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      Restoration of vision after de novo genesis of rod photoreceptors in mammalian retinas

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          Abstract

          In zebrafish, Müller glial cells (MGs) are a source of retinal stem cells that can replenish damaged retinal neurons and restore vision 1 . In mammals, however, MGs lack regenerative capability as they do not spontaneously re-enter the cell cycle to generate a population of stem/progenitor cells that differentiate into retinal neurons. The regenerative machinery may exist in the mammalian retina, however, as retinal injury can stimulate MG proliferation followed by limited neurogenesis 27 . The fundamental question remains whether MG-derived regeneration can be exploited to restore vision in mammalian retinas. Previously, we showed that gene transfer of β-catenin stimulates MG proliferation in the absence of injury in mouse retinas 8 . Here, we report that following gene transfer of β-catenin, cell-cycle-reactivated MGs can be reprogrammed into rod photoreceptors via a subsequent gene transfer of transcription factors that are essential for rod cell fate specification and determination. MG-derived rods restored visual responses in Gnat1 rd17 : Gnat2 cpfl3 double mutant mice, a model of congenital blindness 9, 10 , throughout the visual pathway from the retina to the primary visual cortex. Together, our results provide evidence of vision restoration after de novo MG-derived genesis of rod photoreceptors in mammalian retinas.

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          Most cited references26

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          Electroporation and RNA interference in the rodent retina in vivo and in vitro.

          The large number of candidate genes made available by comprehensive genome analysis requires that relatively rapid techniques for the study of function be developed. Here, we report a rapid and convenient electroporation method for both gain- and loss-of-function studies in vivo and in vitro in the rodent retina. Plasmid DNA directly injected into the subretinal space of neonatal rodent pups was taken up by a significant fraction of exposed cells after several pulses of high voltage. With this technique, GFP expression vectors were efficiently transfected into retinal cells with little damage to the operated pups. Transfected GFP allowed clear visualization of cell morphologies, and the expression persisted for at least 50 days. DNA-based RNA interference vectors directed against two transcription factors important in photoreceptor development led to photoreceptor phenotypes similar to those of the corresponding knockout mice. Reporter constructs carrying retinal cell type-specific promoters were readily introduced into the retina in vivo, where they exhibited the appropriate expression patterns. Plasmid DNA was also efficiently transfected into retinal explants in vitro by high-voltage pulses.
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            Müller glial cell reprogramming and retina regeneration.

            Müller glia are the major glial component of the retina. They are one of the last retinal cell types to be born during development, and they function to maintain retinal homeostasis and integrity. In mammals, Müller glia respond to retinal injury in various ways that can be either protective or detrimental to retinal function. Although these cells can be coaxed to proliferate and generate neurons under special circumstances, these responses are meagre and insufficient for repairing a damaged retina. By contrast, in teleost fish (such as zebrafish), the response of Müller glia to retinal injury involves a reprogramming event that imparts retinal stem cell characteristics and enables them to produce a proliferating population of progenitors that can regenerate all major retinal cell types and restore vision. Recent studies have revealed several important mechanisms underlying Müller glial cell reprogramming and retina regeneration in fish that may lead to new strategies for stimulating retina regeneration in mammals.
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              Late-stage neuronal progenitors in the retina are radial Müller glia that function as retinal stem cells.

              Neuronal progenitors in the mammalian brain derive from radial glia or specialized astrocytes. In developing neural retina, radial glia-like Müller cells are generated late in neurogenesis and are not considered to be neuronal progenitors, but they do proliferate after injury and can express neuronal markers, suggesting a latent neurogenic capacity. To examine the neurogenic capacity of retinal glial cells, we used lineage tracing in transgenic zebrafish with a glial-specific promoter (gfap, for glial fibrillary acid protein) driving green fluorescent protein in differentiated Müller glia. We found that all Müller glia in the zebrafish retina express low levels of the multipotent progenitor marker Pax6 (paired box gene 6), and they proliferate at a low frequency in the intact, uninjured retina. Müller glia-derived progenitors express Crx (cone rod homeobox) and are late retinal progenitors that generate the rod photoreceptor lineage in the postembryonic retina. These Müller glia-derived progenitors also remain competent to produce earlier neuronal lineages, in that they respond to loss of cone photoreceptors by specifically regenerating the missing neurons. We conclude that zebrafish Müller glia function as multipotent retinal stem cells that generate retinal neurons by homeostatic and regenerative developmental mechanisms.
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                Author and article information

                Journal
                0410462
                6011
                Nature
                Nature
                Nature
                0028-0836
                1476-4687
                4 July 2018
                15 August 2018
                August 2018
                15 February 2019
                : 560
                : 7719
                : 484-488
                Affiliations
                [1 ]Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
                [2 ]Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
                [3 ]Department of Developmental and Regenerative Biology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
                [4 ]State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, P. R. China
                [5 ]Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT 06511, USA
                [6 ]Department of Neuroscience, Yale University School of Medicine, New Haven, CT 06511, USA
                [7 ]Department of Cellular and Molecular Physiology, Yale University School of Medicine, New Haven, CT06511, USA
                [8 ]Department of Cell Biology, Center for Cellular and Molecular Imaging, Yale University School of Medicine, New Haven, CT 06511, USA
                [9 ]Department of Biophysics, National Institute of Mental Health and Neuro Sciences, Banglore 560029, India
                [10 ]The Jackson Laboratory, 600 Main Street, Bar Harbor, ME 04609, USA
                Author notes
                []To whom correspondence should be addressed. bo.chen@ 123456mssm.edu

                Correspondence and requests for materials should be addressed to B.C. ( bo.chen@ 123456mssm.edu ).

                Article
                NIHMS979606
                10.1038/s41586-018-0425-3
                6107416
                30111842
                877ab1f9-411a-4e75-9b71-6586c8e38783

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