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This species has a retina containing60% cones (Table 1) and has a yellow lens. Only in aphakic animals treated with near-UVwavelength light (366 nm) was photoreceptor light damage achieved. Most recently, DavidHicks and associates, at the Cellular and Integrative Neurosciences Institut (CNRS) inStrasbourg, France, have conducted light damage studies on the Nile grass rat. This rodent has33% cones distributed evenly across its retina (Table 1), making it technically rod-dominant,but it is a diurnal species. Its lens lacks the yellow pigment found in squirrels. Eight hours of15,000 lux white light in unrestrained animals, or 2 hours of 20,000 lux white light in ananesthetized dilated animal, produced no substantial evidence of light damage; moreover, timeof day had no effect. These animals had been reared in cyclic light of a standard rodent colony,including 2 weeks of dim cyclic light (20 lux) and 12 hours in complete darkness prior tointense light exposure. As in the gray squirrel, short wavelength light (410 nm) was requiredto achieve photoreceptor degeneration in the Nile grass rat, but this also resulted in globalretinal destruction quite distinct from the progression of light damage described for roddominantrodent models (Boudard and Hicks, manuscript in preparation).4.2.1 Primates and Light Damage—Diurnal vs. nocturnal differences in light damagesusceptibility are not unique to rodents; such a distinction is also found in primates.Photoreceptor damage from intense visible light has been studied in the nocturnal owl monkey(Fullmer et al., 1978) and in diurnal macaques (Sykes et al., 1978; Tso, 1987). Both are roddominant,as are primates typically, although the owl monkey is relatively rod-enriched (Finlayet al., 2008). Both possess a fovea, but only in macaques is there a pure-cone foveola: in theowl monkey fovea, rods still outnumber cones by 14 to 1 (Wikler and Rakic, 1990). Macaquespossess M- and S-cones but functional S-cones are absent from the owl monkey retina (Jacobset al., 1996). Similar white light exposure (ca. 0.2 W/cm2 for 30 minutes) was catastrophic inthe nocturnal owl monkey retina (Fuller et al., 1978), but caused negligible photoreceptordamage in the diurnal macaque retina (Tso, 1987). Earlier, Sykes et al. (1981) also studiedwhite light damage in macaque retina, but used longer exposures (12 hr) at an intensity farlower (0.2–0.8 mW/cm2) than that used by Tso (1987). Sykes et al. (1981) were able todistinguish the threshold intensities required for detectable light damage in rods vs. cones,limited to outer segment disruption. Significantly, cone OS exhibited a lower threshold thanROS, opposite what is found in nocturnal rodents and raising questions about the rod-to-conebystander effect hypothesis with regard to the diurnal primate retina. At intensities high enoughto damage both ROS and COS, these authors also found that COS damage occurred at the basewhereas ROS damage occurred at the distal tip. The significance of this observation is unclear.A consistent finding in both rodents and primates is the vulnerability difference between diurnaland nocturnal retinas. The relative resistance of diurnal retinas is likely due to multiple factorsthat may either operate less robustly in nocturnal retinas, or may be absent from them altogether.An elegant comparative study suggests one feature that could contribute resistance to the rodsof diurnal retinas, including the rod-dominant retinas of diurnal primates. Solovei andcolleagues (2009) have reported a division in the architecture of rod nuclear chromatin betweennocturnal and diurnal mammals. With a computer model, they suggest that rod nuclei innocturnal species function as collecting lenses, helping to increase photon capture per rod cellcompared to that of the rods of diurnal species. Thus, the ROS of nocturnal animals may simplycollect more light energy from incident radiation. By having a lower quantum catch, diurnalrods would be less vulnerable to damage and less able to exert a bystander effect on cones,whereas the capture of photons in nocturnal rods would enhance the likelihood of rod and conedamage.Comparative studies also show that some diurnal retinas are more resistant to light damagethan others. Use of very intense monochromatic light exposure on the macaque retina resultsin partially selective ablation of cone types: blue light irreversibly damages S-cones; greenlight damages M-cones, which recover about a week later; and red light has no effect (Sperling1986). Gerald Jacobs and associates at the University of California Santa Barbara used thissame approach in the 1970s with California ground squirrel, a strictly diurnal rodent with 85%cones in its retina and a pure-cone central region (Table 1). Even a full day’s exposure to intensemonochromatic light failed to produce any cone cell damage in the eyes of anesthetized groundsquirrels with dilated pupils (Gerald H. Jacobs, personal communication). These wild-caughtanimals were reared in ambient southern California conditions, and then when capturedmaintained under standard cyclic animal room lighting. While it’s tempting to speculate thatcone dominance is responsible for the ground squirrel’s resistance, crucially the rod-dominantNile grass rat appears equally resistant. There are undoubtedly other yet-to-be-discoveredprotective factors at play in the diurnal rodent retina. 5. Protection Against Retinal Light Damage5.1 Antioxidants and Ocular Drug DeliveryNatural and synthetic antioxidants prevent retinal light damage and photoreceptor cell loss.This includes the natural L-stereoisomer of ascorbic acid (Organisciak et al., 1985; Li et al.,1985) as well as its D-stereoisomer, which is an antioxidant but not a cofactor for enzymemediatedhydroxylation (Organisciak et al., 1989b; ibid 1992). The L-stereoisomer of Nacetyl-cysteine (Tanito et al., 2002; Busch et al., 1999) and N-nitro-arginine methyl ester(Goureau et al., 1993; Donovan et al., 2001; Kaldi et al., 2003) also effectively reduce lightdamage, but their D-stereoisomers are ineffective. Natural substances such as ginkgo bilobaextract (Ranchon et al., 1999) probably function directly as antioxidants during light exposure,while others, including saffron (Maccarone et al., 2008) and sulforaphane (Tanito et al.,2005a) induce the synthesis of antioxidative enzymes. Synthetic antioxidants that have alsoproven effective include WR-77913, a radioprotective dye that quenches singlet oxygen (Reméet al., 1991); the free radical spin trap phenyl-N-tert-butylnitrone (PBN) (Ranchon et al.,2001; Tomita et al., 2005, Tanito et al., 2005b); OT-551, a TEMPOL derivative that catalyzesthe degradation of superoxide (Tanito et al., 2007b); and dimethylthiourea (DMTU), aquencher of H2O2 and hydroxyl radicals (Lam et al., 1989; Organisciak et al., 1992; Ranchonet al., 1999; Vaughan et al., 2006). Based on the specificities of antioxidants for different formsof reactive oxygen, it is tempting to implicate particular oxygen radicals in the mechanism oflight damage. However, no antioxidant exhibits complete fidelity with a single species ofreactive oxygen, making that primarily speculation. Another problem with inferringmechanism is the lack of evidence, in all cases, that an antioxidant actually passed the bloodretinalbarrier and was taken up by the tissue. Finally, several different forms of reactive oxygenare probably involved in the damage process, albeit at different times. As an example,macrophages invade damaged tissues and release several different types of reactive oxygen,but their appearance in retina during light damage is relatively late. Still, the effectiveness ofa large number of antioxidants is compelling evidence that oxidative stress is an integral partof the light damage process.Oxidative stress also appears to be an early event in the retinal light damage process. Demontiset al. (2002) detected an increase in light-induced oxidation in isolated rod cells within minutesof light onset. Changes in fluorescence detectable oxidation in the inner and outer segmentswere attributed to retinaldehyde photoisomerization and mitochondrial metabolism,respectively. In cultured rod cells, Yang et al. (2003) found changes in fluorescence in themitochondria-rich inner segment ellipsoids, which were induced by blue light and quenchedby antioxidants. The rapid appearance of oxidative stress in isolated photoreceptors does notappear to be an in vitro artifact. Retinal ganglion cells in culture also exhibit mitochondrialmediated oxidation and cellular apoptosis, but this requires 2–3 days of intense light (Osborneet al., 2008). In photoreceptor cell inner segments, superoxide dismutase (SOD) and catalasenormally reduce the effects of superoxide and H2O2 generated by mitochondrial metabolism(Rao et al., 1985; Atalla et al., 1987). Mittag et al. (1999) found that transgenic mice with amutated cytoplasmic form of SOD incurred greater retinal light damage than did non-transgenicanimals with normal SOD. In the nucleus, immunoreactive HNE and HHE adducts werepresent 3 hours after intense light exposure and prior to the appearance of TUNEL staining inthe ONL (Tanito et al., 2005a). The rapid induction of oxidative stress from intense light mayhelp explain why antioxidants are most effective in vivo if given prior to light treatment. Figure5 illustrates rhodopsin recovery and retinal morphology in light exposed rats given a singledose of the synthetic antioxidant DMTU. There was almost complete protection when DMTUwas administered 30 minutes before the start of light, but the antioxidant was ineffective whengiven 15–60 minutes after lights on. This early onset of light-induced oxidative damageimplicates the initial rate of rhodopsin bleaching in the damage mechanism.
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