Abstract
Retinal ganglion cell (RGC) death occurs after optic nerve injury due to acute trauma or chronic degenerative conditions such as optic neuropathies (e.g., glaucoma). Currently, there are no effective therapies to prevent permanent vision loss resulting from RGC death, underlining the need for research on the pathogenesis of RGC disorders. Modeling human RGC/optic nerve diseases in non-human primates is ideal because of their similarity to humans, but has practical limitations including high cost and ethical considerations. In addition, many retinal degenerative disorders are age-related making the study in primate models prohibitively slow. For these reasons, mice and rats are commonly used to model RGC injuries. However, as nocturnal mammals, these rodents have retinal structures that differ from primates - possessing less than one-tenth of the RGCs found in the primate retina. Here we report the diurnal thirteen-lined ground squirrel (TLGS) as an alternative model. Compared to other rodent models, the number and distribution of RGCs in the TLGS retina are closer to primates. The TLGS retina possesses ~600,000 RGCs with the highest density along the equatorial retina matching the location of the highest cone density (visual streak). TLGS and primate retinas also share a similar interlocking pattern between RGC axons and astrocyte processes in the retina nerve fiber layer (RNFL). In addition, using TLGS we establish a new partial optic nerve injury model that precisely controls the extent of injury while sparing a portion of the retina as an ideal internal control for investigating the pathophysiology of axon degeneration and RGC death. Moreover, in vivo optical coherence tomography (OCT) imaging and ex vivo microscopic examinations of the retina in optic nerve injured TLGS confirm RGC loss precedes proximal axon degeneration, recapitulating human pathology. Thus, the TLGS retina is an excellent model, for translational research in neurodegeneration and therapeutic neuroprotection.
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Introduction
The retina, a layered light-sensitive tissue located in the back of the eye, is essential for vision and is an extension of the central nervous system (CNS). Photoreceptors convert light into electrical signals that are eventually transmitted to retinal ganglion cells (RGCs), which in turn convey the information to the brain for both image forming and non-image forming functions (such as circadian photoentrainment and pupillary reflex [1]). In the retina, most of the RGCs are situated in the ganglion cell layer (GCL), also known as orthotopic RGC (oRGCs), while a small proportion are located in the inner nuclear layer (INL), termed displaced RGC (dRGCs) [2,3,4,5]. Axons from both oRGCs and dRGCs form the optic nerve (ON) connecting the eye to the higher visual centers in the brain [6]. RGC axonal damage originating from optic nerve trauma or degeneration may lead to irreversible vision loss as mammalian CNS neurons normally cannot regenerate [7]. The eyes provide ease of access for surgical manipulation to model various human diseases [8,9,10,11,12,13]. Therefore, the retina (specifically RGCs) are often used to investigate degeneration of ganglion cells and their nerve fiber layers, neuronal survival, and axonal regeneration in the CNS. Traumatic ON injury (e.g., optic nerve crush, ONC) is a well characterized axonal injury and neurodegenerative model that induces progressive RGC death [14,15,16,17,18,19,20]. Although RGC death is generally quantified ex-vivo, in vivo imaging directly through the optic media of the eye using spectral-domain optical coherence tomography (SD-OCT) confers an unique advantage to follow the progression of different retinal pathologies [21,22,23,24,25].
Rodents, such as mice and rats, are the most commonly used experimental mammals because they share basic retinal structure with the human retina and genomic information and genetic tools are readily available. However, these rodents are mostly nocturnal mammals with a rod-dominant retina [26, 27] and there are prominent structural differences compared to primate retina. Notably, the number of RGCs in these rodents are ten times lower than primate retina [28,29,30], reflecting a more primitive visual system focusing on rod vision. In contrast, the thirteen lined-ground squirrel (TLGS; Ictidomys tridecemlineatus) is a diurnal mammal with a cone-dominant retina [31,32,33]. Like most terrestrials mammals, TLGS possess two types of cones (M- and S-cones [31, 34,35,36,37,38]), whereas many primates (including humans) are trichromatic (L-, M- and S-cones [39,40,41]). Although the primate retina is in general rod-dominated (~95% rods [42]), its fovea region consists of cones and has a distribution pattern similar to the TLGS retina [31, 33]. Such a high density cone mosaic is likely associated with complex visual information carried by RGCs to the brain, and as a result, TLGS also have larger and highly developed visual areas in the brain compared to mice and rats [43].
TLGSs use their superior visual ability to navigate during the day, avoid predators, and forage for food [43]. In addition, the TLGS is an obligatory hibernator, surviving a lengthy period of winter by drastically reducing body temperature and suppressing metabolic need [32, 44, 45]. Thus, the TLGS is becoming an increasingly attractive model to study retinal disease associated pathology and the metabolic adaptative pathways as potential therapeutic targets [32, 33, 46, 47]. Previous studies have quantified RGCs or RGC axons in California ground squirrels [48, 49]. However, a more direct and complete depiction of the RGCs and associated cells in the TLGS is warranted given that it is currently the main ground squirrel species used in labs. We hypothesized that due to similarities in the overall number and density of retinal ganglion cells in TLGS and primate retina, the TLGS may have RGC and retinal nerve fiber layer (RNFL) structures that more closely resembled primates than other rodents. Thus, the optic nerve injury model in TLGS is valuable because it better recapitulates injuries and degeneration in human optic neuropathies. A characterization of RGCs and other cells in the ganglion cell layer (GCL) of the TLGS retina under normal/healthy and optic nerve injury conditions can therefore provide a foundation for further disease studies.
Material and methods
Animal handling, anesthesia, and analgesia
Adult thirteen-lined ground squirrels (Ictidomys tridecemlineatus, hence TLGS, ~200 g, n = 25 squirrels) were obtained from a breeding colony at the University of Wisconsin Oshkosh. Three-month-old female pigmented mice (C57BL/6 J, n = 6 eyes) were obtained from the National Eye Institute (NEI) breeding colony. Postmortem eyes from nine-month-old female albino rats (Sprague Dawley, n = 6 eyes) were obtained from Dr. Tao Sun from the National Institute of Neurological Disorders and Stroke (NINDS). Postmortem eyes from eight to twelve-month-old Rhesus macaque (Macaca mulatta, n = 4 eyes) were obtained from Dr. Lauren Brinster from the Diagnostic and Research Services Branch of the NIH, Dr. Mark A. Eldridge from the National Institute of Mental Health and, Dr. Julie Mattison and Dr. Kielee Jennings from the Nonhuman Primate Core of the National Institute on Aging.
Mice were housed in a temperature and light controlled room with 12-hour light/dark cycles at 22 °C having free access to food and water. TLGS were similarly housed under these conditions during spring and summer seasons, but were placed into a hibernaculum at 5 °C beginning in the fall and housed throughout the winter as recommended [50]. Each species was treated and maintained according to their unique protocols (mouse, ASP#606; TLGS, ASP#595) approved by the National Institutes of Health guidelines for Animal Care and Use Committee in research and by the Ethical and Animal Studies Committee of the National Eye Institute. All animal studies conformed to the Statement for the Use of Animals in Ophthalmic and Vision research of the Association for Research in Vision and Ophthalmology (ARVO). In conducting this research, we adhered to the laws of the United States and regulations of the US Department of Agriculture.
Animals undergoing OCT imaging or surgery were anesthetized by isoflurane inhalation (Fluriso, Vet One, United Kingdom) and a drop of 0.5% proparacaine hydrochloride (Apexa, Akorn Pharmaceuticals Inc, Lake Forest, IL, USA) was provided as topical eye surface anesthesia. Eyes were kept hydrated with artificial tears (Systane Ultra, Novartis, Alcon) to prevent corneal desiccation and to maintain moisture and clarity.
Brain injection
To trace retinofugal projecting RGCs, we performed stereotactic injections of Fluorogold (3 μl, 6% diluted in 10% DMSO-saline) into both optic tracts as previously described for rats [51] one week prior to collecting and processing the tissues (n = 4 retinas). The coordinates of the optic tract in TLGS (+6 mm rosto-caudal, ±5 mm medio-lateral, and −6.5 mm dorso-ventral from Lambda) were obtained using the “stereotaxic atlas of the brain of the 13-Line ground squirrel” [52].
Optic nerve injury
Due to the fact that squirrel eyes are set deeply into the eye sockets than those of mice and rats [32, 53], we adapted the standard optic nerve crush (ONC) techniques in rodents [18, 19] to TLGS. Briefly, the animal was placed on a heating pad during the surgery. After opening the conjunctiva along the supraorbital rim, the superior rectus muscle was dissected from its cranial portion preserving the scleral insertion (Fig. 1A). Tracking gently on this muscle allowed the eye to rotate exposing the optic nerve head (ONH). Holding the muscle, the meninges were longitudinally opened with micro-scissors to avoid damaging the blood vessels (Fig. 1A). After the ON was exposed, it was crushed for 10 sec with watchmaker’s forceps. For the total ONC (tONC), the right ON was intraorbitally crushed ~2 mm from the center of the optic disc where in the TLGS all the axons converge together. For the partial ONC (pONC) only the nasal branch was crushed at a similar distance (Fig. 1B, C). Retinal ischemia was ruled out by fundus examination. Immediately after surgery, long-acting Meloxicam (Zoopharm, DRV Pharmacy NIH, 4 mg/kg) was provided by subcutaneous administration for analgesia and, the animal was transferred to an individual cage during the recovering period. For the tONC group the left eyes were used as controls, while the temporal halves in the pONC were used as internal control.
Retinal thickness measurements in vivo
TLGS eyes were scanned using SD-OCT (Spectralis; Heidelberg Engineering, Heidelberg, Germany). In both eyes a drop of tropicamide (Tropicamide Ophthalmic Solution, Akorn Pharmaceuticals Inc, Lake Forest, IL, USA) was instilled to induce iris mydriasis. To allow for comparison, we first characterized the retina nerve fiber layer (RNFL), ganglion cell complex (GCC) and retinal thickness along the eye fundus in intact animals (n = 4 retinas). The centro-nasal retina was scanned using 3 × 2 consecutive areas along the ONH. Each of these areas consisted of 31 equally spaced horizontal B-scans of 25 raster scan sequences [24, 25]. Each scanned area was ~3000 μm in length. The RNFL, GCC, and the retinal thickness were delineated manually and measured automatically to generate thickness maps per the manufacturer’s instructions (Eye Explorer, v.1.10.0.0; Heidelberg Engineering). The resulting partial images were exported and edited in Photoshop (Photoshop 21.2.4; Adobe Systems, Inc.) to reconstruct the 3 × 2 thickness maps. Once the retinal thickness was characterized in intact uninjured animals, we selected an equidistant area from the ONH to allow comparison among retinas before and after ON injury (pONC or tONC). We averaged tree equidistant measurements in the 10th b-scan below the ONH for evaluation of retinal, RNFL, and GGC thickness (see scheme in Fig. 6A).
Tissue preparation
TLGSs and mice were euthanized by CO2, while rat and monkey eyes were collected postmortem. TLGS and mice were perfused transcardially with 0.9% saline solution and immediately were perfused with 4% paraformaldehyde in 0.1 M phosphate buffer. Rat and monkey eyes were submerged in the same fixative solution for 1 h. To preserve retinal orientation, before enucleating the eyes, a burn point was placed in the dorsal pole. Immediately after eye enucleation, the retinas were carefully isolated from the eyecup and flattened as whole-mounts by making four (mice and rats) or eight (TLGSs and monkey) radial cuts. Then the retinas were mounted onto a filter membrane (HABP; Millipore, Bedford, MA, USA) and fixed in 4% paraformaldehyde in 0.1 M phosphate buffer for 1 h to maintain them flat. For classifying the GCL, a set of TLGS eye cups (n = 3), were embedded in paraffin, sectioned by microtome at 3 μm thickness and subjected to hematoxylin-eosin staining. Another set of eye cups (mice, n = 3; rat, n = 3; TLGS, n = 5; monkey, n = 2) and optic nerves were cryoprotected in a graded sucrose series (Sigma, #84097) and embedded in optimal cutting temperature (Sakura Finetek, Torrance, CA, USA) at −80 °C for cryo-sectioning (Leica, CM3050S) at 16 μm thickness. All retinal cross sections were done following the dorso-ventral (DV) axis and comprised both the superior and the inferior retina. Sections containing longitudinal blood vessels were excluded from our retinal evaluations.
Immunofluorescence
RGCs were identified in cross sections and in whole-mount retinas by immunodetection using two RGC-specific proteins, Brn3a [18] (Brain-specific homeobox/POU domain protein 3 A) and RBPMs [54, 55] (RNA-binding protein with multiple splicing) diluted at 1:500. Subpopulations of amacrine cells were detected using different antibodies; ChAT (Anti-Choline Acetyltransferase), glycine, GAD65 + 67 [56] (Glutamic Acid Decarboxylase) or calretinin diluted at 1:250. Astrocytes (GFAP, Glial fibrillary acid protein) and Microglial cells [20] (MCs; Iba1, Ionized calcium-binding adapter molecule 1) were also immunodetected (1:1000) to characterize the GCL composition. The ON sections were additionally immunolabeled for CD68 to identify activated MCs (1:1000). Whole-mount retinas were also immunolabeled for neurofilament heavy phosphorylated (pNFH) [16, 57] and cleaved caspase-3 (c-Casp3) [58] diluted at 1:500 to characterize the RGC and axonal degeneration after ON injury. Complete antibody information is described in Supplementary Table S1A. The antibody specificity on TLGS tissue was confirmed by the high homology among the protein sequences across different species (Homo sapiens, Macaca fascicularis, Ictidomys tridecemlineatus, Rattus norvegicus, Mus musculus; detailed in Supplementary Table S1B). Briefly, all retinas were permeabilized in PBS 0.5% Triton X100 four times (10 min each). Retinas were then incubated for six days with the primary antibody in blocking buffer (2% Normal Donkey Serum, 0.5% Triton X100 in PBS) at 4 °C. Afterwards the retinas were washed and incubated for two days with the proper secondary antibodies diluted 1:500. Finally, retinas were thoroughly washed in PBS and cover-slipped vitreal side up with antifading mounting medium with DAPI (4′,6-diamidino-2-phenylindole, ThermoFisher, D1306) to counterstain all nuclei.
Image acquisition
Retinal sections, optic nerve sections, and whole mounted retinas were analyzed under a confocal microscope (Zeiss Z1 - LSM 780, Zeiss microscopes) equipped with a computer-driven motorized stage controlled by its own image analysis software (Zen Lite Back edition 2012, Zeiss). The retinal and optic nerve photomontages were reconstructed using the maximum projection of individual images (20x) by zig-zag tiling with an overlap of 8% between frames. To characterize the GCL composition, images of retinal sections (20x) were acquired at three different retinal areas (periphery, medial and central or visual streak). However, to uncover the whole retina surface, magnifications from flat mounts retinas (63x) were acquired in five regions along the DV axis (dorsal periphery, above ONH, visual streak, medial retina and ventral periphery; 4 images/region) using the same settings.
Ganglion cell layer characterization in TLGSs
To characterize the RGC population in TLGSs we evaluated the expression of different antibodies against RGC, amacrine cells (ACs), astrocyte and microglial cells (MCs) in retinal cross sections. Neuronal markers were quantified manually in the GCL, while glial markers were also measured in the adjacent layers; the RNFL and the inner plexiform layer (IPL). The different populations were characterized per retinal area (periphery, medial and central retina) and by their specific location in the GCL.
Automatic quantification. Brn3a+ orthotopic-RGC and DAPI+nuclei
To develop an automatic algorithm to quantify Brn3a+oRGCs, 30 samples were taken from different retinal areas (6 samples/retina, n = 5 retinas). Brn3a+nuclei (RGCs) were automatically quantified on whole-mount retinas using a macro developed using ImageJ (Supplementary File S1). Briefly, to minimize interference with background labeling, a rolling ball radius of 50 pixels was subtracted. Then, all images were transformed into 8-bit grayscale to discard color information followed by the application of a predetermined lower threshold to extract positive edges from the dark background and create a binary mask-like image. Next, “watershed” segmentation automatically separates particles that touch and “despeckle” median filter removes the noise. Last, positive objects were counted within fixed parameters (shape and size) to exclude objects that were too small or too large to be considered nuclei. Finally, the routine automatically extracts the number of counted objects and their x, y position coordinates. All data were exported to a spreadsheet (Office Excel 365; Microsoft Corp.) for further analysis (n = 11 retinas). This automated routine was validated by statistical comparison with manual quantifications carried out by an experienced investigator (Pearson correlation coefficient R2 = 97%; 69,378 cells were quantified manually while 63,021 were obtained automatically). To quantify the number of RGCs in the central retina, a 3 mm diameter area was obtained from the center of the retinal photomontage (~1.5 mm below the ONH) in intact and after tONC, while it was extracted from the nasal portion after pONC. Minimal adjustments (threshold and object size) were performed to adapt this routine to quantify DAPI+nuclei in whole ON sections or at the injury site (longitudinal area of 1 × 0.2 mm centered in the injury site).
Manual quantification. Brn3a+ displaced-RGCs and Iba1+cells
After the whole retinas were photographed, the dRGCs were detected by changing the microscope focus from the GCL to the inner nuclear layer. dRGCs were manually dotted in the retinal photomontage (n = 12 retinas) using a photoediting program (Photoshop 21.2.4; Adobe Systems, Inc) as previously reported [5]. The Iba1+cells were also manually dotted directly on the ON photomontage. The number of dots and the position coordinates representing each dRGC or Iba1+cell, were automatically obtained using the ImageJ software. Finally, all the data including the spatial coordinates and number of dots were exported to a spreadsheet (Microsoft Office Excel; Microsoft Corp., Redmond, WA, USA) for spatial analysis (see next section). In addition, to examine the number of Iba1+cells in the injury site, we extracted the same area described above (1 × 0.2 mm) after completing the manual dotting.
Spatial topography
The numerical coordinates (x, y) from each Brn3a+RGCs were obtained from the whole retinal photomontage. These data were exported to a spreadsheet application (Microsoft Office Excel) to assess the spatial distribution by calculating the number of neighbors per RGCs using a fixed radius (70 μm for oRGCs and, 345 μm for dRGC) as previously described [5]. However, the density of DAPI+nuclei and Iba1+cells in the ONs were evaluated by 83.3 × 83.3 μm areas. Both type of values where plotted using a graphics editing program (SigmaPlot 13.0 for Windows; Systat Software, Inc., Richmond, CA, USA) to show the k-neighbor or isodensity maps as described previously for other rodent species [17,18,19,20, 25]. To further characterize the distribution of RGCs along the retinal surface, we divided the retina along the two main axes: dorsoventral and temporonasal (DV, TN, respectively). The oRGC (n = 11 retinas) were assessed in an 6 mm width for the DV profile, and 6 mm high for the TN profile to prevent misplaced reads due to the radial cuts for flattening the retina, while dRGC (n = 12 retinas) where assessed in the whole surface. The RGC profiles are represented in line graphs (mean ± standard deviation; SigmaPlot 13.0).
Nuclear area
The nuclear area of Brn3a+oRGCs was measured in five retinal regions (135 × 135 μm, 63x) at different eccentricities. Two samples were taken in the dorsal retina, peripheral and medial (above the optic disc), and the other three areas corresponded to the inferior retina (visual streak, medial, and peripheral). For the visual streak two images were acquired, one in the most superficial row (~1–10 μm deep) and the other subsequently deeper (~15–25 μm deep). To simplify the graph representation, we averaged both peripheral (from dorsal and ventral) and both medial measurements because no significant differences were observed after analyzing the results. We measured a total of 13,544 Brn3a+nuclei (n = 6 retinas) plotted as the percentage of cells per nuclear area at different eccentricities.
Statistical analysis
Data representation and comparisons among all data sets were carried out with a statistical software package (GraphPad Prism v.8, GraphPad San Diego, CA, USA). D’Agostino test was used to analyze the normal distribution of all data sets. Cellular quantifications or thickness measurements were analyzed by multiple comparison one-way ANOVA and Tukey’s test for post-hoc analysis. The sample size for the different studies was detailed in the corresponding tables. Data are presented as mean ± standard deviation (SD) and differences were considered significant when p < 0.05 (*), p < 0.01 (**), or p < 0.001 (***).
Results
Characterization of the ganglion cell layer in TLGS
The TLGS eyeball is asymmetric along the DV axis, with a linear optic nerve dividing the smaller dorsal and larger ventral portion [59] (roughly 1:2). In the peripheral retina, hematoxylin/eosin staining showed that the GCL is composed of a monolayer of nuclei but increased to four rows in the central retina (Fig. 1D). Knowing that not all the nuclei in the GCL belong to the RGC, we used two reliable and widely used RGC markers, Brn3a [18] and RBPMs [54, 55] to identify RGCs. In cryostat cross sections, signals from Brn3a and RBPMs antibodies were largely co-expressed in the GCL, and the RGC population represented ~49% of the DAPI+ nuclei in the GCL (Fig. 2A–A’, Supplementary Table S3A). Towards the central retina, the proportion of RGCs in the GCL increased to 57% (Fig. 2A’, Supplementary Table S2A–B). Notably, the expression of both RGC markers was notably reduced in the outer row of the GCL in the middle and central retina (Fig. 2A–A’, horizontal histograms). To examine whether those non-RGCs in the outer row of the GCL belong to the dAC, we used a set of antibodies (ChAT, glycine, GAD65 + 67, and calretinin). Indeed, the ChAT+dACs were situated almost exclusively in the outer most GCL-row of the medial retina, or in the two outer most layers in the central retina (Fig. 2B–B’). Glycine and GAD65 + 67 positive cells showed a similar pattern, while calretinin detected a subpopulation of dACs and RGCs (Fig. 2C), as previously reported [60], expanding across the GCL. We further assessed the non-neuronal populations, astrocytes (GFAP) and microglial cells (MCs, Iba1) in the GCL. Astrocyte somas were mainly restricted to the RNFL along the retinal surface with a few embedded into the most inner GCL-row (Fig. 2D–D’, Supplementary Table S2C). Similarly, the MCs were largely absent from the GCL in resting conditions, located mainly in the IPL and a few in the RNFL (Fig. 2D–D’, Supplementary Table S2C). This arrangement was not obvious in mouse and rat retinas, since their GCL is a constant monolayer across the entire retina (Fig. 2E–F). However, examining macaque cryo-sectioned retinas revealed a similar pattern to TLGS retinas, with even more numerous RGC-rows and fewer ChAT+dACs in the central retina (Fig. 2G).
Additional characterization of the visual streak in flat mount retinas corroborated this GCL distribution. Within three sublayers of GCL (inner, middle, and outer), the RGCs (RBPMs+Brn3a+ + RBPMs+Brn3a-) were highly concentrated in the inner and middle layers (87.3%, 52.9%, and 11%, inner, middle, and outer, respectively, Fig. 3A–A’, Supplementary Table S3), while the ChAT+dACs and Glycine+ and were mostly placed in the outer layer (41.2% and 26.2% ChAT and Glycine, respectively, Fig. 3B–C, B’–C’, Supplementary Table S3), confirming the results from cross sections (Fig. 2). Among RBPMs+RGCs, Brn3a- subpopulation represent a small fraction (5.4 in retinal sections and 4.3% in flat-mount retinas respectively, Fig. 3D–E, Supplementary Table S4), and were slightly more concentrated in the dorsal retina (Fig. 3E, Supplementary Table S4) and towards the inner most GCL-row of the central retina (Fig. 2A’, Supplementary Table S4).
Number and topography of RGCs in TLGS
To examine the number and distribution of the RGC population across the whole retina in the TLGS we employed two different techniques that both identified a high-density region along the equatorial retina below the ONH. This area corresponds to the visual streak region [31]. In the first technique, retrograde tracing by injecting Fluorogold into the optic tracts, identified a majority of the RGCs with brain-projecting axons. High-magnification images along the DV axis showed the different RGC densities across the retina (Fig. 4A). In the second technique, Brn3a immunolabeling confirmed this RGC distribution and allowed for a more precise quantification of RGCs by the use of an automated algorithm (for details see “Material and Methods”). Within the GCL, the population of Brn3a+oRGCs averages ~600,000 (594,815 ± 37,407, n = 11, Fig. 4B, Table 1A), while displaced RGCs are scarce (319.9 ± 38, n = 12, Fig. 4C, Table 1A), representing only the 0.054% of the total population. The k-neighbor maps of the distribution of oRGCs across the entire retina (Fig. 4B) show lower RGC density in the dorsal retina, whereas the ventral retina exhibited an increasing gradient from the periphery toward the central retina. The highest oRGC density was at the visual streak in the equatorial retina ~1 mm below the ONH (Fig. 4B). Parallel analysis from the same retinas revealed that dRGCs also concentrated in the visual streak beneath the ONH and, with a much smaller peak above the ONH that diffusely spread towards the dorso-temporal region. Evaluating the distribution of RGCs in the DV and TN axis confirmed such distribution profiles (Fig. 4D). Both the densities of oRGCs and dRGCs are slightly more towards the temporal retina (Fig. 4D) with peak densities found in the visual streak, but the dRGCs show a much narrower distribution around the visual streak.
In addition, using Brn3a as a nuclear marker, we observed that the size of RGC nuclei varies according to their location, with bigger nuclei in the periphery. Further analysis of the central retina by layers revealed that RGC nuclei were even smaller in deeper layers of the GCL (Fig. 4E).
Optic nerve crush and glial response
Aiming to use TLGS to study RGC degeneration, we have performed two injury paradigms, pONC and tONC. In intact optic nerves, astrocyte dendrites have parallel orientation to the ganglion cell axons, sending short processes transversally to organize the axons in bundles as described for mice [61]. MCs under typical resting conditions showed a ramified morphology without CD68 (MC activation marker) expression and were evenly distributed throughout the entire ON (Fig. 5A, a). At 14 days after injury, we noticed dramatic changes in the glial cells. We observed an absence of astrocytes in the injury site and those at the outskirt showed a reactive, hypertrophic morphology, with some outcrossing appendages into the damaged area (Fig. 5B–C, b–c). Meanwhile, MCs exhibited vigorous activation along the ON and a subpopulation of MCs selectively amassed at the injury site. In fact, these MCs had an ameboid or round shape and co-labeled with CD68 (Fig. 5b–c).
After pONC, in the whole ON there was an increase in cellular density (DAPI+ nuclei) compared to intact optic nerves (111%, Fig. 5D–E first row, Table 1B). After tONC, a further increase in cell density (126%) was found compared to pONC. We observed a similar trend when analyzing the MC density in the whole ON but with an even higher percentage of increase (180%, Fig. 5D–E second row, Table 1B). Despite these observed differences in cell and MC density in the whole ON following pONC or tONC, when we focused solely on the injury site, we observed similar numbers of DAPI+ cells and MC densities for both ONC models (Fig. 5F, Table 1B). This result indicates that cellular responses to ONC are relatively restricted to the injury site regardless of the size of the crush.
SD-OCT measurements and RNFL anatomy
To examine the degeneration of RGCs and their axons after ONC, we characterized the thickness of different retinal layers along the nasal portion of the dorso-central retina using the ONH as reference (scheme shown in Fig. 6A). This extensive examination of the eye fundus allows for comparison of the same retinal area post injury among animals at various time points. Thus, we manually delineated the retinal, GCC, and the RNFL thickness from the same intact retinas. In agreement with the density maps of RGCs, we observed that the visual streak is the thickest region of the retina (Fig. 6B). However, the RNFL was thicker from the superior border of the visual streak toward the ONH, indicating that this area contains a higher number of axons (Fig. 6D). Interestingly, the GCC was thicker in the area comprising the visual streak up to the ONH, likely due to a thicker RNFL (Fig. 6C). Therefore, to perform reliable comparisons among animals and after ON injury, we selected an area 1 mm ventral below the ONH (Fig. 6A).
The first significant thinning following ONC was observed at 14 days measuring the GCC (83% and 82.3%, pONC and tONC, respectively), and RNFL thickness (75.4% and 79.3%, pONC and tONC, respectively, Fig. 6E–F, Table 1C), but the retinal thickness was not statistically different among groups (Fig. 6E–F, Table 1C). As expected, we did not observe significant differences between partial or total ONC since we always measured the nasal (injured-side, pONC) or injured retina (Fig. 6E–F).
To examine the detailed cellular structure of the RNFL in TLGS and to compare it with other animal model species, we performed ex vivo antibody labeling of pNFH+, which labeled RGC axons in the RNFL uniformly and showed axon bundles running parallel towards the ONH, similar to axon bundles in the mouse, rat, and primate retina (Fig. 6G–J). However, in mouse and rat retinas, astrocytes displayed typical star-shape morphology, wrapping the blood vessels and contacting axon bundles as they traverse through them (Fig. 6G–H). In contrast, the astrocyte processes in TLGS are bundled in parallel with and form close contacts along the RGC axons (Fig. 6I). Essentially, RGC axons in TLGS appear to be shielded by astrocyte processes. Interestingly, such relationship between RGC axons and astrocytes processes is remarkably similar to that of the primate retina (Fig. 6J), indicating that TLGS could potentially be a more faithful disease model of optic neuropathies in the context of neuron-glia interaction.
Retinal ganglion cell degeneration after traumatic optic nerve injury
To characterize the RGC degeneration after ONC in TLGS retinas we performed triple immunolabeling of (i) Brn3a to identify surviving RGCs, (ii) cleaved-Caspase3 (c-Casp3) to detect apoptotic RGCs, and (iii) pNFH to reveal the status of the degenerating RGC and axons. As reported previously, pNFH is normally expressed in axons (Fig. 7A–a), however, it starts to accumulate abnormally in the soma as a symptom of degenerating and dysfunctional RGCs (Fig. 7B–b, C, arrow), or in the form of rosary beads along the axons [16] (Fig. 7C, arrowhead). Analyzing the c-Casp3 expression at 14 days, we observed apoptotic RGCs in the far-middle retina (Fig. 7B). Although, Brn3a expression is greatly reduced in most apoptotic RGCs [58, 62], we identified a few RGCs in an intermediate state of degeneration as their soma contain: (i) accumulation of neurofilament, (ii) expression of c-Casp3, (iii) a weak Brn3a signal, corroborating that they are indeed dying RGCs (details in Fig. 7b). Those moribund cell bodies eventually disappear, leaving an axonal stump that withdraws from the vanishing soma (a sequence shown in Fig. 7C’–C”). Further investigation in the transition zone after pONC show a clear view of both scenarios. As described previously, the c-Caps3 expression is restricted to the crushed site of the retina where most of the Brn3a+RGCs are missing and the loss of RGC axons are evident in the central retina at 14 days post injury. (Fig. 7D).
After both forms of ON injury, the RGC loss was significant at fourteen days (276,608 ± 60,486, n = 7 and 73,886 ± 29,927, n = 6, pONC and tONC, respectively, Fig. 7E, Table 1A) compared with intact retinas (594,815 ± 37,407, Fig. 4B). K-neighbor maps of surviving RGCs showed a diffuse loss of Brn3a+ oRGCs either affecting the nasal retina after pONC or the entire retina after tONC (Fig. 7F). The RGC loss quantified for the whole retina was more pronounced after tONC than pONC, reflecting the extent of injury (12.4% and 46.5%, respectively, Fig. 7F, Table 1A). However, the degeneration in both cases followed a similar rate. The RGC survival in the central retina (3 mm Ø within the injury area) showed a similar RGC survival rate after pONC and tONC (9.5% and 8.1%, respectively, Fig. 7F, Table 1A). In addition, after both pONC and tONC, the RGC loss was higher in the central retina than in the peripheral, as described in the rat retina [19, 20]. Note that at 14 days after tONC, on average 12.4% of total RGCs survived, while the survival rate is only 8.1% in the central area (Fig. 7G).
Discusion
Our main objective in the present manuscript was to characterize the anatomical features of the RGC population and their axons under healthy control and injured conditions in order to establish the TLGS as an animal model for studying RGC degenerative diseases. First, we characterized the GCL in control retinas and discovered that the RGCs are not randomly mixed with dACs but organized in the inner rows of the GCL. Second, we quantified the entire population of RGCs in whole-mount retinas, demonstrating a spatial distribution of high density RGCs in the visual streak area matching that of the cone photoreceptors [31]. Third, we characterized the RGC degeneration following ONC and found the course and degenerative patterns are similar to other species such as mice [17, 58], rats [18,19,20, 24], goat [63] and monkey [64], indicating a conserved pathological process that can be exploited to model human conditions. Last, we highlighted anatomical differences, between TLGS and other rodents, revealing TLGS retinas to be more similar to primate retina, indicating that the TLGS is a potentially more faithful model for human RGC diseases.
Retinal ganglion cells in the GCL of TLGS
Like other rodents, the GCL of the TLGS retina is composed of a mixture of RGCs, dACs, and a small fraction of non-neuronal cells [19, 65]. One key feature of the TLGS retina is the high concentration of RGCs in the central retina, with as many as four layers of RGCs making up ~60% of the cells in GCL (compared to 40% in rat retina [19]). Although not as high as in the central primate retina [29, 66,67,68,69] (up to 97% of GCL cells), such multi-layered RGC distribution is closer in resemblance to the central primate retina, compared to other rodents which usually only have a single layer of RGC cells throughout the retina. This likely reflects the cone-dominant nature of the TLGS retina conveying more visual information than nocturnal rodents [48]. Indeed, the high density RGC area corresponds to the visual streak defined by the highest density of cones [31].
Furthermore, the RGCs are mainly restricted to the inner rows of the GCL, while different subpopulations of dACs (ChAT, glycine, GAD65 + 76, calretinin) situate in the outer most row. This particular layout may reflect the temporal sequence of neurogenesis during development – RGCs are among the earliest to differentiate and occupy the apical layers of the GCL [70, 71], and dACs which originate later and thus have to settle in the outer layer of the GCL. Anatomically, it could also facilitate RGCs to send their axon into the RNFL, which is adjacent to the inner GCL layer. We also found that the size of RGC nuclei (Brn3a+ labeling) is larger in the inner layer than those found in the outer layer – in accordance with the gradual dwindling of available space for developmental late-comers. Such a stereotypical layout of RGCs in the GCL is conserved in the primate retina (Fig. 2G) but is obviously missing in the mouse and rat retina, owing to their monolayer of RGCs.
Among RBPMs+ RGCs, ~96% are Brn3a+ (Supplementary Table S4), in agreement with previous reports for other rodents [5, 17, 18, 62]. The remaining RBPMs+/Brn3a- RGCs are slightly more concentrated in the dorsal retina. Those cells likely include the intrinsically photosensitive RGCs (ipRGCs) since they do not express Brn3a as reported previously [1, 62]. Although some poly-axonal amacrine cells may also be RBPMs+/Brn3a- [55], they rarely reach the inner layer of GCL. Thus, these putative ipRGCs are situated at a front-row location without much light scattering from retinal tissues which would be beneficial for global light detection.
Number and topography of RGCs in TLGS
We quantified Brn3a+ RGCs in the TLGS retina to be ~600,000 (Table 1A). This number is likely to be slightly underestimated for two reasons. First, we chose Brn3a over RBPMs antibody for quantification because nuclei labeling (Brn3a) is easier to segregate and quantify than soma labeling (RBPMs). However, there are ~4% of RGCs that are Brn3a negative. Second, although we obtained a high precision in our automatic RGC-counting algorithm compared with manual counting (R2 = 97%), the RGC number is likely underestimated in the central retina (R2 = 79%), owing to the limitation of 2D image-based quantification that may miss some RGCs in the visual streak where there are multiple layers of RGCs. However, even with these considerations, the total number of RGCs remains lower than the previous quantification of California ground squirrel optic nerve that provided an estimation of ~1.2 million axons [49]. This discrepancy can perhaps be attributed to species difference and unknown numbers of centrifugal axons that were not excluded in the California ground squirrel study [49], nonetheless the number appears to be high, considering that primate/human retinas which have a much larger retina and higher RGC density in the central area have only about ~1.3 million RGCs [28,29,30]. Regardless, ground squirrels seem to have RGC numbers that are closer to primates and humans, and are much higher than other rodent models (~15 and ~7 times more than mouse and rat retinas respectively [5, 17, 18, 58]).
Although lacking a fovea structure, the visual streak in TLGS retina has a peak RGC density (close to 10,000 RGCs/mm2) on par with the peri-fovea region of the primate retina [67], presumably representing an area with high visual acuity. This is similar to previous report on California ground squirrels [48] (24,000 nuclei/mm2, assuming 50% of which are RGCs). We verified this RGC distribution pattern by retrograde labeling of Fluorogold injection into the optic tract [51]. This method is superior than the commonly practiced SC injection in other rodents, as the SC in TLGS is much bigger [43, 52], thus requiring multiple injections to cover most of the RGC projections. Interestingly, dRGCs also sharply concentrate in the same region slightly extending toward the temporal quadrant. In the mouse retina, dRGC neurogenesis is under the control of Glycogen Synthase Kinase 3 and may contribute to binocular vision as they project to the ipsilateral thalamus [72, 73]. The functional role of dRGCs in TLGS remains to be explored.
Optic nerve crush and glial response
Although partial ON injury has been performed in other species [64, 74], the TLGS retina is particularly suitable owing to its linear, ‘Y’-shape optic nerve head that permits injury to half of the axons with an ideal internal control from the uninjured half. Importantly, the level of RGC death, glia cell accumulation, and pattern of cellular responses appeared to be comparable between pONC and tONC at 14 days post injury. There is not a significant spread of injury-induced pathology towards the uninjured half. The key feature of the lesion is the accumulation of activated MCs in the center of the lesion surrounded by hypertrophic astrocytes. This is different from the mouse spinal cord injury [75,76,77], in which newly proliferated scar-forming astrocytes grow into the injury site. It is generally believed that MCs are mainly participating in the inflammatory response and phagocytosis of axonal debris [78], whereas the glial scar formation depends on the astrocyte-microglia interactions [79]. Recent results [80, 81] have challenged the old dogma of glial scar preventing axon injury recovery [82,83,84]. Thus, the implication of MC and astrocyte pattern observed here on RGC axon regeneration warrants further study. More time points post injury will be needed to capture the dynamics of glial responses.
In vivo SD-OCT measurements and ex vivo pathology
SD-OCT provides a valuable tool to detect structural changes in the retina and to follow injury progression. Although both the GCC and RNFL thickness declined significantly at 14 days after ONC, the RNFL thinning appeared milder, compared to the extent of RGC loss observed ex vivo. While the glial cell proliferation and infiltration [85,86,87] could contribute to the maintenance of the RNFL thickness, ex vivo immunolabeling revealed axons remain in injured retinal regions despite significant RGC loss (Fig. 7D–E) – indicating RGC loss precedes the RNFL and GCC thinning, as previously described in rat [24]. In addition, detailed analysis captured the sequence of cellular events underlying degeneration. Initially the degenerating soma exhibits decreased Brn3a expression and increased caspase 3 expression (Fig. 7A–B). This is followed by the accumulation of pNFH in the failing soma, and in later stages the dissolved soma leaves behind a “flare ending” of the retracting axon (Fig. 7C–C”). This process is likely not uniform across the retina, with the central retina leading the peripheral areas [19] (Fig. 7G) as a result of: (1) being closer to the injury site [15]; (2) higher metabolic demand [88, 89]. Interestingly, we found in the RNFL of the TLGS retina, astrocyte dendrites form dense bundles and “ensheathe” the RGC axons, whereas such interactions are much looser in mouse and rat RNFL (Fig. 6G–H). This may also contribute to the different rate of degeneration as the peripheral RGC axons have longer segments covered by such astrocyte processes. This feature of astrocyte-axon interaction is also observed in the primate retina; thus, it would be interesting to study the impact of such neuro-glial interaction, especially in the context of axonal injury.
TLGS is a good model for RGC and optic nerve pathologies with features similar to primates
Overall, the TLGS confers several advantages as a model for studying RGC neurodegeneration and optic neuropathy. First, the TLGS is a diurnal rodent having a cone-dominated retina with a highly dense cone area known as the visual streak. Accordingly, multiple layers of RGCs are enriched in this area, with a density closely matching the primate perifoveal region. In addition, in the RNFL, the anatomical structure of astrocyte-RGC axon interaction closely resembles primates. Given the increasing evidence implicating the role of astrocytes in RGC death [90], this structural interaction will likely have a substantial impact on the pathophysiological process of optic nerve injury and RGC loss. These primate-like features render it a good model for the human retina. Second, the unique optic nerve structure of TLGS makes it possible for reliable partial injury, offering a potential model to study secondary degeneration in axons spared from the initial injury and to have an internal control for experiments such as sequencing and treatments. Third, the TLGS is an obligatory hibernator, therefore its metabolic flexibility may be exploited for strategies to deal with injury/disease-induced stress. Of course, being a non-model species and a hibernator, it has disadvantages compared to other rodents such as lower availability, higher cost, difficulty breeding, lack of genetic tools, seasonal food and handling requirements (individual housing, environmental enrichments, hibernaculum, etc) [50], however, it can be a complimentary model species bridging the gap between mice and primates.
Data availability statement
The data that supports the findings of this study are available within the article and its supplementary material. Raw or additional data are available from the corresponding author upon reasonable request.
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Acknowledgements
We would like to thank the Animal Care team, especially Dr. Ginger Tansey, Amber Lopez, Denise Parker, Irina Bunea, and Kristi Creel for taking care of our TLGS colony. We also express our appreciation to Dr. Haohua Quiao and Dr. Yichao Li of the NIH Visual Function Core for providing training in the use of the SD-OCT. We would also like to thank Dr. David Pow (University of Queensland, Brisbane, Australia) for providing the glycine antibody. We also would like to thank Dr. Tao Sun (National Institute of Neurological Disorders and Stroke) for providing postmortem rat specimens, and Dr. Lauren Brinster (Diagnostic and research services branch-NIH), Dr. Mark A. Eldridge (National Institute of Mental Health) and, Dr. Julie Mattison and Dr. Kielee Jennings (Nonhuman Primate Core of the National Institute on Aging) for providing postmortem monkey specimens.
Funding
This research was supported by Intramural Research Program of the National Eye Institute, National Institutes of Health and, by the Office of the Assistant Secretary of Defense for Health Affairs and the Defense Health Agency J9, Research and Development Directorate, through the Vision Research Program under Award No. CDMRPL-18-0-VR180205. Opinions, interpretations, conclusions, and recommendations are those of the author and are not necessarily endorsed by the Department of Defense.
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The experiments were conceived and designed by FMNN and WL. Experiments were conducted by FMNN, XX, TZ, KJM, SC, and data were analyzed by FMNN, XX, KJM, WL. The automatic scripts were written by FMNN. Visualization by FMNN and WL. The original draft was written by FMNN and WL and all authors have written, reviewed and edited the final paper.
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Each species was treated and maintained according to their unique protocols (mouse, ASP#606; TLGS: ASP#595) approved by the National Institutes of Health guidelines for Animal Care and Use Committee in research and by the Ethical and Animal Studies Committee of the National Eye Institute. All animal studies conformed to the Statement for the Use of Animals in Ophthalmic and Vision research of the Association for Research in Vision and Ophthalmology (ARVO). In conducting this research, we adhered to the laws of the United States and regulations of the US Department of Agriculture.
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Xiao, X., Zhao, T., Miyagishima, K.J. et al. Establishing the ground squirrel as a superb model for retinal ganglion cell disorders and optic neuropathies. Lab Invest 101, 1289–1303 (2021). https://doi.org/10.1038/s41374-021-00637-y
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DOI: https://doi.org/10.1038/s41374-021-00637-y