Hypothermia Promotes Survival of Ischemic Retinal Ganglion Cells
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Hypothermia Promotes Survival of Ischemic Retinal Ganglion Cells. / Reinhard, Katja; Mutter, Marion; Gustafsson, Elisabeth; Gustafsson, Leon; Vaegler, Martin; Schultheiss, Maximilian; Müller, Sebastian; Yoeruek, Efdal; Schrader, Merle; Münch, Thomas A.
in: INVEST OPHTH VIS SCI, Jahrgang 57, Nr. 2, 02.2016, S. 658-63.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Hypothermia Promotes Survival of Ischemic Retinal Ganglion Cells
AU - Reinhard, Katja
AU - Mutter, Marion
AU - Gustafsson, Elisabeth
AU - Gustafsson, Leon
AU - Vaegler, Martin
AU - Schultheiss, Maximilian
AU - Müller, Sebastian
AU - Yoeruek, Efdal
AU - Schrader, Merle
AU - Münch, Thomas A
PY - 2016/2
Y1 - 2016/2
N2 - PURPOSE: Ischemic stroke in retinal arteries leads to death of neural tissue and ultimately to blindness. The retina is known to die within 4 hours after onset of ischemia. It is debated whether hypothermia might increase the time window for medical treatment and thereby the chance of recovering sight. In order to characterize the time course of cell death during ischemia and potential beneficial effects of hypothermia in more detail, we investigated the survival of ganglion cells in ischemic pig and human retina as a function of time and temperature.METHODS: Eyes were obtained from minipigs and from human donors post mortem. Enucleated minipig eyes were stored for defined durations at three different temperatures (37 °C, 21 °C, and 4 °C). In order to assess the viability of the tissue, we measured ganglion cell activity (spiking) with multielectrode arrays.RESULTS: Minipig retinal ganglion cell function was severely compromised after 2 hours of ischemia at body temperature. After 4 hours, ganglion cells did not fire action potentials anymore. However, at 21 °C, ganglion cell activity was maintained under ischemic conditions for up to 12 hours, and for at least 50 hours at 4 °C. In postmortem human retina, we recorded ganglion cell activity in retinas received up to 27 hours after death.CONCLUSIONS: Our results demonstrate that hypothermia greatly increases survival of retinal ganglion cells exposed to ischemia. These results might be relevant for the future treatment of retinal ischemia.
AB - PURPOSE: Ischemic stroke in retinal arteries leads to death of neural tissue and ultimately to blindness. The retina is known to die within 4 hours after onset of ischemia. It is debated whether hypothermia might increase the time window for medical treatment and thereby the chance of recovering sight. In order to characterize the time course of cell death during ischemia and potential beneficial effects of hypothermia in more detail, we investigated the survival of ganglion cells in ischemic pig and human retina as a function of time and temperature.METHODS: Eyes were obtained from minipigs and from human donors post mortem. Enucleated minipig eyes were stored for defined durations at three different temperatures (37 °C, 21 °C, and 4 °C). In order to assess the viability of the tissue, we measured ganglion cell activity (spiking) with multielectrode arrays.RESULTS: Minipig retinal ganglion cell function was severely compromised after 2 hours of ischemia at body temperature. After 4 hours, ganglion cells did not fire action potentials anymore. However, at 21 °C, ganglion cell activity was maintained under ischemic conditions for up to 12 hours, and for at least 50 hours at 4 °C. In postmortem human retina, we recorded ganglion cell activity in retinas received up to 27 hours after death.CONCLUSIONS: Our results demonstrate that hypothermia greatly increases survival of retinal ganglion cells exposed to ischemia. These results might be relevant for the future treatment of retinal ischemia.
KW - Animals
KW - Cadaver
KW - Cell Count
KW - Cell Death
KW - Cell Survival
KW - Disease Models, Animal
KW - Humans
KW - Hypothermia, Induced
KW - Ischemia
KW - Retinal Diseases
KW - Retinal Ganglion Cells
KW - Swine
KW - Swine, Miniature
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1167/iovs.15-17751
DO - 10.1167/iovs.15-17751
M3 - SCORING: Journal article
C2 - 26903226
VL - 57
SP - 658
EP - 663
JO - INVEST OPHTH VIS SCI
JF - INVEST OPHTH VIS SCI
SN - 0146-0404
IS - 2
ER -