Pharmacological dissociation of the b-wave and pattern electroretinogram

Multiple retinal anomalies in schizophrenia

INTRODUCTION

In addition to being a critical component of the visual system, the retina provides the opportunity for an accessible and noninvasive probe of brain pathology in neuropsychiatric disorders. Several studies have reported various retinal abnormalities in schizophrenia, some primary and others iatrogenic. There is now increasing evidence supporting the existence of retinal anomalies in schizophrenia across structural, neurochemical and physiological parameters. Here, we review the types of retinal pathology in schizophrenia and discuss how these findings may provide novel insights for future research into the neurodevelopmental neurobiology of this syndrome, and possibly as useful biomarkers.

METHODS

Using the keywords schizophrenia, retina, pathology, electroretinogram (ERG), and/or optical coherence tomography (OCT) on PubMed, all studies using the English language within 30years were reviewed. Methods were examined, and common themes were identified, tabulated, and discussed.

RESULTS

We classified the reports of retinal pathology into primary and secondary. The major secondary retinal pathology is related to the iatrogenic effects of a once widely prescribed first generation antipsychotic (thioridazine), which was found to be associated with retinal pigment deposits, decreased visual acuity, and suppression of dark adapted ERG responses. The primary retinal findings were obtained via different measures primarily using ERG, OCT, and microvascular imaging. The most consistent findings were 1) decreased ERG wave amplitudes, 2) reduced macular volume, 3) thinning of retinal nerve fiber layer, and 4) widened venule caliber.

CONCLUSION

The abnormal pathobiological findings of the retina in schizophrenia may represent an important avenue for elucidating some of the neurodevelopmental aberrations in schizophrenia. The well replicated retinal anomalies could serve as biomarkers for schizophrenia and perhaps an endophenotype that may help identify at-risk individuals and to facilitate early intervention.

Retinal response to light in young nonaffected offspring at high genetic risk of neuropsychiatric brain disorders

BACKGROUND

In neuropsychiatric brain disorders, such as schizophrenia (SZ) and bipolar disorder (BD), the biased effect of chronic drug therapy and the toxic effect of illness once installed constitute obstacles to the identification of valid biomarkers. Such biomarkers could lie at the level of retinal function where anomalies have already been reported in adults suffering from neuropsychiatric disorders. Here, we report a specific electroretinographic (ERG) anomaly in young nonaffected and nonmedicated offspring at high genetic risk (HR) of these disorders.

METHODS

Electroretinography was performed in 29 HR offspring having one parent affected by DSM-IV SZ or BD (mean age: 20.8 years, SD 4.4) and 29 healthy control subjects (mean age: 20.6 years, SD 4.2). The HRs' parents descended from multigenerational families affected by SZ or BD.

RESULTS

Rod ERG (b-wave amplitude at V(max)) in HRs was significantly lower than control subjects (p < .0001; effect size of -1.47), whereas the cone ERG V(max) showed no difference (p = .27). No effects of gender, age, and seasons of testing were observed. The anomaly in retinal response (rod V(max) b-wave amplitude) was observed independently of parents' diagnosis (SZ; p = .007, effect size of -1.09; BD: p < .0001, effect size of -1.88) and was present in both the younger and older HRs (effect size of -1.6 and -1.8, respectively).

CONCLUSIONS

A rod retinal response anomaly before the age of the disease incidence may represent an early and specific biomarker of risk with meaning for further genetic and prevention research.

Inhibition of retinal ON/OFF systems differentially affects refractive compensation to defocus

Hatchling chicks reared with defocusing spectacle lenses compensate for the applied defocus, both refractively and through changes in eye growth, in about 1 week. In this experiment, we show that pharmacological inhibition of the retinal ON or OFF responses to light stimulation with isomers of alpha-aminoadipic acid results in a sign-dependent pattern of interference with the refractive compensation mechanism. An intravitreal injection of 2.5 microM L-alpha-aminoadipic acid inhibited the ERG ON response and inhibited refractive compensation to negative lens defocus, but not to positive or zero power lens defocus. D-alpha-aminoadipic acid in the same dose reduced the retinal OFF response and inhibited refractive compensation to positive lens defocus, but not to negative or zero power lenses. Thus the pharmacological manipulation of induced refractive change suggests that the retinal ON and OFF subsystems play independent roles in the emmetropization process.

Targeted disruption of Müller cell metabolism induces photoreceptor dysmorphogenesis

Within the retina, the Müller cells and photoreceptors are in close physical proximity and are metabolically coupled. It is unknown, however, whether Müller cells affect photoreceptor differentiation and outer segment membrane assembly. The objective of this study was to determine whether targeted disruption of Müller cell metabolism would induce photoreceptor dysmorphogenesis. Intact isolated Xenopus laevis embryonic eyes were cultured in medium with or without Müller cell-specific inhibitors (i.e., alpha-aminoadipic acid and fluorocitrate). To assess Müller cell injury, the gross retinal morphology was examined along with immunocytochemical assessment of Müller cell-specific protein expression patterns. The steady-state levels of opsin were quantified to determine whether the Müller cell inhibitors negatively affected photoreceptor protein synthesis. Müller and photoreceptor cell ultrastructure was scrutinized and the organization of the outer segment membranes was graded. In control retinas, there was no swelling of Müller cell cytoplasm. Glial fibrillary acidic protein (GFAP) was undetectable, whereas glutamine synthetase was abundant. The steady-state level of opsin was high and photoreceptors elaborated properly folded outer segments. Exposure to both Müller cell-specific inhibitors induced swelling of Müller cell endfeet, cytoplasmic paling and alterations of Müller cell-specific protein expression patterns. The steady-state level of opsin in retinas exposed to alpha-aminoadipic acid was unchanged compared with control eyes, whereas, in eyes exposed to fluorocitrate, opsin levels were slightly reduced. The most significant finding was that targeted disruption of Müller cell metabolism adversely affected photoreceptor outer segment membrane assembly, causing dysmorphogenesis of nascent outer segments. These results suggest that the termination signal(s) necessary for proper outer segment folding were disrupted by targeted inhibition of Müller cells and support the hypothesis that Müller cells interact with photoreceptors through mechanisms that may regulate, at least in part, the assembly of photoreceptor outer segment membranes.

Current source density analysis of ON/OFF channels in the frog optic tectum

In the vertebrate retina, it is well known that an ON/OFF dichotomy is present. In other words, ON-center and OFF-center cells participate in segregated pathways morphologically and physiologically. However, there is no doubt that integration of both channels is necessary to generate the complicated response properties of visual neurons in higher optic centers. So far, functional organization of the ON and OFF channels in the optic centers has not been demonstrated at the level of neuronal populations. In this review article, we summarize our experimental approaches to demonstrate functional organization of the ON and OFF channels using current source density (CSD) analysis in the frog optic tectum. First, we show that one-dimensional CSD analysis, assuming constant conductivity, is applicable in the tectal laminated structure. The CSD depth profile of a response to electrical stimulation of the optic tract is composed of three current sinks (A, B, and D) in the retinorecipient layers and two current sinks (C and E) below those layers. This result is in agreement with previous morphological and physiological findings, and shows that CSD analysis is very useful to demonstrate the flow of visual information processing. Second, CSD analysis of tectal responses evoked by diffuse light ON and OFF stimuli reveals obviously different distributions of synaptic activity in the laminar structure. Two or three current sinks (I, II and III) are generated in response to ON stimulation only in the retinorecipient layers, while up to six current sinks (IV, V, VI, VII, VIII and IX) to OFF stimulation throughout the tectal layers. Based on well known properties of retinal ganglion cells of the frog, possible neuronal mechanisms underlying each current sinks and their functional roles in visually guided behavior are considered.

APB alters photopic spectral sensitivity of the goldfish retina

Because the glutamate analog 2-amino-4-phosphonobutyric acid (APB) alters synaptic transmission at the outer plexiform layer in goldfish we asked whether intraocular injection of ABP would alter the spectral sensitivity of the retina. The spectral sensitivity of the ON and OFF components of the optic nerve response (ONR) in goldfish was measured in the presence and absence of APB, under four chromatic adaptation condition. APB decreased absolute sensitivity and altered spectral sensitivity for both ON and OFF responses under each adaptation condition. The spectral sensitivity of the OFF response was altered most at short wavelengths, in a manner consistent with a change in the balance of additive cone inputs. For the ON response, the effects of APB were consistent with a change in spectral antagonism, particularly between M- and L-cones. These results suggest that the activity in the retinal cone pathways in goldfish can be influenced by a mechanism incorporating an APB-sensitive receptor, and that this receptor may be intimately involved with setting the balance of cone inputs to spectrally-opponent neurons.

Autosomal dominant rod-cone dysplasia in the Rdy cat. 2. Electrophysiological findings

Electroretinography was performed on cats affected with autosomal dominant rod-cone dysplasia (gene symbol Rdy). In normal kittens it was found that retinal sensitivity increased and rod thresholds decreased as the animals matured. Electroretinogram (ERG) amplitudes were mature by 4.5 weeks and adult timing was attained by 6 weeks of age, consistent with the findings of other workers. In Rdy-affected heterozygous kittens the ERG was absent or barely recordable using conventional corneal contact lens electrodes. However, the enhanced sensitivity of an intravitreal needle electrode permitted the recording of ERGs from affected kittens aged 4.5 weeks and older. The intravitreally recorded scotopic ERG in Rdy-affected kittens was a very low amplitude, largely negative response with prolonged a- and b-wave times-to-peak (two to threefold longer than in comparable recordings from an age-matched normal kitten). The b-wave lacked oscillatory potentials and was relatively small so that the ERG was a-wave dominated. This was attributed to delayed and defective synaptogenesis in the outer plexiform layer of dystrophic retinas. In contrast to normal kittens, the b-wave threshold was higher than that of the a-wave in affected kittens. Photopic responses were unrecordable. The intravitreal ERG was barely recordable in a 5-month-old Rdy-affected cat and was apparently extinguished by 7 months of age. In vitro electroretinography permitted a comparison of the photoreceptor responses (fast PIII) from the isolated retinas of 6-week-old control and Rdy-affected heterozygous kittens. Maximum fast PIII amplitudes were reduced by about 75% in affected retinas compared with age-matched normal retinas (P less than 0.005). The mean fast PIII time-to-peak, at maximum light intensity, in Rdy-affected retinas was prolonged by about 15 msec and was approximately twofold longer than the time-to-peak of normal retinas (P less than 0.005).4+ steeper slope with relatively greater prolongations in time-to-peak at lower luminances compared with normal retinas (P less than 0.025). These changes in temporal characteristics may be explained either by severe disorganization of photoreceptor outer segments or by altered phototransduction kinetics.

Non-competitive NMDA-receptor antagonists and anoxic degeneration of the ERG B-wave in vitro

Studies have been undertaken to see if the non-competitive NMDA antagonists, ketamine, MK-801 and dextromethorphan would preserve the b-wave of the electroretinogram (ERG) in vitro. The drugs had no effect on the ERG b-wave, nor prolonged its survival postmortem. The present results support previous evidence suggesting that NMDA-receptors are not involved directly in synaptic transmission between photoreceptors and ON-bipolar cells. Further, loss of the b-wave in post-mortem anoxia does not appear to be mediated via NMDA-receptors.

DL-2-amino-4-phosphonobutyric acid does not eliminate "ON" responses in the visual system of goldfish

DL-2-Amino-4-phosphonobutyric acid (APB) suppresses activity in retinal ON pathways. It is generally assumed that loss of the ON pathway would result in loss of ON responses in the visual system. We tested this assumption by recording activity from the optic nerves of intact goldfish (Carassius auratus) before and after intraocular injection of APB. Whole-nerve responses to increments and decrements of light were compared to electroretinogram responses and to tectal evoked potentials. APB severely reduced the amplitude of the electroretinogram b-wave but left ON and OFF responses from the optic nerve and tectum intact, although decreased in sensitivity. We conclude that APB does not completely eliminate ON responses in the visual system, at least in goldfish. The selectivity and effectiveness of APB must be evaluated in other species before this agent can be relied upon as a useful tool in understanding the roles of ON and OFF pathways in visual function.

Electroretinographic changes in aged pigeons

Photopic electroretinograms, either to full-field light flashes (FERGs) or to contrast-reversal of square-wave gratings (PERGs) have been recorded in pigeons aged 2 years old (n = 5) and 10 years old (n = 5). Mydriatic pupil diameter, ophthalmoscopic appearance of the retinal fundus and optic media, and refractive state were comparable in the two groups. V/log I functions of individual FERG components (a-wave, b-wave and oscillatory potentials) displayed significantly lower slopes in the old birds than in the young, which suggests a reduction in retinal gain. PERG amplitude also was significantly lower in the older birds over a wide range of spatial frequencies (0.2-8.8 c/deg). Estimated visual acuity based on the extrapolated high-frequency cut off was 18 c/deg in the younger birds and 7.8 c/deg in the older birds. These results are in agreement with psychophysical data and retinal age-related losses in visual acuity, photoreceptors and retinal ganglion cells. Since these findings are comparable to those reported for humans, the results suggest that pigeons may serve as a useful model for human visual aging.

Fundamental differences between the nonlinearities of pattern and focal electroretinograms

We directly compared nonlinear kernels of normal human pattern electroretinograms (PERGs) and corresponding localized flash ERGs (FERGs). The FERG was triphasic and resembled an adaptive process because it decayed slowly without changing shape over several kernel orders and interpulse intervals. The PERG was biphasic in the slice nearest the diagonal of the second-order kernel, similar to the FERG in slices farther from this diagonal, and without power in higher-order kernels. The unique PERG features were short-term effects that immediately followed a contrast transition. The appearance-disappearance PERG had a triphasic first-order kernel and a biphasic second-order kernel. The latter was similar to, but half the size of, that for the contrast-reversal PERG. When the first off-diagonal slices of the two PERG second-order kernels were analyzed in detail, we found in both that the first positive peak was larger than the FERG at intermediate spatial frequencies. Both PERG peaks in the slice had a low contrast threshold and were linear with contrast. The three FERG peaks of the corresponding FERG slice had a higher threshold and were saturated with increasing contrast. These observations show that the PERG contains substantial pattern specific nonlinear components and cannot be dismissed as merely the nonlinear subcomponents of the corresponding FERG.

The effect of 2-amino-4-phosphonobutyric acid on the oscillatory potentials of the electroretinogram

Previous reports have shown that an intravitreal injection of 2-amino-4-phosphonobutyric acid, a glutamate analogue that selectively blocks the photoreceptors' input to the on-bipolar cells, produces a rapid decrease in the amplitude of the electroretinographic b-wave. To our knowledge, the effect of this glutamate analogue has not been examined on the oscillatory potentials. We therefore conducted such a study. A needle electrode was inserted into the anterior chamber of the eyes of seven anesthetized and paralyzed rabbits to record simultaneously the electroretinogram and the oscillatory potentials. These responses were evoked by flashes of white light delivered in mesopic conditions. As expected, an injection of 2-amino-4-phosphonobutyric acid, produced a rapid decrease in the amplitude of the b-wave, while the a-wave was relatively spared. The amplitude of the oscillatory potentials also decreased rapidly. At maximal effect, the electroretinogram essentially consisted of a normal a-wave followed by small oscillations and no evidence of a b-wave. The 100-1000 Hz recording confirmed that the oscillations seen on the postinjection electroretinograms were remnants of the original oscillatory potentials.

Sensitivity of ERG components from dark-adapted goldfish retinas treated with APB

The electroretinogram (ERG) of the dark-adapted goldfish was examined before and after intravitreal injection of DL-2-amino-4-phosphonobutyric acid (APB). APB abolished the b-wave and decreased absolute sensitivity of the remaining waveform, which was composed of a vitreal-negative component followed by a vitreal-positive component. The sensitivity, time course and amplitude of these components differed from ERGs obtained from animals treated with sodium aspartate. Spectral sensitivity of both post-APB components closely resembled that of the normal dark-adapted b-wave. The results suggest that APB does not act selectively on any particular class of photoreceptors or photoreceptor pathways in the dark-adapted goldfish retina.

Evoked responses to sinusoidal gratings in the pigeon optic tectum

Tectal evoked potentials (TEPs) in response to sinusoidal gratings of different contrast, spatial and temporal frequency have been recorded from the tectal surface of the pigeon. Responses have been digitally filtered in order to isolate transient oscillatory (fast) potentials (50-150 Hz), transient slow potentials (1-50 Hz), and the steady-state second-harmonic component (16.6 Hz). Transient slow potentials, as well as the steady-state second-harmonic component, are band-pass spatially tuned with a maximum at 0.5 cycles/deg and attenuation at higher and lower spatial frequencies. The high spatial frequency cutoff is 4-5 cycles/deg. Both transient slow potentials and the steady-state second-harmonic component increase in amplitude as a function of log contrast and saturate at about 20% contrast. The contrast sensitivity, as determined by extrapolating TEP amplitude to 0 V is 0.1-0.2%. These characteristics of spatial-frequency selectivity and contrast sensitivity are similar to those reported for single tectal cells. Unlike slow potentials, oscillatory potentials are not band-pass spatially tuned. In addition, their contrast response function does not saturate at moderate contrast. These differences suggest that tectal evoked slow and fast potentials reflect the activity of different neuronal mechanisms.