Abstract
Haploinsufficiency because of a null mutation in the gene encoding peripherin/rds has been thought to be the primary defect associated with the photoreceptor degeneration seen in the retinal degeneration slow (rds) mouse. We have compared the effects of this haploinsufficiency on rod and cone photoreceptors by measuring the levels of rod- and cone-specific gene expression, by determining the relative rates of rod and cone degeneration, and by electroretinography. These analyses were performed at ages before and after the onset of degeneration of the photoreceptor cells. The data were consistent in demonstrating that measures for cone photoreceptors are relatively spared in comparison to comparable measures for rod photoreceptors. Blue cones were retained in higher number than red/green cones for the first 3 months of the degeneration. Our results indicate that the haploinsufficiency present in rds/+mice has a greater impact on the rod than on the cone photoreceptor, a finding that likely reflects the tight regulation of peripherin/rds and the need for two functional alleles to assemble the structure of the rod outer segment and/or differences between the ultrastructure of the rod and cone outer segments.
The retinal degeneration slow (rds) mouse line has provided an important model for the study of photoreceptor degeneration since its initial description (Van Nie et al., 1978). Because the degenerative process is extremely slow, the rds mutation originally was thought to be an autosomal recessive trait. As a result, the defect has been studied primarily in rds/rds mice, which display an abnormal development and subsequent degeneration of the photoreceptors (for review, see Molday, 1994). However, the rds phenotype is actually a semidominant trait characterized by haploinsufficiency inrds/+ animals (Wilkie, 1994), in which the gene product from the one functional allele is inadequate to support normal function. The defect underlying the rds trait involves the insertion of a 9.2 kb repetitive genomic element within exon 2 of the peripherin/rds gene (Travis et al., 1989; Ma et al., 1995). Molday (1994) suggested that the rds mutation might produce a null allele by generating an unstable molecule. Consistent with this idea,rds/+ mice exhibit a progressive photoreceptor degeneration that is more gradual than that seen in rds/rds mice yet is characterized by abnormal outer segments and a gradual loss of cells in the outer nuclear layer (ONL; Hawkins et al., 1985; Sanyal et al., 1986).
The outer segments of vertebrate rod and cone photoreceptor cells consist of an ordered array of membranous disks. In rods, except for a few nascent disks at the base of the outer segment, the disks are surrounded by a separate plasma membrane. In cones, outer segment disks appear as a folded system of membranes that are continuous with each other and with the plasma membrane. Despite these structural differences, rod and cone disks are shed continuously and resynthesized. Peripherin/rds, a transmembrane glycoprotein, has been localized along the rim of mature disks as well as in the basal regions adjacent to the cilia of rod and cone outer segments where disk morphogenesis occurs (Molday, 1994). The absence of peripherin/rds in the rds/rds mouse prevents normal development of the photoreceptor outer segment, leading to cell death. Although outer segment membrane biogenesis occurs in the rds/rds mutant, the membrane is unable to fold into the proper disk structure. This indicates that peripherin/rds, probably in conjunction with other photoreceptor proteins, plays an important role in the assembly, orientation, and physical stability of the photoreceptor outer segment disk (Travis and Bok, 1993; Molday, 1994).
Because of the predominance of rods in the mouse retina (Carter-Dawson and LaVail, 1979), attention has focused primarily on the characteristics of rod, but not cone, degeneration in mice carrying therds trait. Nevertheless, peripherin/rds mutations compromise cone-mediated function to different degrees (Farrar et al., 1991;Kajiwara et al., 1991, 1993; Nichols et al., 1993a,b; Wells et al., 1993). In light of this, we have performed a series of studies onrds/+ mice to compare rod and cone involvement at structural and functional levels. The data indicate that the rds defect is more deleterious to rods than to cones, a difference that is likely to reflect a greater role of peripherin/rds in maintaining the structure of the rod outer segment. The data also provide an empirical basis with which to compare rds/+ mice to patients heterozygous for one or another dominantly inherited peripherin/rds mutation.
MATERIALS AND METHODS
rds mice. The gene defect of rds/rdsmice was moved first onto a pigmented background (C57BL/6) by continuous mating to normal C57BL/6 mice. The mice studied here were generated from the subsequent mating of rds/+ to normal (+/+) mice. The rds defect was inherited as a Mendelian trait so that approximately one-half of the offspring were +/+, and one-half were rds/+. Mice were screened for the presence of the rds mutation by PCR amplification, using two primers: MIN 101 (5′-ATACTGCCTCCAACCTTC-3′) from the peripherin/rds coding region and MIN 99 (5′- AGCCCAGATTGCCTGTGGCA-3′) from the inserted element (Travis et al., 1989). All of the mice studied here were maintained in the breeding colony under cyclic light (12 hr light/12 hr dark) conditions; cage illumination was ∼7 foot-candles during the light cycle. All procedures were approved by the local Institutional Animal Care and Use Committees and adhered to the Association for Research in Vision Ophthalmology (ARVO) Statement for the Use of Animals in Ophthalmic and Vision Research.
Tissue preparations for histology and immunocytochemistry.After death, the superior cornea was marked before enucleation. After a 1 hr fixation, the anterior segments were removed except for the superior cornea, and eyes were fixed overnight at 4°C. Then the posterior portion of each eye was divided along the vertical meridian so that each half contained the superior and inferior quadrants of either the nasal or temporal retina.
For light microscopy, eyes were fixed in 0.1 m cacodylate buffer, pH 7.4, containing 2% formaldehyde and 2.5% glutaraldehyde. Then the tissues were osmicated, dehydrated through a graded ethanol series, embedded in epoxy resin (Epon), and processed for evaluation. The sections (1 μm thick) were cut approximately along the horizontal meridian and passed through the optic nerve. Photoreceptor nuclei were counted in a microscopic field that spanned 100 μm and was centered 300 μm from the edge of the optic nerve head. This measurement was performed on both sides of the optic nerve head, and no differences were found in the number of photoreceptor nuclei between these regions. Single eyes from three individuals, taken from separate litters, were used for each age point.
For immunocytochemistry, eyes were fixed in 0.1 m phosphate buffer, pH 7.4, containing 4% formaldehyde. Tissues were incubated overnight with 10% sucrose in 0.1 m phosphate buffer, pH 7.4, and then stored in 30% sucrose phosphate buffer. The tissues were embedded in OCT (Miles Diagnostics, Elkhart, IN) and immediately snap-frozen in an isopentane–dry ice bath. Sections (6 μm thick) were made at −20°C, incubated with 0.1% Triton X-100 and 10% normal serum in PBS for 30 min at room temperature, and then washed three times with PBS for 5 min each. Then the sections were incubated overnight at 4°C with the primary antibody [either anti-bovine rod opsin monoclonal antibody (mAb 1D4, specific for the C terminus of rhodopsin; Hodges et al., 1988) at 1:100 dilution, anti-human blue opsin antibody at 1:3000 dilution, or anti-human red/green opsin antibody at 1:4000 dilution]. Sections were rinsed for 5 min with PBS and incubated with 1:100 biotinylated FITC secondary antibody for 30 min at room temperature. After three rinses with distilled water, the sections were mounted on coverslips with PermaFluor aqueous mount medium. Because the two cone types of the mouse retina are segregated spatially (Szél et al., 1992), each was counted in a 100 μm microscopic field corresponding to the area of highest concentration. Specifically, anti-blue pigment-positive outer segments were counted in the inferior central region, while anti-red/green pigment-positive cells were counted in the superior central portion of the retina.
Northern blot. Mouse retinas were collected fromrds/+ and wild-type (C57BL/6) mice for RNA preparation. Total RNA was extracted from these tissues, using TRIzol Reagent (Life Technologies, Gaithersburg, MD), and ∼10 μg of total RNA was separated electrophoretically on a 1% agarose gel containing 18% formaldehyde. The number of retinas used to meet this criterion ranged from two for normal mice to four for older rds/+ mice. The gel was stained with ethidium bromide to check the quality of the RNA (judged by the integrity of the 28s and 18s rRNA bands). Then the RNA was transferred to a nitrocellulose membrane and hybridized with32P-labeled bovine peripherin/rds cDNA, mouse opsin genomic DNA, or mouse blue opsin cDNA at 42°C in 50% formamide, 5× SSC, 1× Denhardt’s, 0.5% SDS, and 0.5 mg/ml ssDNA. The filters were washed initially at 55°C in 2× SSC/0.5% SDS and then a second time with 0.1× SSC/0.5% SDS, if necessary. Then the blots were exposed to Kodak XAR film (Rochester, NY) at −70°C between two intensifier screens. A densitometer scanned each individual band, and the values obtained from three different measurements were normalized with respect to the amount of actin in each corresponding lane.
Electroretinography (ERG). Mice were anesthetized with 15 μl/gm body weight of a saline solution containing urethane (0.4 mg/ml), ketamine HCl (1 mg/ml), and xylazine (0.4 mg/ml). The pupil was dilated with 1% tropicamide and 2.5% phenylephrine HCl, and the animals were placed on a heating pad. ERGs were recorded by using a stainless steel wire contacting the anesthetized (1% proparacaine HCl) corneal surface through a layer of 1% methylcellulose. A similar wire placed in the mouse served as the reference lead, and a needle electrode placed in the tail served as ground.
ERGs were recorded in two sessions. In the first, the extent of rod and cone involvement was determined by presenting strobe stimuli (0.85 log cd per sec/m2) in a Nicolet ganzfeld (Madison, WI). Initially, stimuli were presented after overnight dark adaptation. At least 1 min elapsed between stimulus flashes, and responses were averaged with a Nicolet Pathfinder II signal averaging system after differential amplification (half bandpass of 1–1000 Hz). The a-wave recorded under these conditions provided a selective measure of the rod photoresponse (Goto et al., 1995, 1996; Peachey et al., 1995), whereas the b-wave included a cone-mediated contribution (Goto et al., 1995;Peachey et al., 1995). Then a steady adapting field was presented inside the ganzfeld. After at least 7 min of light adaptation, stimuli were presented at 2.1 Hz, and 50 consecutive responses were averaged. These conditions isolated a cone-mediated ERG (Peachey et al., 1993,1995; Goto et al., 1995).
In the second session, high-intensity stimuli were presented to the dark-adapted eye as described elsewhere (Goto et al., 1996). Stimulus flashes were generated by a photographic flash system (Novatron) and passed through an optical system to a fiber optic that was connected to the input port of an Oriel integrating sphere. Neutral density filters interposed in the optical path attenuated stimulus intensity. ERGs were recorded via the electrodes described above, which served as input to a preamplifier (WPI DAM50, Sarasota, FL; bandpass of 1–1000 Hz). The output of the preamplifier was digitized at 4000 Hz by a LabMaster A/D board; the board also synchronized flash presentation and data collection. Interstimulus intervals were chosen on the basis of pilot recordings with normal mice and were sufficient to maintain a stable level of dark adaptation (cf. Goto et al., 1996).
The leading edges of the a-waves obtained to these high-intensity stimuli were analyzed in terms of a modified form of the Lamb and Pugh model of rod phototransduction (Lamb and Pugh, 1992; Pugh and Lamb, 1993): In Equation 1, P3 represents the mass response of the rod photoreceptors and is analogous to the PIII component of Granit (1933). The amplitude of P3 is expressed as a function of flash energy (i) and time (t) after flash onset:S reflects the gain of phototransduction,RmP3 is the maximum response, andtd is a brief delay. This model initially was applied to data obtained from normal humans (Breton et al., 1994; Hood and Birch, 1994) and since has been used to model the leading edge of the mouse a-wave (Birch et al., 1995, 1997; Goto et al., 1996;Lyubarsky and Pugh, 1996) and responses recorded from retinitis pigmentosa (RP) patients with mutations in the peripherin/rds gene (Jacobson et al., 1996; Birch et al., 1997).
Equation 1 was fit to the leading edge of the rod ERG a-wave by a curve-fitting program that is based on a least-squares algorithm (MatLab, version 4.1; cf. Goto et al., 1996). After estimatingtd, we initially fit Equation 1 to the entire data set to derive an overall value of S andRmP3. In addition, fits were made to individual responses. To accomplish this, we held values ofRmP3 and td constant at the values derived from the ensemble fit, and the best-fit value ofS was determined for each response separately.
RESULTS
Expression of peripherin/rds in cone photoreceptors
Immunocytochemical studies with anti-peripherin/rds antibodies indicate that peripherin/rds is localized along the rims of mature rod and cone disk membranes (Arikawa et al., 1992). These studies were performed on both rod-dominated (rat) and cone-dominated (ground squirrel) retinas (Arikawa et al., 1992). Because neither rod nor cone outer segments develop in the rds/rds retina, it is likely that the same mutant peripherin/rds gene is expressed in rod and cone cells. To examine this issue, we evaluated peripherin/rds expression in rd/rd mice at ages representative of the degenerative process (Fig. 1). In therd/rd retina it is well established that a rapid degeneration occurs in all retinal regions, which precedes a much slower cone degeneration (Carter-Dawson et al., 1978). At early ages [postnatal day (P) 5, P15], when the rod degeneration is severe but incomplete (Carter-Dawson et al., 1978), the expression of both peripherin/rds (Fig. 1A) and rod opsin (Fig.1B) can be detected. At 10 weeks of age, when the rod degeneration is complete (Carter-Dawson et al., 1978), rod opsin expression cannot be discerned above the background level (Fig.1B). At the same age it was possible to detect a low level of expression of peripherin/rds in rd/rd mice (Fig.1A). A longer exposure of the same blot showed a slightly stronger peripherin/rds signal, but still no signal from the rhodopsin gene (data not shown). Because the rd defect is rod-specific (Bowes et al., 1990; Pittler and Baehr, 1991) and leads to a rapid degeneration of the rod photoreceptors (Carter-Dawson et al., 1978), the residual peripherin/rds signal must reflect the small population of cone photoreceptors that survive the early cascade of rod photoreceptor degeneration (Carter-Dawson et al., 1978; Foster et al., 1991). Messages for opsin and peripherin/rds were absent in retinas from older rd/rd mice (Fig. 1, 6–8 months) despite the fact that a small number of cone nuclei are still present at this age (Carter-Dawson et al., 1978). Overall, these results indicate that the same rds mutation is expressed in both rod and cone photoreceptor cells, a conclusion that agrees with previous work that used a different approach (Arikawa et al., 1992).
Photoreceptor cell loss in rds/+ retinas
Figure 2 shows representative cross sections taken from a 2-month-old normal mouse (A) and from rds/+ mice at 1 (B), 2 (C), and 3 (D) months of age. At 1 month, rds/+ mice appear to retain a near-normal number of photoreceptor cells in the ONL. Examination of the ONL at later ages shows a distinct reduction in the rds/+ retina and only a modest decline in retinas obtained from normal littermates (Fig.2C,D). These observations, which agree overall with previous reports (Hawkins et al., 1985; Nir et al., 1990), are quantified in Figure 2E, which plots the average (± 1 SD) number of cells counted within a 100 μm span of the central retina. At each age the number of cells in the ONL was decreased significantly from normal (all p < 0.05). A prominent feature of therds/+ retina is the disorganized and abnormally shorter outer segments (Fig. 2B–D; Hawkins et al., 1985). As shown in Figure 2F, the length of the outer segments was reduced significantly at 1 month but did not change appreciably in mice as old as 3 months. The inner retinal layers as well as the retinal pigment epithelium retained a normal appearance throughout the age range examined (Fig. 2).
Opsin immunoreactivity during the degeneration of therds/+ retina
To examine further the rds/+ rod outer segment and the distribution of opsin, we performed immunocytochemistry with 1D4, a monoclonal antibody that identifies rod opsin (Hodges et al., 1988). Figure 3, A–C, presents retinal sections obtained from a 1-month-old normal mouse (A,D), a 1-month-old rds/+ mouse (B,E), and a 3-month-old rds/+ mouse (C,F). In each case the top panel shows the result of exposure to 1D4, whereas the bottom panel is a Nomarski image of the same retinal field. Like the normal retina, rds/+ retinas at all ages studied showed that the majority of the labeling was restricted to the outer segments. This pattern, which is similar to that reported by Cantera et al. (1990), indicates that therds mutation does not interfere with the synthesis and localization of opsin to the outer segment. Furthermore, no immunoreactivity was seen in the synaptic terminal of the photoreceptor cells. Thus, although the degeneration reduces the overall length of the rod outer segment, the normal pattern of localization for rod opsin is retained.
Cone photoreceptor cell loss in rds/+ retina
The effect of the rds mutation on cone photoreceptor cells has received little attention. This may reflect the fact that the mouse retina is rod-dominated with only a small (∼3%) proportion of cones (Carter-Dawson and LaVail, 1979). However, it is known that the mouse retina contains at least two cone types (Jacobs et al., 1991;Szél et al., 1992; Chiu and Nathans, 1994) with a large scale topographical separation in their distribution (Carter-Dawson and LaVail, 1979; Szél et al., 1992; Chiu and Nathans, 1994). The red/green cones are found at the highest concentration in the superior retina, whereas the highest concentration of blue cones occurs in the inferior retina (Szél et al., 1992); between the superior and inferior zones lies a transitional band wherein a single cone may express both red/green and blue pigments (Röhlich et al., 1994).
To determine the effect of the rds mutation on the blue and red/green cone cells, we used monoclonal antibodies specific to either the blue or red/green pigment. Figure4A–C presents retinal sections obtained from the inferior central region of a 1-month-old normal mouse (A,D), a 1-month-old rds/+ mouse (B,E), and a 3-month-old rds/+ mouse (C,F). In each case the top panel shows the result of exposure to an antibody against blue cone opsin, whereas the bottom panel is a Nomarski image of the same section. In the top panels immunoreactivity is confined to the blue cone outer segment. Overall, the pattern of blue cone immunocytochemical staining observed in our normal and rds/+ data was similar to that reported previously (Szél et al., 1992; Chiu and Nathans, 1994). With increasing age, however, the number of blue cones present in therds/+ retina appears to decline. These data are quantified in Figure 4G for blue cones and in Figure4H for red/green cones. The red/green cones were measured in the central superior region of the retina. For both cone types there is an age-related decline in labeled cells inrds/+ mice. However, the reduction was more modest for blue cones.
Figure 5 compares the relative degrees of rod and cone degeneration in rds/+ mice aged 1–3 months. Plotted are the relative numbers of blue or red/green cones (data of Fig. 4G,H) as a function of the relative number of rods. To derive the rod counts, we adjusted the total number of photoreceptors (see Fig. 2E) by the corresponding cone counts (Fig. 4G,H). The diagonal line represents an equivalent reduction in the two photoreceptor populations. The area above the line indicates a relative preservation of cones, whereas the area below the line indicates that cones are affected more severely than rods. It is apparent that the rds/+ mouse data fall above the diagonal, indicating a relative preservation of cone photoreceptors.
Rod and cone electroretinography in rds/+ mice
Figure 6A presents ERGs recorded under dark- and light-adapted conditions from a 2-month-old normal mouse (top traces) and rds/+mice at the ages indicated. Dark-adapted (rod-dominated) responses are reduced in amplitude at all ages, and there is an age-related decline. In comparison, the light-adapted cone ERG of 2-month-oldrds/+ mice appears normal in amplitude; at later ages this response declines moderately. These data indicate that therds defect compromises rod more than cone function. Figure6B analyzes this issue quantitatively by plotting rod- and cone-mediated ERG components against each other. Here, data are expressed relative to the respective normal mean, and each data point represents an individual rds/+ mouse. The solid diagonal line again illustrates the relationship expected if rod and cone responses are affected equally. All of the data fall above the line, consistent with the impression that cone function is relatively spared in rds/+ mice.
The observed reduction in the rod ERG a-wave could reflect a number of outer segment abnormalities. The histology data indicate that the dark current underlying the a-wave is decreased in rds/+ mice by at least two factors: a decrease in the length of the outer segment (see Fig. 2F) and a decline in the number of viable photoreceptors (see Fig. 2E). To determine whether these are the only factors, we used high-intensity stimuli to allow the application of Equation 1 to the leading edge of the a-wave. Figure6C presents the leading edge of a-waves recorded from a 2-month-old rds/+ mouse. The dashed line represents the fit of the model to the series of responses recorded here and describes the data well.
Figure 6D presents the values of S derived when Equation 1 was fit to each individual response. Across the stimulus range used here, the values obtained from rds/+mice were not different from those obtained from normal mice. This indicates that the amplification characteristics of the phototransduction cascade are operating with normal efficiency, despite the overall disorganization and shortening of the outer segment. As a result, the a-wave reductions reflect primarily the short rod outer segments present in rds/+ mice and the age-related decline in the total number of viable rod photoreceptors. A similar conclusion recently has been presented by Birch et al. (1997).
Expression levels of peripherin/rds, opsin, and blue pigment mRNA in rds/+ retinas
We have examined the levels of expression of three photoreceptor-specific genes (peripherin/rds, rhodopsin, and blue opsin) in the retinas of rds/+ mice before and after the onset of photoreceptor cell death. Figure7 shows the RNA blot analysis obtained by using cDNA for mouse peripherin/rds (Cheng et al., 1997), genomic DNA for mouse rod opsin (Al-Ubaidi et al., 1990), and cDNA for mouse blue cone opsin (Naash et al., 1992) to hybridize total RNA extracted from normal and rds/+ retinas at 1, 2, or 3 months of age. The top portion of each panel illustrates a representative Northern blot from one experiment. The bottom graph presents average (± 1 SD) results obtained from densitometry of blots derived from three different RNA preparations. When probed for peripherin/rds (Fig.7A), normal mice generate two major (1.6 and 2.7 kb) and three minor (4.0, 5.5, and 6.5 kb) transcripts that probably represent the different poly(A+) signals that are used in the synthesis of this protein (cf. Ma et al., 1995; Cheng et al., 1997). These bands also are seen in RNA isolated fromrds/+ mice (Fig. 7A). In addition, heterozygotes generate two additional high-molecular-weight transcripts; these correspond to the insertion of the 9.2 kb repetitive element that underlies the rds defect (Travis et al., 1989; Ma et al., 1995). If we consider only the normal transcripts, at 1 month of age, peripherin/rds levels in the rds/+ retina are approximately one-half (45.8%) of normal. This agrees with the histological analysis that there is only a slight decline in the number of photoreceptors at this age. As a result, the measured decrease in peripherin/rds reflects the fact that rds/+ mice express only one functional allele. At 2 and 3 months of age, peripherin/rds levels remain stable in the normal retinas but decline in rds/+ retinas at a rate that parallels the loss of cells observed histologically (see Fig. 2).
As shown in Figure 7B, normal and rds/+ mice have similar expression levels of the rod opsin gene at 1 month of age. This observation is in agreement with the histological evidence for a near-normal number of ONL cells at this age (see Fig.2E) and the immunocytochemical evidence (see Fig. 5) that rod opsin is localized to the rod outer segment ofrds/+ mice; it also indicates that transcription of the rod opsin gene operates normally. At later ages an ∼50% decline in transcripts for rod opsin was observed. This decrease cannot be attributed only to a loss of rod photoreceptors, because a more modest decrease actually is observed (see Fig. 2E). Instead, this decline must reflect a decreased rate in mRNA synthesis. A similar phenomenon occurs for the blue cone opsin transcripts (Fig. 7), although the extent of decline at 2 and 3 months of age is less marked than for rod opsin. When expressed as normalized values, the decline in the expression of blue cone opsin is more gradual than that for rod opsin (Fig. 7).
DISCUSSION
The present study has evaluated the effect of peripherin/rds haploinsufficiency on rod and cone photoreceptors. When we initiated this study, it was important to confirm that the same gene was expressed in both rods and cones. As shown in Figure 1, peripherin/rds transcripts persist in retinas devoid of rod photoreceptors and rhodopsin message. Because the peripherin/rds signal detected in Figure1 was obtained by using high-stringency hybridization, this signal must reflect the same gene being expressed in all photoreceptors.
Compared with corresponding measures for cones, rods developed a more severe degeneration as measured by the number of surviving photoreceptors, the retention of ERG amplitude, and the maintenance of mRNA levels. A possible explanation for this difference is that the remaining peripherin/rds allele is upregulated in cone photoreceptors to a level that maintains functional integrity. However, this does not seem to be the case, because we did not see any increase in the mRNA level of the normal peripherin/rds allele at 1 month of age. Alternatively, it is possible that the delayed time course of cone involvement reflects a relative tolerance of cone photoreceptors to therds gene defect. Cone and rod outer segments differ in several important respects (Eckmiller, 1997). Although the cone outer segment appears as a folded system of membranes, rod outer segments are composed of a rigid stack of individual disks. Moreover, the rod outer segment is much longer than the cone outer segment and contains a greater number of disks. Therefore, it is possible that the product of both peripherin/rds alleles is required to construct the more rigid and extensive rod outer segment. The cone outer segment also possesses several structural features, including distal invaginations and a relatively more extensive ciliary axoneme, that differ from rods (Eckmiller, 1997) and may contribute to overall cone outer segment integrity. In this view, cone degeneration arises primarily as a secondary effect of rod degeneration. In fact, secondary cone degeneration has been observed in a number of naturally occurring and genetically engineered mouse lines in which the expression of the gene defect is controlled by a rod-specific promoter (Carter-Dawson et al., 1978; Johnson et al., 1989; Goto et al., 1995; McCall et al., 1996). At present, it is not possible to distinguish whether one or both of these factors contribute to the relative preservation of cones. However, this question could be resolved by examining cone structure and function inrds/+ mice “rescued” by the expression of a normal copy of peripherin/rds in rod photoreceptors (Travis et al., 1992).
Total cell counts indicated that the rds/+ defect is more detrimental to red/green cones than to blue cones. This observation could reflect an increased susceptibility of red/green cones to the defect in maintaining the structure of the outer segment. Alternatively, this result could reflect regional differences in disease severity; as reviewed above, the two cone subtypes are effectively segregated to the inferior or superior retinas, with little overlap (Szél et al., 1992). In VPP transgenic mice a more severe degeneration is observed in the inferior retina under typical cyclic light conditions (Naash et al., 1996a); this regional difference disappears with mice reared in darkness. In another transgenic line expressing the G90D rhodopsin mutation, the superior retina is affected more severely, regardless of whether animals were reared in darkness or under cyclic light (Naash et al., 1996b). It is possible that the vulnerability of the mouse cone population also varies from region to region, with the net effect reported here.
The ERG results reported here were obtained under conditions used to examine human patients with peripherin/rds gene defects. As a result, two lines of comparison can be drawn between rds/+ mice and patients heterozygous for peripherin/rds gene mutations. At the level of the rod a-wave, patients with either insertion or deletion mutations in peripherin/rds have an overall reduction in a-wave amplitude but retain normal gain (Jacobson et al., 1996; Birch et al., 1997). This pattern of results also was found to apply to rds/+ mice (Fig. 4; Birch et al., 1997) and suggests that the mechanism underlying the defect may be similar. However, this pattern also is associated with rhodopsin gene defects in human patients (Hood and Birch, 1993;Jacobson et al., 1994; Shady et al., 1995) and the expression of a mutant rhodopsin gene in transgenic mice (Goto et al., 1996). At present, the retention of normal amplification (S) in the face of an overall amplitude reduction does not distinguish RP pedigrees from one another, although the reverse can be seen in other situations (Johnson and Hood, 1996).
The cone ERG results seem to distinguish the rds/+ mouse model from many human conditions involving peripherin/rds gene defects. Dominant peripherin/rds mutations typically are accompanied by significant cone abnormalities, even in relatively young patients (Kajiwara et al., 1991, 1993; Wells et al., 1993; Fishman et al., 1994;Kemp et al., 1994; Nakazawa et al., 1994; Wroblewski et al., 1994;Gorin et al., 1995; Jacobson et al., 1996). In comparison,rds/+ mice exhibit a relative sparing of the cone ERG throughout the age range tested. However, Kajiwara et al. (1993)reported two patients from a pedigree carrying a null mutation in the peripherin/rds gene, resulting in a premature stop codon at position 43. Although the older patient had severe retinal degeneration, the younger patient exhibited a selective reduction in the rod-mediated ERG; cone-mediated potentials were normal. This pattern of results resembles that observed in young rds/+ mice and may indicate that a similar process is involved in both situations.
In sum, our results indicate the importance of evaluating the effect of a genetic defect on rod and cone photoreceptor characteristics. Although rods are more numerous in most mammalian retinas, cones mediate many specialized visual functions. Therefore, in evaluating the status of the retina, we can obtain a complete picture only by a comprehensive analysis of all affected cell types.
Footnotes
This work was supported by the National Eye Institute (EY-10609 and EY-01792), the Foundation Fighting Blindness, Baltimore, MD, the Illinois Society to Prevent Blindness, the Knights Templar Eye Foundation, Springfield, IL, an unrestricted award from Research to Prevent Blindness, New York, NY, and the Department of Veterans Affairs. We thank Drs. Neeraj Agarwal, Donald Hood, Robert S. Molday, and Jeremy Nathans for generously providing, respectively,rds/rds mice, MatLab programs, mAb 1D4, and antibodies against human blue and red/green pigments. We also thank Dr. Muayyad Al-Ubaidi for helpful comments on this manuscript.
Correspondence should be addressed to Dr. Muna I. Naash, University of Illinois at Chicago Eye Center (m/c 648), 1855 West Taylor Street, Chicago, IL 60612.
Dr. Y Goto’s present address: Neurological Institute, Kyushu University 60, Fukuoka 812 Japan.