We have recently shown that docosahexaenoic acid (DHA) is necessary for sur
vival and differentiation of rat retinal photoreceptors. during development
in vitro. In cultures lacking DHA, retinal neurons developed normally for
4 d; then photoreceptors selectively started an apoptotic pathway leading t
o extensive degeneration of these cells by day 11. DHA protected photorecep
tors. by delaying the onset of apoptosis; in addition, it advanced photorec
eptor differentiation, promoting opsin expression and inducing apical diffe
rentiation in these neurons. DHA was the only fatty acid having these effec
ts. Mitochondrial damage accompanied photoreceptor apoptosis and was marked
ly reduced upon DHA supplementation. This suggests that a possible mechanis
m of DHA-mediated photoreceptor protection might be the preservation of mit
ochondrial activity; a critical amount of DHA in mitochondrial phospholipid
s might be required for proper functioning of these organelles, which in tu
rn might be essential to avoid cell death. Muller cells in culture appeared
to be involved in DHA processing: they took up DHA, incorporate it into gl
ial phospholipids, and channeled it to photoreceptors in coculture. Both Mu
ller cells, when cocultured with neuronal cells, and the glial-derived neur
otrophic factor (GDNF) protected photoreceptors from cell death. These resu
lts suggest that glial cells may play a central role in regulating photorec
eptor survival during development through the provision of trophic factors.
The multiple effects of DHA on photoreceptors suggest that, in addition to
its structural role, DHA might be one of the trophic factors required by t
hese cells.