Abstract 99. Jahrestagung der DOG, 29. 9. - 2. 10. 01 im ICC, Berlin

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Transplanted retinal pigment epithelial (RPE) cells in non-immuneprivileged but not in privileged ocular sites transform into fibroblastlike cells in mice.

1Grasbon T., 2Knörnschild T., 2Wilsch C., 1Kampik A., 2Lütjen-Drecoll E.

1Augenklinik der Ludwig-Maximilians-Universität München; 2Anatomisches Institut II der Friedrich-Alexander-Universität Erlangen-Nürnberg

Purpose: In proliferative vitreoretinopathy (PVR) membranes and in vitro, RPE cells lose pigment and transform into fibroblast-like cells. Purpose of this study was to investigate whether RPE cells injected into non-immuneprivileged sites of the eye (choroid and conjunctiva) in contrast to what is known from immune-privileged sites undergo the same transformation.
Material and methods: Freshly dissected and dissociated RPE cells from normal wild type pigmented mice (C57/BL6) were transplanted into the right eyes of albino mice (BALB/c). Through an equatorial sclerostomy, cells were either injected intravitreally (n=21), directly subretinally (n=3), subretinally by a transvitreal approach (n=16), and subconjunctivally (n=4). Eyes were enucleated after 1, 2, 4 and 6 weeks, and transplants were investigated by light (n=23) and electron microscopy (n=21).
Results: The heterologous transplanted RPE cells lose pigment and transform into more spindle shaped cells when injected into the recipient choroid and more so into the subconjunctival connective tissue. This was seen after 1 week. Loss of pigment progresses within the next weeks. In none of the eyes and in none of the sites, an inflammatory reaction was seen. In the vitreous, anterior chamber and subretinal space, the RPE cells were round, exhibited processes and were still pigmented even 6 weeks after implantation. The RPE of the albino recipient, but not the ciliary epithelium incorporated pigment granules into their apical cytoplasm.
Conclusion: Our finding that in our model transplanted RPE cells in nonprivileged regions of the eye in contrast to immune-privileged sites transform into fibroblast-like cells could indicate that loss of immune privilege of the eye might be one of the factors responsible for transformation of RPE cells in PVR.




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