No / The inner retinal complex is a well-defined layer in spectral-domain OCT scans of the retina. The central edge of this layer at the fovea provides anatomical landmarks that can be observed in serial OCT scans of developing full-thickness macular holes (FTMH). Measurement of the movement of these points may clarify the mechanism of FTMH formation. This is a retrospective study of primary FTMH that had a sequence of two OCT scans showing progression of the hole. Measurements were made of the dimensions of the hole, including measurements using the central edge of the inner retinal complex (CEIRC) as markers. The inner retinal separation (distance between the CEIRC across the centre of the fovea) and the Height-IRS (average height of CEIRC above the retinal pigment epithelium) were measured. Eighteen cases were identified in 17 patients. The average increase in the base diameter (368 microns) and the average increase in minimum linear dimension (187 microns) were much larger than the average increase in the inner retinal separation (73 microns). The average increase in Height-IRS was 103 microns. The tangential separation of the outer retina to produce the macular hole is much larger than the tangential separation of the inner retinal layers. A model based on the histology of the Muller cells at the fovea is proposed to explain the findings of this study.

Doctor of Philosophy (Medicine) / Background: Diabetic vascular complications affect both the macro- and microvasculature. Microvascular pathology in diabetes may be mediated by biochemical factors that precipitate cellular changes at both the gene and protein levels. In the diabetic retina, vascular pathology is found mainly in microvessels, including the retinal precapillary arterioles, capillaries and venules. Macular oedema secondary to breakdown of the inner blood-retinal barrier is the most common cause of vision impairment in diabetic retinopathy. Müller cells play a critical role in the trophic support of retinal neurons and blood vessels. In chronic diabetes, Müller cells are increasingly unable to maintain their supportive functions and may themselves undergo changes that exacerbate the retinal pathology. The consequences of early diabetic changes in retinal cells are primarily considered in this thesis. Aims: This thesis aims to investigate the effect of perivascular cells (Müller cells, RPE, pericytes) on retinal endothelial cell permeability using an established in vitro model. Methods: Immunohistochemistry, cell morphology and cell growth patterns were used to characterise primary bovine retinal cells (Müller cells, RPE, pericytes and endothelial cells). An in vitro model of the blood-retinal barrier was refined by coculturing retinal endothelial cells with perivascular cells (Müller cells or pericytes) on opposite sides of a permeable Transwell filter. The integrity of the barrier formed by endothelial cells was assessed by transendothelial electrical resistance (TEER) measurements. Functional characteristics of endothelial cells were compared with ultrastructural morphology to determine if different cell types have barrier-enhancing effects on endothelial cell cultures. Once the co-culture model was established, retinal endothelial cells and Müller cells were exposed to different environmental conditions (20% oxygen, normoxia; 1% oxygen, hypoxia) to examine the effect of perivascular cells on endothelial cell permeability under reduced oxygen conditions. Barrier integrity was assessed by TEER measurements and permeability was measured by passive diffusion of radiolabelled tracers from the luminal to the abluminal side of the endothelial cell barrier. A further study investigated the mechanism of laser therapy on re-establishment of retinal endothelial cell barrier integrity. Müller cells and RPE, that comprise the scar formed after laser photocoagulation, and control cells (Müller cells and pericytes, RPE cells and ECV304, an epithelial cell line) were grown in long-term culture and treated with blue-green argon laser. Lasered cells were placed underneath confluent retinal endothelial cells growing on a permeable filter, providing conditioned medium to the basal surface of endothelial cells. The effect of conditioned medium on endothelial cell permeability was determined, as above. Results: Co-cultures of retinal endothelial cells and Müller cells on opposite sides of a permeable filter showed that Müller cells can enhance the integrity of the endothelial cell barrier, most likely through soluble factors. Low basal resistances generated by endothelial cells from different retinal isolations may be the result of erratic growth characteristics (determined by ultrastructural studies) or the selection of vessel fragments without true ‘barrier characteristics’ in the isolation step. When Müller cells were co-cultured in close apposition to endothelial cells under normoxic conditions, the barrier integrity was enhanced and permeability was reduced. Under hypoxic conditions, Müller cells had a detrimental effect on the integrity of the endothelial cell barrier and permeability was increased in closely apposed cells. Conditioned medium from long-term cultured Müller cells and RPE that typically comprise the scar formed after lasering, enhanced TEER and reduced permeability of cultured endothelial cells. Conclusions: These studies confirm that bovine tissues can be used as a suitable model to investigate the role of perivascular cells on the permeability of retinal endothelial cells. The dual effect of Müller cells on the retinal endothelial cell barrier under different environmental conditions, underscores the critical role of Müller cells in regulating the blood-retinal barrier in health and disease. These studies also raise the possibility that soluble factor(s) secreted by Müller cells and RPE subsequent to laser treatment reduce the permeability of retinal vascular endothelium. Future studies to identify these factor(s) may have implications for the clinical treatment of macular oedema secondary to diseases including diabetic retinopathy.

Doctor of Philosophy (Medicine) / Background: Diabetic vascular complications affect both the macro- and microvasculature. Microvascular pathology in diabetes may be mediated by biochemical factors that precipitate cellular changes at both the gene and protein levels. In the diabetic retina, vascular pathology is found mainly in microvessels, including the retinal precapillary arterioles, capillaries and venules. Macular oedema secondary to breakdown of the inner blood-retinal barrier is the most common cause of vision impairment in diabetic retinopathy. Müller cells play a critical role in the trophic support of retinal neurons and blood vessels. In chronic diabetes, Müller cells are increasingly unable to maintain their supportive functions and may themselves undergo changes that exacerbate the retinal pathology. The consequences of early diabetic changes in retinal cells are primarily considered in this thesis. Aims: This thesis aims to investigate the effect of perivascular cells (Müller cells, RPE, pericytes) on retinal endothelial cell permeability using an established in vitro model. Methods: Immunohistochemistry, cell morphology and cell growth patterns were used to characterise primary bovine retinal cells (Müller cells, RPE, pericytes and endothelial cells). An in vitro model of the blood-retinal barrier was refined by coculturing retinal endothelial cells with perivascular cells (Müller cells or pericytes) on opposite sides of a permeable Transwell filter. The integrity of the barrier formed by endothelial cells was assessed by transendothelial electrical resistance (TEER) measurements. Functional characteristics of endothelial cells were compared with ultrastructural morphology to determine if different cell types have barrier-enhancing effects on endothelial cell cultures. Once the co-culture model was established, retinal endothelial cells and Müller cells were exposed to different environmental conditions (20% oxygen, normoxia; 1% oxygen, hypoxia) to examine the effect of perivascular cells on endothelial cell permeability under reduced oxygen conditions. Barrier integrity was assessed by TEER measurements and permeability was measured by passive diffusion of radiolabelled tracers from the luminal to the abluminal side of the endothelial cell barrier. A further study investigated the mechanism of laser therapy on re-establishment of retinal endothelial cell barrier integrity. Müller cells and RPE, that comprise the scar formed after laser photocoagulation, and control cells (Müller cells and pericytes, RPE cells and ECV304, an epithelial cell line) were grown in long-term culture and treated with blue-green argon laser. Lasered cells were placed underneath confluent retinal endothelial cells growing on a permeable filter, providing conditioned medium to the basal surface of endothelial cells. The effect of conditioned medium on endothelial cell permeability was determined, as above. Results: Co-cultures of retinal endothelial cells and Müller cells on opposite sides of a permeable filter showed that Müller cells can enhance the integrity of the endothelial cell barrier, most likely through soluble factors. Low basal resistances generated by endothelial cells from different retinal isolations may be the result of erratic growth characteristics (determined by ultrastructural studies) or the selection of vessel fragments without true ‘barrier characteristics’ in the isolation step. When Müller cells were co-cultured in close apposition to endothelial cells under normoxic conditions, the barrier integrity was enhanced and permeability was reduced. Under hypoxic conditions, Müller cells had a detrimental effect on the integrity of the endothelial cell barrier and permeability was increased in closely apposed cells. Conditioned medium from long-term cultured Müller cells and RPE that typically comprise the scar formed after lasering, enhanced TEER and reduced permeability of cultured endothelial cells. Conclusions: These studies confirm that bovine tissues can be used as a suitable model to investigate the role of perivascular cells on the permeability of retinal endothelial cells. The dual effect of Müller cells on the retinal endothelial cell barrier under different environmental conditions, underscores the critical role of Müller cells in regulating the blood-retinal barrier in health and disease. These studies also raise the possibility that soluble factor(s) secreted by Müller cells and RPE subsequent to laser treatment reduce the permeability of retinal vascular endothelium. Future studies to identify these factor(s) may have implications for the clinical treatment of macular oedema secondary to diseases including diabetic retinopathy.

No description available.

Die Dissertation befasst sich mit der Untersuchung der Ko-Expression des GFAP- und des PLP-Promotors in Müllerzellen der Netzhaut transgener Mäuse. Die verwendete Mauslinie ist tripel-transgen für den GFAP- und den PLP-Promotor sowie für einen ROSA26-Reporter. Durch die Quantifizierung der EYFP-Expression in Müllerzellen konnte gezeigt werden, dass es nach akuter ischämischer Schädigung sowie einer angeborenen retinalen Degeneration in Müllerzellen zu einer Aktivierung des oligodendrozytären PLP-Promotors kommt. Weiterhin wurde festgestellt, dass die Aktivierung des Transkriptionsfaktors Sox-9, der sowohl für die Entwicklung der Müllerzellen als auch für die Oligodendrogenese von entscheidender Rolle ist, mit dieser Promotoraktivierung korreliert. Diese Ergebnisse implizieren, dass Müllerzellen im Rahmen ihrer Stammzelleigenschaften in der Lage sind, auf embryonale Entwicklungsprozesse, die auch die oligodendrozytäre Zellreihe beinhalten, zurückgreifen zu können.

Die Dissertation befasst sich mit der Untersuchung der Ko-Expression des GFAP- und des PLP-Promotors in Müllerzellen der Netzhaut transgener Mäuse. Die verwendete Mauslinie ist tripel-transgen für den GFAP- und den PLP-Promotor sowie für einen ROSA26-Reporter. Durch die Quantifizierung der EYFP-Expression in Müllerzellen konnte gezeigt werden, dass es nach akuter ischämischer Schädigung sowie einer angeborenen retinalen Degeneration in Müllerzellen zu einer Aktivierung des oligodendrozytären PLP-Promotors kommt. Weiterhin wurde festgestellt, dass die Aktivierung des Transkriptionsfaktors Sox-9, der sowohl für die Entwicklung der Müllerzellen als auch für die Oligodendrogenese von entscheidender Rolle ist, mit dieser Promotoraktivierung korreliert. Diese Ergebnisse implizieren, dass Müllerzellen im Rahmen ihrer Stammzelleigenschaften in der Lage sind, auf embryonale Entwicklungsprozesse, die auch die oligodendrozytäre Zellreihe beinhalten, zurückgreifen zu können.:Inhaltsverzeichnis ....................................................................................................................... 3 Bibliographische Darstellung ..................................................................................................... 5 Abkürzungsverzeichnis und Erläuterungen ................................................................................ 6 1 Einleitung ............................................................................................................................ 8 1.1 Die Retina als Teil des Auges ................................................................................................. 8 1.1.1 Aufbau .............................................................................................................................. 8 1.2 Die gliale Müllerzelle ............................................................................................................ 12 1.2.1 Definition und Morphologie der Müllerzellen ............................................................... 12 1.2.2 Funktion .......................................................................................................................... 13 1.2.3 Ursprung und Ontogenese der Müllerzelle ..................................................................... 14 1.3 Erkrankungen der Netzhaut .................................................................................................. 15 1.3.1 Akute Läsionen ............................................................................................................... 15 1.3.2 Chronische Erkrankungen der Netzhaut ......................................................................... 15 1.3.3 Die Rolle der Müllerzelle in der erkrankten Retina ....................................................... 16 1.4 Mausgenetik .......................................................................................................................... 18 1.4.1 Das Cre-loxP-System ..................................................................................................... 18 1.5 Pax-6 und Sox-9: Transkriptionsfaktoren spezifizieren das Zellschicksal ........................... 24 1.5.1 Die PAX-Familie ............................................................................................................ 24 1.5.2 SOX-9-Gene ................................................................................................................... 25 2 Ziele .................................................................................................................................. 26 3 Material und Methoden ..................................................................................................... 27 3.1 Material ................................................................................................................................. 27 3.1.1 Chemikalien .................................................................................................................... 27 3.1.2 Antikörper ....................................................................................................................... 27 3.1.3 Größenstandards ............................................................................................................. 28 3.1.4 Mauslinien ...................................................................................................................... 29 3.1.5 Geräte ............................................................................................................................. 31 3.2 Methoden .............................................................................................................................. 31 3.2.1 Genotypisierung transgener Mäuse ................................................................................ 31 3.2.2 Akute retinale Läsion durch Anlegen eines erhöhten Augeninnendrucks („high intraocular pressure“, HIOP) .......................................................................................... 37 3.2.3 Herstellung und Fixierung der retinalen Gewebsproben ................................................ 37 3.2.4 Immunhistochemische Färbungen .................................................................................. 38 3.2.5 Mikroskopische Auswertung .......................................................................................... 39 3.2.6 Datenverarbeitung und Statistik ..................................................................................... 41 4 Ergebnisse ......................................................................................................................... 42 4.1 Technische Aspekte: Vergleich der Quantifizierung in Ganzpräparate und Querschnitte ... 42 4.1.1 Vergleich der Abbildungen ............................................................................................ 42 4.1.2 Auszählung Retina-Ganzpräparate ................................................................................. 43 4.1.3 Auszählung der Zellen in Querschnitten der Netzhaut ................................................... 45 4.1.4 Vergleich der Quantifizierung von Ganzpräparaten und Querschnitten ........................ 46 4.1.5 Quantifizierung ............................................................................................................... 48 4.2 Analyse der Reporterexpression in der Retina tripel-transgener Mäuse ............................... 49 4.2.1 Quantitative Auswertung GS-positiver Müllerzellen ..................................................... 49 4.2.2 Quantitative Auswertung EYFP-positiver Müllerzellen ................................................ 51 4.2.3 Auswertung des prozentualen Anteils der EYFP-positiven Müllerzellen ...................... 53 4.3 Auswertung der Transkriptionsfaktorexpression von Pax-6 und Sox-9 ............................... 56 4.3.1 Auswertung der Pax-6-positiven Müllerzellen ............................................................... 57 4.3.2 Auswertung der Sox-9-positiven Müllerzellen .............................................................. 60 5 Diskussion ......................................................................................................................... 63 5.1 Die GFAP-Expression in der Müllerzellgliose ..................................................................... 63 5.2 Auswertung und Vergleich der retinalen Ganzpräparate und Querschnitte ......................... 64 5.3 Die Untersuchung der Promotoraktivität nach retinaler Ischämie ........................................ 65 5.4 Die Untersuchung der Promotoraktivität bei angeborener retinaler Degeneration ............... 66 5.5 Die Rolle der Transkriptionsfaktoren Pax-6 und Sox-9 ........................................................ 68 5.5.1 Pax-6 ............................................................................................................................... 68 5.5.2 Sox-9 ............................................................................................................................... 69 5.6 Einordnung der Ergebnisse in die Zellbiologie der Müllerzelle ........................................... 72 6 Zusammenfassung ............................................................................................................. 74 7 Literaturverzeichnis .......................................................................................................... 77 8 Lebenslauf ......................................................................................................................... 83 9 Danksagung ....................................................................................................................... 84 10 Eigenständigkeitserklärung ............................................................................................... 85