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The Journal of Neuroscience, September 15, 2000, 20(18):6781-6788
Vascular Endothelial Cell Growth Factors Promote the In
Vitro Development of Rat Photoreceptor Cells
Pamela A.
Yourey1,
Shiva
Gohari1,
Jeffery L.
Su2, and
Ralph F.
Alderson1
Departments of 1 Pharmacology and 2 Protein
Expression, Human Genome Sciences, Rockville, Maryland 20850
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ABSTRACT |
We have identified and characterized a novel trophic effect of
vascular endothelial cell growth factor (VEGF) on photoreceptor cells.
Treatment of retinal cultures, derived from postnatal day 1 (P1) rats,
with VEGF-2 resulted in a dose- and time-dependent increase in the
level of rhodopsin protein, as determined by ELISA assay. After 7-9 d
of treatment the VEGF-1 or VEGF-2, at a concentration of 10 ng/ml,
induced a 200-300% increase in rhodopsin protein and a 220%
increase in the number of rhodopsin-immunopositive cells. Treatment
with VEGF-2 induced a 250% increase in the number of
syntaxin-immunopositive cells and a 67% increase in high-affinity GABA
uptake, both markers for amacrine cells. In contrast, there was no
increase in the non-neuronal cell populations. VEGF-2 induced an
~300% increase in the number of bromodeoxyuridine-labeled
(BrdU) retinal cells within 48 hr of treatment. After 3 d in
culture both the basal and stimulated levels of BrdU incorporation were reduced, suggesting that the proliferative effect of VEGF was restricted developmentally. Furthermore, there was a
developmentally dependent increase in the mitogenic response to VEGF-2,
with retinal cultures derived from E15, E20, or P1 animals
demonstrating a 50, 100, and 300% increase in thymidine incorporation,
respectively. However, VEGF treatment resulted in an increase in the
number of rhodopsin-immunopositive cells only when the cultures were derived from P1 animals. Therefore, retinal progenitor cells appear to
be targets for VEGF, and thus VEGF may be involved in the regulation of
the early developmental program of retinal neurogenesis.
Key words:
retina; rhodopsin; CNTF; amacrine cells; photoreceptor
progenitor cell; vascular endothelial cell growth factors
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INTRODUCTION |
The retina has proven to be an
advantageous experimental model for studying the role of intrinsic and
extrinsic factors in the regulation of the development of neuronal and
non-neuronal cell types from a more primitive neuroepithelial cell. The
differentiated retina is composed of at least seven cell types: sensory
(rod and cone photoreceptors), glia (Müller cells), and two types of neurons, interneurons (horizontal, bipolar, and amacrine) and projection neurons (ganglion cells) (for review, see Dowling, 1987 ).
The development of the various cell types in the retina does not occur
synchronously with the majority of the cones and ganglion and
horizontal cells developing before birth (for review, see Altshuler et
al., 1991 ; Harris, 1991 ; Reh, 1991 ). In contrast, differentiation of a
majority of the rods, the main cell type in the rat retina, occurs
postnatally. Clonal analysis of the progeny of retinal precursor cells
has demonstrated that the progenitor cells can produce various
combinations of retinal cell types, indicating that the progenitors are
either totipotent or multipotent, depending on the developmental age
that is examined (Turner and Cepko, 1987 ; Wetts and Fraser, 1988 ;
Turner et al., 1990 ). Furthermore, findings from both in
vivo and in vitro studies demonstrate that the final
phenotype of the retinal cells is mainly lineage-independent, which
suggests that the changing microenvironment within the retina has a
role in determining the cellular potential of the progenitor cells as
well as the differentiated phenotype of the progeny (Watanabe and Raff,
1990 , 1992 ; Harris and Hartenstein, 1991 ; Reh, 1991 ; Ezzeddine et al.,
1997 ).
In vitro, retinal cell proliferation and differentiation are
regulated by a variety of factors for example, basic fibroblast growth
factor (FGF-2; Hicks and Courtois, 1992 ), ciliary neurotrophic factor
(CNTF; Fuhrmann et al., 1995 ; Ezzeddine et al., 1997 ), leukemia
inhibitory factor (LIF; Ezzeddine et al., 1997 ), transforming growth
factor- (TGF ; Lillien and Cepko, 1992 ), retinoic acid (Kelley et
al., 1994 ), and epidermal growth factor (EGF; Lillien, 1995 ). Recently,
Yang and Cepko (1996) have identified and characterized the expression
pattern of vascular endothelial cell growth factor receptor-2
(VEGFR-2/FLK-1) in developing and adult retina. VEGFR transcripts are
detected first at embryonic day 11.5 (E11.5) in association with the
developing retinal vasculature and with the central region of the
neural retina. By developmental day E15 the VEGFR-2 expression extends
to the periphery of the retina, consistent with the outward gradient of
retinal development (Young, 1985 ; LaVail et al., 1991 ). VEGFR-2
expression is localized mainly to the ventricular zone during the
perinatal period when neurogenesis is at its peak and a large number of
postmitotic neurons are being formed.
We are interested in determining what biological significance the VEGF
receptors have in regulating the development and homeostasis of retinal
cells. We determined that VEGF is mitogenic for retinal progenitor
cells. The proliferative response increases with age from E15 to
postnatal day 1 (P1). In retinal cultures that are derived from P1
animals, VEGF treatment increases the number of rhodopsin- and
syntaxin-immunopositive cells. Results from double-labeling immunohistochemical studies for rhodopsin and bromodeoxyuridine (BrdU)
suggest that VEGF-2 also enhances the survival of photoreceptor cells.
Furthermore, CNTF inhibits the VEGF-2 induced increase in the level of
rhodopsin protein, but not the early proliferative response.
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MATERIALS AND METHODS |
Animals. Timed pregnant animals were obtained from
Harlan Sprague Dawley (Indianapolis, IN). All animal-related procedures were conducted in strict compliance with approved institutional protocols and in accordance with provisions for animal care and use as
described in the Guide for the Care and Use of Laboratory Animals (National Institutes of Health publication 86-23, 1985).
Retinal cultures. The retinal tissue was obtained from
either embryonic or neonatal rats. The dissociated primary cells were prepared by incubating the tissue in 0.25% trypsin for 6 min at 37°C. After the inactivation of the trypsin by a 5 min incubation in
growth medium [F12: DMEM containing 1% fetal bovine serum, 1%
hormonal supplements (N2; Bottenstein, 1983 ), 1% glutamine, and 0.5%
penicillin-streptomycin (10,000 U/ml and 10 mg/ml, respectively; Life
Technologies, Grand Island, NY)] containing 50 µg/ml of
deoxyribonuclease type I (Sigma, St. Louis, MO), the tissue fragments
were passed repeatedly through a Pasteur pipette with a constricted tip
of a diameter of ~1 mm. The dissociated cells were collected by
centrifugation (800 × g, 5 min) and resuspended in
growth medium. The cells were seeded in 96-well plates precoated with
poly-L-lysine (50 µg/ml; Sigma) and laminin (10 µg/ml; Life Technologies) at a density of 425 cells/mm2 unless stated otherwise. The
cultures were shifted gradually to a serum-free growth medium by
changing one-half of the medium every other day. The trophic factors
were replenished with each medium change.
Rhodopsin, syntaxin immunohistochemical staining, and
cell-counting procedures. For the immunohistochemical staining the
cultures were fixed overnight in 4% paraformaldehyde containing 4%
sucrose. For rhodopsin and syntaxin staining the cultures were
permeabilized with 0.05% saponin in PBS for 30 min. The nonspecific
IgG binding was inhibited by incubating the cells in PBS containing 5%
horse serum and 2% BSA for 3 hr at room temperature. Then the cultures were incubated overnight at 4°C with anti-rhodopsin (1:10,000, Rho
4D2; obtained from Dr. Molday, University of British Columbia) or
anti-syntaxin (1:10,000; Sigma) diluted in PBS containing 5% horse
serum and 2% BSA (Molday, 1989 ). After the removal of the primary
antibody the cultures were incubated with a biotinylated anti-mouse
antibody (1:2500; Vector Laboratories, Burlingame, CA) for 90 min. Then
the avidin-biotin-peroxidase complex, diluted 1:50 in PBS containing
5% horse serum, was added for 60 min. To visualize the bound
peroxidase, we used diaminobenzidine at a final concentration of
0.4 mg/ml in a 0.1 M acetate buffer containing 2.5% nickel
sulfate. The number of immunopositive cells per well was determined by
counting the labeled cells in an area representing 7% of the total
surface area of the well and then correcting the count for the total
surface area.
Rhodopsin-BrdU double-labeling immunohistochemistry. After
various treatment paradigms the retinal cells were incubated with BrdU
for 4 hr and, subsequently, were washed twice with PBS. Growth medium
was added back to the cultures, which then were maintained in
vitro for various time intervals. For the rhodopsin-BrdU
double-labeling studies the cultures were fixed in 70% ETOH at
20°C for 18 hr. Then the cultures were permeabilized, and the
nonspecific IgG binding was inhibited as described above. Subsequently,
they were incubated with the anti-rhodopsin antibody (1:2500) for 3 hr
at room temperature. After the removal of the primary antibody the cultures were incubated with a biotinylated anti-mouse antibody (1:1000; Vector Laboratories) for 60 min at room temperature and then
subsequently with fluorescein-avidin (30 µg/ml; Vector Laboratories) for 1 hr. Next the cultures were post-fixed with 70% ETOH containing 20% glacial acetic acid for 20 min at room temperature and incubated with the anti-BrdU antibody (1:10) for 30 min 37°C per the
manufacturer's instructions (Boehringer Mannheim, Indianapolis, IN).
The anti-BrdU was detected with an anti-mouse antibody labeled with
rhodamine (30 µg/ml; Boehringer Mannheim). In the
experiments in which the cultures were stained only
immunohistochemically for BrdU, the staining was conducted per the
manufacturer's instructions. In experiments in which the cultures were
double-labeled for rhodopsin and with propidium iodide, the
photoreceptor cells first were labeled for rhodopsin by using the
method described above. To determine the total number of cells, we then
incubated the cultures for 1 min in PBS containing 1 µg/ml of
propidium iodide and subsequently rinsed them twice with PBS.
Rhodopsin, vimentin, and glial fibrillary acidic protein (GFAP)
ELISAs. For the rhodopsin ELISAs the cultures were rinsed with PBS
and fixed overnight with 4% paraformaldehyde containing 4% sucrose.
Then the cultures were rinsed with PBS and permeabilized with 0.05%
saponin in PBS for 30 min at room temperature. The nonspecific
protein-binding sites were suppressed by incubating the cells in PBS
containing 5% horse serum and 2% BSA (blocking buffer) for at least 3 hr. The cultures were incubated overnight with the mouse anti-rhodopsin
antibody (diluted 1:5000 in blocking buffer) or for 3 hr with
anti-vimentin (1 µg/ml; Boehringer Mannheim) and subsequently with
goat anti-mouse IgG conjugated to horseradish peroxidase (diluted
1:2500) in blocking solution. The cultures were washed extensively with
PBS; then the substrate (3,3',5,5'-tetramethylbenzidine) was added to
the wells, and the plates were incubated in the dark for 30 min. The
reaction was stopped by adding 2 M
H2SO4, and the amount of
product formed was quantitated by measuring the absorbance at 450 nm.
The absorption of the reagent blank ranged from 0.1 to 0.15 and was not
subtracted from the indicated values.
The GFAP ELISA was conducted essentially as previously described
(Greene et al., 1998 ).
High-affinity GABA uptake and calcein AM assay. The level of
high-affinity GABA uptake was determined as previously described (Greene et al., 1998 ). As a relative measurement of the total cell
number, the level of calcein AM emission was determined in the cultures
after treatment. The medium was removed, and the cultures were rinsed
once with Ham's F12. Then Ham's F12 containing 2 µM
calcein AM was added, and the cultures were incubated for 1 hr at
37°C. Subsequently, the level of emission was determined at 530 nm.
[3H]thymidine incorporation. After
treatment with factors the cells were labeled for 6 hr with
[3H]thymidine at a final concentration
of 0.33 µM (25 Ci/mmol; Amersham, Arlington Heights, IL).
The incorporated [3H]thymidine was
precipitated with ice-cold 10% trichloroacetic acid for 24 hr.
Subsequently, the cells were rinsed with ice-cold water. After lysis in
0.5 M NaOH the lysates and PBS rinses (500 µl) were
pooled and counted.
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RESULTS |
VEGF-2 treatment increases the level of rhodopsin protein and the
number of photoreceptor cells
The regulatory role of VEGFs on photoreceptor cell development
initially was investigated by using cultures derived from P1 animals.
Previous reports have demonstrated that multipotent progenitors are
present during this developmental period and retain their capacity to
differentiate into photoreceptor cells as well as other retinal cell
types in vitro (Morrow et al., 1998 ). Treatment with VEGF-2
(Hu et al., 1997 ) or VEGF-1 (R & D Systems, Minneapolis, MN) induced a
dose- and time-dependent increase in the level of rhodopsin protein in
the retinal cultures (Fig.
1A). The time course of
the VEGF-induced increase in rhodopsin was relatively slow, consistent
with the known developmental profile of photoreceptor cells. After
5 d of treatment a 25-40% increase in rhodopsin protein was
noted with 10-100 ng/ml of VEGF-2. However, by 7-9 d of treatment these same concentrations of VEGF-2 produced a 200-250% increase in
rhodopsin protein. Furthermore, at these later time points concentrations of VEGF-1 as low as 1 ng/ml significantly increased rhodopsin levels. To ascertain whether VEGF treatment affected the
total number of retinal cells, we monitored the level of emission of
calcein AM. An ~25-50% increase in calcein emission was observed after a 5-7 d treatment with at least 10 ng/ml of VEGF-2 (Fig. 1B). A pronounced increase in the basal level of
calcein emission was noted in the retinal cultures between 7 and 9 d, indicating that retinal cell proliferation that is independent of
exogenous VEGF had increased by this later time point. The presence of
VEGF-2, even at concentrations as high as 100 ng/ml, for 9 d did
not increase the number of retinal cells further. However, there was
not a concomitant increase in the basal level of rhodopsin protein
after 9 d in culture, suggesting that the proliferation of other
cell types accounts for the increase in the level of calcein emission and that these cells were not affecting photoreceptor cell development indirectly (Fig. 1A). Treatment with VEGF-1 induced
changes in the level of rhodopsin and calcein emission similar to those
described for VEGF-2 (Fig. 1C,D, respectively).

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Figure 1.
Treatment with VEGF increases the number of cells
and the level of rhodopsin protein in the retinal cultures. Dissociated
retinal cells were prepared from P1 animals, plated at a density of 425 cells/mm2, and treated with VEGF-2 (A,
B) or VEGF-1 (C, D). After 2 d (open
squares), 5 d (filled
squares), 7 d (open circles), or
9 d (filled circles) the total number of
cells in the cultures was estimated by measuring the calcein emission.
Then the cultures were fixed, and the levels of rhodopsin protein
were quantitated by ELISA and expressed in terms of optical density.
The experiment that is shown is representative of three to four
independent experiments. The data points are the mean of
five to six determinations ± SEM.
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To determine whether the increase in rhodopsin content reflected an
increase in the number of photoreceptor cells, we treated cultures with
VEGF-1 or VEGF-2 for 8 d and then immunohistochemically stained
them for rhodopsin. The morphology of the photoreceptor cells at this
in vitro developmental stage is depicted in the photomicrographs in Figure
2A-C. To quantitate
the effects of VEGF treatment, we made cell counts. The number of
rhodopsin-immunopositive cells increased as a function of
concentration, with the response having an EC50
value of 0.25 and 1.5 ng/ml for VEGF-1 and VEGF-2, respectively (Fig.
3). At a saturating concentration of
VEGF-2, a 2.4-fold increase in the number of rods was observed.
Furthermore, the response was stable in the presence of concentrations
of VEGF-2 as high as 100 ng/ml, suggesting that VEGF-2 does not readily induce a desensitization of the biological response. When the cultures
were treated on the day of plating and then maintained in the presence
of VEGF-2 (100 ng/ml) for 8 d, the number of
rhodopsin-immunopositive cells represented 15% of the total number of
propidium iodide-positive retinal cells.

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Figure 2.
Photomicrographs of immunohistochemically stained
retinal cultures. The cultures were derived from P1 animals and
maintained in vitro for a period of 8 d in the
presence of 100 ng/ml of VEGF-2. Then the cells were fixed and
immunohistochemically stained for rhodopsin
(A-C) or syntaxin (D-F).
Scale bars: A, D, 25 µm; B, C, E, F, 50 µm.
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Figure 3.
The number of rhodopsin-immunopositive cells is
increased after treatment with VEGF. The retinal cells were maintained
in vitro for 8 d in the presence of either
VEGF-1 or VEGF-2. Then the cultures were fixed and
immunohistochemically stained for rhodopsin. The experiment that is
shown is representative of the three experiments that were conducted,
and the data points are the mean of five to six
determinations ± SEM.
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Proliferative and survival effects of VEGF
The mechanism by which VEGF-2 induces an increase in photoreceptor
cell number may involve an increase in the proliferation of precursor
cells, enhanced survival of differentiated photoreceptor cells, and/or
the redirection of the rod lineage pathway. To investigate whether
VEGF-2 is mitogenic for retinal cells, we treated the cultures with
factors 4 hr after plating and subsequently labeled them with BrdU
after 24, 48, or 72 hr. At the end of the final labeling period
(72 hr) the cultures were fixed, and the incorporated BrdU was detected
immunohistochemically. A significant increase in the number of
BrdU-labeled cells was observed after 48 hr of treatment, when 10 ng/ml
of VEGF-2 or VEGF-1 induced a two- to threefold increase (Fig.
4A,B, respectively).
The EC50 value for the response was calculated as
1 ng/ml. The 48 hr time point appeared near-maximal because, after an
incubation of 72 hr, the level of BrdU incorporation had declined in
the VEGF-treated cultures regardless of concentration. However, a
decrease in the number of immunopositive cells also was observed in the
vehicle-treated wells. Similar results were observed in studies in
which [3H]thymidine incorporation was
used as an endpoint (Fig. 4C).

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Figure 4.
Treatment with VEGF increases the number of
BrdU-immunopositive cells and [3H]thymidine
incorporation in retinal cultures. The cells were isolated from P1
animals and plated at a density of 425 cells/mm2.
The cultures were treated initially at 4 hr after plating with either
VEGF-2 (A) or VEGF-1 (B).
After 1, 2, or 3 d the cultures were labeled for 4 hr with BrdU.
Then the cells were fixed and processed for BrdU immunohistochemistry.
C, The cultures were treated with the factors as
described above for the BrdU labeling. After the appropriate time
interval the cells were labeled with [3H]thymidine
for 6 hr. The experiment shown is representative of the three
experiments that were conducted, and the data points are
the mean of five to six determinations ± SEM.
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The effect of VEGF treatment on the number of rhodopsin and BrdU
double-labeled cells was investigated. The retinal cultures were
treated 2-4 hr after plating with VEGF-2 (100 ng/ml) and subsequently
were labeled with BrdU after 48 hr. Then the cultures were maintained
in the presence of VEGF-2 for 7 d. Although VEGF-2 treatment
induced a threefold increase in the number of double-immunopositive cells, this population was only 3% of the total
rhodopsin-immunopositive cells. Thus it appears that the major effect
of VEGF on photoreceptor cells under the culture conditions used in
this study may be the enhancement of their survival or the level of differentiation.
The potential role of VEGF-2 in regulating the survival of retinal
cells early in the in vitro culture period was investigated by treating the cells at the time of plating with VEGF-2 and then after
the cell survival by taking calcein AM measurements at 0, 6, 18, 24, or
48 hr after plating (Table 1). After 6 hr in
culture in the vehicle-treated wells the level of calcein AM emission was unchanged from the level noted at the time of plating. This was
followed by a gradual rise in the level of calcein AM from 18 to 48 hr.
In the presence of VEGF-2 the profile of calcein AM emission was
similar to that observed for the vehicle-treated controls, with the
exception of a somewhat greater increase at the 48 hr time point.
To characterize further a role for VEGF during the early in
vitro culture period, we examined the effect that delaying the addition of the factor to the cultures had on the level of rhodopsin protein. The initial addition of VEGF was made 4, 24, or 48 hr after
plating, and the cultures subsequently were maintained for 9 d and
then prepared for the rhodopsin ELISA. The loss of the response to
VEGF-2 or VEGF-1, as a function of the time that lapsed between the
isolation of the cells and the initial addition of the factors, is
depicted in Figure 5, A and
B, respectively. The addition of factors within 4 hr of the
plating of the cells resulted in a threefold increase in the level of
rhodopsin. However, delaying the initial treatment with VEGF by 24 or
48 hr resulted in a reduction of the maximal response by 28 and 43%,
respectively. Furthermore, after a delay of 48 hr, only treatment with
100 ng/ml of VEGF-2 induced a significant increase in rhodopsin
content, thus suggesting that the VEGFs are mitogenic for retinal
progenitor cells and that the proliferative response is restricted
developmentally.

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Figure 5.
Delaying the addition of VEGF-2 to retinal
cultures results in a time-dependent decrease of the VEGF-induced
response. The retinal cultures were prepared as previously described in
Figure 1. One set of cultures was treated initially with factors at 4 hr after plating (9/0); subsequently, additional sets
were treated after 24 or 48 hr (8/1 or
7/2, respectively). After 9 d in culture the cells
were fixed, and the level of rhodopsin protein was quantitated by ELISA
assay.
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Treatment with VEGF increases the number of amacrine cells, but
not Müller cells, astrocytes, or endothelial cells
The possibility that VEGF affects other retinal cell types that
are born postnatally, e.g., amacrine and Müller cells, also was
investigated. The morphology of amacrine cells, identified on the basis
of their expression of syntaxin, is depicted in the photomicrographs
shown in Figure 2D-F. Treatment with either
VEGF induced a dose-dependent increase in the number of
syntaxin-immunopositive cells, with 10 ng/ml inducing a maximal
increase of ~2.4-fold as compared with the vehicle-treated controls
(Fig. 6A). In contrast to the results with the rhodopsin ELISA and cell counts, 100 ng/ml of
VEGF-1 or VEGF-2 induced a smaller increase in the number of syntaxin-immunopositive cells than was observed with 10 ng/ml. To
characterize further the effect of VEGF-2 treatment on the phenotype of
amacrine cells, we measured the level of high-affinity GABA uptake.
Figure 6B depicts the dose-dependent increase in GABA
uptake induced by VEGF. The dose-response curve is similar to
that observed when the number of immunopositive syntaxin cells is
used as the endpoint, with a significant increase and saturation in
GABA uptake occurring with 1 and 10 ng/ml of VEGF-2, respectively.

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Figure 6.
VEGF treatment increases the number of amacrine
cells and the level of high-affinity GABA uptake, but not the level of
GFAP protein. Retinal cells were treated for 8 d with the
indicated concentrations of VEGF-2. Then the cells were fixed,
immunohistochemically stained for syntaxin, and counted
(A), analyzed for the level of high-affinity GABA
uptake (B), or analyzed for GFAP protein
(C). The data that are shown are representative
of three to four experiments and are the mean of five to six
determinations ± SEM.
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Müller glial cells were identified on the basis of their
expression of vimentin. After an 8 d treatment with VEGF-2 at a concentration of 100 ng/ml, the level of vimentin protein was 93 ± 2% of the level observed in the vehicle-treated controls. Similarly, VEGF-2 treatment resulted in a small decrease in the number
of vimentin-immunopositive cells (data not shown). To determine whether
VEGF-2 has an effect on the number of astrocytes or on the level of
astrocyte differentiation, we measured the amount of GFAP protein by
ELISA. After 7 d in culture, treatment with VEGF-2 or FGF-2 did
not change the level of GFAP significantly as compared with the
vehicle-treated controls (Fig. 6C). Furthermore, treatment
with VEGF-2 did not increase the number of endothelial cells,
PECAM-1-immunopositive cells, in the retinal cultures (data not shown).
Effect of developmental age on the response to VEGF-2
To characterize further the developmental pattern of the VEGF
response, we isolated retinal cells at different developmental stages,
and we quantitated the mitogenic response to VEGF-2 after 48 hr by
labeling the cultures with
[3H]thymidine. In addition, because it
has been noted previously that the differentiation of photoreceptor
cells in vitro is density-dependent, the effect that plating
density has on the response to VEGF also was investigated (Sparrow et
al., 1990 ; Watanabe and Raff, 1990 ; Altshuler and Cepko, 1992 ).
When the cultures were derived from E15 animals and plated at a density
of 212 cells/mm2, the basal level of
[3H]thymidine incorporation was
1589 ± 94 dpm/well, and treatment with VEGF-2 induced a
maximal increase of 50% (Fig.
7A). In contrast to the
dose-response that was observed with P1 cultures in which saturation
occurs at 10 ng/ml, the proliferative response in the E15 cultures
saturates at a concentration of 1 ng/ml. Furthermore, there was an
inverse relationship between the plating density and the mitogenic
response to VEGF-2. At a density of 318 cells/mm2 a leftward shift in the
dose-response curve was noted, with concentrations higher than 1 ng/ml
causing a desensitization of the response. At the highest density that
was tested (425 cells/mm2), the retinal
cells were unresponsive to VEGF-2. It is interesting to note that FGF-2
(10 ng/ml), which has a biological activity similar to VEGF-2 in the P1
cultures (see below), inhibited proliferation in the higher-density E15
cultures by as much as 62% (data not shown).

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Figure 7.
Effect of developmental age on the response of
retinal cells to VEGF. Retinal cells derived from E15
(A), E20 (B), or P1
(C) animals were plated at a density of 212 (open squares), 318 (filled
squares), or 425 cells/mm2 (open
circles). At 4 hr after plating the cultures were treated with
the indicated concentrations of VEGF-2. After 24 hr the cultures were
switched to serum-free medium, and the factors were added again. Then
the cultures were labeled with [3H]thymidine after
24 hr. The data points are the mean of five to six
determinations ± SEM. At the density of 212, 318, or 425 cells/mm2 the basal values (dpm/well) for
[3H]thymidine incorporation at E15 were
1599.7 ± 95.3, 4133.9 ± 409.2, and 6315.6 ± 154.7; at
E20 they had risen to 3361 ± 192.8, 4936 ± 271.9, and
6377.5 ± 313.9, respectively. At P1 the basal values were
479.7 ± 33.3, 754.7 ± 70, and 744.7 ± 11.7, respectively.
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In cultures that were derived from E20 animals, the basal level of
[3H]thymidine incorporation at a plating
density of 212 cells/mm2 was 3361 ± 192 dpm/well. The level of stimulation of
[3H]thymidine incorporation with VEGF-2
treatment was generally greater, ranging up to 180-200%, as compared
with the vehicle-treated controls. Furthermore, the overall level of
stimulation was greater than that observed in E15 cultures (Fig.
7B). There was still a trend toward VEGF-2 having less of an
effect in cultures plated at the highest density. However, the
inhibitory effect was much less pronounced. By P1, when the basal level
of [3H]thymidine incorporation was
478 ± 33 dpm/well at a density of 212 cells/mm2, there was a leftward shift in
the dose-response with saturation occurring at 10 ng/ml, and the
extent of the maximal increase was greater, in the range of 300% (Fig.
7C). Furthermore, there was no discernible effect of plating
density on the response to VEGF-2.
Comparison of the response of retinal cells to VEGF-2 and
other factors
To characterize more fully the responsiveness of the rod or
retinal progenitor cells, we compared the effect that EGF, FGF-2, or
TGF -1 has on the number of retinal cells and on the level of
rhodopsin protein with that achieved with VEGF-2. EGF, a mitogen for
various cell types, induces a 31% increase in the number of retinal
cells, with the response saturating at 10 ng/ml and remaining stable up
to 100 ng/ml (Fig. 8A).
However, there was no concomitant increase in the level of rhodopsin
protein in the EGF-treated cultures (Fig. 8B). FGF-2
in a concentration range of 1-100 ng/ml induces a small but
significant increase (13%) in the number of retinal cells.
Furthermore, FGF-2, which activates a number of the FGF receptors,
induces an increase in the level of rhodopsin protein. A 45% increase
in the level of rhodopsin was observed with concentrations of FGF-2 as
low as 1 ng/ml, resulting in an EC50 value for
the response in the range of 0.5 ng/ml. Treatment with TGF -1
resulted in a decrease in both the number of retinal cells and the
level of rhodopsin protein. At a concentration of 0.1 ng/ml, TGF -1
maximally decreased calcein emission and the level of rhodopsin protein
by 50 and 65%, respectively.

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|
Figure 8.
The response profile of P1 retinal cells to VEGF-2
as compared with EGF, FGF-2, or TGF -1. The cultures were seeded at a
density of 425 cells/mm2 and treated for 9 d.
A, The total number of cells in the cultures was
estimated by using calcein. B, The level of rhodopsin
protein was determined by ELISA assay. The reagent blanks in this
experiment had an optical density of 0.1. The experiment that is shown
is representative of the four independent experiments that were
conducted; the data points are the mean of five to six
determinations.
|
|
CNTF inhibits the response of photoreceptor cell progenitors
to VEGF-2
The results from the BrdU-labeling experiments demonstrate that
VEGF-2 enhances the rate of proliferation of retinal progenitor cells.
Because the developmental pathway of photoreceptor cells is thought to
be lineage-independent and thus under the regulation of environmental
factors (Ezzeddine et al., 1997 ), VEGF also may modulate photoreceptor
cell development at additional downstream sites. It has been determined
previously that CNTF inhibits the differentiation of photoreceptor
cells relatively late in their developmental pathway by redirecting
their phenotype toward the bipolar cell lineage. We investigated the
potential interaction of the two factors by cotreating retinal cultures
with VEGF-2 at a concentration that is saturating for the induction of
photoreceptor cells and various concentrations of CNTF. The increase in
rhodopsin protein induced by VEGF-2 was inhibited by CNTF in a
dose-dependent manner (Fig.
9A). The inhibitory response
had an IC50 value of 0.4 ng/ml, and treatment
with 100 ng/ml of CNTF resulted in the complete inhibition of the
VEGF-2 response. However, treatment with CNTF did not alter the total
number of retinal cells in the cultures (Fig. 9B). To
determine whether the inhibitory effect of CNTF was an early or late
event, we tested the effect that coadministration of CNTF had on the
increased level of [3H]thymidine
incorporation induced by VEGF-2. In contrast to the previous results,
the addition of CNTF did not inhibit the VEGF-induced proliferative
response (Fig. 9C). These findings further substantiate that
these two factors regulate photoreceptor cell development at different
points in the lineage pathway.

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|
Figure 9.
CNTF inhibits the VEGF-induced increase in
rhodopsin, but not the early proliferative response. Retinal cultures
were treated 24 hr after plating with the indicated concentrations of
CNTF in the presence or absence of 150 ng/ml of VEGF-2. After 8 d
in vitro the amount of rhodopsin was quantitated
(A), and the total number of cells in the
cultures was determined (B). C, To
determine the effect of CNTF treatment on the early proliferative
response induced by VEGF, we treated the cultures with the indicated
concentrations of VEGF-2 in the presence or absence of 100 ng/ml of
CNTF. After 48 hr the cultures were labeled for 6 hr with
[3H]thymidine.
|
|
 |
DISCUSSION |
We have identified and characterized the effect of VEGF-1 and
VEGF-2 on retinal cells in vitro. Treatment with VEGF in the sub-nanomolar range induces an increase in the number of photoreceptor and amacrine cells and increases the level of rhodopsin protein and
high-affinity GABA uptake. Time course studies demonstrate that VEGF
induces a maximal increase in
[3H]thymidine incorporation within 48 hr
of its addition, and delaying the treatment of the cultures by 24-48
hr results in the loss of the proliferative and differentiation
responses. The mitogenic response was regulated developmentally, with
VEGF-2 inducing an increase in
[3H]thymidine incorporation with cells
derived from E15, E20, and P1 animals. When BrdU was added to the
cultures 48 hr after the addition of VEGF-2, a minority of the
rhodopsin-immunopositive cells were double-labeled. These results
suggest that VEGF-2 also may affect the survival of photoreceptor
cells. In comparison with members of other trophic factor families, the
responses to treatment with VEGF-2 and FGF-2 were similar in that both
factors increased the level of rhodopsin protein without inducing an
increase in the total number of cells after 9 d in culture. The
coadministration of CNTF with VEGF-2 resulted in the inhibition of the
VEGF-induced increase in the level of rhodopsin, but not in the
proliferative response.
The VEGF receptor family currently is composed of four members (for
review, see Klagsbrun and D'Amore, 1996 ; Wen et al., 1998 ). The
receptors demonstrate distinct yet overlapping ligand specificity. VEGFR-1 (Flt-1) and VEGFR-2 (Flk-1) bind the various forms of VEGF-1,
whereas VEGFR-2 and VEGFR-3 (Flt-4) bind VEGF-2. Thus both VEGF-1 and
VEGF-2 activate VEGFR-2 (Joukov et al., 1998 ), and both ligands have
similar biological activities in the retinal cultures. Recently, Yang
and Cepko (1996) described the developmental expression pattern of
VEGFR-2 in the retina. In addition to the expected expression of the
receptor on the newly forming vasculature, receptors were also present
on components of the neural retina. This expression pattern is
maintained during development as the retina grows in a centripetal manner.
The effect of developmental age on the response of the retinal
progenitor cells to VEGF is consistent with the developmental expression pattern of the receptor (Yang and Cepko, 1996 ). Mitogenic effects of VEGF, based on [3H]thymidine
incorporation studies, were noted at the earliest developmental time
point that was examined, E15, as well as at E20 and P1. The magnitude
of the proliferative effect increased with age, reaching a peak by P1.
VEGF-2 is more efficacious on E15 and E20 cultures than at P1 because
that response saturated at 1 ng/ml as opposed to 10 ng/ml,
respectively. Furthermore, the basal level of proliferation in
vitro also changed with developmental age, with the highest levels
observed at E20. The finding that the basal level of proliferation was
relatively low at E15 but increased fourfold with a twofold increase in
cell density, a greater proportional increase than was observed at the
other developmental ages, suggests that endogenous mitogens may
underlie the desensitization that occurs with VEGF-2 treatment in the
E15 cultures (see legend for Fig. 7). Moreover, these data indicate
that increased levels of VEGF during early development may have a
negative impact on the differentiation of photoreceptor cells. The
influence of developmental age on the response of retinal progenitor
cells to other growth factors also has been observed (Altshuler and
Cepko, 1992 ). Lillien and Cepko (1992) reported that the proliferative
response of retinal cells in monolayer cultures to FGF-1 and FGF-2 was
greater at earlier gestational ages (e.g., E15 and E18), and by E21 or
P0 a rightward shift in the dose-response curve was apparent.
Previous studies in goldfish and frog have suggested that amacrine cell
development is regulated by cell-cell contact (Negishi et al., 1982 ;
Reh and Tully, 1986 ). More recently, the importance of cell-cell
contact for the in vitro development of photoreceptor cells
also was described by Watanabe and Raff (1990 , 1992 ) in reaggregated
cultures and then later by Altshuler and Cepko (1992) with dissociated
retinal cells plated in collagen gels. In the former study, when E15
retinal cells were reaggregated with a 50-fold excess of neonatal
retinal cells, there was no change in the developmental time when the
rhodopsin-immunopositive cells were observed. However, there was a
significant increase in the proportion of the E15 cells that eventually
differentiated into photoreceptor cells. In the case of the monolayer
cultures that were used in this study, there is a dissociation between
the VEGF-2-induced early proliferative response and the later
differentiation of photoreceptor cells. For example, VEGF-2 increases
[3H]thymidine incorporation by three- to
fourfold in cultures seeded at densities as low as 212 cells/mm2, and treatment for 7 d
resulted in cell densities equivalent to those achieved at the higher
plating densities (e.g., 425 cells/mm2).
However, there was no detectable rhodopsin protein or immunopositive cells in the cultures plated at the lower densities. These results suggest that there is not only a critical cell-cell interaction necessary for the development of photoreceptor cells but also a time
frame during which the stimulus produced via cell contact is probably necessary.
Comparing the time course of the VEGF-induced proliferation with the
developmental time course of the appearance of rhodopsin protein
indicates that there is an ~5 d lag between the two events. The
appearance of rhodopsin protein likely reflects the induction of gene
transcription, because the two events have been shown to be closely
correlated (Treisman et al., 1988 ). This time interval is similar to
that observed by Morrow et al. (1998) in in vivo and
in vitro studies when progenitor cells derived
from animals within an age range of E20 to P3 are considered.
Furthermore, between 5 and 9 d in vitro we observed the
greatest increase in the level of rhodopsin protein, and this time
period is within the postnatal developmental period (days 6-10)
in vivo during which there is a pronounced appearance of
rhodopsin-immunopositive cells (Morrow et al., 1998 ).
In comparison to members of other trophic factor families, the response
to VEGF-2 resembled that of FGF-2 in that both factors increased the
level of rhodopsin protein while inducing relatively small increases in
the total number of retinal cells after 9 d in vitro.
In addition, a proliferative response, based on
[3H]thymidine incorporation and cell
counts, to FGF-2 was noted by Lillien and Cepko (1992) as late as P3,
suggesting that FGF-2 retains some mitogenic activity in postnatal
cultures. In contrast to our findings with VEGF-2, Fontaine et al.
(1998) demonstrated that FGF-2 also has a survival effect on
photoreceptor cells derived from P5 animals (data not shown). TGF -1
treatment resulted in a decrease in both the number of retinal cells
and the level of rhodopsin protein. Kimchi et al. (1988) reported
similar observations using human fetal retinal cultures, with the
exception that maximal inhibition with the human cells required 0.5 ng/ml of TGFB-1 as compared with the <0.1 ng/ml that is required in
the rodent cultures.
CNTF, a member of the neuropoietic family of cytokines, is known to
affect the development of photoreceptor cells in vitro and
in vivo and to enhance the survival of photoreceptor cells after light-induced damage (Unoki and LaVail, 1994 ; Fuhrmann et al.,
1995 ; Ezzeddine et al., 1997 ; Cayouette et al., 1998 ). In contrast to
CNTF, VEGF-2 did not rescue photoreceptor cells in the constant
light-induced damage model (LaVail et al., 1992 ; Wen et al., 1995 ; R. Wen and R. Alderson, unpublished data). Treatment of postnatal rat
retinal explant cultures with CNTF results in an increase in the number
of cells expressing bipolar cell markers, with a loss in the population
of cells expressing rhodopsin. Analysis of the effect of CNTF on the
fate of [3H]thymidine-labeled P0 retinal
cells suggests that the cytokine does not induce the proliferation nor
increase the survival of this cell population (Ezzeddine et al., 1997 ).
Furthermore, the initiation of the effect of CNTF occurred at
approximately the time that the cells became postmitotic and began to
express rhodopsin. These data are consistent with the findings reported
here demonstrating that CNTF inhibits the VEGF-2-induced increase in
rhodopsin protein observed between 5 and 7 d in culture, but not
its mitogenic activity observed between 1 and 2 d.
During the course of development in the retina, oxygen levels control
the microarchitecture of retinal vessels that in turn matches the
pattern of differentiation of retinal neurons (Chan-Ling et al., 1990 ;
Phelps, 1990 ). Stone et al. (1995) have demonstrated that, in the
retina, astrocytes and microglia respond to hypoxia by synthesizing and
secreting VEGF, which in turn induces vessel formation. The studies
reported here suggest that the early differentiation events regulated
by VEGF not only involve vessel formation but also may induce retinal
progenitor cell proliferation. This ultimately may result in the
coordinated development of numerous cell types in the retina.
 |
FOOTNOTES |
Received Dec. 23, 1999; revised June 22, 2000; accepted June 26, 2000.
We acknowledge the work of Drs. J-S. Hu and S. Ruben in the cloning of
the VEGF-2 gene and Drs. T. A. Coleman and R. Gentz in the
production of purified protein.
Correspondence should be addressed to Dr. Ralph Alderson, Human Genome
Sciences, Incorporated, 9410 Key West Avenue, Rockville, MD 20850. E-mail: ralph_alderson{at}hgsi.com.
 |
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