The Cellular Basis of Electroretinogram (ERG) Signals

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The Cellular Basis of Electroretinogram (ERG) Signals Laura J. Frishman, PhD University of Houston October 19, 2015 Cellular origins and mechanisms of generation of the various waves of the ERG Sherry, 2002 Modified from Dowling, 1987 1

The ERG a non-invasive tool for assaying retinal function and integrity The ERG can inform us about the functional status of retinal cells and circuits The ERG is useful for detecting and monitoring the progression of diseases that affect the retina The ERG can be used to monitor effects of therapeutic interventions Non-invasive recording of the ERG in man, monkey, mouse etc. Electrodes: Conductive materials in contact with the cornea Example: Contact lens electrodes and DTL fiber electrodes Pupils fully dilated for full field flash ERG Corneas covered with moistening/ionic conducting solution Fixation (spot or cross) Responses repeated trials averaged when signals are small Animals and sometimes young children: generally anesthetized using drugs with minimal effects on retinal function 2

ERG Stimulus - The diffuse flash full-field or Ganzfeld ERG Current LED-based Ganzfeld stimulators Traditional white light (xenon flash tube is common) within a Ganzfeld globe Retinal cells and circuits All are represented in the ERG Rods Cones Müller cells ON and OFF Bipolar Cells Amacrine cells ON and OFF Ganglion cells 3

Rod- and cone-driven ERGs a-wave b-wave Dark-adapted (Scotopic) PERG STR PhNR Light-adapted (Photopic) Modified from Dowling, 1987 Origins of the ERG waves Intraretinal localization Pharmacological dissection Modeling Site-specific lesions/pathology Targeted mutations New stimulation/analysis techniques 4

Animal model for necessarily invasive experiments: macaque monkey (primate) retina and ERG are very similar to those of humans Intraretinal localization: Radial Currents Generation of the a-wave (PIII) Circulating current and resulting a-wave from the rods A-wave After Penn & Hagins, 1972; Pugh et al., 1998 5

Intraretinal localization Current source density analysis in monkey retina localizing a-waves to photoreceptors, b-waves to bipolar cells Pharmacological dissection: Origins of the dark-adapted ERG: Ragnar Granit, 1933 Component processes: Disappearing waves during ether induction: P1- RPE: c P2- Bipolar cells: b P3- Photoreceptors: a First pharmacological dissection of the ERG: order of disappearance of processes P1, P2, P3 following induction of ether anesthesia Hood & Birch, 1992 6

Modeling and interpreting transduction cascade* & the a-wave Mouse rod OS photocurrent recording (Field & Rieke, 2002) Lamb & Pugh, 1992; Pugh et al., 1998 Hood & Birch, 1990 *a-wave generated by outer segment, OS current? The isolated a-wave, is not identical to OS current P3 revealed by removing the b-wave Pharmacologic blockade Anoxia ischemia occlusion of inner retinal circulation ccsnb in human 2500 Td s I 5 ms 7

A model of the a-wave that includes capacitance of ONL Model includes OS currents, and longitudinal resistances and ONL capacitance seen in the rat retinal slice (Penn & Hagins, 1970) Robson & Frishman, 2014 Other photoreceptor-dependent events: The c-wave and slow P3: Photoreceptor responsedependent [K + ] 0 changes in subretinal space between photoreceptors and RPE affect RPE cells (TEP c-wave) and Müller cells (slow P3) 8

Spatial buffer currents in Müller cells move K + from areas of high extracellular to areas of low extracellular concentration Slow P3 A corneal negative subcomponent of the C-wave A major photoreceptor-dependent component generated by Müller cell currents The K + channel blocker, barium (Ba 2+ ) eliminates slow P3 Knocking out Kir4.1channels in mice eliminates slow P3 (the b-wave remains intact) Kofuji et al (2000) subretinal space vitreous [K + ] o K + Slow PIII Na + Cl + Other outer retinal events Waves in the DC ERG with origins in the retinal pigment epithelium (RPE) TEP C-wave FOT Light Peak Measure with the electrooculogram (EOG) in awake humans Cat: Steinberg et al (1985) 9

Postreceptoral contributions to the ERG Pharmacological dissection studies Dark-adapted ERG The rod pathway: a simple circuit sensitive to single photon events The rod pathway Rods Rod bipolar cells AII amacrine cells Cone bipolar cells Ganglion cells 10

Origins of the dark-adapted ERG from postreceptoral neural retina Primate dark-adapted ERG Dark-adapted ERGs are similar in primates and rodents 11

Removal of amacrine and ganglion cell contributions to the ERG to isolate the RBC component (PII) GABA NMDA TTX (Na + -dependent spikes) Remove scotopic threshold response (STR) pharmacologically Scotopic b-wave originates from rod-driven bipolar cells Rod bipolar cell current from patch recordings in mouse retinal slice (Field & Rieke, 2002) compared with isolated human (by weak light adaptation) and mouse scotopic b-waves (ERG RBC response, PII) From Cameron, Mahroo & Lamb (2006) modified from Robson et al (2004) 12

The scotopic b-wave (PII): mainly from radial currents around bipolar cells - late Müller cell contribution Barium (BaCl 2 ) an inward rectifying K + channel blocker removes a slow component of the b-wave by blocking Kir channels in Müller cell membranes Origins of the light-adapted waves of the ERG from postreceptoral neural retina using glutamate pharmacology Metabotropic glutamate receptor: ON bipolar cell Ionotropic glutamate receptor OFF bipolar (& HzCs), amacrine and ganglion cells 13

Pharmacological dissection of On and Off pathways through the retina APB: elimination of ON bipolar cell activity (bwave) via agonist effect on metabotropic GluRs PDA: Blockade of ionotropic GluRs on OFF bipolar (& Hz cells), amacrine and ganglion cells Origins of waves in the light-adapted ERG of the primate b-wave: ON cone bipolar cells removed by APB. d-wave: OFF bipolar cells + cone offset reduced by PDA push-pull or inhibition makes b-wave small Sieving et al., 1994 Bush & Sieving, 1994 a-wave: partially OFF bipolar cell response 14

Monkey: Origins of a-waves in the lightadapted ERG weak A 0 Cone-driven ERG post-pda a-wave: OFF cone bipolar cell contribution removed by PDA V -50 Control stronger B V 0-50 post-pda -100 Control -150 0 5 10 15 20 Time after flash (ms) Robson et al., 2003 Postreceptoral origins of 30 Hz fast flicker ERG in nonhuman primates APB+PDA ON and OFF bipolar cell responses removed Bush & Sieving, 1996 15

Oscillatory potentials (OPs) OPs: wavelets superimposed on the b-wave. occur in scotopic and photopic ERG Involvement of amacrine cells is well established;mechanisms of generation are not fully understood Filtered ~75-300 Hz OPs are reduced in eyes with diabetic retinopathy High frequency OPs (peak at 150 Hz) are related to ganglion cell function. Retinal ganglion cells contributions to flash ERG? The scotopic threshold response (STR) originates from amacrine cells and retinal ganglion cells Radial currents Müller glial cells K + 0 200 500 Astrocytes K + 16

Photopic flash ERG in monkey photopic negative response (PhNR) after b-wave PhNR Glial mediation? The PhNR (and PERG) in primates is selectively and similarly reduced by experimental glaucoma which causes retinal ganglion cell death Viswanathan et al., 1999 Pattern ERG (PERG) Ganglion cell origin well established 17

PhNR amplitude is reduced in humans and animals with optic neuropathies Open angle glaucoma Optic atrophy NAION Optic neuritis (MS) Viswanathan et al.,2001 Multifocal ERG* (many small focal ERGs recorded simultaneously) Central fixation Hood (2000) *Developed in late 20th century by Dr. Erich Sutter 18

Multifocal ERG cellular origins in primates APB Positive potential: ON bipolar cells APB + PDA Initial negative potential OFF bipolar cells and cone photoreceptors TTX+NMDA Oscillatory activity from amacrine and ganglion cells removed Hood et al (2002) Detecting local functional losses Normal Stargardt s macular dystrophy 19

mfphnr in glaucoma Global mferg amplitude ( V) 1.0 0.5 0.0-0.5-1.0-1.5 0 100 200 300 400 500 Time (ms) Con Exp mfphnr ISCEV Standard Clinical Testing 20

Retinal cells contributing to waves of the flash and flicker ERG ISCEV Standard clinical testing a-wave Photoreceptors (rods and cones) and late postreceptoral OFF bipolar, and ON pathway contributions b-wave / (d-wave) Bipolar cells scotopic b-wave: rod bipolar cells (RBC), slow Müller cell; photopic b-wave: ON cone bipolar -DCB) and OFF cone bipolar (HCB) bipolar cells, horizontal (Hz) cell feedback; photopic d-wave: OFF bipolar and offset of cone photoreceptor response Oscillatory potentials (OPs) Amacrine and ganglion cells (membrane oscillations, feedback loops) 30 Hz fast flicker ON and OFF cone bipolar cells, small cone photoreceptor contribution (small contribution from spiking activity) Retinal cells contributing to waves of the ERG More specific tests PhNR, STR, PERG Ganglion cells and their axons; amacrine cells as well for STR; glial currents (astrocytes?) c-wave Retinal pigment epithelial (PPE) cell slow potentials; photoreceptordependent changes in [K o ] +. Corneal signal has slow PIII subtracted from the RPE signal, which is generally larger. Slow P3 Müller (glial) cell currents across the neural retina; light-evoked photoreceptor-dependent changes in [K o ] + 21

The end References: Useful website for knowledge about the visual system, includes retinal structure and function. Webvision: http://webvision.med.utah.edu/ Review chapters with reference lists for papers on ERG origins: Frishman L.J. (2013) Electrogenesis of the ERG In: Ryan Retina 5th edition, edited by D.R.Hinton, MD. Elsevier Mosby, Chapter 7, pp 177-2013. Frishman L.J. (2011) ERG in man, monkey and mouse. Adler s Physiology of the Eye, 11 th edition, edited by Kaufman & Alm. Frishman, L.J, (2006) Origins of the ERG. In: Principles and Practice of Clinical Electrophysiology of Vision 2nd edition, edited by J. Heckenlively, & G. B. Arden, Ch 12, pp. 139-183. NIH grants: EY06671, P30EY07551 22