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Injury to Cone Synapses by Retinal Detachment: Differences from Rod Synapses and Protection by ROCK Inhibition.

Ellen Townes-Anderson1, Éva Halász1, Ilene Sugino2

  • 1Department of Pharmacology, Physiology and Neuroscience, Rutgers New Jersey Medical School, 185 South Orange Avenue, Newark, NJ 07103, USA.

Cells
|June 10, 2023
PubMed
Summary
This summary is machine-generated.

Rho kinase (ROCK) inhibition protects cone synapses after retinal detachment (RD), improving vision restoration. This finding suggests ROCK inhibitors could aid gene therapies and delayed treatments for retinal injury.

Keywords:
Rho kinaseSTED microscopycone cellpediclephotoreceptorpigretinal detachmentspherulesynapsesynaptic ribbons

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Area of Science:

  • Ophthalmology
  • Neuroscience
  • Cell Biology

Background:

  • Retinal detachment (RD) can cause irreversible vision loss due to photoreceptor synapse damage.
  • Previous research showed Rho kinase (ROCK) inhibitors protect rod synapses after RD.
  • Cone synapses also suffer damage during RD, impacting visual function.

Purpose of the Study:

  • To investigate the effects of RD and ROCK inhibition on cone photoreceptor synapses.
  • To evaluate the functional recovery of cone-mediated vision after RD with ROCK inhibition.
  • To assess the therapeutic potential of ROCK inhibitors for retinal injury.

Main Methods:

  • Adult pig model of retinal detachment (RD).
  • Confocal and stimulated emission depletion (STED) microscopy for morphological analysis of cone pedicles.
  • Electroretinograms (ERGs) to assess cone-driven retinal function.

Main Results:

  • RD caused significant structural changes in cone pedicles, including loss of synaptic ribbons and altered shape.
  • ROCK inhibition (AR13503) protected cone synapses from RD-induced damage.
  • Functional analysis showed improved cone-bipolar cell neurotransmission (photopic b-wave) with ROCK inhibition.
  • Protection was observed even when ROCK inhibitor treatment was delayed by 2 hours.

Conclusions:

  • ROCK inhibition effectively preserves cone synaptic structure and function following retinal detachment.
  • AR13503 demonstrates potential as an adjunct therapy for subretinal gene or stem cell treatments.
  • ROCK inhibitors may improve visual recovery outcomes in cases of delayed treatment for retinal injury.