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1From the Departments of Small Animal Clinical Studies, 5Pathobiology and Diagnostic Investigations, 6Physiology, and 7Animal Science, Michigan State University, East Lansing, Michigan; the 3Department of Vision Sciences, School of Optometry, The University of Alabama at Birmingham, Birmingham, Alabama; the 4Department of Neurosciences, The Ohio State University, Columbus, Ohio; and the 8Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
| Abstract |
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METHODS. Affected and breed- and age-matched control puppies were studied by electroretinography (ERG), light and electron microscopy, immunohistochemistry, and assay for retinal PDE6 levels and enzymatic activity.
RESULTS. The mutant puppies failed to develop normal rod-mediated ERG responses and had reduced light-adapted a-wave amplitudes from an early age. The residual ERG waveforms originated primarily from cone-driven responses. Development of photoreceptor outer segments stopped, and rod cells were lost by apoptosis. Immunohistochemistry demonstrated a marked reduction in rod opsin immunostaining outer segments and relative preservation of cones early in the disease process. With exception of rod bipolar cells, which appeared to be reduced in number relatively early in the disease process, other inner retinal cells were preserved in the early stages of the disease, although there was marked and early activation of Müller glia. Western blot analysis showed that the PDE6A mutation not only resulted in a lack of PDE6A protein but the affected retinas also lacked the other PDE6 subunits, suggesting expression of PDE6A is essential for normal expression of PDE6B and PDE6G. Affected retinas lacked PDE6 enzymatic activity.
CONCLUSIONS. This represents the first characterization of a PDE6A model of autosomal recessive retinitis pigmentosa, and the PDE6A mutant dog shows promise as a large animal model for investigation of therapies to rescue mutant rod photoreceptors and to preserve cone photoreceptors in the face of a rapid loss of rod cells.
We have shown that the Cardigan Welsh Corgi with autosomal recessive PRA has a 1-bp deletion in codon 616 of PDE6A, with a resultant frame shift that is predicted to result in a string of 28 altered amino acids followed by a premature stop codon.4 If translated, the altered protein would be missing part of its catalytic domain and its membrane binding site. Mutations in PDE6A account for 3% to 4% of families with recessive RP in North America11 and have been reported in consanguineous families in Pakistan.12 Patients with PDE6A mutations are reported to have a history of night blindness from early childhood and as children have a marked reduction in ERG responses.13
The purpose of this study was to record in detail the phenotype of dogs with autosomal recessive PRA due to a 1-bp deletion in codon 616 of PDE6A.
| Materials and Methods |
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The functional disease phenotype was assessed by electroretinography. Retinal morphologic changes were assessed by histologic, morphometric, and ultrastructural examination and by immunohistochemical and TUNEL staining. Retinal samples were also assayed for cGMP activity, and PDE6 protein was investigated by Western blot analysis.
To follow the development and subsequent deterioration of ERG responses in the mutant puppies ERG studies were performed in four affected, four breed-matched homozygous normal, and five carrier puppies from shortly after eyelid opening (
2 weeks of age) to 12 weeks of age.
A total of 37 PDE6A–/–, 21 PDE6A+/–, and 19 PDE6A+/+ puppies ranging from 6 days to 16 weeks of age were used for the histologic, immunohistochemical, and biochemical (cGMP activity assay and Western blot analysis for PDE6 proteins; see Supplementary Table S1, http://www.iovs.org/cgi/content/full/50/2/801/DC1, for details). Histologic assessment was performed with plastic- or paraffin-embedded sections, and the former was used for morphometric measurements. Immunohistochemistry was performed on paraffin-embedded sections or frozen OCT-embedded sections. Morphometric analysis (measurement of retinal layer thicknesses and counting of photoreceptor nuclei numbers) was performed using plastic-embedded retinal sections from three affected and three homozygous normal puppies at each age point.
Preparation for Electroretinography
The puppies were kept in the dark on the day of the ERG and prepared under a dim red light. Puppies less than 9 weeks of age were induced and maintained with halothane delivered in oxygen. Puppies 9 weeks of age and older were premedicated with acepromazine maleate intramuscularly (0.1–0.3 mg/kg), induced with thiopental sodium intravenously (6–12 mg/kg), and maintained with halothane delivered in oxygen. A pulse-oximeter (Vet/Ox 4400; Heska Corp., Fort Collins, CO) was used to monitor pulse rate and oxygen saturation for the duration of the procedure. Body temperature was maintained with a heating pad. The anesthetized animals were positioned in sternal recumbency. The left eye was used for ERG recording, the right eye was taped closed. The left pupil was maximally dilated with 1% tropicamide (Mydriacyl; Alcon Laboratories, Honolulu, HI) and 10% phenylephrine hydrochloride (AK-Dilate; Akorn Inc, Buffalo Grove, IL). The globe was positioned in primary gaze using stay sutures of 4-0 silk (Ethicon, Inc, Piscataway, NJ) placed in the conjunctiva adjacent to the limbus. A drop of 2.5% hydroxypropyl methylcellulose solution (Goniosol; Iolab Pharmaceutical Inc, Claremont, CA) was applied to keep the cornea moist. Burian-Allen bipolar contact lens electrodes (Hansen Ophthalmic Development Laboratory, Coralville, IA) were used. A platinum needle placed SC in the cervical region served as a ground electrode.
ERG Protocols
An electrophysiology unit (UTAS-E 3000; LKC Technologies Inc; Gaithersburg, MD) with a Ganzfeld bowl was used. The bandpass was set at 1 to 500 Hz; gain setting varied from 2 x 103 to 4 x 104.
ERG protocols included a dark-adapted intensity series, rod flicker responses, a light-adapted intensity series, and cone flicker responses.
After 60 minutes of dark adaptation, an intensity series in response to 16 different intensities of white flash (ranging from –3.18 to 2.82 log cdS/m2) were recorded. Interstimulus intervals (between the signal averaged flashes and between different intensities) were increased from one second at low intensities to 360 seconds at the highest intensity to avoid light-adapting the rods. Preliminary studies showed that at these interstimulus intervals rod adaptation did not develop in normal dogs (data not shown). Depending on the response amplitude, from 2 to 50 (with the larger numbers of responses being averaged for the very low amplitude responses) flashes were averaged at each intensity. Rod flicker ERG responses at 5 Hz were recorded in response to white flashes –1.6 log cdS/m2 in intensity, and 15 tracings averaged.
The puppies were then light-adapted for 10 minutes to a rod-suppressing white light of 30 cd/m2. ERG responses were recorded from a series of 10 white flash intensities (ranging from –0.39 to 2.82 log cdS/m2), superimposed on the same background white light. Interstimulus intervals were 1 second for intensities between –0.39 to 1.36 log cd/m2 and 5, 10, and 15 seconds for 1.9, 2.38, and 2.82 log cdS/m2, respectively. Between 5 and 50 flashes were averaged at each intensity, again dependent on the amplitude of response.
Cone flicker ERG was recorded with a white-flash stimulus at 0.39-log cdS/m2 intensity at 33 Hz, and 15 tracings were averaged.
ERG Data Analysis
The a- and b-wave amplitude (microvolt) and implicit time (millisecond) were measured for each averaged response, as previously described.15 Flicker amplitude and implicit time were measured for the entire recording period and averaged. Amplitude was measured from trough to peak of each wave, implicit time was duration of time measured from flash onset to the peak of each wave.
For statistical analysis, logarithmic transformation was applied to attain normality. Experiments involving repeated-measures data were analyzed (Proc Mixed, SAS ver. 9.1; SAS Institute Inc., Cary, NC). Fixed effects of age, genotype, and their interaction, were included in the model. In addition, an arbitrary covariance structure for the residuals was fit to account for correlation between repeated measures. Interaction between age and genotype was tested at each flash intensity used. Significant tests of interaction were followed by additional tests of genotype effect at each given age. Data were considered significant at P < 0.05.
Retinal Histology
Retinal histology was assessed on sections from either plastic- or paraffin-embedded posterior eye cups. Selected plastic-embedded sections were used for morphometric measurements. For plastic embedding, the globes were fixed in 3% glutaraldehyde, 2% paraformaldehyde, and 0.1 M sodium-cacodylate buffer (pH 7.2); for paraffin embedding, they were fixed with 4% paraformaldehyde in 0.1 M phosphate-buffered saline. In both instances, after 2 hours at 4°C the anterior segment was removed, and the eye cup returned to the same fixative for 20 hours at 4°C. The eye cups for paraffin-embedding were routinely processed, and the sections stained with hematoxylin and eosin (H&E). Some paraffin-embedded sections were used for immunohistochemistry.
For plastic embedding, the eye cups were dehydrated in a graded series of ethanol solutions and infiltrated with semisoluble polymer medium (Immuno-Bed solution; Electron Microscopy Sciences, Fort Washington, PA). After polymerization the block was cut from the superior ora ciliaris retinas through the optic nerve head to the inferior ora ciliaris retinas (Fig. 1) , and 3-µm sections were cut and stained with H&E or toluidine blue for light microscopic analysis.
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Analysis of Morphologic Data.
The thickness of the retinal layers and number of photoreceptor nuclei per unit length were compared between affected dogs and age-matched controls by ANOVA. Independent analyses for each region and retinal layer were performed. The fixed effects included in the model were age and disease genotype. For measurement of retinal thickness, a random effect of dog was included to account for repeated-measures (triplicates) within dog and age. For measurement of the number of cells, no random effects were considered, and consequently a linear model of fixed effects was used. No covariance among ages was modeled as the measures at different ages corresponded to independent dogs. No variable transformation was performed because the residual analyses revealed fulfillment of model assumptions (normality, heteroskedasticity; data not shown). Data were deemed significant when P < 0.05. All analyses were performed with commercial software (Proc Mixed, SAS version 9.1; SAS Institute Inc.).
Transmission Electron Microscopy.
For TEM, the eye cup was fixed as for plastic embedding and then post-fixed in osmium tetroxide, and embedded in resin (consisting of Poly/Bed, Araldite, DDSA, and DMP-30 accelerator; Electron Microscopy Sciences). Semithin sections (0.7–1 µm) were cut and stained with toluidine blue to check for integrity. Ultrathin sections (0.5 µm) were cut with a diamond knife and stained with uranyl acetate and lead acetate and were examined with a transmission electron microscope (model 301; Philips, Eindhoven, The Netherlands).
Immunohistochemistry.
Immunohistochemistry was performed on either paraffin-embedded sections or frozen sections mounted in OCT (see Supplementary Table S1, http://www.iovs.org/cgi/content/full/50/2/801/DC1). For frozen sections, they were fixed in 4% paraformaldehyde plus 3% sucrose in 0.1 M phosphate buffer (PBS; pH 7.4) for 15 minutes at 4°C. The anterior segment was removed, and the posterior eye cup returned to the same fixative for 20 minutes and washed three times in phosphate-buffered saline (0.05 M sodium phosphate, 195 mM NaCl; pH 7.4). The eye cup was placed in PBS plus 30% sucrose for 24 hours and then immersed in embedding medium (OCT compound; Tissue-Tek; Sakura Finetek, Torrance, CA).
Processing of Paraffin-Embedded Sections.
Sections 5 µm thick were cut, air-dried overnight, deparaffinized in xylene (twice), and gradually rehydrated. They were then incubated in a preheat antigen retrieval buffer (Citrate buffer; DakoCytomation, Carpinteria, CA) for 20 minutes at 97°C, cooled to 50°C, and incubated in 50 mM Tris-buffered saline (pH 7.6) for 5 minutes, followed by a 10-minute incubation with a protein-blocking agent (DakoCytomation) before application of the primary antibodies (see Table 1 for a list of antibodies used). The appropriate secondary antibody from a labeled streptavidin-biotin system-horseradish peroxidase (LSAB2 System-HRP; DakoCytomation) was used. Immunoreaction was visualized with 3,3'-diaminobenzidine substrate (liquid DAB substrate chromogen system; DakoCytomation), and the sections were counterstained with hematoxylin (Gill III formula; Surgipath Medical Industries Inc., Richmond, IL) and blued with 0.04% lithium carbonate. Images were captured (Eclipse 80i microscope; Nikon, equipped with Evolution Micropublisher 5.1; Megapixel Color digital camera; MediaCybernetics Inc., Bethesda MD). Images were optimized for color, brightness, and contrast (Photoshop; Adobe Systems, Mountain View, CA).
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Primary antibodies used are listed in Table 1 . Sections were incubated for 24 hours at 20°C in a humidified chamber. The slides were washed in PBS, covered with secondary antibody solution, and incubated for 1 hour at 20°C in a humidified chamber. Secondary antibodies included goat-anti-rabbit-Alexa488, goat-anti-mouse Alexa488/568, and goat-anti-mouse-IgM Alexa568 (Invitrogen-Molecular Probes Inc., Eugene, OR).
Photomicrographs were taken with an epifluorescence microscope and digital camera (DM5000B microscope and 12-megapixel DC500 camera; both from Leica, Wetzlar, Germany). Images were optimized for color, brightness, and contrast, and double-labeled images were overlaid (Photoshop 6.0; Adobe Systems).
Caspase 3 Staining.
To increase the range of ages and number of retinas assessed for caspase 3 immunoreactivity, both paraffin-embedded and OCT-embedded frozen sections were processed for caspase 3 immunohistochemistry and positive controls of hyperplastic canine lymph node and a canine lymph node with B-cell lymphoma were used.
TUNEL Assay.
Direct TUNEL labeling assay was performed on OCT-embedded frozen sections using a cell death detection kit with rhodamine (In Situ Cell Death Detection Kit; Roche Diagnostics Corp., Indianapolis, IN) to detect DNA strand breaks in apoptotic cells by using an optimized terminal transferase (TdT) to label free 3'OH ends in genomic DNA with rhodamine-dUTP. Samples were incubated with TUNEL reaction mixture (TdT and fluorescein-dUTP solution) at 37°C for 1 hour, and incorporated rhodamine/fluorescein was visualized by fluorescence microscopy. Adjacent sections from the OCT blocks were stained for caspase 3 immunoreactivity.
cGMP PDE6 Assay
Retinas were dissected and immediately frozen in liquid nitrogen. Approximately one third of each retina was homogenized in 160 µL of 10 mM Tris (pH 7.5) and 0.5% Triton X-100. Membrane debris was pelleted at 15 K rpm for 15 minutes in a microcentrifuge. Protein content in each homogenate was determined with a protein assay kit (Bio-Rad, Hercules, CA) and 30 µg of protein was used for each assay. PDE6 activity was assayed as previously described.16
Western Blot Analysis
Protein homogenates were prepared as described for PDE6 assays and approximately 30 µg of protein from each homogenates was separated in a 15.08% low cross-linker (concentration = 0.5%) SDS-PAGE17 and transferred to PVDF membrane (Bio-Rad). Immunoreactivity to PDE6 was detected by a commercially available rabbit PDE6 polyclonal antibody (MOE; CytoSignal Research, Irvine, CA) that recognizes mammalian rod PDE6 catalytic subunits strongly and the
-subunit more weakly and shows no cross-reactivity with cone PDE6. Proteins were visualized using enhanced chemiluminescence (GE Healthcare, Buckinghamshire, UK).
| Results |
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At all ages examined, it was notable that the dark- and light-adapted waveforms of the mutant puppies were similar in amplitude and shape, both showing a relative lack of a-wave response and having a similar b-wave amplitude.
To further assess rod and cone photoreceptor responses, we examined a dim white-light flicker response at 5 Hz to assess rod flicker responses and a 33-Hz brighter white light flicker to assess cone flicker responses. Representative responses at different ages are shown in Figure 3 . A rod flicker response could be recorded from normal control puppies from 3 weeks of age. However, rod-mediated flicker responses could not be recorded from PDE6A mutant puppies at any age. In both mutants and controls, the cone flicker amplitude increased over the period of retinal maturation to peak at
6 weeks of age, although from 4 weeks of age onward the mean amplitudes of the cone flicker responses of the PDE6A mutant puppies was significantly reduced (data not shown). There was a difference in the shape of the cone 33-Hz flicker responses between the control and PDE6A mutant puppies (for example, compare the 7-week control and mutant puppies in Fig. 3B ).
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Retinal Morphology
Representative photomicrographs allowing comparison of the morphology of the outer retina from the posterior pole of the eye (Fig. 1 ; region 4,) at 2, 4, 7, and 9 weeks of age are shown in Figure 5 , and a comparison of different regions of the retina at 5 and 16 weeks of age is made in Supplementary Figure S1, http://www.iovs.org/cgi/content/full/50/2/801/DC1.
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Similar features of outer retinal degeneration developed across all retinal regions (Supplementary Fig. S1).
Measurement of Retinal Layer Thickness and Number of Photoreceptor Nuclei
To further investigate the degeneration of the retina, we performed measurements of retinal layers in eight different regions (as shown in Fig. 1 ) on mutant and control puppies at 3, 5, 7, and 16 weeks of age (n = 3 at each age). Over this time period, only the outer segment, inner segment, and ONL thicknesses of the mutant puppies became significantly reduced compared with the controls (for simplicity, only outer segment, inner segment, and ONL thicknesses are shown in Fig. 6 ). Although the inner retinal layers were relatively preserved during the earlier stages of the retinal degeneration eventually all retinal layers became thinner (data not shown). The decrease in mean ONL thickness at 7 (Fig. 6C) and 9 (data not shown) weeks of age was not as marked as would have been anticipated, considering the reduction in the number of rows of photoreceptor nuclei counted in the histologic sections. This finding may be because of a reduction in nuclei stacking density in the ONL as gaps appeared due to photoreceptor cell loss (for a histologic example see Fig. 5F ). To obtain a more accurate quantification of photoreceptor nuclei loss, the mean number of rod and cone nuclei per 100-µm length of retina was counted in each retinal region (scatterplots of the results for the central retina are shown in Fig. 7 ). There was a progressive decrease in the number of rod photoreceptor nuclei over the first 80 days of life in all retinal regions assessed (as shown in Fig. 7 for the central retina). Whereas the number of cone photoreceptor nuclei per unit length showed no statistically significant changes over the first 80 days of life, although there was a trend toward decreasing numbers per unit length of retina.
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Two different antibodies against rhodopsin were used. A mouse monoclonal against bovine rod opsin (R2-12N; a gift from Paul Hargrave, University of Florida, Gainesville) stains rod outer segments in normal and affected dogs. The second was a mouse monoclonal antibody raised against a cell membrane preparation from adult rat retina (RET-P1; Thermo Fisher Scientific, Fremont, CA) that reacts to the N terminus of rhodopsin.18 This antibody stained the entire rod photoreceptor from outer segment to spherule. Figures 9A 9B 9C 9D show the results using the R2-12N anti-opsin antibody at 3, 4, and 8 weeks of age. The rod opsin staining of the mutant retinas confirmed the reduction in the rod outer segment lengths compared with normal. By 4 weeks of age, there was a marked reduction in the amount of rod opsin immunoreactive outer segment material present and at 8 weeks of age only scant, stunted IR outer segment material remained. Evidence of opsin mislocalization was not seen in the sections examined. The anti-cone arrestin (gift from Cheryl Craft and Xuemei Zhu, Mary D. Allen Laboratory, Doheny Eye Institute, University of Southern California, Los Angeles) stained cone cell bodies, inner and outer segments, and cone pedicles. The relative preservation of cone photoreceptors early in the course of the disease was confirmed by the anti-cone arrestin immunoreactivity. Cone inner and outer segments were preserved (Fig. 9H) , although the inner segments were swollen and the outer segments stunted.
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antibody showed a reduction in the number of rod bipolar cells in the mutant retinas from as early as 5 weeks of age (representative section in Fig. 9K ) compared with normal control specimens. This was the only indication of changes in the inner retinal cell neurons early in the disease process. Staining with other antibodies including calretinin, calbindin, and Hu C/D did not reveal any notable differences in staining patterns between mutant and control retinas during the first 16 weeks of age (data not shown). Müller glial reactivity, as evidenced by increased immunoreactivity (IR) to anti-GFAP antibody, developed early in the disease process. At 3 weeks of age, the degree of anti-GFAP IR was slightly greater than that of the control (Fig. 9L) , and by 5 weeks of age there was a marked increase in IR (Fig. 9N) .
Western Blot and Cyclic GMP PDE6 assay
Expression of PDE6 in retinal homogenates of normal and mutant retinas was examined by Western blot analysis. Analysis of mutant retina homogenates from 10- to 84-day-old retinas failed to show significant amounts of the catalytic subunits (Fig. 10A) . In contrast, a single band representing both catalytic subunits of molecular weight similar to bovine PDE6 was readily identifiable in PDE6A mutant heterozygotes (carriers) and in homozygous normal dog retinas. As expected, the levels of expression were highest when the retina was fully mature (see days 56 and 84 in carrier and normal; Fig. 10A ), and no expression was detectable during early photoreceptor development (see day 6 in the carrier; Fig. 10A ). These results are consistent with the absence of PDE6A and at least marked reduction of the β-subunit in the mutant retina. To establish the absence of PDE6 activity in the mutant dogs, PDE6 assays were performed on retinal homogenates. Consistent with the Western analysis results, minimal cGMP hydrolyzing activity was observed in retinal homogenates from mutant puppies at any age examined (Fig. 10B) . Heterozygotes and homozygous normal control dogs showed an increase in activity with increase in age that parallels photoreceptor development and maturation.
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| Discussion |
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PDE6A mutant puppies start to develop rod outer segments, but development stops, leaving the outer segments shortened and disorganized, with distorted disc material. Rhodopsin is present in the rod outer segments of mutant puppies at 3 weeks of age, but from then on, outer segments are lost, and there is loss of rhodopsin-positive outer segment material. This occurs during the time period that the outer segments elongate in the normal dog with retinal maturation (the outer segments reach peak length in normal puppies at
7 weeks of age). After the arrest of photoreceptor outer segment development, rod cells start to die and by 4 weeks of age many rod photoreceptor nuclei exhibiting various stages of cell death are visible in the ONL. Loss of rod nuclei resulted in thinning of the ONL so that by approximately 9 weeks of age, the number of rows of photoreceptor nuclei was approximately 50% of those in the normal control. There was an initial phase of rapid loss of rod photoreceptors that was followed by a period of slower loss of the remaining rods and a more gradual loss of cones. These dynamics of cell loss are similar to the exponentially decreasing curve described for neuronal loss, where there is a constant or declining risk of cell loss.20 21 It was noted that the thickness of the ONL did not initially reflect the decrease in photoreceptor cell bodies detectable by direct counting. As photoreceptors died, they left spaces in the ONL, so that it had a lower density of photoreceptor nuclei, although it later condensed and narrowed. A similar finding was reported in a dog model of X-linked RP due to a frame-shift mutation in RPGR.22 This finding suggests that the counting of photoreceptor nuclei provides a more accurate estimation of photoreceptor loss than does measuring the thickness of the ONL. TUNEL staining indicated that, similar to other photoreceptor degeneration models, rod cell death occurred by apoptosis.23 The lack of caspase 3 immunoreactivity in sections from puppies of several different ages suggests that the majority of apoptosis occurs via a pathway independent of caspase 3. The role of caspase 3 in apoptosis in the rd1 mouse has been studied in some detail. An initial study by Jomary et al.24 using immunohistochemistry suggests that caspase 3 activation occurs. This result was directly contradicted by a study by Doonan et al.,25 who used Western blot analysis and an assay for caspase 3 that relies on cleavage of a substrate, concluding that photoreceptor apoptosis was independent of caspase 3. Further support for the importance of caspase-independent apoptosis in the rd1 mouse was provided by a study that demonstrated that apoptosis still occurred in mice that were double homozygotes for caspase 3 knockout and rd1,26 although some role for caspase 3 was suggested because the double-knockout mice had a delay in retinal degeneration compared with rd1 mice. Further studies are needed to elucidate the precise pathways responsible for photoreceptor cell death in the PDE6A mutant dog.
Previous studies using heterologous expression of PDE6 indicated that the presence of all the PDE6 subunits is essential for the functional expression of the enzyme.16 27 28 In the mutant puppies, PDE activity assays showed near-background levels of cGMP hydrolysis in retinal homogenates obtained from affected dogs at ages ranging from 10 days to 12 weeks (Fig. 10B) . Residual activity is likely due to the presence of minor amounts of other cGMP hydrolyzing PDEs in the photoreceptor inner segments and other cells of the retina. However, we cannot rule out the possibility that some of the residual activity is due to remaining cone outer segment PDE6 activity. The reduction in PDE activity correlates with the marked reduction or absence of catalytic subunits in the same retina samples as judged by Western blot analysis (Fig. 10A) . The faint bands apparent in some of the lanes loaded with homogenate from mutant retinas are unlikely to represent the PDE6 subunit, because only in the lanes containing carrier and unaffected sample in which signal was apparent was the low-molecular-weight PDE6G subunit also detected (data not shown). Thus, it appears that the presence of PDE6A may be required for normal formation of the β and
subunits. This is in contrast with the situation in models with a lack of formation of either the β and
PDE6 (for example the rcd1 Irish Setter and rd1 mouse both with null mutations of PDE6B and the PDE6G-knockout mouse) where the remaining PDE6 subunits are present before photoreceptor loss.29 30 However, the situation is complex, as studies of mice engineered with a PDE6G missing the last seven amino acids had a marked reduction in the protein levels of both PDE6A and PDE6B,31 whereas in mice with a complete absence of PDE6G, the PDE6A/PDE6B dimer still formed, although protein levels were decreased by about one fourth from wild-type levels, possibly due to the arrest in development of photoreceptors. Recent work has shown that chaperone proteins are also required for PDE6 assembly.32 AIPL1, which functions as part of a chaperone heterocomplex,33 is also implicated in processing farnesylated proteins such as PDE6A.32 34 35 It is conceivable that in the absence of PDE6A, the chaperone system does not support the other PDE6 subunits leading to their degradation, this could be an explanation of why the other PDE6 subunits are not detected in PDE6A mutant retinas before photoreceptor degeneration, whereas they are present in both PDE6B and PDE6G mutant retinas.
In this study, we did not specifically address how loss of PDE6 activity triggers apoptosis; however, it is reasonable to speculate that the mechanism of degeneration involves elevated cGMP levels analogous to that observed in rd1 mice,36 which would include this disorder in the group of disorders characterized as metabolic overload.37
Similar to other models resulting from mutations in rod-specific genes, the loss of rod photoreceptors is followed by a slower loss of cones. It is of note that the cone a-wave is reduced in amplitude very early in the disease process in this model before any detectable decrease in cone photoreceptor numbers. The a-wave reduction may be due to the stunting of cone outer segments that is detectable early in the course of the disease. In addition to outer segment stunting, the effect of the altered environment on the cone photoreceptors was reflected by marked inner segment thickening, a feature also described in the rcd1 Irish setter dog.29
During the stages of degeneration examined in the present study, there were no significant changes in inner retinal layer thicknesses, although in older mutant dogs thinning of all retinal layers occurred (data not shown). Immunostaining of inner retinal neurons using calretinin, calbindin, and HuC/D did not show any differences between affected and control retinas at the ages reported in the study. It is assumed that changes would have been present when later disease stages were examined. Staining for rod bipolar cells with PKC
showed some differences as the disease progressed, with sections from affected retinas showing a reduced number of rod bipolar cells compared with control retinas. Detailed quantification of PKC
staining cells and additional time points are needed to observe the changes in the number of bipolar cells. Other studies have shown that rod bipolar cells need the input from rods to maintain their normal morphology and function, and when that is lost, changes develop such as dendritic sprouting.38 39 In view of the importance of rod input to rod bipolar cells, it would not be surprising if they prove to be the first class of inner retinal neuron to show abnormalities in this model with its early loss of rod photoreceptors. Activation of Müller glial cells, reflected by increased GFAP immunoreactivity, is an early feature of the degeneration. This occurrence is common in degenerating retinas22 40 41 42 and is likely to be secondary to photoreceptor loss. A recent study indicated that damaged photoreceptors release endothelin 2, which in turn stimulates the reactivity of Müller glia.43
The ERG changes and progression of histopathologic changes in the PDE6A mutant dog are very similar to those previously described in the rcd1 Irish setter.5 6 7 The diminution of the cone a-wave before a reduction in cone b-wave, which is a feature of the PDE6A mutant puppy phenotype, was not reported in the Irish setter model, although the published studies of that model show only results from a limited ERG study, making a direct comparison difficult. The main difference that we detected between the two models is the lack of the other PDE6 protein subunits in the PDE6A mutant dog in contrast to the situation in the rcd1 dog. Further studies to investigate how PDE6 subunits are chaperoned may shed further light on to this difference and makes PDE6A mutant models important for further study.
| Acknowledgements |
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| Footnotes |
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Supported by National Eye Institute Grant EY14160, MidWest Eye Banks, Michigan State University Companion Animal Funds, and PureBred Dog Endowment Fund.
Submitted for publication July 12, 2008; revised August 26, 2008; accepted November 11, 2008.
Disclosure: N. Tuntivanich, None; S.J. Pittler, None; A.J. Fischer, None; G. Omar, None; M. Kiupel, None; A. Weber, None; S. Yao, None; J.P. Steibel, None; N.W. Khan, None; S.M. Petersen-Jones, 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: Simon M. Petersen-Jones, Department of Small Animal Clinical Studies, Michigan State University, D-208 Veterinary Medical Center, East Lansing, MI 48824; peter315{at}cvm.msu.edu.
| References |
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mutation causes progressive retinal atrophy in the Cardigan Welsh corgi dog. Invest Ophthalmol Vis Sci. 1999;40:1637–1644.
subunit of rod cGMP phosphodiesterase. Nat Genet. 1995;11:468–471.[CrossRef][Web of Science][Medline][Order article via Infotrieve]
subunit of the rod cGMP phosphodiesterase. Science. 1996;272:1026–1029.[Abstract]
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