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Anatomy Exam 2 Retina
Dr. Hua
132
Medical
Graduate
03/17/2011

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Cards

Term
What is the first step in signal transduction in the retina?
Definition
photon absorption by visual pigments
Term
What converts the signal from analog to digital format?
Definition
retinal integrator circuits at the ganglion cell level
Term
What are the two layers of the retina?
Definition
outer RPE and inner neural retina
Term
What is the origin of the two laminar layers of the retina?
Definition
apex to apex invagination of the ectodermal layer
Term
How many general classes of cells are found in the retina?
Definition
6
Term
How thick is the photoreceptor layer?
Definition
200 um
Term
What is a horizontal cell?
Definition
connects PR to one another, between the PR and bipolar cells; mediates signal between the PR and bipolar cells.
Term
What is an amacrine cell?
Definition
inhibitory interneuron
Term
What is a ganglion cell?
Definition
dendrites --> visual cortex
Term
Where are horizontal cells found?
Definition
outer plexiform layer of retina between PR's and bipolar cells
Term
What are the three main types of cone PR's?
Definition
long wavelength, middle wavelength, short wavelength
Term
What are opsins?
Definition
visual pigments
Term
What is a Vit A based chromophore?
Definition
visual pigment
Term
What is the signal mechanism of opsins?
Definition
heterotrimeric G proteins
Term
What are ciliary visual pigments?
Definition
rods and cones that hyperpolarize to light
Term
What is the ciliary visual pigment called?
Definition
c-opsin
Term
What is the ROS?
Definition
rod outer segment
Term
How many rhodopsins are found in each ROS?
Definition
~1 billion
Term
Where does rod phototransduction occur?
Definition
ciliary outer segment of the PR cell
Term
What causes retinitis pigmentosa?
Definition
genetic mutation for rhodopsin
Term
What wavelength of light is rhodopsin most sensitive to?
Definition
510 nm; green light
Term
How many transmembrane proteins are found in the AA sequence of rhodopsin?
Definition
7
Term
What are the terms for rod and cone rhodopsins?
Definition
rod = scotopsins; cone = photopsins
Term
Are rhodopsins apoproteins?
Definition
Yes, requires 11-cis-retinal prosthetic group
Term
What is transducin's pathway?
Definition
activates phophodiesterase --> converts cAMP into cGMP
Term
What actually absorbs the light in the apoprotein?
Definition
retinal integrator circuits at the ganglion cell level
Term
What is transducin?
Definition
A g-protein receptor
Term
What does light do to retinal?
Definition
Converts it from the cis conformation into all trans conformation
Term
Upon activation by light, what subunit of the G protein cleaves?
Definition
alpha subunit
Term
What maintains the dark current?
Definition
cGMP gated cation channels
Term
What is the dark current?
Definition
steady inward current of Na+ in darkness
Term
is the rod cell depolarized or hyperpolarized in dark?
Definition
depolarized
Term
What closes when the rod is exposed to light?
Definition
cGMP channels
Term
What does cGMP channel closing cause?
Definition
stops Na+ flow, hyperpolarizes cell
Term
When is glutamate release from rod's the greatest?
Definition
In the dark
Term
What does phosphodiesterase do to cGMP?
Definition
Converts it into GMP
Term
What does reduced cGMP concentration cause?
Definition
closes cGMP gated channels, hyperpolarizes cell --> reduced glutamate release
Term
Through signal amplification, what can one photon cause?
Definition
hundreds of ion channels to close
Term
What is the pathway for signal amplification?
Definition
1 photon converts rhodopsin --> R*; one R* activates 20 transducins; 20 transducins activate 20 phosphodiesterase
Term
What is the ratio of cGMP hydrolyzed per R*?
Definition
10^4
Term
What does guanylate cyclase do?
Definition
Converts GMP into cGMP so it can be used in the signal transduction pathway
Term
What is arrestin?
Definition
protien that regulates signal transduction in the retina
Term
What deactivates phosphodiesterase?
Definition
PDEy reassociates with GtBy after GTP hydrolysis
Term
What does the affinity for cGMP facilitate?
Definition
a fast response to light
Term
What is CNG?
Definition
cyclic-nucleotide gated channel
Term
Are CNG's selective to monovalent and divalent cations?
Definition
not, non selective
Term
What is the structure of CNG?
Definition
tetrameric complex, made of A and B subunits, each of which has a single cGMP binding site
Term
What provides 15% of the dark inward current?
Definition
Ca++
Term
What does lowering the concentration of calcium cause?
Definition
activates guanylate cyclase (GC), reduces cGMP affinity for the channel, so channels open as Ca++ falls
Term
Which phototransduction mechanism is not understood as well?
Definition
Cone phototransduction
Term
Is Ca++ feedback faster in rods or cones?
Definition
cones
Term
What does RAL stand for when used as a suffix?
Definition
aldehyde form of retinal
Term
What does ROL stand for when used as a suffix?
Definition
alcohol form of retinal
Term
What are the six steps of the retinoid cyce?
Definition
1) all-trans-RAL transports from outer segment (OS) discs

2) reduce from aldehyde to alcohol (all-trans-ROL)

3) transfer alcohol form to RPE cell

4) esterification of ROL form in RPE cells

5) synthesis of 11-cis-ROL

6) oxidation of 11-cis-ROL to 11-cis-RAL
Term
What is the half life of rhodopsin in the dark?
Definition
~1k years
Term
How less sensitive is a cone than a rod?
Definition
100x
Term
What is dark noise?
Definition
the spontaneous noise inherent of opsin that reduces cone sensitivity, but also gives a much faster photoresponse of cones
Term
Why are intracellular carrier proteins necessary for chromophore shuttling?
Definition
chromophores are highly hydrophobic, needs hydrophilic carrier
Term
What fibers project to the hypothalamus?
Definition
retinal ganglion cells
Term
What is the third type of photoreceptor?
Definition
intrinsically photoreceptive retinal ganglion cells
Term
What nuclei are innervated by retinal ganglion cells?
Definition
SCN (circadian rhythm) olivary pretectal nucleus (pupillary light reflex), other accessory visual fxn
Term
How many rods are there?
Definition
120 million
Term
How many cones are there?
Definition
6 million
Term
What is the suprechiasmatic nucleus? (SCN)
Definition
circadian rhythm center
Term
What % of fibers do NOT go to the LGN?
Definition
10.00000%
Term
What part of the photoreceptor interacts with the ganglion cell?
Definition
Inner section
Term
What is a presynaptic ribbon?
Definition
a large area for multiple dendrites to be innervated
Term
What is secreted by the presynaptic ribbon?
Definition
glutamate, higher release in the dark
Term
What is a cone pedicle?
Definition
Analogous to the axon end of a neuron, where the optical signal leaves the photoreceptor
Term
What kind of glutamate receptor is seen in OFF cone bipolar cells?
Definition
ionotropic glutamate receptor
Term
What kind of glutamate receptor is seen in ON cone bipolar cells?
Definition
metabotropic (mGluR6)
Term
Where do OFF bipolar cells go?
Definition
Off Ganglion cells
Term
Where do ON bipolar cells go?
Definition
ON ganglion cells
Term
When are ON bipolar cells activated?
Definition
When light is present
Term
What other membrane is the RPE similar to?
Definition
corneal endothelium
Term
What are the fxn's of the RPE with regard to the photoreceptors?
Definition
light absorption Epithelial transport, phagocytosis, secretion, visual cycle
Term
Describe the RPE
Definition
single layer of columnar epithelial cells

long apical microvillus

serves as a blood-retinal barrier
Term
How many RPE cells are there per eye?
Definition
4-6 million
Term
How many PR's per RPE cell?
Definition
45 to 1
Term
What % of the RPE is water weight?
Definition
80.00000%
Term
What substances make up the RPE?
Definition
proteins, lipids, nucleic acids
Term
How many proteins have been identified in RPE?
Definition
850
Term
What is the main carbon source for the RPE?
Definition
glucose
Term
What saturated FA's are found in the RPE?
Definition
palmitic/stearic acid
Term
What optical quality does the RPE contribute to?
Definition
absorbs scattered light
Term
Describe the blood flow to the RPE
Definition
higher perfusion than kidney
Term
Describe the blood flowing from the RPE
Definition
still has 90% (vs 45% elsewhere) O2 saturation, poor O2 utility in the RPE
Term
What is OCA?
Definition
oculocutaneous albinism
Term
What can cause OCA1 and OCA2?
Definition
tyrosinase gene defect and pink-eyed dilution gene
Term
What does reduced melanin do to ocular development?
Definition
impairs foveal development
Term
What is ocular albinism
Definition
lack of pigment in the eye, but normal pigmentation in hair and skin
Term
What are the three ways RPE prevents toxin damage?
Definition
Light absorption:

antioxidants

repair of DNA, lipids, proteins
Term
How does lipofuscin interact with the RPE?
Definition
Lipofuscin accumulates over lifespan, while initially helpful, can reach harmful levels later in life
Term
What color of light breaks down lipofuscin into toxin?
Definition
blue light
Term
What are the common antioxidants found in the RPE?
Definition
superoxide dismutase, catalase, carotenoids, glutathione, alpha-tocopherol (Vit E)
Term
What accumulates to cause AMD?
Definition
lipofuscin
Term
What is reduced in AMD?
Definition
reduced RPE cell density

reduced antioxidants (alpha tocopherol)
Term
What organelles are modified in AMD?
Definition
reduction of melanosomes

melanolysosomes (byproduct of melanin degradation)
Term
What causes accumulation of AGE's?
Definition
oxidative stress
Term
What can AGE presence induce?
Definition
choroidal neovascularization
Term
What is A2E?
Definition
increases sensitivity of RPE to blue light, combines with O2 when in the presence of blue light to create A2E-epoxides
Term
Where does A2E come from?
Definition
RPE does not convert all-trans-retinol into 11-cis-retinal properly
Term
What can inhibit cytochrome oxidase in resperiation chain?
Definition
A2E epoxides
Term
What can excess A2E in RPE inhibit?
Definition
digestion of phagocytosed PR segments
Term
What is the initial sign of drusen?
Definition
loss of RPE cells
Term
What is the most important sign for AMD?
Definition
drusen
Term
Where is drusen located?
Definition
between RPE and Bruch's in the basal lamina
Term
What are the waste products seen in drusen?
Definition
hydrophobic metabolic end products, lipoproteins, assorted PR and RPE wastes
Term
What is a disciform scar?
Definition
The end stage of AMD where RPE and PR's are lost over a large area, choroidal neovascularization that can leak --> wet form
Term
What is geographic atrophy?
Definition
loss of RPE and PR's over a large area
Term
What are AREDs?
Definition
antioxidant supplements recommended for those with an intermediate risk of developing AMD
Term
Why should smokers avoid beta carotene?
Definition
it increases risk of lung cancer
Term
What role does the RPE play in water balance in the eye?
Definition
RPE transports subretinal space metabolic H2O
Term
What is necessary for the RPE to adhere to the retina?
Definition
water transport
Term
What do Muller cells in the inner retina do?
Definition
transport water
Term
What is the orientation of io and water movement across the RPE?
Definition
from apical side --> basolateral (blood) side
Term
Redo slide 15!!
Definition
Redo Slide 15
Term
How does the RPE provide glucose for the PR's?
Definition
glucose transporters in both apical and basolcateral membranes
Term
How does the RPE provide retinol (Vit A) to the PR's?
Definition
takes in retinol from blood stream, transports it to PR's
Term
What adheres the retinal to the RPE?
Definition
passive IOP, interdigitation of outer segments and RPE microvilli, active transport of subretinal fluid
Term
What is the rate of fluid transport across the RPE?
Definition
4-6 uL/cm^2/hr
Term
What can cause RPE to detach?
Definition
breakdown of transport mechanisms across the RPE
Term
What is the interphotoreceptor matrix?
Definition
space between RPE and PR's
Term
What is docosahexaenoic acid?
Definition
a component necessary for neurons and PR membranes, provided by transport through the RPE
Term
What is the turnover for an outer segment membrane?
Definition
10-14 days
Term
What is found in old PR OS'?
Definition
high free radical concentration, photo-damaged proteins and lipids
Term
What PR molecule is recycled after an OS is shed?
Definition
retinal, docosahexanoic acid
Term
What is PEDF?
Definition
antiangiogenic factor, inhibits endothelial proliferation
Term
What is secreted in low levels by a healthy RPE?
Definition
VEGF
Term
What does VEGF stabilize in endothelium?
Definition
permability by stabilizing fenestrations
Term
What does PEDF protect against?
Definition
glutamate induced or hypoxia induced neural apoptosis
Term
How many layers are in Bruch's membrane?
Definition
5
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