Jena J. Steinle

Cervical sympathectomy causes photoreceptor-specific cell death in the rat retina

Changes in the regulation of the vasculature of the eye may be related to some age-related ocular diseases. We have previously shown that loss of sympathetic innervation, as can normally occur with age, resulted in substantial vascular growth of the choroid. The current study was designed to determine whether changes induced by sympathetic denervation causes significant loss of photoreceptors and increased glial cell reactivity in the retina. Sympathetic denervation was performed followed by immunohistochemistry, TUNEL staining, and protein expression analysis to investigate photoreceptor loss. There was a significant reduction (30%) in photoreceptor numbers in the sympathectomized eye. This loss was due to apoptosis, as there was over a doubling in apoptotic cell numbers after sympathectomy. This loss of photoreceptors in the sympathectomized eye resulted in a significantly reduced width of the outer nuclear layer of the retina when compared to the contralateral eye. Increased glial fibrillary acidic protein (GFAP) staining was also noted after sympathectomy in the ganglion cell layer with streaking toward the bipolar cell layer. These results suggest that loss of sympathetic innervation may cause significant changes to the physiology of the choroid.

β-adrenergic receptor regulation of pigment epithelial-derived factor expression in rat retina

In the present study, we have examined a potential mechanism by which sympathetic nerves regulate PEDF and whether its down regulation may be responsible for increased capillary density observed after sympathectomy. Six weeks post-sympathectomy, eyes were removed from female Sprague-Dawley rats for Western blot analysis, RNA isolation, real-time PCR, and immunohistochemistry for measurement of PEDF expression. The contralateral or left eye was used as an intra-animal control. In addition, retinal pigment epithelial cells were grown in culture and treated with norepinephrine and propranolol. An ELISA assay was used to determine the amount of PEDF secreted into the RPE media. Quantitative results of Western blot analysis and real-time PCR confirm that both steady-state gene expression and protein levels of PEDF are significantly decreased in the sympathectomized retina (P<0.05) when compared to the contralateral retina. Qualitative results of immunohistochemistry verify that PEDF is located predominantly in the RPE cell layer of the retina, and levels are decreased in the sympathectomized retina. ELISA results illustrate that norepinephrine significantly increases PEDF secretion by RPE cells and propranolol slightly decreases PEDF secretion into RPE cell medium. In conclusion, down regulation of PEDF may contribute to the increased capillary density of the outer plexiform layer in the retina noted after sympathectomy. Furthermore, expression of PEDF was significantly increased after treatment of norepinephrine in RPE medium demonstrating a role of beta-adrenergic regulation of PEDF. Since sympathetic nerves are damaged in diabetes and PEDF appears to be regulated by beta-adrenergic receptors, these results suggest a role for sympathetic nerves in diabetic retinopathy. This knowledge, in turn, may be used for future treatment and prevention of diabetic retinopathy and other ocular diseases.