exposure is approximately 250 lux,
and animals are exposed to a 12-hour on-off cycle. Our next experiments
were designed to allow us to examine microglia distribution in eyes of
mice that were exposed for prolonged intervals to sustained,
high-intensity light, and eyes in a different group of mice that were
deprived of light exposure for prolonged intervals, including from
birth. In the first of these experiments, one group of BALB/c mice,
born to mothers that were placed in absolute darkness, were raised in
this dark environment until individual groups were killed at 15 days, 3
weeks, and 6 weeks. The density of 5D4+ cells in
the subretinal space of the enucleated eyes was then assessed as
described. Companion BALB/c mice were born to mothers raised under
conventional light in our vivarium. Groups of these pups were killed at
similar time intervals, and the content of 5D4+
cells in the subretinal space determined.
The results of these experiments are presented in Figure 3
. In mice raised and maintained under conventional light, significant
numbers of 5D4+ cells were detected in the
subretinal space as early as 15 days after birth. The density of these
cells continued to increase, reaching more than
70/mm2 at 6 weeks. In contrast, fewer than 10
cells/mm2 were present in the subretinal space of
eyes of BALB/c mice raised and maintained in darkness. Even at 6 weeks
of age the density of these cells remained at approximately 10
cells/mm2. These results, demonstrating a tight
correlation between exposure to light and the gradual accumulation of
5D4+ cells in the subretinal space of eyes of
albino mice, suggest that exposure to light is responsible for the
accumulation of microglia within the subretinal space.

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Figure 3. Density of 5D4+ cells in subretinal space of BALB/c mice
raised in total darkness or in conventional light. Pregnant BALB/c
females were placed in complete darkness or conventional light (250
lux) in the vivarium. When the pups were born, they were maintained
under similar light conditions. Eyes of the pups were enucleated and
the density of 5D4+ cells in the subretinal space
determined at various time points after birth. Bars, mean number of
cells per square millimeter ± SEM.
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If the correlation between exposure to light and 5D4 cell accumulation
in the subretinal space is meaningful, it might exist exclusively in
albino mice, because pigmented epithelium of the iris, ciliary body,
and retina acts to quench nonfocused light exposure, and therefore
light toxicity, in the eye. To examine this possibility, BALB/c and
C57BL/6 mice that were born to mothers raised under conventional light
were maintained under conventional light and killed immediately and at
P4, P8, P12, and P15; 3 and 6 weeks; and 12 months. Subretinal
5D4+ cell densities were determined as before on
retinal wholemounts prepared from the enucleated eyes. As the results
presented in Figure 4
reveal, the subretinal space of C57BL/6 mice acquired only rare
5D4+ cells throughout development and adult life
under ambient light conditions. Only after 12 months did the density of
these cells increase to significant levels (approximately 10
cells/mm2). By contrast, the subretinal space of
eyes of BALB/c mice began to accumulate 5D4+
cells as early as P8 and increased to high levels at day 12, at
approximately the time the eyelids were first opening in these pups.
The level of 5D4+ cells in the subretinal space
of adult BALB/c mice was high and remained so for the entire first year
of life. The failure of microglia to accumulate in the subretinal space
of eyes of pigmented C57BL/6 mice provides further support for the
contention that light, perhaps light toxicity, causes the accumulation
of microglia in the subretinal space of eyes of albino mice.

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Figure 4. Density of 5D4+ cells in subretinal space of BALB/c and
C57BL/6 mice during postnatal life. Eyes were enucleated in groups
(five each) of BALB/c and C57BL/6 mice at various time points after
parturition. The mice were housed in conventional light (250 lux) in
the vivarium. Bars, mean number of cells per square millimeter ±
SEM.
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In the third experiment in this series, we inquired whether adult mice
maintained under different levels of light would display different
densities of 5D4+ cells in the subretinal space.
For these experiments we used BALB/c mice (albino), C57BL/6 mice
(pigmented), and C57BL/6J-Tyrc2J mice (albino
mutation on a C57Bl/6 background). The last strain of mice enabled us
to determine whether the important difference between BALB/c and
C57BL/6 mice with regard to density of microglia in the subretinal
space was due solely to the presence or absence of melanin pigment.
Mice of each strain were born to mothers raised in complete darkness.
As adults, raised and maintained in complete darkness, panels of these
strains of mice were placed in three different light conditions for 2
weeks: dim (<100 lux), conventional (250 lux), or bright (500 lux). At
the end of these intervals, the mice were killed, their eyes
enucleated, and the density of 5D4+ cells in the
subretinal space determined (Fig. 5)
. Dark-reared mice, both albino and pigmented, placed in dim light
acquired very few subretinal microglia after 2 weeks exposure.
Dark-reared BALB/c mice placed in conventional light for 2 weeks
acquired significantly higher levels (>50
cells/mm2, t-test, P =
0.004) of 5D4+ cells in the subretinal space,
compared with dark-reared C57BL/6 and
C57BL/6J-Tyrc2J mice that displayed very few
5D4+ cells in the subretinal space after 2
weeks exposure to conventional light. Under bright light for 2 weeks,
the density of 5D4+ cells rose greatly in BALB/c
and C57BL/6J-Tyrc2J subretinal spaces (>180 and
>90 cells/mm2, respectively; t-test,
P = 0.06), compared with the density of these cells in
the subretinal space, which remained low in C57BL/6 mouse retinas
(between 10 and 20 cells/mm2; t-test,
P = 0.002). On the one hand, these results further
support the hypothesis that light exposure (perhaps causing toxicity)
induces 5D4+ microglia to appear in the
subretinal space of retinas of albino, but not pigmented, mice. On the
other hand, the accumulation of 5D4+ cells was
more impressive in the subretinal space of BALB/c than in
C57BL/6J-Tyrc2J retinas (both strains are
albinos). This suggests that genetic factors beyond melanin
pigmentation may mean that factors in addition to light influence the
magnitude of this light-induced effect.

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Figure 5. Density of 5D4+ cells in subretinal space of dark-raised
mice after transfer to different levels of light intensity. BALB/c
(albino), C57BL/6 (pigmented), and C57BL/6-TyrC2J (albino)
mice were born to dark-conditioned mothers and maintained in the
absence of light until adulthood (8 weeks). The mice were then
transferred into light environments of different intensity (dim: 100
lux, 12-hour on-off cycle; conventional: 250 lux, 12 hour on-off cycle;
bright: 500 lux, continuous light). Bars, mean number of cells per
square millimeter ± SEM.
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Influence of Change in Light Intensity on Maintenance of
5D4+ Cell Density in the Subretinal Space
Microglia are mobile cells, and this feature caused us to wonder
whether a change in light exposure would cause a commensurate change in
5D4+ cell density in the subretinal space. To
examine this matter, BALB/c mice that had been raised in complete
darkness were placed, as adults, in bright light (500 lux, continuous
exposure). Groups of animals were killed after 1, 2, 3, 7, and 14
days exposure to this level of light, and a density of
5D4+ cells in the subretinal space was
determined. In companion experiments, adult BALB/c mice that were
raised and maintained under conventional light (250 lux, 12-hour
lightdark cycle) were placed in complete darkness. Groups of these
mice were killed after 1, 2, and 3 weeks of complete darkness, and the
density of subretinal 5D4+ cells determined. The
results of these experiments are presented in Figure 6
. Dark-raised mice suddenly exposed to bright light (Fig. 6A)
rapidly
acquired 5D4+ microglia in the subretinal space,
reaching levels in excess of 50 cells/mm2 at 1
week, and greater than 200 cells/mm2 at 2 weeks.
Mice raised in conventional light and suddenly placed in complete
darkness (Fig. 6B)
displayed little if any change in the density of
microglia in the subretinal space. In the third experiment of this
series, adult BALB/c mice maintained for 2 weeks under bright light
(continuous 500 lux) were placed in complete darkness and their retinas
examined for 5D4+ cells in the subretinal space
after 2 weeks. Whereas the density of 5D4+ cells
in the subretinal space after 2 weeks of bright light was almost 200
cells/mm2, the density of these cells in the
subretinal space after 2 weeks of darkness decreased to approximately
100 cells/mm2 (Fig. 6B)
. Together, these results
support the view that the density of microglia in the subretinal space
of eyes of albino mice is directly related to the intensity of ambient
light exposure. At the extremesanimals maintained in complete
darkness versus those maintained in bright lightchanges in ambient
light were reflected in significant changes in microglia density in the
subretinal space. By contrast, for animals maintained in conventional
light, exposure to complete darkness had very little immediate effect
(within 3 weeks) on the density of 5D4+ cells in
the subretinal space.

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Figure 6. Change in 5D4+ cell density in subretinal space after
shifting mice from dark to light conditions and vice versa.
(A) BALB/c mice were raised in complete darkness. As adults,
the mice were transferred into bright light (500 lux, continuous).
(B) Adult BALB/c mice raised in conventional light were
exposed for 2 weeks to bright light (500 lux, continuous). The mice
were then transferred into an environment of complete darkness. Eyes
were enucleated from both sets of mice at periodic intervals, and the
density of 5D4+ cells in the subretinal space was
determined. Bars, mean number of cells per square millimeter ±
SEM.
|
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Evidence for Phagocytosis by Microglia in the Subretinal Space
The presence of cells with the potential for phagocytosis in a
site in which phagocytosis by RPE (of effete rod outer segments) occurs
constitutively led us to inquire whether microglia in the subretinal
space of albino eyes are capable of phagocytosing rod outer segments
after light exposure. Retinas from eyes removed from BALB/c mice
exposed to conventional and bright light were analyzed by electron
microscopy. As revealed in Figure 7
, microglia adjacent to rod outer segments (Fig. 7A)
, and within the
interphotoreceptor matrix near pigment epithelial cells (Fig. 7B)
contained numerous profiles of phagocytized rod outer segments.
Moreover, the configuration of microglia in the subretinal space was
different from that of cells in the inner retina. In retinas removed
from eyes of mice exposed to bright light, 5D4+
cells in the subretinal space displayed large, round cell bodies and
short, stubby dendrites (Fig. 7C)
. However, when similar mice were
suddenly exposed to darkness for 2 weeks, the
5D4+ cells in the subretinal space displayed
small, slender cell bodies, and longer, more ramified dendrites. These
results indicate that, especially in bright light, microglia in the
subretinal space are capable of phagocytizing rod outer segments, and
their morphologic configuration suggests that the cells have been
activated.

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Figure 7. Evidence that subretinal 5D4+ cells are phagocytic. Eyes
were enucleated from adult BALB/c mice that had been exposed to bright
light (500 lux, continuous) for 2 weeks. (A) Electron
micrographic image of layers of retina and RPE. A microglia is
present between photoreceptor cells, and its cytoplasm contains
phagocytized rod outer segment (ROS) discs. (B)
Electron micrographic image of microglia with extensive profile of
phagocytized ROS discs. The cell is adjacent to an RPE cell.
(C) Light microscopic image of 5D4+
cells in the subretinal space. The cells have large, round cell bodies
and short, stubby dendrites. (D) Light microscopic image of
5D4+ cells in the subretinal space of a BALB/c
mouse that was placed in complete darkness for 2 weeks after a 2-week
exposure to bright light. 5D4+ cells have slender
cell bodies and extensively ramified dendrites. Scale bar,
(A, B) 3 µm; (C, D) 20
µm.
|
|
The activation implied by the morphology of subretinal microglia in
retinas exposed in vivo to bright light caused us to determine whether
class II MHC molecule expression had been induced on these cells. Class
II MHC molecules play a central role in presentation of antigens to T
lymphocytes and therefore are involved in transplantation immunology
and rejection. Retinal wholemounts obtained from eyes of adult BALB/c
mice exposed for 2 weeks to bright light were examined
immunohistochemically with confocal microscopy, using antibodies
directed at I-Ad and 5D4 for counterstaining.
Despite their morphologic appearance, activated
5D4+ cells displayed no evidence of
I-Ad expression. Thus, this form of microglia
activation was not associated with upregulation of MHC class II
molecules.
 |
Discussion
|
|---|
Microglia within the CNS and the retina can adopt a diverse range
of functional properties. At present, there is no single reagent that
can reliably distinguish all forms of microglia from macrophages. Using
immunohistochemical methods, identification of resting microglia with
extensively ramified dendrites has been particularly difficult.
Consequently, the monoclonal antibody 5D4 is an important addition to
the repertoire of microglia-identifying reagents. This antibody readily
detects resting, ramified microglia.13
14
15
Use of 5D4 in
our studies of the murine retina has revealed dimensions to the biology
of microglia that we had not anticipated. On the one hand, 5D4 proved
fully capable of marking ramified microglia in the inner layers of the
adult murine retina, where we expected to find them. On the other hand,
5D4 identified additional microglia that were present in the outer
layers of the adult retina, between photoreceptors, and within the
subretinal space adjacent to RPE. This unexpected distribution of
5D4+ cells was observed in adult retinas of
albino, but not pigmented, mice obtained from our vivarium.
The data presented lead us to suggest that ambient light exposure can
be a factor in determining the differential distribution of microglia
in the retina of different strains of pigmented and albino mice. In the
retinas of albino mice that were born, raised, and maintained as adults
in complete darkness, very few microglia were detected beyond the inner
layers of the retina. However, simply placing these mice in an
environment with cyclic bright light (500 lux) led within 1 week to the
appearance of large numbers of 5D4+ cells in the
subretinal space. At the end of 2 weeks of bright light exposure, an
even higher density of 5D4+ cells was found in
the subretinal space. Morphologic examination of these cells revealed
that they were activated and that they contained profiles of rod outer
segments in phagolysosomes. Together, these results suggest that light
toxicity promotes the appearance of 5D4+ cells in
the subretinal space of albino eyes, and in this site the cells
participate, along with pigment epithelial cells, in phagocytosis of
shed rod outer segmentsa consequence of acute light toxicity.
Determining the histogenic origin of microglia and macrophages in the
brain and retina is a continuing challenge. A large body of
literature9
10
11
12
indicates that microglia in the CNS share
some common markers with monocytes, and most investigators favor the
view that microglia share a common bone marrow (hematopoietic) origin
with blood-borne monocytes, rather than the former originating from
neuroectodermal origin, as do all other glia. Ling and
Wong10
reported that the drastic increase in ramified
microglia in the rodent CNS during the first postnatal week coincides
with a sharp decrease in bone marrowderived amoeboid cells. This
correlation suggests that the amoeboid cells transform to become
ramified microglia. Eglitis and Mezey19
demonstrated that
hematopoietic cells can differentiate into microglia in the brains by
transplanting genetically tagged bone marrow cells to adult female
mice. However, a recent experiment by Kurz and Christ20
demonstrated that avian CNS microglia precursors do not penetrate
through the wall of embryonic CNS vessels, but arise from migratory
macrophages that come from the pial surface and proliferate inside the
CNS to generate all microglia found in avian embryos. These findings
are further supported by the studies of Alliot et al.21
who demonstrated that microglia progenitors originate from the yolk sac
and proliferate in the brain.
In 1984, Sanyal et al.22
demonstrated that there was an
accumulation of ß-glucosaminadase+ cells in the
subretinal space of albino mice, but not in pigmented mice. They
suggested that the ß-glucosaminadase+ cells are
macrophages derived from the blood and that the cells function to
supplement the phagocytic activity of RPE. In other reports, wandering
phagocytes have been found at the interface of photoreceptors and RPE,
suggesting that the phagocytes may be responsible for removing shed
photoreceptor outer segments.23
24
25
It has also been
demonstrated that macrophages can be found in the subretinal space of
eyes of developing eutherian mammals and marsupials26
and
fetal humans,27
but only occasionally in eyes of the adult
opossum.26
28
These investigators suggest that fetal
subretinal macrophages migrate from the ciliary body, invading the
neuronal retina and becoming resident microglia.
Our results suggest a different scenario to account for the microglia
we found in the subretinal space of adult mouse eyes. We adopted a
strategy similar to that of Thanos18
and Thanos et
al.29
in which transection of the optic nerve and
retrograde labeling of ganglion cells with fluorescent tracer allowed
us to demonstrate that selectively labeled retinal microglia from the
ganglion cell layer migrated to the outer nuclear layer. Thus, we found
that at least a portion of the 5D4+ cells in the
subretinal space of eyes of light-exposed albino mice originated as
microglia from the inner layers of the retina. Because not all
microglia in the inner retinal layers nor all subretinal
5D4+ cells in this experiment contained the
fluorescent tracer label, we cannot be certain that all subretinal
5D4+ cells represent microglia that have migrated
from the inner retinal layers. However, Wilms et al.30
have reported that the 5D4 antibody does not stain blood-derived
macrophages directly nor does the antibody stains these cells when they
acquire a dendritic morphology after coculture with astrocytes.
Therefore, we suspect that the retina itself (the inner layers) is the
predominant, if not the only, source of the 5D4+
cells we observed in the subretinal space of light-exposed albino mice
and that the majority of these cells are microglia.
Other possible sources of these cells to consider are perivascular
microglia31
32
and macrophages from the
choroid.23
However, neither of these cell types would be
labeled by the fluorescent tracer in this study. Of note, it has been
reported that perivascular microglia are replaced regularly from the
bone marrow and that they constitutively express CD4 and MHC II
molecules.32
33
Taking our results together with the
finding of McMenamin34
that murine choroidal macrophages
constitutively express MHC II molecules, the likelihood is small that
the subretinal microglia we detected were either perivascular microglia
or choroidal macrophages. In our study, subretinal microglia did not
express MHC II molecules. However, we are aware of the possibility that
putative immunosuppressive factors in the subretinal space could
downregulate MHC II expression on macrophages that may migrate into
this immune-privileged site. It is relevant that the turnover rate of
microglia has been reported to be very slow,35
an
observation that further indicates that the microglia we observed in
the subretinal space arrive through migration, rather than from in situ
proliferation of precursor cells.
High light intensity has been demonstrated to cause irreversible damage
to retinas of albino rodents.36
37
38
Constant light of high
intensity can cause most of the photoreceptors to disappear within 1
week in these rodents.39
Similarly, cyclic light as well
as 270 lux has been shown to cause a significant decrease in the
thickness of the outer nuclear layer of albino rats.40
However, contrasting results were observed by Penn et
al.41
who reported that cyclic light as high as 800 causes
the outer nuclear layer to decrease at a rate of only 0.009
mm2/week in albino rats. By contrast, Danciger et
al.42
found no significant reduction in the outer nuclear
layer in BALB/c mice kept in cyclic light until 4.5 months of age. One
reason for these contrasting results may relate to genetically
determined strain differences among albino mice, only some of which
have limited degeneration while aging in normal cyclic
light.43
44
Intense light may not be the only factor implicated in migration of
microglia within the retina; aging has also been considered. The
thickness of the outer nuclear layer is reduced in aged
rodents,45
46
and it is possible that aging photoreceptors
place a greater burden on the RPE, a burden that directly or indirectly
leads to chemoattraction of microglia from the inner nuclear layer to
the subretinal space.18
Perhaps this explains why we found
many microglia in the subretinal space of pigmented, aged C57BL/6 mice
(18 months old).
The unexpected discovery of large numbers of microglia in the
subretinal space of eyes of albino mice adds a new variable to the
concept of immune privilege in this space. Several reports have
documented that the subretinal space is an immune-privileged site,
accommodating prolonged acceptance of allogeneic grafts of tumor cells
and of neonatal neuronal retina.4
47
Moreover,
injection of antigens into the subretinal space readily induces a
systemic form of immune deviation that resembles anterior
chamberassociated immune deviation (ACAID).48
The
studies on which these observations rest were all conducted in albino
recipient animals. Because these animals were housed under conventional
light in the vivarium, the subretinal space undoubtedly contained
5D4+ microglia. Thus, the immune privilege and
immune deviation that have been described in the subretinal space occur
when the space is already contaminated by microglia. Because these
5D4+ microglia are class II negative, they may
not function in situ as antigen-presenting cells, until or unless
trauma to, or inflammation in, the subretinal space alters them
locally.15
49
It is also possible that manipulation of the
subretinal space induces these cells to migrate to distant sites
(secondary lymphoid organs) where their expression of class II
molecules may be upregulated by factors in the local microenvironment,
thereby conferring on them the capacity for antigen presentation.
Our present experiments give little insight into the immunologic
meaning of the presence of activated microglia in the subretinal space.
We found that class II MHC molecules were not expressed on these cells,
even when the retinas were harvested from albino mice exposed for 2
weeks to continuous bright light. When antigens injected into the
anterior chamber of the eye induce ACAID, indigenous bone
marrowderived cells within the stromae of the iris and ciliary body
are believed to function as the relevant antigen-presenting
cells.50
51
52
Because immune deviation also occurs after
injection of antigen into the subretinal space, it is possible (at
least in albino mice) that 5D4+ microglia in the
subretinal space function as the relevant antigen-presenting cells. If
true, it could be predicted that antigens injected into the subretinal
space of eyes of pigmented mice may fail to induce immune deviation.
Alternatively, it has been reported that the immune privilege extended
in the subretinal space to allogeneic tumors is not
permanent,47
whereas allogeneic tumor cells injected into
the anterior chamber grow progressively and are never
rejected.53
Is the reason for the truncated
privilege described in the subretinal space that
5D4+ microglia are present and act to thwart
allograft acceptance? If true, it could be predicted that allogeneic
tumor cells injected into the subretinal space of pigmented mice would
experience indefinite immune privilege. These predictions hint at the
range of immunologic experiments that must follow the discovery of
microglia in the subretinal space.
By examining for the presence of microglia in the subretinal space of
eyes of albino and pigmented mice, we not only learned that light
exposure promotes the migration of microglia into the outer retinal
layers, but that melanin pigment within the uveal tract is a powerful
inhibitor of this process. We presume that pigment both reduces the
amount of light that enters the eye and absorbs scattered light within
the globe, thereby shielding the photoreceptors from the deleterious
effects of excess photic energy. C57BL/6 mice with a genetic mutation
that prevents melanin synthesis are albinos. We found that light
exposure promotes the penetration of 5D4+
microglia into the subretinal space of the eyes of these mice. The
finding that light-induced migration of 5D4+
cells into the subretinal space is less robust in
C57BL/6J-Tyrc2J mice than in BALB/c mice
indicates that light alone may not be the only variable influencing
this process.
Our results indicate that, during ontogeny, microglia were not present
in the subretinal space of murine eyes, a finding that differs from
that reported in humans. After exposure to ambient light (and before
the eyelids open at approximately 1214 days), microglia began to
accumulate in the subretinal space of eyes of albino pups. A steady
state of 5D4+ cell density was reached when the
mice were young adults, and this density was maintained for the entire
first year of life, if ambient light levels were maintained at a
relatively constant level. It has been hypothesized that the constant
renewal process among photoreceptor rod outer segments is designed to
provide a plasticity that is needed to accommodate to shifting light
levels in the environment.41
54
55
Animals adjust the
light absorption capabilities of their retinas by changing the length
of rod outer segments so that length is inversely proportional to light
intensity.56
Irrespective of the light-intensity level,
through time the retina adjusts. Thus, there is no difference in the
rate of degradation of outer segment discs in phagosomes of RPE cells
between albino and pigmented mice. This point is supported by our
observations that 5D4+ microglia in the
subretinal space of mice acutely exposed to cyclic bright light
displayed an activated morphology, but that after several weeks of
continuous exposure, the subretinal microglia readopted a ramified
appearance with slender cell bodies. Indirectly, this observation also
supports the contention that microglia in the subretinal space are
functioning as scavengers for the products of light toxicity, in a
sense supplementing the functions already displayed by RPE. It may well
be that the RPE in albino mice is especially vulnerable to light
damage, and when the phagocytic capacity is disturbed by the toxic
effects of light, phagocytic microglia come to their aid.
Aside from their apparent role in phagocytosis of shed rod outer
segments, the functional properties of microglia in the subretinal
space are largely unknown. As mentioned, we were interested in
determining the extent to which subretinally disposed microglia
participate in immune privilege and allograft rejection. The
possibilities are not limited to immune functions, however. For
example, we wonder whether activated microglia in the subretinal space
may be deleterious to photoreceptor cells or to RPE. We do not know
whether light damage in pigmented human eyes leads to microglia
accumulation in the subretinal space. It is not inconceivable that the
ease with which microglia can be induced to migrate into the subretinal
space is inversely proportional to the degree of melanin pigmentation
of the uveal tract. Perhaps intense light exposure in individuals with
lightly pigmented eyes promotes migration of microglia into the
subretinal space where further activation of these cells may have a
decidedly negative effect on retinal function.
 |
Acknowledgements
|
|---|
The authors thank Alice Adler for her generous gift of antibodies
against IRBP, Pat Pearson for lending her expertise in electron
microscopy, Marie Ortega for superb support with animal husbandry and
facilitation of lightdark housing conditions, Jacqueline Doherty for
expert managerial assistance, and Michael Young for many helpful
discussions.
 |
Footnotes
|
|---|
Supported by National Institutes of Health Grant EY-09595 and the Minda
de Gunzburg Research Center for Retinal Transplantation.
Submitted for publication March 29, 2001; revised August 23, 2001;
accepted September 5, 2001.
Commercial relationships policy: N.
The publication costs of this article were defrayed in part by page
charge payment. This article must therefore be marked
"advertisement" in accordance with 18 U.S.C.
1734
solely to indicate this fact.
Corresponding author: J. Wayne Streilein, Schepens Eye Research
Institute, 20 Staniford St., Boston, MA 02114.
waynes{at}vision.eri.harvard.edu
 |
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