Originally published In Press as
doi:10.1167/iovs.08-2398 on October 24, 2008
(Investigative Ophthalmology and Visual Science. 2009;50:1408-1415.)
© 2009 by The Association for Research in Vision and Ophthalmology, Inc.
doi:10.1167/iovs.08-2398
Nicotinic Acetylcholine Receptor Subunits in Rhesus Monkey Retina
Ji Liu,1
Alice M. McGlinn,1
Alcides Fernandes,2
Ann H. Milam,1
Christianne E. Strang,3
Margot E. Andison,3
Jon M. Lindstrom,4
Kent T. Keyser,3 and
Richard A. Stone1
From the Department of Ophthalmology, Scheie Eye Institute, and the
1Department of Neurosciences, University of Pennsylvania, Philadelphia, Pennsylvania;
4Yerkes National Primate Research Center, Department of Ophthalmology, Emory University, Atlanta, Georgia; and
2Vision Science Research Center, University of Alabama at Birmingham, Birmingham, Alabama.
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Abstract
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PURPOSE. The purpose of this study was to detect and establish the cellular localizations of nicotinic acetylcholine receptor (nAChR) subunits in Rhesus monkey retina.
METHODS. Retinas were dissected from the eyes of monkeys killed after unrelated experiments. RNA was extracted and analyzed by RT-PCR, using primers designed against human sequences of
3-
7,
9, and β2-β4 nAChR subunits. The RT-PCR products were separated by gel electrophoresis and sequenced. Frozen sections of postmortem fixed monkey eyes were immunolabeled with well-characterized and specific monoclonal antibodies against the
3,
4,
6,
7, β2, or β4 nAChR subunits and visualized with fluorescence labeling.
RESULTS. Products of the predicted size for the
3-
7,
9, and β2-β4 nAChR subunits were detected by RT-PCR in Rhesus monkey retina. Homology between transcripts from monkey retina and human nucleotide sequences ranged from 93 to 99%. Immunohistochemical studies demonstrated that neurons in various cell layers of monkey retina expressed
3,
4,
7, or β2 nAChR subunits and cells with the morphology of microglia were immunoreactive for the
6 or β4 nAChR subunits.
CONCLUSIONS. nAChR subunits are expressed in the monkey retina and localize to diverse retinal neurons as well as putative microglia. Besides mediating visual processing, retinal nAChRs may influence refractive development and ocular pathologies such as neovascularization.
Acetylcholine (ACh) activates both nicotinic and muscarinic acetylcholine receptors (AChRs). The nicotinic AChRs (nAChRs) are ligand-gated cation channels and consist of pentameric complexes either composed of subunits
2-
6 and β2-β4 as
/β combinations or composed of subunits
7-
10 as homomeric or heteromeric structures.1 2 3 Two broad classes of nAChRs are recognized in brain. One class consists of heteromeric nAChR subtypes comprised of the
2-
6 and β2-β4 units with high agonist affinity but insensitivity to the snake toxin
-bungarotoxin (
Bgt); the second class consists of homomeric (i.e.,
7,
8, or
9) or heteromeric pentamers (i.e., combined
7,
8,
9, or
10 subunits) with lower agonist affinity but with high sensitivity to
Bgt.3 4 The subunit compositions of nAChRs, which govern their pharmacological and functional properties, vary in different regions of the nervous system.
In the mammalian retina, the cholinergic cells comprise two populations of amacrine cells, with somata in the inner nuclear layer (INL) or ganglion cell layer (GCL) respectively.5 6 The dendrites of the cholinergic INL cells stratify as a narrow band in the outer portion of the inner plexiform layer (IPL), and those of the cholinergic cells in the GCL stratify as a narrow band in the inner portion of the IPL. Functionally OFF cells, the cholinergic cells in the INL release ACh at the cessation or decrement of light stimulation5 6 ; functionally ON cells, the cholinergic cells in the GCL release ACh at light onset or increment.7
Ach, acetylcholinesterase inhibitors, or other cholinergic agents affect the response properties of many types of ganglion cells, including ON- and OFF-center ganglion cells and all motion sensitive ganglion cells.5 8 9 10 11 12 Based on electrophysiology, many of the retinal actions of ACh are mediated by nAChRs.8 13 That the application of ACh also decreases responses in the optic nerve likely reflects its summed effect on the activity of various ganglion cells.13
In rabbit retina, for instance, both
Bgt-sensitive and
Bgt-insensitive nAChRs modulate the light responses of subsets of ganglion cell types, including directionally selective ganglion cells as well as many subsets of brisk transient and brisk sustained ganglion cells.14 15 16 17 18 Both AChR classes are expressed by some ganglion cells, and there is evidence that nAChRs are expressed by upstream cells as well. For example, many ganglion cells and several types of amacrine cells express
Bgt-insensitive β2-containing nAChRs, some of which are in combination with
3 and possibly other subunits.19 20 21 Furthermore,
Bgt-sensitive
7 nAChRs are expressed by rabbit cone bipolar, amacrine, and ganglion cells,22 suggesting that activation of
7 nAChRs by ACh may affect information processing in multiple retinal circuits. Consistent with inner retinal localization of nAChRs, physiological studies demonstrate that the frog ERG b-wave is inhibited by ACh,23 possibly through a cholinergic-glycinergic feedback loop24 25 ; the cat b-wave is first enhanced and then rapidly inhibited by ACh,26 suggesting the activation of multiple upstream nAChR subtypes. In rhesus monkey, the pattern ERG is enhanced by the ACh precursor L-
-glyceryl-phosphorylcholine.27
Although cholinergic mechanisms mediated by nAChRs also influence experimental retinal neovascularization28 and are involved in refractive development,29 30 31 a major gap in understanding the role of ACh in the normal and diseased retina is the limited information concerning the expression of nAChRs in non-human primate and human retinas. We report the results of RT-PCR and immunohistochemical studies of nAChR subunit expression in Rhesus monkey retina and discuss these findings in comparison to previous observations in the retinas of other mammals.
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Materials and Methods
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Monkey eyes were enucleated after death from Rhesus monkeys killed at the conclusion of unrelated experiments at the Yerkes National Primate Research Center. Animal treatment conformed to the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research.
RNA Isolation and Amplification
Intact retinas were dissected into RNA stabilizing solution (RNAlater; Ambion, Austin, TX) immediately after enucleation. RNA was extracted using a purification kit (Absolutely RNA RT-PCR Miniprep Kit; Stratagene, La Jolla, CA). Briefly, tissue was homogenized in lysis buffer containing guanidine thiocyanate and β-mercaptoethanol. The homogenates were pre-filtered, and captured onto a fiber matrix RNA binding column, filtered, washed, and eluted. Contaminating DNA bound to the fiber matrix was removed by DNase digestion.
Previously published primers were used to amplify
4 and
6 subunit mRNAs.17 Additional primers were designed to amplify mRNAs of the
3,
5,
7,
9, β2, β3, and β4 nAChR subunits using primer design software (Primer Premier V. 5.0; Premier Biosoft, Palo Alto, CA). The sequences were designed against the cytoplasmic loop of human cDNA sequences obtained from GenBank (National Center for Biotechnology Information, Bethesda, MD; http//:www.ncbi.nlm.nih.gov). Primer sequences are listed in Table 1 . Primers were synthesized by Invitrogen (Carlsbad, CA) or Sigma Genosys (The Woodlands, TX).
An RT-PCR kit (OneStep RT-PCR; Qiagen, Inc., Valencia, CA) was used for RT-PCR of retinal RNA. Briefly, primers and template RNA were mixed into RT-PCR buffer containing dNTPs and RT-PCR enzyme mix containing reverse transcriptases and Taq DNA polymerase. Template RNA was omitted as a negative control. Reverse transcription occurred at 50°C for 30 minutes, followed by 1 cycle at 95°C for 15 minutes to inactive the reverse transcriptases and activate the Taq polymerase. Denaturing, annealing, and extension consisted of 35 to 40 cycles at 94°C for 1 minute, 55°C to 60°C for 1.5 minutes and 72°C for 2 minutes, respectively. Final extension took place at 72°C for 20 minutes. Gel electrophoresis was used to separate RT-PCR products on 2% agarose gels with ethidium bromide visualization of the bands.
For further characterization, appropriately sized products were gel purified using a purification kit (QIAquick PCR Purification Kit; Qiagen Inc., Valencia, CA). Briefly, agarose segments containing DNA were dissolved in a proprietary buffer (QG; Qiagen), mixed with isopropanol, and centrifuged. DNA was captured on a DNA binding matrix and eluted with DEPC-treated H2O. The purified DNA was sequenced (Center for AIDS Research, University of Alabama at Birmingham, Birmingham, AL) using both forward and reverse primers. The forward and reverse sequences were aligned with one another using a multiple sequence alignment program (Clustal W; European Bioinformatics Institute, Cambridge, UK; http://www.ebi.ac.uk/clustalw/) and compared to known DNA sequences through GenBank in an NCBI BLAST query. The homologies of the amplified sequences from monkey retina to the appropriate human DNA sequences ranged from 93% to 99% without significant homology to other DNA sequences (Table 1) .
Tissue Preparation for Immunohistochemistry
Fifteen enucleated eyes from ten rhesus monkeys were opened at the pars plana, immersion-fixed in ice-cold 2% paraformaldehyde or periodate-lysine-paraformaldehyde in 0.1M phosphate buffer for 2 to 4 hours, and then transferred into ice-cold 30% sucrose in 0.1M phosphate buffer for at least 48 hours. Each eye was hemisected in the region of the ora serrata, and the vitreous body was removed from the posterior segment. The posterior segments were embedded in a specimen matrix (Tissue-Tek O.C.T.; Sakura Finetek USA, Inc., Torrance, CA), frozen in liquid nitrogen, and transversely sectioned at 12 to 16 µm.
Antibodies
Thirteen well-characterized and specific monoclonal antibodies (mAbs) against the
3,
4,
6,
7, β2, or β4 subunit of the nACh receptor were used (see Table 2 ).
Immunohistochemistry
Tissue sections were routinely blocked for 30 minutes with the normal serum of the same species in which the secondary antibody was generated or with TNB solution (0.1M Tris-HCl, 0.15M NaCl, 0.5% blocking reagent) provided with the tyramide signal amplification kit (TSA kit, PerkinElmer, Waltham, MA; http://las.perkinelmer.com/ApplicationsSummary/Applications/Tyramide-Signal-Amplification.htm), a technique to enhance the visualization of immunolabeling. Tissue sections treated with the TSA kit were incubated with 0.3% hydrogen peroxide in methanol for 30 minutes to inactivate endogenous hydrogen peroxidase before applying the blocking reagent. The tissue sections were then incubated with the primary antibody overnight at room temperature, rinsed with TNT (0.1M Tris-HCl, 0.15 M NaCl, 0.3% Triton) buffer and then incubated for 1 hour in biotinylated goat anti-rat or anti-mouse immunoglobulin (secondary antibody, Jackson Immunoresearch, West Grove, PA), depending on the original species of the primary antibody. The TSA reagents then were applied, following the manufacturers instructions (peroxidase-conjugated strepavidin 1:200 for 30 minutes, and then biotin-conjugated tyramide 1:100 for 3 minutes). The immunoreactivity was visualized by incubation with strepavidin-conjugated Cy3 (Jackson ImmunoResearch) diluted 1:1800 for 25 minutes. To control for the specificity of secondary antibody, tissue sections were prepared by omitting the primary antibody. To control for the specificity of the primary antibody, tissue sections were prepared by substituting matched protein concentrations of normal serum of the species in which the primary antibody was generated. Tissue sections were covered in mounting in medium (Fluoromount-G; Southern Biotechnology Associates, Inc., Birmingham, AL) and observed by a fluorescence microscope (Nikon Microphot-SA; Nikon, Tokyo, Japan). Digital images were captured with a digital camera and imaging software (DXM1200 and ACT-1 version 2.20, respectively; both from Nikon).
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Results
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RT-PCR Analysis
To determine the compliment of nAChR subtypes detectable in neural Rhesus monkey retina at the transcription level, RT-PCR that relied on primers designed from human nAChR nucleotide sequences was used. Products of the predicted size for
3-
7,
9, and β2-β4 (Fig. 1) were detected and were subsequently sequenced to confirm identity. Homology between transcripts amplified from Rhesus monkey retina and human nucleotide sequences ranged from 93% to 99% (Table 1) . There was variability in comparing the intensity of the product bands for each subunit, with the
4 subunit band being the most intense and the
9 product being the least intense. While these differences in the intensity of the product bands may reflect differences in the abundance of native mRNA transcripts for a given subunit, unequal transcription efficiencies may also have contributed to dissimilar band intensities.
Immunohistochemistry
Although the RT-PCR results suggested that the majority of nAChR subunits are expressed in Rhesus monkey retina, antibodies suitable for immunohistochemistry were available only for the
3 to 4,
6 to 7, and β2 and β4 nAChR subunits (Table 2) . As RT-PCR had identified mRNA transcripts for each of these latter nAChR subunits, immunohistochemistry also identified these same subunits in specific cells of the monkey retina. While the intensity of labeling differed between eyes, the cellular patterns of immunoreactivity for each specific subunit were highly consistent between eyes. Based on their appearance on tissue sections, labeled cells are described as small (7 to 10 µm in diameter), medium (11 to 14 µm in diameter) or large (15 µm or greater in diameter); but these descriptive terms are not intended to imply size-dependent differences in labeled cell populations.
3 Subunit.
A moderate number of apparent amacrine cells in the inner nuclear layer (INL) and cells in the ganglion cell layer (GCL) displayed
3 immunoreactivity, as did two well-defined bands of processes within the inner plexiform layer (IPL). These two distinct bands of labeled processes were found in sublamina a and sublamina b of the IPL. Many cone photoreceptors in the outer retina also were visualized (Fig. 2) . While the outer segments were labeled most intensely, the entire cone photoreceptor showed immunoreactivity for the
3 nAChR subunit. Small, round labeled somata in the INL were found predominantly in the innermost tier of cells, with occasional labeled somata visible in the second tier of the cells. Processes from some of these labeled neurons in the INL were visible as they entered the IPL and merged into the outer band of labeled processes. Fewer cells in the GCL were immunolabeled, and their distribution was uneven. Most cells were round or ovoid in shape and varied in size from small to large; they were seen either as isolated cells or as two or three cells close together. A short, thin process from the labeled somata was also occasionally visualized, extending to the inner band of labeled processes in the IPL. In the NFL, a few isolated nerve fibers were weakly labeled.
4 Subunit.
Many round or ovoid shaped, medium or large sized cells in the GCL displayed immunoreactivity to the
4 nAChR subunit (Fig. 3) . No processes from these cells could be visualized clearly. Only a very few medium-sized cells in the INL were labeled, and these were scattered in the innermost layer of the INL. No immunoreactivity was visualized in the IPL, but fibers in the NFL were weakly labeled.
6 Subunit.
The
6 nAChR subunit was detected in cells with the typical morphology of microglial cells. They were distributed in the OPL, IPL, GCL, or NFL and were frequently, but not always, visualized in proximity to retinal blood vessels (Fig. 4) . In vertical tissue sections the round, small cells in the OPL gave rise to processes that originated from each pole and extended along the OPL. In tangential sections, these cells appeared to be multipolar with three to five radially oriented processes confined to a narrow plane parallel to the retina surface. The processes from the cells in the OPL did not appear to overlap. The majority of
6 nAChR immunoreactive cells were localized in the IPL. Labeling was visualized in all layers of the IPL, in contrast to the narrow distribution in the OPL. The IPL cells demonstrated variable morphology, with round, ovoid, or irregular somata of small to medium sizes and multiple branching processes. Also in contrast to the cells in the OPL, the labeled processes of the presumed microglia in the IPL could be observed to touch, overlap or even be entangled with those of nearby cells. Similar features were observed in the
6 nAChR immunoreactive microglia of the GCL and NFL, but these cells were in lower density and with less ramified, more symmetric processes.
7 Subunit.
7 nAChR subunit immunoreactivity was observed in cells in both the INL and GCL (Fig. 5) . The majority of labeled cells in the INL were located either in the inner region near the IPL or, less frequently, in the outer region near the OPL. A few processes from these cells were visualized and traced to the adjacent plexiform layer. The cells in the inner INL were presumably amacrine cells, though the identities of the labeled cells in the outer tiers were less certain. Most cells in the GCL were medium to large sized neurons of round or ovoid shape, but a few small to medium sized neurons were also labeled. No nerve fibers from the immunoreactive GCL cells were labeled. A small number of medium to large sized immunoreactive cells were also displaced in the IPL.
β2 Subunit.
Many somata in the GCL and fewer somata in the INL displayed β2 nAChR subunit immunoreactivity (Fig. 6) . Two broad, dense bands of labeled processed were visible in sublamina a and b of the IPL. The cells in the GCL were round or ovoid shaped and generally were larger than those in the INL. Some very short processes originating from the immunoreactive somata were labeled and projected into the IPL, while others could be seen entering the NFL; however, these fibers could be followed for only short distances. The larger cells in the GCL were presumably ganglion cells. The NFL was diffusely and intensely labeled, but the intense immunoreactivity terminated abruptly in the region of the posterior margin of the lamina cribrosa.

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FIGURE 6. β2 nAChR subunit immunolabeling in monkey retina. (A) The distribution of β2-immunoreactive neurons is shown. Many somata in the GCL and fewer somata in the INL (arrow head) were immunoreactive. Two immunoreactive bands were visible in the IPL, and the NFL was diffusely labeled. (B) The intense immunoreactivity of the nerve fiber layer terminated abruptly in the region of the posterior margin of the lamina cribrosa (arrows). (C, D) Corresponding fluorescence (C) and phase (D) micrographs at higher magnification illustrate the relationship of the immunolabeled bands and the IPL. The breadth of the IPL is shown by the double arrow at the right edge of each field. In (C), note also the strongly immunoreactive ganglion cell (arrowhead), some more weakly labeled ganglion cells and the intensely labeled NFL. Scale bars: (A,C, D) 25 µm; (B) 100 µm.
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β4 Subunit.
Many cells were immunoreactive for the β4 nAChR subunit and displayed the morphologic characteristics of microglia. The β4 nAChR -immunoreactive cells were distributed in the OPL, IPL, GCL, and NFL (Fig. 7) in a pattern very similar to that of the labeling for the
6 subunit (Fig. 5) . Processes of immunoreactive cells in the OPL ramified in a plane parallel to the retinal surface. In addition, β4 nAChR subunit immunoreactive cells were extensively distributed throughout the IPL, with processes arborizing within the IPL or the adjacent INL. Antibodies to the nAChR subunit also labeled a small number of cells in the GCL and NFL with similar morphologic features.

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FIGURE 7. β4 nAChR subunit immunolabeling in monkey retina. (A) The β4 nAChR subunit distribution. Many cells in the OPL, IPL, GCL and NFL were labeled in a pattern very similar to that observed for the 6 subunit (see Fig. 5 ). (B) Labeled cells in the OPL with their processes. These cells appeared confined to a narrow plane within the OPL parallel to the surface of the retina. (C, D) Two labeled cells in the middle part of the IPL and their processes. The shapes and sizes of the cell somata and processes varied considerably. Scale bars: (A) 50 µm; (B, C, D) 25 µm.
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Discussion
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These results demonstrate that transcripts for most nAChR subunits, presumably representing nAChRs of varying subunit composition, are expressed by neurons in the retina of Rhesus monkey. RT-PCR analysis yielded products of the predicted size for
3–
7,
9, and β2-β4 subunits. The products were sequenced and homology between transcripts amplified from Rhesus monkey retina and human nucleotide sequences ranged from 93% to 99% (Table 1) . By immunohistochemistry using specific monoclonal antibodies, various retinal cell types were immunoreactive for the
3,
4,
6,
7, β2, and β4 nAChR subunits, indicating protein product expression for these particular subunits. As in reported in other species,16 19 20 21 22 34 35 the retina of Rhesus monkey thus expresses a diversity of nAChR subunits, in complex cellular expression patterns.
Immunoreactivity for β2,
3,
4, and
7 subunits was detectable in cells in the inner INL with the morphologic appearance of amacrine cells. Although which putative amacrine cell types express nAChRs in the Rhesus monkey retina has yet to be determined, subpopulations of amacrine cells in rabbit retina, including GABAergic and glycinergic amacrine cells, also express
3, β2, and
7 nAChR subunits.19 21 22 Glycinergic cells in the mammalian retina are typically small field cells that synapse more frequently with amacrine and ganglion cells than with bipolar cells.36 37 38 39 Therefore, the activation of nAChRs on glycinergic amacrine cells in the monkey retina may be a mechanism for modulating the release of inhibitory neurotransmitters onto other subpopulations of amacrine cells.
The present study does not unambiguously establish the identity of outer INL cells labeled by antibodies against the
7 subunit. That these might be immunoreactive bipolar cells is an intriguing observation because of a previous report in non-human primate retina showing that cholinergic cells synapse directly onto cone bipolar cell terminals, in addition to synapsing on amacrine and ganglion cells.40 More recently,
7 nAChRs were also detected in ON cone bipolar cells of rabbit retina.22 Some of these labeled cells displayed calbindin immunoreactivity, others were labeled for calbindin and glycine, while still others exhibited only glycine immunoreactivity, indicating that
7 nAChRs are expressed by at least three distinct subpopulations of ON-cone bipolar cells. These findings add to reports over nearly three decades that nAChRs are expressed by bipolar cells. Specifically, observations in chick,41 mouse,42 goldfish,43 and turtle44 all demonstrated
Bgt binding associated with bipolar cells or amacrine-bipolar synapses. Another study showed
Bgt-sensitive nAChR (
8 subunits) antibody labeling of bipolar cells in the avian retina.45
The retina includes circuits for rod-mediated scotopic and cone-mediated photopic vision. Rods and cones synapse onto one type of rod bipolar cell and many types of cone bipolar cells, respectively, and specific types of cone bipolar cells make synaptic contacts with specific subtypes of ganglion cells. However, the rod signal carried by rod bipolar cells can reach ganglion cells only by passing first to AII amacrine cells that in turn synapse onto cone bipolar cells.39 46 In rabbit retina, there is evidence that nAChRs are involved primarily in the photopic pathway.22 Taken together, these results justify future efforts to establish the identity of the
7-positive outer INL cells and the participation of nAChRs in specific circuits in the non-human primate retina.
Cells in the GCL expressing nAChRs also were detected in the monkey retina, specifically the β2,
3,
4, and
7 subunits. Based on the size and shape of the labeled cells, many are likely to be ganglion cells. By immunoprecipitation, in situ hybridization and/or radioligand binding, the
6 nAChR subunit has been detected at significant levels in retinal ganglion cells, their axons and/or their central axon terminals in rat or chick16 34 35 47 ; but we observed no
6 immunolabeling of presumed ganglion cells in monkey retinal tissue sections. RT-PCR of whole retina, while identifying the
6 nAChR transcript, cannot establish cellular origin; and we would now not assert clear species differences in the expression by retinal ganglion cells of the
6 nAChR subunit given potential technical issues with immunohistochemistry on monkey tissues. Previous studies of the rabbit retina have revealed both
7- and β2-containing neurons in the GCL. In rabbit, some ganglion cells express
7 and
3β2 nAChRs and others exhibit
7 immunoreactivity only.22 Many physiologically identified GC types, including subsets of sustained OFF and sustained ON, transient OFF17 and some directionally selective ON-OFF cells, may express β2-containing and
7 nAChRs.14 18 The responses of other subsets of ganglion cells to the applications of cholinergic agonists were mediated solely by
7 nAChRs.17 These data, together with the physiological studies cited above, suggest that ACh can directly affect the responses of ganglion cells through the activation of
7 nAChRs and/or β2-containing nAChRs on the GCs themselves, as well as on the upstream cells.
The significance of the apparent expression of nAChRs by cone photoreceptors in non-human primate retinas is unclear. There are reports that choline acetyltransferase is expressed in the cones of amphibian and turtle retina48 ; but to our knowledge, no data suggest functional nicotinic cholinergic circuitry in the outer retina of mammals.
Antibodies against the
6 and β4 nAChR subunits labeled cells that resembled microglia. Functional nAChR subtypes containing
6 and β4 subunits have been described in hippocampus.49 Additionally, there are numerous reports of neuronal nAChR subtype expression and function in non-neuronal cells, including endothelial cells, epithelial cells, and keratinocytes.50 51 52 Recent evidence indicates that microglia have a mesodermal origin, and thus a lineage distinct from that of macroglia that are derived from neuroectoderm.53
In initial studies on human retina with a similar immunohistochemical approach (data not shown), antibodies to
4 and
7 nAChR subunits labeled various neuronal somata; but immunohistochemical reactivity to the other subunits was not detected. While demonstrating that human retina expresses at least two nAChR subunits, postmortem changes and the long fixation times of the available donated human tissue preclude direct comparison to the monkey data. Evaluating fresh or weakly fixed human retinas for nAChR subunits would comprise a worthwhile future study.
Evolving recent evidence also links nAChR function to pathologic processes in the eye. Refractive development seems governed by a visual feedback mechanism located in large part in the retina,54 and nicotinic cholinergic mechanisms comprise one of the pharmacologic pathways implicated in the development of refractive errors in experimental animals29 and possibly in children.30 31 Nicotinic cholinergic mechanisms, perhaps acting at vascular endothelial cells, influence experimental retinal neovascularization and may provide a novel therapeutic pathway for age-related macular degeneration.28 While most prior interest in ACh signaling in non-retinal eye physiology and ocular pathology has addressed muscarinic ACh receptors,55 new observations are both highlighting the potential importance of nAChRs and suggesting new opportunities in cholinergic pharmacology.
In summary, the apparent expression of diverse nAChRs by different classes of retinal neurons in the non-human primate retina suggests effects at several stages of visual information processing. The release of ACh from cholinergic amacrine cells may boost the responses of ON- and ON-OFF types of ganglion cells through the activation of postsynaptic nAChRs on ganglion cells themselves. The activation of nAChRs expressed by inhibitory amacrine cells that synapse with other inhibitory amacrine cells likely would cause inhibition or disinhibition of multiple circuits and may exert a variety of effects on specific types of ganglion cells. The activation of nAChRs on bipolar cells could modulate bipolar cell output onto ganglion cells. Finally, recent observations suggest that nicotinic cholinergic signaling in the retina may influence not only visual processing but also normal ocular development and certain ocular pathologies.
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Footnotes
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Supported by Philip Morris USA Postdoctoral Fellowship of the Philip Morris External Research Program (JL); NIH Grants R01-EY-07354 (RAS), R01-EY-07845 (KTK), P30-EY-03039 (KTK); the Paul and Evanina Bell Mackall Foundation Trust (AHM, RAS); and Research to Prevent Blindness (RAS).
Submitted for publication June 6, 2008; revised September 24, 2008; accepted January 20, 2009.
Disclosure: J. Liu, None; A.M. McGlinn, None; A. Fernandes, None; A.H. Milam, None; C.E. Strang, None; M.E. Andison, None; J.M. Lindstrom, None; K.T. Keyser, None; R.A. Stone, 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: Richard A. Stone, D-603 Richards Bldg., University of Pennsylvania School of Medicine, Philadelphia, PA 19104-6075; stone{at}mail.med.upenn.edu.
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