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Before Retinal Cells Die, They Regenerate, Penn Vet Blindness Study Finds

By Katherine Unger Baillie | kbaillie@upenn.edu | 215-898-9194 Published: Mar 18, 2016

Until relatively recently, the dogma in neuroscience was that neurons, including the eye’s photoreceptor cells, rods and cones, do not regenerate. This is the reason that nerve damage is thought to be so grave. More recent studies have poked holes in this belief by showing that, in some vertebrate species, neurons can be stimulated to divide.

Yet the dogma continued to hold firm with regard to retinal neurons – until a surprising finding in 2011 by University of Pennsylvania researchers. They showed that in a form of canine blindness retinal cells continue to differentiate for a period of time early in a dog’s life before overwhelming cell death caused the retina to degenerate.

Dr. Kristin GardinerIn a new study, the Penn researchers have expanded this line of inquiry to consider two other forms of blindness. They found that these diseases, too, possess this unexpected feature of temporarily rejuvenating retinal cells. The findings suggest this feature may be common across many forms of inherited blindness. Further investigation into the reasons for this period of retinal neuron proliferation could lead to molecular targets for intervening in cell death and maintaining functional photoreceptor cells and a working retina.

Dr. Gustavo AguirreThe work is reported in the journal BMC Genomics and was led by Penn School of Veterinary Medicine researchers Kristin L. Gardiner, a resident in the section of Laboratory Animal Medicine; Gustavo D. Aguirre, professor of medical genetics and ophthalmology; and Sem Genini, a senior research investigator.

The study picked up where the 2011 work left off. The Penn Vet team had found in early retinal degeneration, or erd, an inherited canine retinal disease which leaves dogs sightless within a year of birth, that photoreceptor cells in the retina continued to divide when the animals were between 7 and 14 weeks of age.

Dr. Sem Senini“After 14 weeks, the balance between death and division tips, and the retina degenerates,” Aguirre said. “We weren’t sure whether this was unique to erd, so we thought we’d look at other diseases that have a similar time course.”

They chose to examine two other early-onset blinding diseases. One is X-linked progressive retinal atrophy, or xlpra2, a disease very similar to the human disease X-linked retinitis pigmentosa, one of the most common forms of retinal degeneration. The other is rod cone dysplasia 1, or rcd1.

Gardiner took on the project while still a veterinary student and continued during summers and into her current residency.

The team wanted to know whether retinal cells were proliferating and, if they were, what specific types of cells were doing so.

A canine retina with xlpra2 shows how a marker of cell division (red) and rod cells (green) colocalize.Using chemical markers that label cells going through division, along with markers that only tag rod cells, the primary photoreceptor retina, Gardiner says they saw “beautiful labeling.”

“To our great surprise, in these other two diseases we also saw a period of cell proliferation,” Aguirre said.

Under a confocal microscope, they could see individual cells labeled with both markers surrounded by other cells that were labeled with the rod marker but not the cell division label. They also specifically looked to see if other types of neurons in the retina, such as microglia or Müller cells, were dividing and found that they were not.

The timing of this cell proliferation differed between the diseases. While erd cells had entered a proliferation stage at seven weeks, the researchers observed similar increases in cell division at two weeks in rcd1 and at eight weeks in xlrpa2, all time points that precede or coincide with the known peaks of cell death in the three diseases.

A further experiment ruled out the possibility that the same cells that were proliferating were also then undergoing cell death.

“We wanted to make sure that these weren’t some aberrant cells that were expressing all these different markers,” Gardiner said. “We showed that there appears to be a distinct population of rod cells that is proliferating and another that is dying.”

Finally, the team performed genetic and protein analyses to look for variations at these critical time periods between diseased and normal eyes. Of note, they found that changes in expression of cell cycle-related genes and proteins coincided with specific diseases stages, including expression patterns that were shared across erd, xlpra2 and rcd1.  

“These commonalities were unexpected,” Genini said, “but made sense in light of  some of our previous studies, which found that, in all three diseases, the expression levels of key genes were statistically different compared to a normal retina.

“Furthermore, the expression dysregulation occurred in different subsets of retinal cells that might play a primary or bystander role in the degenerative process,” he added. “This has to be investigated in more detail.”

Additional research will also narrow in on the genes involved in turning cells on to divide, with a hope of developing a therapy that could interfere with the eventual cell death and retinal degeneration that characterizes the three diseases studied as well as many other forms of inherited blindness.

“If you have a cell that is functional but sick, perhaps we could provide it with some agent that will allow it to keep replenishing itself and maintain a functional retina for a longer period of time,” Aguirre said.

Penn Vet’s section of ophthalmology members Louise Downs, Evelyn Santana and Agnes I. Berta-Antalics, now at Germany’s Augenklinik Uniklinik Erlangen, were coauthors on the paper.

The work was supported by the National Institutes of Health grants EY06855, EY017549 and EY001583; the Foundation Fighting Blindness; the NIH-Merial fellowship; the Alcon Research Institute Award; the Van Sloun Fund for Canine Genetic Research; and Hope for Vision

About Penn Vet

Ranked among the top ten veterinary schools worldwide, the University of Pennsylvania School of Veterinary Medicine (Penn Vet) is a global leader in veterinary education, research, and clinical care. Founded in 1884, Penn Vet is the first veterinary school developed in association with a medical school. The school is a proud member of the One Health initiative, linking human, animal, and environmental health.

Penn Vet serves a diverse population of animals at its two campuses, which include extensive diagnostic and research laboratories. Ryan Hospital in Philadelphia provides care for dogs, cats, and other domestic/companion animals, handling nearly 35,000 patient visits a year. New Bolton Center, Penn Vet’s large-animal hospital on nearly 700 acres in rural Kennett Square, PA, cares for horses and livestock/farm animals. The hospital handles nearly 4,900 patient visits a year, while the Field Service treats more than 38,000 patients at local farms. In addition, New Bolton Center’s campus includes a swine center, working dairy, and poultry unit that provide valuable research for the agriculture industry.

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