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Purpose: It has been proposed that changes in the permeability of Bruch's membrane play a role in the pathogenesis of age-related macular degeneration (AMD). This paper investigates, in an in vivo porcine model, the migration of fluorescent latex beads across the Bruch's membrane after subretinal injection., Methods: Forty-one healthy eyes of 33 three-month-old domestic pigs received a subretinal injection of 0.5, 1.0, 2.0, or 4.0 μm fluorescent latex beads. Between three hours and five weeks after injection evaluations were performed with fundus photographs and histology. Fluorescent beads were identified in unstained histologic sections using the rhodamine filter with the light microscope., Results: The fluorescent latex beads relocated from the subretinal space. Intact beads up to 2.0 μm were found in the choroid, sclera, and extrascleral space. The smaller beads were also found inside choroidal and extrascleral blood vessels. In contrast, the larger beads of 4.0 μm did not pass the Bruch's membrane., Conclusion: Subretinally implanted beads up to 2.0 μm pass the Bruch's membrane intact and cross the blood-ocular barrier. The intact beads are found in the choroid, sclera and inside blood vessels. The results give reason to consider the role of subretinal clearance and passage of Bruch's membrane in the development of AMD., (Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.)

This study investigates whether intravitreal administration of glial cell line-derived neurotrophic factor (GDNF) enhances survival of NeuN positive retinal cells in a porcine model of retinal ischemia. 16 pigs were subjected to an ischemic insult where intraocular pressure was maintained at 5 mmHg below mean arterial blood pressure for 2 h. The mean IOP during the ischemic insult was 79.5 mmHg (s.e.m. 2.1 mmHg, n = 15). Three days after the insult the pigs received an intravitreal injection of GDNF microspheres or blank microspheres. The pigs were evaluated by way of multifocal electroretinography (mfERG), quantification of NeuN positive cells and evaluation of the degree of retinal perivasculitis and inflammation 6 weeks after the insult. In the post-injection eyes (days 14, 28 and 42), the ratios of the iN1 and the iP2 amplitudes were 0.10 (95% CI: 0.05-0.15) and 0.09 (95% CI: 0.04-0.16) in eyes treated with blank microspheres, and 0.24 (95% CI: 0.18-0.32) and 0.23 (95% CI: 0.15-0.33) in eyes treated with GDNF microspheres. These differences were statistically significant (P < 0.05). The number of NeuN positive cells in the area of the visual streak area was significantly higher in eyes injected with GDNF microspheres compared to eyes injected with blank microspheres. In eyes injected with GDNF microspheres the ganglion cell count was 9.5/field (s.e.m.: 2.1, n = 8), in eyes injected with blank microspheres it was 3.5/field (s.e.m.: 1.2, n = 7). This difference was statistically significant (P < 0.05). There was also a significant difference (P < 0.01) in the degree of perivasculiitis between GDNF treated eyes (median perivasculitis score 1.5) and blank treated eyes (median perivasculitis score 3.0). In conclusion, injection of GDNF microspheres 3 days after an ischemic insult results in functional and morphological rescue of NeuN positive cells in a porcine model of acute ocular ischemia.

The purpose of this study was to establish, and characterize a porcine model of acute, controlled retinal ischemia. The controlled retinal ischemia was produced by clamping the ocular perfusion pressure (OPP) in the left eye to 5 mm Hg for 2 h. The OPP was defined as mean arterial blood pressure (MAP) minus the intraocular pressure (IOP). It was clamped to 0-30 mm Hg by continuous monitoring of MAP and adjustment of the IOP, which was controlled by cannulation of the anterior chamber. Inner retinal function was assessed by induced multifocal electroretinography (mfERG) with comparisons of the amplitudes obtained in the experimental, left eye, and the control, right eye. Quantitative histology was performed to measure the survival of ganglion cells, amacrine cells and horizontal cells 2-6 weeks after the ischemic insult. An OPP of 5 mm Hg for 2h induced significant reductions in the amplitudes of iN1 to 20% (CI: 13-30%), and iP2 to 14% (95% CI: 8-22%) of their baseline values. No signs of recovery were found within the 6-week observation period. Quantitative histology revealed a highly significant reduction in the number of ganglion cells, amacrine cells and horizontal cells after the ischemic insult. This model seems to be suitable for investigations of therapeutic initiatives in diseases involving acute retinal ischemia.

The retinal pigment epithelium (RPE) of the eye transports water and lactate ions in the direction from retina to choroid. The water transport is important in maintenance of retinal adhesion and the transport of lactate ions serves to regulate the lactate levels and pH of the subretinal space. This study investigates by means of a non-invasive technique the mechanism of coupling between transport of H(+), lactate ion, and water in the monocarboxylate transporter (MCT1) located in the apical (retinal) membrane of a mammalian RPE. Primary cultures of porcine RPE cells were grown to confluence and placed in a perfusion chamber in which the solution facing the retinal membrane could be changed rapidly. Two types of experiments were performed: Changes in cell water volume were measured by self-quenching of the fluorescent dye Calcein, and changes in intracellular pH were measured ratiometrically using the fluorescent dye BCECF. In lactate-free solutions, mannitol addition to the retinal bath caused intracellular acidification and cell shrinkage, given by a single osmotic water permeability of 1.2+/-0.1 x 10(-4)cmsec(-1) (osmoll(-1))(-1). In solutions containing 50 mmoll(-1) lactate, however, the mannitol-induced cell shrinkage was faster and the cells alkalinized. These effects were not linear functions of the magnitude of the imposed osmotic gradients: Both volume effects and changes in intracellular pH showed apparent saturation with increasing gradients. Abrupt isosmotic replacement of Cl(-) with lactate in the concentration range from 3 to 50 mmoll(-1) caused an immediate cell swelling as well as an immediate intracellular acidification; both effects showed apparent saturation with increasing lactate concentration. The K(m) values were: 11+/-2 mmoll(-1) for the water fluxes and 13+/-4 mmoll(-1) for the H(+) and lactate fluxes. The data suggest that H(2)O is cotransported along with H(+) and lactate ions in MCT1 localized to the retinal membrane. The study emphasizes the importance of this cotransporter in the maintenance of water homeostasis and pH in the subretinal space of a mammalian tissue and supports our previous study performed by an invasive technique in an amphibian tissue.

Human retinal pigment epithelial (RPE) cells are capable of presenting bacterial superantigens (SAg) to T cells in vitro by ligation of MHC class II molecules on RPE cells with the T cell receptor. The purpose of this study was to evaluate the involvement of adhesion molecules in presentation of SAg. Cultured human fetal and adult RPE cells were treated with interferon-gamma (IFN-gamma, 500 U ml(-1) for 72 hr) and afterwards pulsed with the SAg staphylococcal enterotoxin A (SEA, 500 ng ml(-1) for 2 hr) followed by coculture with freshly obtained T cells isolated from peripheral blood. Proliferation was measured by (3)H-thymidine incorporation assay. In selected experiments, either RPE or T cells were pre-treated with blocking antibodies specific for cell surface molecules. For comparison, dendritic cells were used as superantigen presenting cells for T cells. This study showed that presentation of SEA by RPE cells to resting T cells was dependent on the presence of the molecules CD2, CD58 and CD18, CD54. The cycling status of T cells was decisive, thus resting T cells but not activated T cells were capable to proliferate in response to SEA presentation. Proliferation of T cells induced by adult RPE cells was comparable to the proliferation induced by dendritic cells at concentrations of SAg above 100 ng ml(-1), but at concentrations of SAg below 10 ng ml(-1) the response was significantly lower for SAg presented by RPE cells compared to dendritic cells. The results demonstrate that CD2-CD58 and CD18-CD54 interactions are critical for SAg presentation by RPE cells to T cells. The findings thus suggest that also presentation of peptides to resting T cells by RPE cells may be dependent upon these interactions., ((C) 2001 Academic Press.)

The water permeabilities of the membranes of the frog retinal pigment epithelial cells (RPE cells) were studied by means of double-barrelled, ion-selective microelectrodes. The cells were loaded with tetramethylammonium ion (TMA+) or with choline ions (Ch+) which served as intracellular volume markers. The intracellular activities of tetramethylammonium ions (TMAi+) and choline ions (Chi+) were measured with K+ selective intracellular microelectrodes. Intracellular activities of K+ and Cl- were also measured, and these ions were investigated as intracellular volume markers. The osmolarity on retinal side of the epithelium was changed abruptly. The rates of change in TMAi+ were linearly related to the changes in extracellular osmolarity in the range between (-46)-(+46) mosmol l-1. The osmotic water permeability of the retinal membrane, Lp,r, estimated from these experiments was 3.8 x 10(-4) cm sec-1 (osmol l-1)-1. For an osmotic gradient of 23 mosmol l-1 there was no difference between Lp,r determined with Ch+, TMA+ and Cl- as intracellular volume markers. This rules out any specific biological artifacts of the volume measurement. Intracellular K+ was not suitable as intracellular volume marker, since the initial rates of change in the intracellular K+ activity were about 30% lower than the rates of change in TMAi+ when osmotic gradients less than +/- 46 mosmol l-1 were applied. Among the exogenous volume markers, TMA+ was found more reliable than Ch+. For osmotic gradients larger than 23 mosmol l-1 the volume change recorded with Ch+ was smaller than that recorded with TMA+ as volume marker. Since the membrane permeability for Ch+ was 23 times larger than for TMA+, this suggests that Ch+ left the cells during higher rates of shrinkage. The cells acted almost as ideal osmometers, since the steady-state changes in intracellular osmolarity closely reflected the retinal extracellular osmolarity changes. It is concluded that the osmotic water permeability of the retinal membrane is larger than that of the choroidal membrane. This suggests that the rate limiting step for osmotic water movements between the eye and the blood is the choroidal membrane of the retinal pigment epithelium.

Cl- transport across the retinal membrane of the frog retinal pigment epithelium was studied by means of double-barrelled Cl- selective microelectrodes. Three types of experiments were performed. In the first group of experiments, the ionic dependence of Cl- influx across the retinal membrane was studied. The intracellular Cl- activity was first decreased by perfusing the retinal side of the epithelium with low Cl- solutions (3.6 mM Cl-); then the perfusate was changed to high Cl- solutions (90.1 mM), and the resulting Cl- influx was studied. In these experiments, the combined presence of extracellular Na+ and K+ was a necessary condition for Cl- influx across the retinal membrane. This supports the hypothesis of Na+,K+,Cl- co-transport across this membrane. In a second group of experiments, the effect of furosemide was studied. Furosemide (100 microM) inhibited Cl- influx when the retinal extracellular Cl- concentration was increased from 3.6 to 90.1 mM. When administered to cells in steady state, furosemide in concentrations between 5 and 1000 microM decreased the intracellular Cl- activity. Michaelis-Menten analysis yielded a Ki for furosemide of 7 +/- 2 microM. The effect of furosemide on the intracellular Cl- activity required the combined presence of extracellular Na+ and K+. When the retinal extracellular K+ concentration was increased to between 0 and 10 mM, the furosemide-sensitive Cl- influx across the retinal membrane increased. Michaelis-Menten analysis yielded a half maximal stimulation at an extracellular K+ concentration of 0.5 mM. Stimulation of the epithelium with 1 mM cAMP and 0.5 mM IBMX reduced the effect of furosemide on the intracellular Cl- activity by 26%. In a third group of experiments, the effect of transepithelial currents on the intracellular Cl- activity was investigated. Currents that depolarized the choroidal membrane potential increased the intracellular Cl- activity; currents that hyperpolarized this membrane potential decreased the intracellular Cl- activity. These findings are compatible with conductive Cl- transport across the choroidal membrane. The apparent Cl- conductance of this membrane was estimated to be 0.59 mS cm-2. This represents 27% of the total conductance in the choroidal membrane. Administration of 1 mM cAMP and 0.5 mM IBMX caused a 21% increase in the apparent Cl- conductance of the choroidal membrane.