Selective retina therapy and thermal stimulation of the retina: different regenerative properties - implications for AMD therapy.

Age- related macular degeneration (AMD) Regeneration Rejuvenation Selective retina therapy (SRT) Thermal stimulation of the retina (TSR)

Journal

BMC ophthalmology
ISSN: 1471-2415
Titre abrégé: BMC Ophthalmol
Pays: England
ID NLM: 100967802

Informations de publication

Date de publication:
30 Nov 2021
Historique:
received: 03 12 2020
accepted: 22 11 2021
entrez: 1 12 2021
pubmed: 2 12 2021
medline: 15 12 2021
Statut: epublish

Résumé

Selective Retina Therapy (SRT), a photodisruptive micropulsed laser modality that selectively destroys RPE cells followed by regeneration, and Thermal Stimulation of the Retina (TSR), a stimulative photothermal continuous wave laser modality that leads to an instant sublethal temperature increase in RPE cells, have shown therapeutic effects on Age-related Macular Degeneration (AMD) in mice. We investigate the differences between both laser modalities concerning RPE regeneration. For PCR array, 6 eyes of murine AMD models, apolipoprotein E and nuclear factor erythroid-derived 2- like 2 knock out mice respectively, were treated by neuroretina-sparing TSR or SRT. Untreated litter mates were controls. Eyes were enucleated either 1 or 7 days after laser treatment. For morphological analysis, porcine RPE/choroid organ cultures underwent the same laser treatment and were examined by calcein vitality staining 1 h and 1, 3 or 5 days after irradiation. TSR did not induce the expression of cell-mediators connected to cell death. SRT induced necrosis associated cytokines as well as inflammation 1 but not 7 days after treatment. Morphologically, 1 h after TSR, there was no cell damage. One and 3 days after TSR, dense chromatin and cell destruction of single cells was seen. Five days after TSR, there were signs of migration and proliferation. In contrast, 1 h after SRT a defined necrotic area within the laser spot was seen. This lesion was closed over days by migration and proliferation of adjacent cells. SRT induces RPE cell death, followed by regeneration within a few days. It is accompanied by necrosis induced inflammation, RPE proliferation and migration. TSR does not induce immediate RPE cell death; however, migration and mitosis can be seen a few days after laser irradiation, not accompanied by necrosis-associated inflammation. Both might be a therapeutic option for the treatment of AMD.

Sections du résumé

BACKGROUND BACKGROUND
Selective Retina Therapy (SRT), a photodisruptive micropulsed laser modality that selectively destroys RPE cells followed by regeneration, and Thermal Stimulation of the Retina (TSR), a stimulative photothermal continuous wave laser modality that leads to an instant sublethal temperature increase in RPE cells, have shown therapeutic effects on Age-related Macular Degeneration (AMD) in mice. We investigate the differences between both laser modalities concerning RPE regeneration.
METHODS METHODS
For PCR array, 6 eyes of murine AMD models, apolipoprotein E and nuclear factor erythroid-derived 2- like 2 knock out mice respectively, were treated by neuroretina-sparing TSR or SRT. Untreated litter mates were controls. Eyes were enucleated either 1 or 7 days after laser treatment. For morphological analysis, porcine RPE/choroid organ cultures underwent the same laser treatment and were examined by calcein vitality staining 1 h and 1, 3 or 5 days after irradiation.
RESULTS RESULTS
TSR did not induce the expression of cell-mediators connected to cell death. SRT induced necrosis associated cytokines as well as inflammation 1 but not 7 days after treatment. Morphologically, 1 h after TSR, there was no cell damage. One and 3 days after TSR, dense chromatin and cell destruction of single cells was seen. Five days after TSR, there were signs of migration and proliferation. In contrast, 1 h after SRT a defined necrotic area within the laser spot was seen. This lesion was closed over days by migration and proliferation of adjacent cells.
CONCLUSIONS CONCLUSIONS
SRT induces RPE cell death, followed by regeneration within a few days. It is accompanied by necrosis induced inflammation, RPE proliferation and migration. TSR does not induce immediate RPE cell death; however, migration and mitosis can be seen a few days after laser irradiation, not accompanied by necrosis-associated inflammation. Both might be a therapeutic option for the treatment of AMD.

Identifiants

pubmed: 34847865
doi: 10.1186/s12886-021-02188-8
pii: 10.1186/s12886-021-02188-8
pmc: PMC8630886
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

412

Informations de copyright

© 2021. The Author(s).

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Auteurs

Elisabeth Richert (E)

Department of Ophthalmology, Christian-Albrechts-University of Kiel, University Medical Center, Kiel, Germany.

Julia Papenkort (J)

Department of Ophthalmology, Christian-Albrechts-University of Kiel, University Medical Center, Kiel, Germany.

Claus von der Burchard (C)

Department of Ophthalmology, Christian-Albrechts-University of Kiel, University Medical Center, Kiel, Germany.

Alexa Klettner (A)

Department of Ophthalmology, Christian-Albrechts-University of Kiel, University Medical Center, Kiel, Germany.

Philipp Arnold (P)

Friedrich-Alexander-University Erlangen-Nürnberg, Nürnberg, Germany.

Ralph Lucius (R)

Christian-Albrechts-University of Kiel, Institute of Anatomy, Kiel, Germany.

Ralf Brinkmann (R)

Medical Laser Center Lübeck, Lübeck, Germany.
Institute for Biomedical Optics, University of Lübeck, Lübeck, Germany.

Carsten Framme (C)

Department of Ophthalmology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

Johann Roider (J)

Department of Ophthalmology, Christian-Albrechts-University of Kiel, University Medical Center, Kiel, Germany.

Jan Tode (J)

Department of Ophthalmology, Christian-Albrechts-University of Kiel, University Medical Center, Kiel, Germany. tode.jan@mh-hannover.de.
Department of Ophthalmology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. tode.jan@mh-hannover.de.

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Classifications MeSH