Purpose: To test the hypothesis that access to extravasated plasma pro-rein
IgG may influence photoreceptor survival following laser photocoagulation
and to determine whether this correlates with the retinal glial reaction.
Methods: A total of 45 rats (18 Royal College of Surgeons (RCS) dystrophic
and 18 RCS-rdy(+) congenic control) were used for this experiment. Nine non
-lasered littermates of same age were used as controls. The superior retina
s of postnatal day 23 rats were irradiated with a grid pattern of 40 argon
green laser lesions of 50 mu m in diameter and two powers (150 and 300 mW)
for 0.2 s. Ar various times after laser lesions (up to 14 days), animals we
re perfused, the retinas snap frozen and sectioned on a cryostat. A onestep
immunohistochemical technique was used by incubating with rabbit anti-rat
IgG conjugated directly to horseradish peroxidase. Adjacent sections were p
rocessed using an antibody to glial fibrillary acidic protein (GFAP) by the
standard avidin-biotin complex method.
Results: The labelling pattern for extravasated IgG after laser lesion was
very similar in both RCS and RCS-rdy(+) rat retinas. At 6, 12 and 24 h afte
r lesions, IgG immunoreactivity (IR) was very intense in the lesion core an
d flanks. The outer plexiform layer (OPL) and photoreceptor inner segments
provided a ready pathway for lateral spread of IgG. However; in the outer n
uclear layer (ONL), IgG localization was much more restricted. Despite very
intense IgG IR in the ONL of the coagulated lesion core, there was always
a very sharply delineated boundary where the label abruptly halted. The GFA
P labelling in both RCS dystrophic and RCS-rdy(+) congenic control rat reti
nas showed that this boundary was between normal and necrotic cells because
there was a core where GFAP was not produced by Muller cells. By 2 days af
ter lesions, the coagulated cells in the lesion core were being removed by
phagocytic cells that were IgG IR Labelled phagocytic cells were also found
among the inner and outer segment region on the lesion flanks. There was s
till IgG IR in the lesion, but the label was faint. No IgG IR was found in
the retina at 3, 4, 7 and 14 days after lesions. Absorption control with pu
re rat IgG showed the label to be specific.
Conclusions: The extravasated IgG was derived from the choroidal circulatio
n because at no stage was IgG localized around the retinal vasculature. The
IgG labelling was surprisingly widespread and, therefore, did not correlat
e with photoreceptor sparing, al;hough it preceded the widespread Muller ce
ll expression of GFAP and may, therefore, trigger glial reaction.