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Introduction
Retinas
have two kinds of photoreceptors: rods and cones,
named for the shape of their light sensitive
compartment, the outer segment. (Figure to the
left.) The human retina concentrates its red
and green sensitive cones in the center of the
retina;
the macula (Figure to
the right). These cone cells serve our
need for high acuity vision in bright light.
Loss of their function is the clinical problem
in patients with macular degeneration, a disease
often associated with aging (age related macular
degeneration, ARMD). Death of these cells causes
loss of central vision. As one patient put it
"I can't see my granddaughter's face but I don't
bump into things". This is the most common neuronal
disorder of humans. Over 12 million Americans
are affected, 12 times the number with Alzheimer's
disease. By the year 2020, over 20 million will
be affected as the number of older citizens
grows. There is no current therapy and we have
very limited insight into its causes.
A
second form of retinal degeneration initially
involves the rods. As a consequence, its victims
lose peripheral vision first. Sadly, the disease
usually progresses to involve the cones so that
high acuity central vision is also lost. This
disease is yielding to molecular biological
study.
Rhodopsin, the protein used in rods to capture
light has been found to be mutated in over 70
different sites all of which cause loss of vision
of several clinical types including retinitis
pigmentosa (RP), macular degeneration, latitudinal
RP, etc.
A diagram of the rhodopsin molecule (see right)
illustrates the many sites of mutation. A fascinating
variant which caused loss of only half the retina
is shown below.
The importance of this case is that the rods
in the top half survived for 68 years with normal
function despite the presence of the mutated
rhodopsin. Thus it is possible to retain cell
function if only the cells can be prevented
from dying. This patient teaches us that the
search for a cure is not a vain exercise. Success
is possible if we can only understand why rod
and cone cells die and prevent it. Why should
cones die if they don't express the mutant rhodopsin
gene?
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Transgenic
Frogs: a new model for the study of apoptosis
of retinal rods and cones.
Mice
and rats do not have many cones; They are nocturnal.
Frogs, on the other hand, have abundant cones
which can be readily identified microscopically.
Last October a new study reported a technique
for introducing genes into the DNA of frogs
(Kroll and Amaya, 1966). Its principles are
diagrammed in the Figure to the left. With Kroll's
help to learn her procedure and the use of a
DNA construct containing the opsin promoter
coupled to green fluorescent protein (GFP we
have succeeded in expressing GFP in the eyes
of tadpoles only 5 days after fertilization.
A figure illustrating our result in an older
tadpole is shown below. We will now use this
approach in the next months by replacing GFP
with various mutant proteins to see if they
cause first, death of rods and second, death
of adjacent cones in which the mutants are not
expressed. If we succeed, it will be one of
the first models of the human disease, macular
degeneration. Progress should be rapid since
we have access to these retinas only days after
fertilization rather than months or years as
we have experienced in mice and rats.
Photographs
of a 23 day old transgenic frog tadpole. The
green light emitted from the pupil arises from
the rods in the back of the retina that are
expressing GFP under the control of the frog
opsin promoter when fluorescence is excited
by bright blue light. The blue light is hidden
by filters that only allow green light to pass
through to the camera. The bottom image is a
combination of the upper pair of images.
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