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February 17, 2017

Eye Study Advances Ability to Improve Clinical Measurement of Retinal Degeneration

  • University of Alabama at Birmingham (UAB) researchers studying rod cell proteins GARP1 and GARP2, or glutamic acid-rich proteins 1 and 2, to learn how they function in normal phototransduction in the eye have found that GARP2 accelerates retinal degeneration in mice that lack another rod cell protein, cyclic guanosine monophosphate (cGMP)-gated cation channel β-subunit, involved in producing the electrical signal.

    The knockout genetic background they used allows the potentially detrimental effect of GARP1 and GARP2 to be amplified, and also allows the possible roles of GARP1 and GARP2 to be distinguished. The goal, as described in a study ("GARP2 Accelerates Retinal Degeneration in Rod cGMP-Gated Cation Channel β-Subunit Knockout Mice") published in Scientific Reports, is dissecting the roles of GARP protein structure and function in the light-sensing rod cells.

    Marci DeRamus, Ph.D., Steven Pittler, Ph.D., and colleagues in the UAB School of Optometry, say they also have made an important step toward creating a standardized nomenclature between mice and humans for one measurement of retinal degeneration called optical coherence tomography, or OCT. This simple, noninvasive imaging test uses light waves to produce a cross-sectional picture of the retina's distinct layers, allowing determination of layer thickness and integrity. Eye doctors worldwide use OCT as a way to monitor retinal health in patients.

    The investigators propose a uniform standard for mouse OCT nomenclature labeling, which they say has so far been incomplete, inconsistent between groups of researchers, and often in conflict with the recently established human OCT nomenclature. The UAB researchers carefully aligned mouse OCT imaging with mouse microscopic histologic imaging to propose the uniform mouse OCT nomenclature, which they also adopted in their experiments.

    "This new standard represents the most accurate alignment and layer designation for the mouse to date," they wrote in the paper. "Adoption of this nomenclature will create a single standard for OCT layer designation and facilitate comparisons of OCT results from different labs."

    "Ophthalmologists worldwide use OCT to diagnose and manage retinal disease," said Christine Curcio, Ph.D., a professor in the UAB department of ophthalmology who has been involved in establishing the human OCT layer designation. "Similar nomenclature for OCT imaging of mice will help speed the translation of laboratory findings to clinical utility."

    Distinguishing different roles for GARP1 and GARP2 is muddled by their overlap. They are generated from the same gene and are identical for 318 amino acids, which is nearly all of GARP2's 326 amino acids. The 550-amino-acid GARP1 has an additional 232 amino acids not found in GARP2. GARP1 and GARP2 are intrinsically disorganized proteins, which may permit multiple conformations that drive interactions with multiple proteins.

    The UAB researchers bred knockout mice that lacked cGMP-gated cation channel β-subunit and the GARP proteins, which are all encoded by the same gene. The β-subunit is part of the membrane channel that fires the electrical signal in rod cells in response to light. Then, they bred the knockout mice with three more strains of mice expressing either just GARP1 alone, just GARP2 alone, or both GARP1 and GARP2.

    They followed retinal degeneration in these strains at 3 and 10 weeks, using OCT and light and transmission microscopy to measure thinning of the outer nuclear layer, which contains the cell bodies of the rods and cones, as well as thinning of the full retinal thickness. They measured functional loss by electroretinography.

    The rate of thinning of the outer nuclear layer,  as compared to normal mice, was greatest for the β-subunit knockouts that had just GARP2 alone, followed in decreasing order by the knockouts with both GARP2 and GARP1, the knockout with just GARP1, and the knockout with neither GARP protein. The rate of thinning of the full retinal thickness, as compared to normal mice, was greatest for the β-subunit knockouts that had just GARP2 alone, followed in decreasing order by the knockouts with both GARP2 and GARP1, the knockout with neither GARP protein, and the knockout with just GARP1.

    Thus, GARP2 appeared to accelerate retinal degeneration. However, when both GARP2 and GARP1 were present, GARP1 appeared to slow the negative effect of GARP2. This suggests that the two proteins have distinct and separate roles in the rod photoreceptors.

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