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Hypothermia Protects and Prolongs the Tolerance Time of Retinal Ganglion Cells against Ischemia
Authors:Maximilian Schultheiss  Sven Schnichels  Thoralf Hermann  Jose Hurst  Marita Feldkaemper  Blanca Arango-Gonzalez  Marius Ueffing  Karl U Bartz-Schmidt  Guenther Zeck  Martin S Spitzer
Institution:1. Centre for Ophthalmology, University Eye Hospital Tübingen, Tübingen, Germany;2. Natural and Medical Sciences Institute at the University Tübingen, Reutlingen, Germany;3. Institute for Ophthalmic Research, University of Tübingen, Tübingen, Germany;Universidade Federal do ABC, BRAZIL
Abstract:

Purpose

Hypothermia has been shown to be neuroprotective in the therapy of ischemic stroke in the brain. To date no studies exist on the level of the inner retina and it is unclear if hypothermia would prolong the ischemic tolerance time of retinal ganglion cells, which are decisive in many ischemic retinopathies.

Methods

Bovine eyes were enucleated and stored either at 21°C or 37°C for 100 or 340 minutes, respectively. Afterwards the globes were dissected, the retina was prepared and either the spontaneous ganglion cell responses were measured or the retina was incubated as an organotypic culture for additional 24 hours. After incubation the retina was either processed for histology (H&E and DAPI staining) or real-time PCR (Thy-1 expression) was performed.

Results

Hypothermia prolonged ganglion cell survival up to 340 minutes under ischemic conditions. In contrast to eyes kept at 37°C the eyes stored at 21°C still showed spontaneous ganglion cell spiking (56.8% versus 0%), a 5.8 fold higher Thy-1 mRNA expression (not significant, but a trend) and a preserved retinal structure after 340 minutes of ischemia.

Conclusion

Hypothermia protects retinal ganglion cells against ischemia and prolongs their ischemic tolerance time.
Keywords:
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