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1From the Margaret M. Dyson Vision Research Institute, and 2Department of Ophthalmology, Weill Medical College of Cornell University, New York, New York; and the 4Ophthalmic Oncology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York.
| Abstract |
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METHODS. Cryosections of fetal week 11-18 retinas were immunostained for Rb and cell cycle or cell typespecific markers.
RESULTS. Rb was prominent in retinal progenitor cells (RPCs) expressing the cyclin D1, cyclin A, and cytoplasmic cyclin B markers of G1, S, and early to mid G2 phases, but not in RPCs expressing the phosphohistone H3 marker of late G2 and M. Rb was not detected in the earliest postmitotic ganglion, amacrine, horizontal, and bipolar cell precursors migrating away from the ventricular layer, but was detected as such cells underwent further differentiation. Among photoreceptors, Rb was not detected in the earliest RXR
(+) cone precursors or in the earliest Nrl(+) rod precursors, but subsequently rose to high levels in cones and to low levels in rods. Rb was prominent at the time when Müller glia exit the cell cycle and was generally expressed in a pattern complementary to p27Kip1.
CONCLUSIONS. Rb exhibits cell cyclespecific expression in RPCs, with loss in late G2-M and restoration in G1. Rb is re-expressed after postmitotic ganglion, amacrine, horizontal, and bipolar cell precursors migrate away from the ventricular layer; after the appearance of early cone and rod markers; but coinciding with Müller glia cell cycle withdrawal. The results suggest that Rb does not mediate the initial proliferative arrest of retinal neurons, but may indirectly induce arrest in RPCs or maintain an arrest in postmitotic precursors.
The human retina begins its development at Fwk 5 and initially consists of proliferating retinal progenitor cells (RPCs) within a neuroblastic layer (NBL).6 RPC nuclei undergo a cell cycledependent migration within the NBL, in which mitotic nuclei are positioned at the ventricular (outermost) layer, S phase nuclei are located in the middle NBL, and G1 and G2 nuclei migrate between these positions.7 8 Mitotic RPCs may give rise to additional RPCs or to postmitotic precursors of each of the mature retinal cell types, with the fate influenced by cell-intrinsic competence states and by extrinsic cues.9 Retinal development proceeds in a central to peripheral direction, such that proliferation ceases in the central retina by Fwk 12 and in the far periphery by Fwk 30.10 11
Histopathological analyses have provided clues to the cell type in which Rb may suppress tumorigenesis. Retinoblastomas often contain differentiated cells that express markers of cones and, to a lesser extent, markers of rods and Müller glia, but not markers of other retinal cells.12 13 Similarly, retinoblastoma cell lines express proteins that are specific to cones and rods but not other cell types.14 15 In tumors, cells that express glial markers adjoin and may form concurrent with cells that express photoreceptor markers.12 13 These findings suggest that retinoblastomas may derive from a cell that is committed to photoreceptor and glial differentiation or from an uncommitted cell that is restricted to such differentiation in the tumor environment.
Among mammals, retinoblastoma is almost exclusively a human disease, as it has been diagnosed in only two individual animals.16 17 Moreover, in mice, loss of Rb does not predispose to retinal tumors, and combined loss of Rb and either of the related proteins p107 or p130 results in tumors with amacrine but not photoreceptor differentiation.18 19 20 21 In this study, we sought to define the spatiotemporal pattern of Rb expression in the developing human retina, as a means of identifying cell types and developmental stages in which Rb may suppress tumorigenesis.
| Methods |
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For Rb staining, sections were postfixed in 4% PFA/PBS for 5 minutes, washed in 0.5 M NaCl/20 mM Tris (pH 8.0; TBS), treated with 1 mM EDTA/TBS for 5 minutes, washed with TBS, incubated in 0.1% H2O2 for 15 minutes, washed in TBS, treated with ABC kit reagent A (Vector Laboratories, Burlingame, CA) in TBS for 15 minutes, washed in TBS, treated with ABC kit reagent B (Vector Laboratories) in TBS for 15 minutes, washed in TBS, blocked and permeabilized in 5% horse serum+2% human serum in TBS (block 1), with 0.1% Triton-X-100 for 20 minutes, incubated in Rb antibody G3-245 (1:200; BD-PharMingen, San Diego, CA) in block 1+0.05% Tween-20 overnight at 4°C, washed in TBS, incubated in biotinylated horse anti-mouse antibody (1:135; Vector Laboratories) in block 1 for 30 minutes, washed in TBS, washed in 0.1 M sodium bicarbonate and 0.15 M NaCl (balanced saline), incubated with FITC-conjugated streptavidin (1:100; Vector Laboratories) in balanced saline, and washed with TBS. For costaining, sections were incubated in 5% goat serum and 2% human serum in TBS (block 2) for 20 minutes, incubated overnight with primary antibody (Supplementary Information, online at http://www.iovs.org/cgi/content/full/47/12/5590/DC1) in block 2, washed in TBS, incubated for 30 minutes in block 2 with secondary antibody (Supplementary Information online), and washed in TBS. Sections were stained with (4',6'-diamino-2-phenylindole (DAPI) and analyzed by indirect immunofluorescence or confocal microscopy.
| Results |
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As in other species, cyclin D1 was detected in the middle NBL (Fig. 3B) . Rb was detected in nearly all cyclin D1(+) cells (Figs. 3A 3B 3C , arrowheads; Supplementary Fig. S2 online), apart from rare cells at the interface of the outer and middle NBL (Figs. 3A 3B 3C , arrows). Notably, cyclin D1(+) cells often had weak Rb signals relative to the surrounding cells (Figs. 3A 3B 3C , compare cells marked by arrowheads with those marked by asterisks).
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To define further the cell-cycle position in which Rb signal declines, we costained for Rb and phosphorylated histone H3 (PH3), which is specific to late G2 and mitotic prophase, metaphase, and anaphase.27 PH3(+) cells had either a low, barely detectable nuclear Rb signal (not shown), a punctate Rb signal outside the PH-3(+) region (Figs. 3J 3K 3L , thick arrows), or no detectable Rb in the case of anaphase cells (Figs. 3J 3K 3L , thin arrow). This observation suggests that Rb levels decline at or before the time when histone H3 is phosphorylated in late G2.
After undergoing mitosis at the ventricular layer, early G1-phase RPC nuclei and postmitotic retinal precursor nuclei migrate through the outer NBL in the inward (vitread) direction. However, all Rb(+) cells in the outer NBL expressed cyclin A (Figs. 3D 3E 3F and data not shown), which is specific to S, G2, and early M.25 The lack of Rb in cyclin A() cells implies that Rb was not appreciably expressed in early G0 or G1 nuclei during their vitread migration.
In sum, Rb was present in cyclin D1(+) cells in the middle NBL, was detected at higher levels in cyclin A(+) and cytoplasmic cyclin B(+) cells in the middle and outer NBL, and was diminished in cyclin A(+), cyclin B(+), and PH3(+) cells at the ventricular layer (Fig. 3M) . The results imply that Rb expression increases during progression from G1 into S and G2, declines in late G2 and M coinciding with a punctate distribution pattern, and does not reaccumulate until RPC nuclei return to the middle NBL.
Rb Expression in Postmitotic Retinal Cells
After undergoing mitosis at the ventricular layer, RPCs give rise to additional RPCs or to postmitotic retinal precursors. To define the Rb expression pattern during the genesis of postmitotic cells, we stained for Rb and early markers of the different retinal cell types.
Rb in Ganglion Cell Precursors.
Ganglion cells are produced in the retinal far periphery at Fwk 12.11 Islet-1 is an early marker of such cells and is first expressed at the ventricular layer soon after mitosis.28 29 Islet-1 was highly expressed in precursors migrating through the NBL as well as in the incipient ganglion cell layer (GCL; Figs. 4A 4B ). Rb was not detected in migrating Islet-1(+) cells in the outer NBL (Figs. 4A 4B 4C , arrows), but was prominent in Islet-1(+) cells at the interface of the NBL and GCL (Figs. 4A 4B 4C , arrowheads). Rb was also detected at low levels in a subset of cells in the incipient GCL and in the more mature GCL at later ages (Figs. 1 4) , suggesting that Rb levels may decline during ganglion cell maturation. To define further the timing of Rb expression, we costained for Rb and Brn-3b, which is specific to postmitotic ganglion cells.30 31 Rb was prominent in Brn-3b(+) cells at the interface between the NBL and GCL (Figs. 4D 4E 4F , arrowheads), suggesting that Rb accumulates at or before the time when Brn-3b is first expressed.
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After migrating to the inner NBL, horizontal cell precursors migrate in the outward direction and express the Prox1 and Lim1 proteins.33 34 35 At Fwk 11, Prox1 was detected at low levels in Ki67(+) RPCs, but at far higher levels in distinctively shaped, Ki67() nuclei in the central and midperipheral retina (data not shown). The time of appearance and position of the strongly Prox1(+) nuclei was consistent with that of horizontal cell precursors.35 At this age, Rb was not detected in the most peripheral, and thus most recently formed, Prox1(+) nuclei (Figs. 5A 5B 5C) , but was detected at low levels in occasional Prox1(+) cells in more central positions (Figs. 5D 5E 5F , arrowheads). Similarly, at Fwk 18, Rb was not detected in the most peripheral Prox1(+) horizontal cell precursors (Figs. 5G 5H 5I) , but was highly expressed in the more mature horizontal cells in the central retina (Figs. 5J 5K 5L) . Rb expression in horizontal cell precursors was confirmed by costaining with Lim1 (Supplementary Fig. S4 online). The expression of Rb in the more central, but not the peripheral, Prox1(+) nuclei implies that Rb is expressed after the initial expression of Prox1 during horizontal cell maturation.
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Rb in Cone Precursors.
Rb was highly expressed in foveal cone precursors at Fwk 18 (Fig. 1C) . To define the timing of Rb expression in this lineage, we stained for Rb and several cone precursor markers. One of the earliest cone markers in chicks and mice is the retinoid X receptor
(RXR
).36 37 38 At Fwk 12, Rb was detected in only a subset of the RXR
(+) nuclei in the fovea (Figs. 6A 6B 6C , arrowheads), and in none of the younger RXR
(+) nuclei at more peripheral positions (data not shown). At Fwk 15, Rb was detected in all the RXR
(+) nuclei in the central retina, but not in those in the periphery (Figs. 6D 6E 6F 6G 6H 6I) . Similarly, Rb was not detected in peripheral RXR
(+) nuclei at Fwk 18 (data not shown). The increased prevalence of Rb in RXR
(+) cells in more developed retinal regions implies that Rb is expressed after RXR
appears.
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Rb in Rod Precursors.
Rod precursors are initially positioned below the outer limiting membrane. As additional rod nuclei accumulate, the earlier born rod nuclei are displaced to progressively deeper layers.7 32 To evaluate Rb expression during rod development, we costained for Rb and Nrl, which is the earliest known rod-specific protein.10 41 At Fwk 14, the most peripheral (and hence, least mature) Nrl(+) nuclei were positioned below the outer limiting membrane (Figs. 7A 7B 7C , arrows). Rb was not detected in these peripheral Nrl(+) nuclei, but was detected in more mature Nrl(+) nuclei at more central and basal positions (Figs. 7A 7B 7C , arrowhead). This phenomenon was more clear in the Fwk 18 periphery, where Rb was not evident in Nrl(+) nuclei near the outer limiting membrane, but was detected in more mature Nrl(+) nuclei at more basal positions (Figs. 7D 7E 7F 7G , arrowheads). Similarly, Rb was detected in Nrl(+) nuclei in the parafoveal region, albeit at far lower levels than in Nrl() cones (Supplementary Fig. S6 online). Notably, Nrl was expressed at higher levels in older, basally positioned Rb(+) nuclei than in the younger, apically positioned nuclei that lacked Rb expression (Figs. 7D 7E 7F 7G) .
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At Fwk 15, the most peripheral, and thus youngest, strongly Chx10(+) bipolar cell nuclei were interspersed within the NBL and did not have detectable Rb (Figs. 8A 8B 8C) . However, in the central retina, Chx10(+) nuclei formed a distinct layer, and in most cases had moderate, above background Rb expression (Figs. 8D 8E 8F) , indicating that Rb was first detected in bipolar cells after Chx10 accumulation.
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Complementary Expression of Rb and p27Kip1
The lack of Rb in early postmitotic retinal neurons suggested that other cell cycle regulators mediate the proliferative arrest of such cells. Because p27Kip1 has an important antiproliferative role in murine retina,23 24 we examined its expression relative to that of Rb.
In the Fwk 18 peripheral retina, p27 and Rb were generally expressed in a complementary pattern (Figs. 10A 10B 10C) . A similar complementarity was evident at Fwk 14 (data not shown). RPCs comprising most of the the NBL prominently expressed Rb but not p27, whereas rod precursors in the outer NBL and amacrine and ganglion cell precursors in the inner retina expressed p27 but little or no Rb. Rare cells expressed both Rb and p27 (Figs. 10A 10B 10C , arrowheads), particularly in outer NBL positions where Rb and Nrl were coexpressed (see Figs. 7D 7E 7F ), and in middle and inner NBL positions where Rb and Prox1 were coexpressed (see Fig. 5 ). Thus, Rb may be superimposed over p27 expression during the differentiation of these cells.
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To assess the relationship between Rb and p27 expression in earlier cones and Müller cells, we examined a transition zone having the most peripheral (and hence least mature) Rb(+) cone precursors and only rare Ki67(+) cells. In contrast to the central retina, Rb(+) cone precursors in this region had high levels of p27 (Figs. 10D 10E 10F , arrowheads). This observation implies that cone precursors transition from a state in which they express both Rb and p27 to a state in which they express predominantly Rb. However, we found no evidence of such a transition in Müller glia. Rather, the less mature glial cells in the transition zone generally had no detectable p27 (Figs. 10D 10E 10F) , whereas those in the central retina had low but detectable p27 (Figs. 10G 10H 10I) .
| Discussion |
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Cell CycleSpecific Expression of Rb in RPCs
Others had previously shown that Rb is expressed in RPCs in the developing mouse and human retina.47 48 49 By using cyclins and phosphorylated histone H3 (PH3) as markers, we deduced that Rb is expressed in G1 nuclei in the middle NBL, increases expression in S and early G2 nuclei traversing the NBL, declines to undetectable levels from late G2 to anaphase at the ventricular layer, and does not reaccumulate until G1 nuclei return to the middle NBL (Fig. 3M) . This cell cycle-specific pattern in human RPCs is consistent with the general decline in Rb expression in M- and G1-phase RPCs in mice,47 and further indicates that Rb is both dramatically and consistently diminished during RPC mitosis.
The cyclical expression of Rb in RPCs contrasts with Rbs constitutive expression throughout the cell cycle in diverse cell types that were previously analyzed with the same antibody.50 In those other cell types, Rb associated with condensing chromatin in prophase, redistributed to the cytoplasm on nuclear envelope breakdown in metaphase, and returned to daughter nuclei on nuclear envelope restoration in telophase.50 However, in RPCs, Rb declined before prophase (when PH3 becomes prominent27 ) and was not restored to telophase, or G1, nuclei until such nuclei had migrated to the middle NBL.
The mechanism by which Rb expression declines in late G2 and M is unknown. However, it was notable that some cells near the ventricular layer had a punctate Rb signal immediately outside of their Ki67(+) or PH3(+) regions (Figs. 2B 2C 2D 2E 2F 2G) . As Rb was not detected in metaphase or later M-phase nuclei, the punctate Rb signal may designate sites to which Rb translocates before its degradation. Of interest, an earlier study of osteosarcoma cells showed that high Cdk activity can induce phosphorylation of Rb residue 567 and may thereby induce Rb cytoplasmic translocation and degradation.51 Thus, the dramatically increased Cdk activity at the G2M transition may elicit cytoplasmic translocation and degradation of most of the Rb in RPCs, even though it apparently does not do so in other cell types.
It seems plausible that Rbs cell cyclespecific expression serves a developmental role. However, the cyclical loss of Rb in the M phase seems unlikely to regulate RPC fate, as Rb was lacking in M-phase cells both in the periphery (where RPCs mainly produce more RPCs) and in more central positions (where RPCs mainly produce postmitotic precursors). Alternatively, the decline in Rb expression before mitosis may preclude Rb from inhibiting proliferation early in the subsequent cell cycle. Our detection of occasional cyclin D1(+), Rb() cells in the outer NBL (Figs. 3A 3B 3C) suggests that Rb may be re-expressed only after RPCs acquire cyclin D1-dependent kinase activity that can suppress Rb function.
Delayed Expression of Rb in Postmitotic Retinal Precursors
Our analyses show that Rb is expressed in all cell types in the developing human retina. This result is unsurprising in light of Rbs widespread expression and diverse functions in many developmental contexts.52 Moreover, Rb has been detected in cell types other than amacrine cells in the early mouse retina.48 However, the present study also defined the timing of Rb expression relative to that of cell typespecific markers and p27 and thereby provides novel insights into the potential role of Rb in retinal development.
Unexpectedly, Rb was not detected at the time when postmitotic retinal neurons were born, but accumulated well after the terminal mitosis. For example, Rb was not detected in postmitotic ganglion, horizontal, amacrine, and bipolar cell precursors migrating away from the ventricular layer, but was detected at the time when ganglion cells first expressed Brn-3b and after horizontal cells first expressed Prox1. Similarly, Rb was not detected in nascent Chx10(+) bipolar precursors, but was detected in more mature Chx10(+) cells. This evidence suggests that Rb does not directly mediate cell cycle withdrawal or early differentiation events in postmitotic retinal precursors.
The timing of Rb expression in developing photoreceptors was of particular interest, given that retinoblastoma may derive from a photoreceptor-directed cell. Surprisingly, Rb was not detected at the time when rod precursors first expressed Nrl in the outer retinal layers, but was detected in more mature rod nuclei at more basal positions. This suggests that in rod precursors, Rb mediates neither cell cycle withdrawal nor the initial expression of Nrl. That Rb does not mediate a rod precursor arrest is consistent with the lack of rod precursor proliferation in Rb-deficient mouse retinas.49 Nevertheless, the lack of Rb in early Nrl(+) precursors was unexpected, given that Rb-deficient mouse retinas had impaired rod differentiation and decreased Nrl mRNA.49 Our finding that Nrl was more highly expressed in Rb(+) versus Rb() cells (Figs. 7E 7F 7G) suggests that Rb may promote Nrl expression during late but not early rod differentiation.
As in rods, Rb was not detected in the earliest cones. Whereas cone precursors are evident at Fwk 9,10 Rb was detected in only a subset of such precursors in the central retina at Fwk 12 and was detected in central but not midperipheral cones at Fwks 15 and 18. Although we cannot determine the precise length of the delay, the evidence suggests that foveal cones may arrest for 1 to 3 weeks before having detectable Rb expression. In contrast to rods, Rb rose to high levels in early cones. Spencer et al.48 similarly detected high Rb expression in adult cones. We extend their finding by showing that cone precursors prominently express Rb in the fetal period when retinoblastoma tumorigenesis begins.
In contrast to the delayed Rb expression in postmitotic retinal neurons, Rb was highly expressed in Müller glia at the time of cell cycle exit. As Müller glia resemble quiescent RPCs,44 45 46 Rbs expression may be governed by the same process in the two cell types. Notably, p27 was lacking at the time when Müller glia exit the cell cycle. This is consistent with the lack of p27 in RPCs, but contrasts with the prominent expression of p27 in postmitotic retinal neurons.
Relationship of Rb Expression to Tumor Suppression
In mice, Rb was found to be highly expressed in each of the tissues in which it has crucial developmental roles.53 54 Thus, although a proteins expression level does not necessarily reflect its function, it is of interest to consider whether Rb might suppress retinoblastoma in the retinal cell types in which it is expressed at high levels.
Rb was most highly expressed in RPCs. However, Rb seems unlikely to directly induce a proliferative arrest in such cells, as RPCs are not known to exit the cell cycle without differentiating into one of the postmitotic retinal cell types. Moreover, our data argue that Rb does not accumulate in RPCs in preparation for a role after such cells divide, because Rb expression declined in late G2/M and was not rapidly restored to postmitotic cells. Thus, if Rb were to suppress tumorigenesis through its expression in RPCs, it would appear to do so by indirectly eliciting cell cycle exit and differentiation after a subsequent mitosis. Notably, in cortical neurogenesis, progenitor cells undergoing neurogenic divisions have longer cell cycles than those undergoing proliferative divisions, and artificially lengthening G1 suffices to induce neurogenic differentiation after an intervening mitosis.55 56 Thus, Rb might indirectly promote neurogenic differentiation by lengthening G1 or through other effects that precede Rbs degradation in late G2 and M.
Rb was also highly expressed at the time when Müller glia exit the cell cycle. Because p27 was not concurrently expressed, it is tempting to infer that Rb may be needed to suppress Müller cell proliferation. However, arguing against this possibility are the lack of Müller cell markers in proliferating retinoblastoma cells12 13 and evidence that adult Müller glia express high levels of the Rb-related p107 and p130.48
In cone precursors, Rb rose to high levels concurrent with a decline in p27. This reciprocal increase in Rb and loss of p27 was unique to cone precursors at the ages that we examined. Notably, Rb is prominent in cone precursors and mature cones in the human retina, but in neither developing nor adult cones in mice (this study and Refs. 21 , 48 ). Moreover, Rbs expression in human cone precursors correlates with its role as a retinoblastoma suppressor in humans and with the predominant cone phenotype of differentiated retinoblastoma cells.12 13 These observations suggest that Rb may have a human-specific function in cone precursors, that coincides with the decline in p27. Nevertheless, additional studies are needed to address whether Rb suppresses retinoblastoma in cone precursors, in other cells that have high Rb levels such as RPCs or Müller glia, or in still other cell types that had less prominent Rb expression.
| Acknowledgements |
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| Footnotes |
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Supported by The C.V. Starr Foundation, The Fred Gluck Foundation, The New York Community Trust, and The Fund for Ophthalmic Knowledge.
Submitted for publication January 20, 2006; revised August 1, 2006; accepted October 11, 2006.
Disclosure: T.C. Lee, None; D. Almeida, None; N. Claros, None; D.H. Abramson, None; D. Cobrinik, None
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: David Cobrinik, Margaret M. Dyson Vision Research Institute, Weill Medical College of Cornell University, 1300 York Ave, LC303, New York, NY 10021; dec2014{at}med.cornell.edu.
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