Abstract
Key points
Retinal cells use vanilloid transient receptor potential (TRP) channels to integrate light‐evoked signals with ambient mechanical, chemical and temperature information.
Localization and function of the polymodal non‐selective cation channel TRPV1 (transient receptor potential vanilloid isoform 1) remains elusive.
TRPV1 is expressed in a subset of mouse retinal ganglion cells (RGCs) with peak expression in the mid‐peripheral retina.
Endocannabinoids directly activate TRPV1 and inhibit it through cannabinoid type 1 receptors (CB1Rs) and cAMP pathways.
Activity‐dependent endocannabinoid release may modulate signal gain in RGCs through simultaneous manipulation of calcium and cAMP signals mediated by TRPV1 and CB1R.
Abstract
How retinal ganglion cells (RGCs) process and integrate synaptic, mechanical, swelling stimuli with light inputs is an area of intense debate. The nociceptive cation channel TRPV1 (transient receptor potential vanilloid type 1) modulates RGC Ca2+ signals and excitability yet the proportion of RGCs that express it remains unclear. Furthermore, TRPV1's response to endocannabinoids (eCBs), the putative endogenous retinal activators, is unknown, as is the potential modulation by cannabinoid receptors (CBRs). The density of TRPV1‐expressing RGCs in the Ai9:Trpv1 reporter mouse peaked in the mid‐peripheral retina. TRPV1 agonists including capsaicin (CAP) and the eCBs anandamide and N‐arachidonoyl‐dopamine elevated [Ca2+]i in 30–40% of wild‐type RGCs, with effects suppressed by TRPV1 antagonists capsazepine (CPZ) and BCTC ((4‐(3‐chloro‐2‐pyridinyl)‐N‐[4‐(1,1‐dimethylethyl)phenyl]‐1‐piperazinecarboxamide), and lacking in Trpv1 −/− cells. The cannabinoid receptor type 1 (CB1R) colocalized with TRPV1:tdTomato expression. Its agonists 2‐arachidonoylglycerol (2‐AG) and WIN55,122 inhibited CAP‐induced [Ca2+]i signals in adult, but not early postnatal, RGCs. The suppressive effect of 2‐AG on TRPV1 activation was emulated by positive modulators of the protein kinase A (PKA) pathway, inhibited by the CB1R antagonist rimonabant and Gi uncoupler pertussis toxin, and absent in Cnr1 −/− RGCs. We conclude that TRPV1 is a modulator of Ca2+ homeostasis in a subset of RGCs that show non‐uniform distribution across the mouse retina. Non‐retrograde eCB‐mediated modulation of RGC signalling involves a dynamic push–pull between direct TRPV1 activation and PKA‐dependent regulation of channel inactivation, with potential functions in setting the bandwidth of postsynaptic responses, sensitivity to mechanical/excitotoxic stress and neuroprotection.
Keywords: calcium, endocannabinoid, retina
Key points
Retinal cells use vanilloid transient receptor potential (TRP) channels to integrate light‐evoked signals with ambient mechanical, chemical and temperature information.
Localization and function of the polymodal non‐selective cation channel TRPV1 (transient receptor potential vanilloid isoform 1) remains elusive.
TRPV1 is expressed in a subset of mouse retinal ganglion cells (RGCs) with peak expression in the mid‐peripheral retina.
Endocannabinoids directly activate TRPV1 and inhibit it through cannabinoid type 1 receptors (CB1Rs) and cAMP pathways.
Activity‐dependent endocannabinoid release may modulate signal gain in RGCs through simultaneous manipulation of calcium and cAMP signals mediated by TRPV1 and CB1R.
Abbreviations
- 2‐AG
2‐arachidonoyl‐dopamine
- AEA
anandamide
- BCTC
4‐(3‐chloro‐2‐pyridinyl)‐N‐[4‐(1,1‐dimethylethyl)phenyl]‐1‐piperazinecarboxamide
- CAP
capsaicin
- CB1R
cannabinoid receptor type 1
- ChAT
choline acetyltransferase
- Cnr1−/−
CB1R knockout
- CPZ
capsazepine
- eCB
endocannabinoid
- FISH
fluorescence in situ hybridization
- FSK
forskolin
- INL
inner nuclear layer
- IPL
inner plexiform layer
- ir
immunoreactive
- KO
knockout
- NADA
N‐arachidonoyl dopamine
- PKA
protein kinase A
- PTX
pertussis toxin
- RGC
retinal ganglion cell
- RGCL
retinal ganglion cell layer
- TRPV1
transient receptor potential vanilloid isoform 1
- Trpv1−/−
TRPV1 channel knockout
- WT
wild‐type
Introduction
Transient receptor potential vanilloid isoform 1 (TRPV1) is a polymodal non‐selective cation channel (P Ca/P Na ∼ 10) that is activated by the vanilloid capsaicin (CAP), endocannabinoids (eCBs), protons and noxious temperature (Caterina et al. 1997; Szallasi et al. 2007). It is widely expressed across the CNS/PNS and its activation is implicated in the transduction of neuropathic pain, osmotic stress, noxious temperature and synaptic transmission (Tominaga et al. 1998; Sudbury et al. 2010; Mori et al. 2012). In the brain, including the retina, TRPV1 has been linked to dynamic modulation of presynaptic [Ca2+]i and neuronal plasticity in response to retrograde eCB release (Marinelli et al. 2007; Gibson et al. 2008; Middleton & Protti, 2011). Recent studies also suggest that TRPV1 channels may regulate postsynaptic function through Ca2+‐calcineurin‐dependent internalization of AMPA receptors (Chávez et al. 2014).
The expression of TRPV1 in vertebrate retinas had been documented using a variety of transcriptional analyses (Sappington et al. 2015), immunohistochemistry (Yazulla, 2008; Leonelli et al. 2009; Weitlauf et al. 2014), Western blots (Nucci et al. 2007), pharmacology and calcium imaging (Sappington et al. 2009). The conclusions of these studies are quite divergent and therefore we have no consistent picture of the cell types that express TRPV1 or its function in visual signalling and disease (reviewed by Ryskamp et al. 2014a). Some of the inconsistency may arise from the use of antibodies ‘untested’ in knockout (KO) animals (Gilliam & Wensel, 2011; Molnar et al. 2016) and because these studies used a variety of species (Zimov & Yazulla, 2004; Leonelli et al. 2009; Sappington et al. 2015). Controversy arises regarding the functional roles of retinal TRPV1 in disease because activating the channel with its agonist, CAP, induces massive apoptosis of retinal ganglion cells (RGCs) (Sappington et al. 2009), whereas elimination of TRPV1 expression facilitates the proapoptotic effects of excitotoxicity and ocular hypertension (Sakamoto et al. 2014; Ward et al. 2014). A further complication is that CAP administration also will stimulate bipolar TRPM1 channels (Shen et al. 2009).
Another knowledge gap related to retinal TRPV1 channels is the identity and role of endogenous activators. Potential candidates are eCBs, amphiphilic small molecules composed of an unsaturated fatty acyl chain that is conjugated to a polar molecule via an amide, ester or ether bonds. eCBs control neurogenesis and synapse formation, modulate synaptic transmission and regulate many aspects of sleep, memory, vision, addiction and brain trauma (Castillo et al. 2012; Rubino et al. 2015; Bouchard et al. 2016). All studied vertebrate retinas synthesize eCBs such as N‐arachidonoylethanolamine (AEA, anandamide), N‐arachidonoyl dopamine (NADA) and 2‐arachidonoylglycerol (2‐AG), together with their degradation lipases and effectors that include cannabinoid receptors (CBRs) and TRPV1 channels (Yazulla, 2008; Ryskamp et al. 2014a; Bouchard et al. 2016). The dominant retinal cannabinoid receptor, type 1 (CB1R), has been localized to retinal neurons and glia, and was implicated in multifaceted modulation of RGC output and pathological signalling (Nucci et al. 2007; Cécyre et al. 2013; Miraucourt et al. 2016).
Here we designed new experiments to define the distribution of TRPV1 retinal expression, characterize its responses to endogenous activators and investigate the functional features of TRPV1 signals in RGCs. We show that TRPV1 and CB1Rs are co‐expressed and interact non‐retrogradely in TRPV1+ RGCs. First, we used a transgenic approach to determine the fraction of TRPV1‐expressing RGCs across the mouse retina and characterize their regional distribution. We then used optical imaging to quantify the time‐dependent features of TRPV1‐dependent Ca2+ signalling and functional interactions between TRPV1, eCBs and CB1R. We found that TRPV1 is expressed in a limited subset of RGCs and present evidence consistent with the hypothesis that AEA, NADA and 2‐AG modulate RGC Ca2+ homeostasis through TRPV1 and CB1R signalling. Interestingly, parallel activation of CB1Rs suppressed TRPV1 activation via the cAMP signalling pathway. Together, these results demonstrate non‐uniform TRPV1 expression across the mouse retina and provide evidence for dynamic, parallel, non‐retrograde, eCB‐dependent interactions between TRPV1 channels and CB1 receptors.
Methods
Ethical approval
We acknowledge the ethical principles of The Journal of Physiology, and confirm that all of our animal procedures were performed within these principles as well as in accordance with the NIH Guide for the Care and Use of Laboratory Animals, the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research and the Institutional Animal Care and Use Committees at the University of Utah and the University of Louisville. The Cnr1 −/− mice were developed by and used with permission from Dr Beat Lutz (University of Mainz) and generously provided by Drs. Christian Casanova and Jean‐Francois Bouchard (University of Montreal). We assessed TRPV1 retinal expression using a knock‐in mouse in which Cre was inserted into Exon 15 of TrpV1 (TRPV1Cre; Jackson Laboratory 017769; Bar Harbor, ME, USA). This line was crossed to B6.Cg‐Gt(ROSA)26Sortm9(CAG‐tdTomato)Hze/J (Ai9; 007909) in which the LoxP‐STOP‐LoxP TdTomato construct is knocked in at the Gt(ROSA)26Sor locus (Madisen et al. 2010). These mice have been used previously to define TRPV1 expression in brain, dorsal root ganglia and spinal cord (Cavanaugh et al. 2011). Other animals that were used in these experiments and their accession numbers at Jackson Laboratory are: C57BL/6J (WT: 000664), Thy1:CFP [B6.Cg‐Tg(Thy1‐CFP)23Jrs/J; 003710], Thy1:YFP [B6.Cg‐Tg(Thy1‐YFP)16Jrs/J; 03709] and B6.129x1‐Trpv1 <tm1Jul> (Trpv1 −/−; 003770) mice, which were reared in pathogen‐free facilities (University of Utah and University of Louisville) with a 12‐h light/dark cycle and ad libitum access to food and water. An abstract containing a portion of this work was published previously (Jo et al. 2014).
Reagents
CAP (8‐methyl‐N‐vanillyl‐6‐nonenamide), AEA (N‐arachidonoylethanolamine), NADA, 2‐AG, the TRPV1 antagonist capsazepine (CPZ; N‐[2‐(4‐chlorophenyl)ethyl]‐1,3,4,5‐tetrahydro‐7,8‐dihydroxy‐2H‐2‐benzazepine‐2‐carbothioamide), the inverse CB1R antagonist SR141716A (rimonabant) and BCTC (4‐(3‐chloro‐2‐pyridinyl)‐N‐[4‐(1,1‐dimethylethyl)phenyl]‐1‐piperazinecarboxamide) were obtained from Cayman Chemicals (Ann Harbor, MI, USA). The TRPV4 antagonist HC067047 and pertussis toxin (PTX) were purchased from Calbiochem (Billerica, MA, USA) or Sigma (St Louis, MO, USA). Brain‐derived neurotrophic factor (BDNF) and ciliary neurotrophic factor (CNTF) were obtained from GenWay Biotech (San Diego, CA, USA). Other salts and reagents were purchased from Sigma or VWR (Radnor, PA, USA). Drugs were diluted in extracellular saline and added to reservoirs of gravity‐fed perfusion systems.
Acute dissociation and plating of retinal cells
The animals were killed by isoflurane inhalation, cervical dislocation (adult mice) or decapitation (P6–P7 mice), after which eyes were enucleated and retinas were isolated by dissection in ice‐cold L15 medium containing 11 mg/ml L15 powder, with (in mm) 20 d‐glucose, 10 Na‐Hepes, 2 sodium pyruvate, 0.3 sodium ascorbate and 1 glutathione. Retinas were incubated at room temperature in L15 containing papain (7 U/ml; Worthington Biochemical Corp., Lakewood, NJ, USA) to digest the extracellular matrix, and rinsed with cold L15. One or two ∼ 500 μm pieces of retina were mechanically dissociated and the cells were plated on coverslips pretreated with concanavalin A (1 mg/ml, Alfa Aesar, Haverhill, MA, USA). RGC identity was confirmed by expression of Thy1:CFP or Thy1:YFP fluorescence and, in a subset of cells, by post‐imaging immunocytochemistry (mouse anti‐Brn3a and anti‐RBPMS). RGC Ca2+ homeostasis, morphology and stimulus responsiveness are maintained for several hours under these experimental conditions (Mizuno et al. 2010; Ryskamp et al. 2011, 2014b).
Hypertonic stimulation assay
Volume regulation was investigated using previously published protocols (Jo et al. 2015, 2016). Briefly, saline solutions were delivered through a manifold tube inserted into the experimental chamber. Anisosmotic solutions were prepared by addition of mannitol, with NaCl concentration kept constant. Osmolarity was validated thermometrically using a vapour pressure osmometer (Wescor, Logan, UT, USA). Cell volume was determined by taking advantage of the proportional relationship between cell volume and intracellular fluorescence (Jo et al. 2015). Fluorescence emissions were normalized to baseline fluorescence and 340 and 380 nm signals were summed (F vol = F 340 + F 380/x, where x = 1–3, a value that was empirically derived for each preparation to equalize the magnitude of the Ca2+‐dependent and opposing changes in F 340 and F 380) (Chiavaroli et al. 1994; Ryskamp et al. 2014b). As a result, the intensity of the summed fluorescence was calcium insensitive at the appropriate x value. The relative decrease in cell volume estimated from fluorescence summation is plotted in Fig. 4 as ‘% shrinking’.
Immunohistochemistry and fluorescence labelling of mouse retinas
Vertical sections and/or wholemounts of mouse retinas or dorsal root ganglia were prepared as described previously (Huang et al. 2011; Zhang et al. 2014; Jo et al. 2015). Retinas were fixed for 1 h in 4% paraformaldehyde, rinsed in PBS, dehydrated and embedded in OCT. Cryosections, 12 μm thick, were blocked in PBS, 5% fetal bovine serum and 0.3% Triton‐X and incubated in the primary antibody buffer (PBS, 2% BSA and 0.2% Triton‐X) overnight at 4°C, followed by incubation with secondary antibodies conjugated to Alexa 405/488/594 (Invitrogen, Carlsbad, CA, USA) for 1 h at room temperature. Images (at least 3–5 slides per retina) were acquired on an Olympus CV1200 confocal microscope.
Five different commercial anti‐TRPV1 antibodies were screened in WT and Trpv1 −/− mice in conjunction with a choline acetyltransferase (ChAT) antibody to delineate inner plexiform layer (IPL) stratification (Table 1). Labelling with all five TRPV1 antibodies was similar between WT and Trpv1 −/− retinas, indicating that none are specific for TRPV1. As a positive control, we used tyramide amplification and a rabbit TRPV1 antibody (Neuromics, Edina, MN, USA) in the dorsal root ganglia of Trpv1Cre:Ai9 reporter mice. A subset of tdTomato‐positive neurons also were TRPV1‐immunoreactive (ir), although this signal was weak. Our variable and inconsistent immunoreactivity in the retina is consistent with previous reports of weak and inconsistent retinal TRPV1 immunolabelling (Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA) (Gilliam & Wensel, 2011; Molnar et al. 2012). Since these results indicated that commercial antibodies are non‐specific, we studied TRPV1 expression using Ai9 reporter mice that harbour a Rosa‐CAG‐LSL‐tdTomato‐WPRE conditional allele crossed to Trpv1 Cre mice or we injected AAV1.CAG.Flex.tdTomato WPRE.bGH (AAV−Flex‐tdTom; AV‐1‐ALL864; Penn Vector Core, Philadelphia, PA, USA) intravitreally in Trpv1 Cre mice both to sparsely label retinal cells and to define cells that transiently expressed Trpv1 in the mature retina. Virus (titre = 9.55e12 viral genome copies/ml) was loaded into a pipette, which was attached to a Picospritzer II (20 psi; Micro Control Instruments, Framfield, UK). A 10 ms puff injected 2–4 μl of solution into the vitreal cavity of the eye in 1‐ to 3‐month‐old mice (n = 9; Jaubert‐Miazza et al. 2005). ChAT bands were used to assess RGC dendritic stratification within the IPL.
Table 1.
Host species | Concentration | Company |
---|---|---|
Guinea pig, TRPV1 | 1:1000 | AB55566; EMD Millipore, Darmstadt, Germany |
Guinea pig, TRPV1 | 1:500 | Gift from David Julius, UCSF |
Rabbit, TRPV1 | 1:5000 | ACC‐030; Alomone Labs, Jerusalem, Israel |
Rabbit, TRPV1 | 1:50 and 1:500 | GT15129; Neuromics, Edina, MN, USA |
Goat, TRPV1 | 1:500 | P‐19; Santa Cruz Biotechnology, Dallas, TX, USA |
Goat, ChAT | 1:1000 | AB144; EMD Millipore, Darmstadt, Germany |
Rabbit, RBPMS | 1:250 | AB194213, Abcam, Cambridge, MA, USA |
1:500 | 1830, PhosphoSolutions, Aurora, CO, USA | |
Rabbit, CNR1 | 1:50 | 10006590, Cayman Chemical, Ann Arbor, MI |
Mouse, Brn3a | 1:100 | SC‐8429, Santa Cruz Biotechnology, Dallas, TX |
Cell counting
Images in retinal wholemounts were acquired as maximal confocal projections of a stack (0.5 μm per image) acquired with a 10× air objective (NA 0.25) at 1024 × 1024 pixel resolution and dwell time of 10 μs per pixel. The size of the pinhole was 80–100 μm. tdTomato+ RGCs were counted in each retinal quadrant to compute the densities of labelled cells (Fig. 1). Vertical sections (Fig. 2) were acquired using a 40× objective (NA 0.8), with 12 sections counted from each of three Trpv1Cre:Ai9 mice. The central retina was defined as spanning the area within 0.6 mm from the optic nerve head and periphery as the area >0.6 mm from the optic nerve head (Dräger & Olsen, 1981). Distribution of TRPV1+, RBPMS+ and Brn3a+ cells was calculated as a percentage of the total cell number per 100 μm. To avoid recounting, the gap between sections was set at ∼24 μm; counts from cells within 200 μm areas were pooled. Significance was assessed using a non‐parametric statistic (see below).
Fluorescence in situ hybridization (FISH)
In vitro transcription from the cDNA fragments of mouse Trpv1 (Shibasaki et al. 2010) and Cnr1 (Jelsing et al. 2008) was performed with a digoxigenin (DIG) or fluorescein (FLU) RNA‐labelling kit (Roche Diagnostics, Indianapolis, IN, USA). Adult mouse retinae (8 weeks old) were dissected out and frozen in Tissue‐Tek OCT compound (Sakura Finetech Japan). Transverse sections (20 μm thick) were cut by using a cryostat and collected onto silane‐coated glass slides (Agilent Technologies, Santa Clara, CA, USA). After fixation with paraformaldehyde/0.1 m phosphate buffer for 10 min, the sections were dehydrated with 100% methanol for 1 h and acetylated with triethanolamine (Sigma‐Aldrich) for 10 min. Hybridization was carried out for 18 h at 65°C with cRNA probes (500 ng/ml). Sections were washed in 2× SSC for 1 h at 65°C and incubated with normal goat serum for 30 min at room temperature. After incubation with normal goat serum (Vector Laboratories, Inc., Burlingame, CA, USA) for 2 h at room temperature, hybridization was detected by overnight incubation with sheep anti‐DIG‐AP, Fab fragments (Roche Diagnostics; 1:5,000) or sheep anti‐FLU‐POD, Fab fragments (Roche Diagnostics; 1:1000) at 4°C. To detect alkaline phosphatase, we used the 3‐hydroxy‐N‐2′‐biphenyl‐2‐naphthalenecarboxamide phosphate ester (HNPP) Fluorescent Detection Set (Roche Diagnostics). To detect peroxidase, we used the TSA Plus Biotin Kit (PerkinElmer, Waltham, MA, USA; 1:100) and Alexa Fluor 488‐labelled streptavidin (Life Technologies, 1:1000). The fluorescence images were captured via a BX53 fluorescence microscope (Olympus) equipped with a DP80 CCD camera (Olympus).
Calcium imaging
Acutely isolated retinal cells were used for Ca2+ imaging as in Ryskamp et al. (2011). After dissociation and plating (described above), cells were loaded with Fura‐2 AM (5 μm) for 30 min, followed by a 10–30 min wash with L‐15. The saline used for perfusion contained: (in mm) 133 NaCl, 10 Hepes hemisodium salt, 10 glucose, 2.5 KCl, 2 CaCl2, 1.5 MgCl2, 1.25 NaH2PO4, 1 pyruvic acid, 1 lactic acid and 0.5 glutathione. Epifluorescence images were acquired using an inverted Nikon Ti microscope with 20× (0.75 NA oil), 40× (1.3 NA oil and 0.8 NA water) and 60× (1.0 NA water) objectives. Excitation light from a xenon arc lamp (band pass filtered at 340 and 380 nm) was delivered using a Lambda DG‐4 (Sutter Instruments, Novato, CA, USA). Fluorescence emissions (high pass filtered at 510 nm) were detected with a 14‐bit CoolSNAP HQ2 camera and analysed using NIS‐Elements AR 3.2. Regions of interest were drawn to include the entire RGC somata. In most experiments, ΔR/R (peak F 340/F 380 ratio – baseline/baseline) was used to quantify the amplitude of Ca2+ signals (Ryskamp et al. 2016). In a subset of experiments, the apparent free [Ca2+]i was estimated using a calibration procedure at the end of experiments to determine the dependence of Fura‐2 emissions on free [Ca2+] (Ryskamp et al. 2011). For this, Ca2+ was removed from the saline (by perfusing with Ca2+‐free media containing 1 mm EGTA), and after cytosolic Ca2+ dropped to an asymptotic low, perfusion was temporarily stopped and ionomycin (10 μm) was added to release internal Ca2+. After obtaining emission parameters associated with the depletion of free Ca2+, cells were perfused with saline containing 10 mm Ca2+ to obtain emission parameters associated with Fura‐2 saturation. These parameters were obtained for each RGC and the apparent free [Ca2+]i was assumed to equal: ((R – R min)/(R max – R)) × (F 380max/F 380min) × K d, where R = F 340/F 380 ratio at a specific time (e.g. baseline or peak response); R min is the F 340/F 380 ratio at zero free Ca2+; R max is the ratio at saturating Ca2+; and K d at room temperature is 224 nm (Grynkiewicz et al. 1985). Trapping by de‐esterification was assumed to accumulate the intracellular dye to ∼100 μm (Križaj & Copenhagen, 1998) whereas manganese quenching showed ∼95% of the Fura‐2 fluorescence to be cytosolic, with the large majority of the dye de‐esterified and minimal compartmentalization (Szikra et al. 2009). The calibration protocol assumes that the spectral and biophysical properties of de‐esterified Fura‐2 in RGCs correspond to those established previously, with the K d chosen in our study corresponding to the value determined by Grynkiewicz et al. (1985). K d can also be influenced by the intracellular environment, with the reported range of 140–250 nm (Molecular Probes catalogue; Verkhratsky & Toescu, 1998). Our in situ calibrations represent nominal concentration values that are based on those assumptions.
Statistical analysis
Statistical analyses were performed with GraphPad Prism 6.0 or OriginPro 8.5. Results represent averages of RGC responses from at least three animals (typically, 3–5 slides per experiment). Data are represented as means ± SEM. Cells from male and female animals responded identically to TRPV1 and eCB compounds and responses were pooled. An unpaired t test was used to compare two means, whereas ANOVA (one‐way or two‐way) with post hoc Tukey's or Wilcoxon tests was used to compare three or more means. The Wilcoxon test was used for the assessment of RGC distribution shown in Fig. 2. Significance is indicated as NS P > 0.05, * P < 0.05, ** P < 0.01, *** P < 0.001 and **** P < 0.0001.
Results
TRPV1 expression in the mouse retina is confined to a subset of RGCs
Due to non‐specific labelling with commercial TRPV1 antibodies (see Methods), we evaluated fluorescent reporter expression in mature (i) Trpv1Cre:Ai9 retinas or (ii) adult Trpv1Cre retinas infected with an AAV−Flex‐tdTom construct. TRPV1 expression corresponds to expression of the fluorescent marker, tdTomato (Mishra et al. 2011), in both retinal whole mounts (Fig. 1 A) and vertical sections (Fig. 1 B). We counted 104 tdTomato+ cells/mm2 in the RGC layer (RGCL). Many tdTomato+ cells had axons (arrowheads; Fig. 1 D and E) indicating that some RGCs express TRPV1. We confirmed that tdTomato+ cells were RGCs by reacting Trpv1cre:Ai9 retinas (n = 3) with either a pan‐RGC antibody, RBMPS (Rodriguez et al. 2014; Figs 1 Ei and 2 A) or a Brn3a antibody that labels specific subsets of RGCs (Nadal‐Nicolás et al. 2009; Badea & Nathans, 2011; Fig. 2 A). Starburst amacrine cells lacked TRPV1, but we used ChAT antibody to delineate IPL substrata in vertical retinal sections (Fig. 1 B). The density of TRPV1:tdTomato+ cells was similar across the dorsal, ventral, nasal and temporal RGCL quadrants (Fig. 1 C). Assuming a total retinal area of 14 mm2 (Williams & Goldowitz, 1992; Lyubarsky & Pugh, 1996), we estimate that the mouse retina contains ∼1456 Trpv1‐expressing RGCL cells.
Both the total number of TRPV1:tdTomato cells and tdTomato+ cells that also expressed RBPMS or Brn3a signals across the retina were non‐uniform, with a sharp increase at the transition from the central to the mid‐peripheral retina. The density gradually dropped with increasing distance from the centre (Fig. 2 B). Unlike tdTomato+ cells (Fig. 2 B), the densities of RBMPS‐ir and Brn3a‐ir cells were uniformly distributed across all retinal regions (Fig. 2 C). These results show that tdTomato+ cells in the central retina that do not express RBPMS or Brn3a are displaced amacrines whereas peripheral tdTomato+ cells are predominantly RGCs. The displaced RGCs within the proximal inner nuclear layer (INL) showed RBPMS‐ir but lacked tdTomato+ or Brn3a‐ir (arrowheads in Fig. 2 A). These data demonstrate that TRPV1 is expressed in a subset of RGCs within the RGCL but not proximal INL whereas the density of TRPV1‐expressing RGCs is highest within the early‐ to mid‐peripheral retina. It is important to keep in mind that the distribution pattern of TRPV1+ cells in Trpv1cre:Ai9 retinas reflects the combination of developmental and mature TRPV1 expression. While these results could overestimate the number of TRPV1+ cells in the adult retina, expression in AAV‐transduced retinas (Fig. 1 D and E) demonstrates that the Trpv1 gene continues to be regularly transcribed and translated in the adult retina. Expression of tdTomato in mature RGC axons is similar to signals reported in primary PNS afferents (Cavanaugh et al. 2011).
Exogenous application of TRPV1 agonists induces desensitizing calcium signals in dissociated RGCs
To evaluate functional expression of TRPV1, we imaged responses of dissociated RGCs loaded with the Ca2+ indicator dye Fura‐2 to two sequential bath applications of CAP in 2 mm Ca2+‐containing saline and then to glutamate (100 μm) to confirm each RGC's viability. RGCs were identified by the shape and diameter of their perikarya and by Thy1:CFP+ or Thy1:YFP+ fluorescence (Ryskamp et al. 2011, 2014b). At the end of each experiment, RGCs were briefly exposed to glutamate (100 μm) to confirm their viability and only these cells were included in the analysed data. The WT RGC response to CAP consisted of a peak in Ca2+ fluorescence (black trace in Fig. 3 A) followed by gradual desensitization to baseline in the continued presence of CAP (arrowheads 2–5 in Fig. 3 B). The response had a time constant of 57.8 ± 3.1 s, similar to the ‘acute’ TRPV1 desensitization rate reported in sensory neurons (Cholewinski et al. 1993; Koplas et al. 1997). CAP (10 μm) elevated [Ca2+]i in 35 ± 0.8% of RGCs (70/200) and increased the Fura‐2 fluorescence ratio (340/380) from a baseline of 0.94 ± 0.09 to 1.73 ± 0.05 (n = 70; N = 14 animals; P < 0.001). CAP responses were absent from Trpv1 −/− RGCs (n = 74; N = 20) (red trace, Fig. 3 A). WT and TRPV1 KO cells showed comparable [Ca2+]i responses to glutamate puffs (Fig. 3 D). Together these results demonstrate that functional TRPV1 channels are present and that CAP elevates [Ca2+]RGC exclusively via TRPV1.
Repeated exposure to CAP induced TRPV1 tachyphylaxis (diminished responsiveness to repeated CAP stimulation; Docherty et al. 1996; Koplas et al. 1997) in these RGCs. In fact, the second application of CAP (CAP2, Fig. 3 D) did not elicit a [Ca2+]i response within a 25 min time frame (CAP2 grey bar; Fig. 3 D and E), but did recover after 30 min (black bar denoting the CAP2 response in Fig. 3 E).These results indicate that TRPV1 channels remain trapped in a desensitized/inactivated state once activated by CAP.
Extracellular Ca2+ was required, as RGCs did not respond to CAP in Ca2+‐free saline (n = 40; Fig. 3 C and D). This also eliminates the possibility that the CAP response predominantly involved release from intracellular compartments (Gallego‐Sandín et al. 2009), establishing the plasma membrane as the dominant pool of activatable TRPV1. The TRPV1 antagonist CPZ (10 μm) suppressed CAP‐induced [Ca2+]i increases (Fig. 3 D), confirming the specificity of functional Trpv1 expression in RGCs.
TRPV1 is not a volume sensor in mouse RGCs
In other parts of the CNS, TRPV1 is activated by neuronal shrinking and modulates the responsiveness to eCBs (Sudbury et al. 2010; Pan et al. 2011; Castillo et al. 2012). To determine whether RGC TRPV1 channels are activated by the decrease in cell volume, we compared RGC responses of WT (n = 31) and Trpv1 −/− (n = 30) cells to hypertonic stimulation by mannitol supplementation. In the presence of a hypertonic stimulus (494 mOsm saline), RGC somata showed comparable, albeit limited shrinkage (Fig. 4 A and D). Both WT and Trpv1 −/− cells compensated with a regulatory volume increase that was slightly more pronounced for Trpv1 −/− RGCs (Fig. 4 A). This was not investigated further. Hypertonic stimuli also did not significantly increase [Ca2+]i levels in either WT or Trpv1 −/− RGCs (Fig. 4 B and C), although both showed small, transient [Ca2+]i increases in subsets of both RGC genotypes (4/52 in WT, 7/56 in Trpv1 −/−). These data suggest that, unlike its cognate thermochannel TRPV4 (Jo et al. 2015; Toft‐Bertelsen et al. 2017), TRPV1 neither modulates the RGC volume in response to osmotic stress nor mediates shrinking‐induced Ca2+ signals.
TRPV1 colocalizes with CB1R
For TRPV1 to interact with eCBs, both must be expressed in the same RGC. Consistent with the binding studies that identify CB1Rs as the predominant cannabinoid receptor isoform in rodent retinas (Pinar‐Sueiro et al. 2013; Bouchard et al. 2016), analysis of vertical sections of the mouse retina revealed strong immunoreactivity for CB1R within the outer plexiform layer, IPL and RGCL (Fig. 5 A). In the GCL, the perikarya of CB1R‐ir cells strongly co‐expressed Brn3a (arrows in Fig. 5 Aiii) whereas CB1R label was weaker in adjacent Brn3a‐immunonegative cells (arrowheads; Fig. 5 Aiii). We validated the specificity of the CB1R antibody using Cnr1 −/− retinas (a generous gift from Dr Christian Casanova, University of Montreal) (Fig. 5 Aiv), where only background noise was evident (Fig. 5 B).
Localization of Trpv1 and Cnr1 mRNAs in the RGCL was verified using FISH (Jelsing et al. 2008; Shibasaki et al. 2010), with Trpv1 and Cnr1 probes co‐labelling subsets of cells in the RGCL (inset in Fig. 5 Ciii). In Trpv1Cre:Ai9 retinals, tdTomato was localized to cells within the RGCL that were CB1R‐ir (inset in Fig. 5 Cii), and also labeled a few cells in the INL (arrowhead). CB1R‐ir signals in tdTomato+ cells were, on average, not significantly different when compared to Brn3a+ cells but were significantly more prominent when compared to Brn3a− cells (Fig. 5 D). The cytosolic CB1Rir signals in the RGCL cells may reflect localization to intracellular compartments, such as the mitochondria (Benard et al. 2012).
eCBs evoke TRPV1‐mediated calcium signals in RGCs
Since eCBs and TRPV1 are co‐expressed, it is conceivable that they might modulate RGC function through parallel stimulation of the TRPV1 ion channel and the CB1R GPCR. We evaluated the potential of eCBs to stimulate TRPV1 activity in the retina in vitro, using AEA and NADA (Di Marzo et al. 1994; Zygmunt et al. 1999; Ryskamp et al. 2014b). In dissociated RGCs, both eCB ligands triggered marked elevations in [Ca2+]i, showing desensitization kinetics similar to those of the RGC response to CAP (Fig. 6 A). To obtain a measure of the absolute [Ca2+]i response to eCB ligands, we calibrated Fura‐2 fluorescence signals using AEA and NADA in a subset of experiments. For example, AEA increased [Ca2+]i in WT cells from 51 ± 10 to 409 ± 51 nm (n = 26; P < 0.0001) (Fig. 6 A and B), with a desensitization time constant of 60.3 ± 8.5, similar to CAP (one‐way ANOVA, post hoc Dunnett test). eCB‐induced [Ca2+]i increases were antagonized by the TRPV1 blockers, CPZ and BCTC (1 μm); the latter reduced AEA‐evoked [Ca2+]i increases to 77 ± 33 nm (n = 45; P < 0.0001) (Fig. 6 B and E). AEA/NADA‐evoked Ca2+ signals were largely absent in Trpv1 −/− cells, as indicated by the low percentage of responding cells (Fig. 6 C) and the insensitivity of cytosolic [Ca2+]i in KO cells to the two eCBs (Fig. 6 B–D).
TRPV4, a cognate vanilloid receptor, is expressed in WT RGCs (Ryskamp et al. 2011, 2014a), has similar functional properties to TRPV1 and may be sensitive to AEA (Güler et al. 2002; Watanabe et al. 2003). To disambiguate our result, we tested whether eCBs activate TRPV4 in RGCs. Fura‐2‐mediated signals induced by AEA were recorded in the presence of the selective TRPV4 antagonist, HC‐067047 (1 μm). HC‐067047, which fully blocks TRPV4‐mediated [Ca2+]i elevations in mouse RGCs and glia (Ryskamp et al. 2014a; Jo et al. 2015), did not affect eCB‐evoked [Ca2+]RGC responses (Fig. 6 E). Consistent with this finding, eCBs failed to evoke [Ca2+]i elevations in Trpv1 −/− RGCs (Fig. 6 E). We conclude that eCB‐induced [Ca2+]i elevations in mouse RGCs are predominantly mediated by TRPV1.
TRPV1 functionally interacts with CB1R
Co‐expression of TRPV1 and CB1R in RGCs (Fig. 5) suggests that eCBs may mediate parallel signalling through these proteins. To determine whether CB1R activation has an impact on TRPV1 channel signalling, we stimulated isolated RGCs with CAP in the presence/absence of 2‐AG, an agonist of CB1R/CB2Rs that is a far less potent activator of TRPV1 (Sugiura et al. 1999; Zygmunt et al. 2013). Application of 2‐AG (1 μm) alone had no effect on [Ca2+]RGC in WT or Trpv1 −/− cells (Fig. 7), suggesting that this eCB does not directly activate TRPV1. However, CAP‐evoked [Ca2+]i elevations in isolated RGCs were completely suppressed by 2‐AG in adult (P30–60) retinas (Fig. 7 A–C), indicating that CB1R activation functionally interacts with TRPV1 to inhibit calcium influx. We found that this suppressive effect is absent in RGCs dissociated from early postnatal (P6–7) retinas (Fig. 6 D and E); however, developmental regulation of CB1R‐mediated modulation of TRPV1 signalling was not investigated further.
2‐AG can function as a partial TRPV1 agonist in some cell types (Zygmunt et al. 2013). Although the lack of calcium responses to 2‐AG argues against partial agonist action at the micromolar concentration used, we used four additional assays to verify the effect of the CB1R signalling pathway on TRPV1 activation. First, RGCs were exposed to 2‐AG in the presence of the inverse CB1R antagonist rimonabant (0.5 μm), which reverses the suppressive effect of eCBs on neuronal TRPV1 activation (Mahmud et al. 2009). As shown in Fig. 7 F and G, rimonabant disinhibited the CAP response to 2‐AG. Because rimonabant may act as partial TRPV1 agonist (Zygmunt et al. 1999; De Petrocellis et al. 2001; Gibson et al. 2008) we also exposed RGCs to CAP in the presence of WIN55,122‐2 (5 μm), a non‐selective CB1R agonist that is structurally unrelated to 2‐AG. Preincubation with WIN55,122‐2 inhibited CAP‐evoked [Ca2+]i increases (Fig. 7 G). Third, if CB1R–TRPV1 interactions in RGCs involve the classical heterotrimeric Gi protein–receptor intermediation, the inhibitory effect of 2‐AG should be antagonized by PTX, an ADP‐ribosylating toxin that prevents G proteins from interacting with their cognate GPCRs. PTX (100 ng/ml) blocked 2‐AG‐mediated inhibition of TRPV1 signalling (Fig. 6 H and I) but did not affect the CAP response itself (n = 64, N = 3). Finally, RGCs from Cnr1 −/− retinas were stimulated with CAP in the presence and absence of 2‐AG. As shown in Fig. 7 J and K, the amplitude of CAP‐evoked [Ca2+]i elevations in Cnr1 −/− cells (n = 17) was similar to responses induced in cells preincubated with 2‐AG (n = 16). The percentages of CAP responders (28.8%) and CAP + 2‐AG responders (27.6%) in Cnr1 −/− cells were similar to 35% CAP‐responding RGCs from wild‐type retinas.
TRPV1 tachyphylaxis is regulated through CB1R‐mediated modulation of cAMP signalling
CAP‐mediated desensitization of TRPV1 generally involves two separate mechanisms: (i) ‘acute desensitization’ during sustained exposure to CAP, and (ii) ‘tachyphylaxis’, the diminution of the peak response during successive delivery of the same CAP concentration (Cholewinski et al. 1993; Koplas et al. 1997). Given that TRPV1 desensitization in sensory neurons requires protein kinase A (PKA) and that CB1Rs have been linked to Gi‐mediated inhibition of adenylate cyclase, reduction in [cAMP]i and suppression of PKA (Di Marzo, 2008), we designed experiments to determine whether PKA activation might obviate the inhibitory action of CB1Rs on TRPV1. RGCs were stimulated with CAP in the presence of forskolin (FSK), a commonly used adenylate cyclase activator. As shown in Fig. 8 A and D, FSK restores the capacity of WT RGCs to respond to repeated application of CAP and also antagonizes the inhibitory effect of 2‐AG on the amplitude and prevalence of RGC responses to CAP (Fig. 8 B and C). FSK had no discernible effect on glutamate‐evoked [Ca2+]i responses (Fig. 8 D) or baseline [Ca2+]i levels (Fig. 8 A and D). Even though tachyphylaxis was prevented by FSK (Fig. 8 A), acute desensitization of the channel persisted (arrowheads in Fig. 8 A), indicating that desensitization and tachyphylaxis are governed by distinct mechanisms.
To further evaluate the involvement of cAMP signalling, we stimulated TRPV1 channels in RGCs with CAP in the presence of Sp‐cAMPS (5 μm), a membrane‐permeable analogue of cAMP. The analogue had no effect on the time course of CAP‐evoked [Ca2+]i responses and in RGCs incubated in Sp‐cAMPS tachyphylaxis was obviated (Fig. 8 E and F). In the presence of Rp‐cAMPS (5 μm), a potent competitive antagonist of cAMP, RGCs were unable to respond to the second application of CAP (Fig. 8 G and H). These data show that (i) CB1R‐dependent suppression of PKA signalling plays a crucial role in regulating repetitive TRPV1 activation, and (ii) PKA represents a main regulator of TRPV1 tachyphylaxis in RGCs. Thus, PKA‐dependent phosphorylation, regulated through the CB1R pathway, is critical for use‐dependent activation of TRPV1 channels in mouse RGCs.
Discussion
These data demonstrate the localized pattern of retinal TRPV1 expression and provide new insights into the complexity of TRPV1 and eCB signalling in the mammalian retina. Collectively, our data reveal the importance of parallel eCB‐dependent signalling mechanisms in the retina and uncover molecular mechanisms that underlie modulation of TRPV1 signalling in RGCs.
The localization of TRPV1 expression in the brain/retina has been debated because: (i) the channel is barely detectable in some TRPV1 reporter mice (Cavanaugh et al. 2011), (ii) antibodies and mRNA probes that reliably detect the channel in the PNS show minimal signals in WT retinas (see Methods; Gilliam & Wensel, 2011), (iii) TRPV1 expression was not detectable in the optic nerve head (Choi et al. 2015) and (iv) morphological and physiological retinal phenotypes induced by CAP probably involved activation of bipolar TRPM1 channels (Shen et al. 2009). Our counts of TRPV1:tdTomato+ cells and analyses of TRPV1‐responders in dissociated retinal preparations showed that the channel is confined to a subset of RGCs. Taking the average density of RGCL neurons to be ∼8200 cells/mm2 (Jeon et al. 1998), the overall estimated proportion of TRPV1‐expressors is ∼17%. The percentage increases to ∼44% if the analysis is confined to RGCs (3300 cells/mm2), which matches our functional analyses of CAP responsivity of RGC [Ca2+]i signals (∼25–40%). While the Trpv1Cre:Ai9 reporter line show TRPV1 to be an embryonic marker of nociceptors, with tdT expression in cells that had expressed Trpv1 during development or are actively expressing Trpv1, (Mishra et al. 2011), the similar percentages of tdT+ cells in the RGCL of Trpv1:Ai9 retinas and CAP responding cells in dissociated WT retinal preparations argue against major developmental loss of TRPV1 functionality. TRPV1 expression in the adult was confirmed by AAV:Trpv1+ signals which brought out the dendritic–axonal features of TRPV1‐expressing neurons.
We found that the relative proportion of TRPV1‐expressing RGCs vis à vis putative displaced amacrine cells increases from the central towards the initial/mid‐peripheral region. This may seem surprising given that the mouse lacks the steep eccentricity gradient of photoreceptors and RGCs that predicts uniform encoding of the visual space, although previous work shows that RGCs exhibit a modest (yet several‐fold) reduction in density from centre to periphery (Dräger & Olsen, 1981; Jeon et al. 1998) with pronounced functional differences across the dorsoventral axis (Hilgen et al. 2017). Taking into account that categorization of mouse RGCs differs based on morphological, physiological and molecular criteria (Sanes & Masland, 2015), it is unclear whether the density of TRPV1+ RGCs with the highly significant peaks in the mid‐periphery reflects non‐uniform distribution of RGC subtypes, local changes in eCB signalling, differences in the expression of the molecular marker (TRPV1) or a combination of these. Non‐uniform distribution patterns have recently been shown for ON alpha‐like (Bleckert et al. 2014), intrinsically photosensitive (Hughes et al. 2013) and W3/G10 ‘local edge detector’ RGCs (Zhang et al. 2014; Baden et al. 2016) while asymmetry in J‐RGC morphology was observed in a subset of directionally selective OFF‐RGCs (Kim et al. 2008). Regardless, our data suggest that transduction of TRPV1‐activating stimuli in the mouse retina might be spatially non‐uniform.
We did not investigate the acute component of TRPV1 desensitization in mouse RGCs, which is likely to involve Ca2+‐CaM and/or calcineurin modulation (Docherty et al. 1996; Numazaki et al. 2003); however, our observation that stimulation of the cAMP pathway obviates the refractory period induced by pre‐exposure to CAP and that suppression of cAMP signalling is required for tachyphylaxis establishes CB1R signalling and PKA‐mediated phosphorylation as a critical regulator of RGC TRPV1 signalling. The functional significance of tachyphylaxis in RGCs is unknown; however, an analogy with sensory neurons (e.g. Levine & Reichling, 1999) suggests possible roles in inflammatory hyperalgesia imposed by mechanical stress. The refractory period might involve additional reciprocal feedback loops between Ca2+ influx and Ca2+‐dependent adenylate cyclases, several of which (Ca2+‐activated AC3, AC5, AC8 and Ca2+‐CaM‐inhibited AC1) were localized to the RGCL (Nicol et al. 2006). The absence of shrinking‐induced TRPV1 activation suggests that RGCs express the full‐length protein rather than the short, CAP‐insensitive, N‐terminal splice variant that has been implicated in the transduction of cell shrinkage in osmosensitive hypothalamic neurons (Sudbury et al. 2010).
A main finding is that ubiquitous eCBs such as AEA and 2‐AG modulate [Ca2+]RGC through parallel TRP and CB1R mechanisms. Although CB1Rs are believed to be principally presynaptic (Gibson et al. 2008; Yazulla, 2008; Elphick, 2012), our data underline the potential for non‐retrograde eCB signalling within the adult inner retina. [Ca2+]RGC elevations induced by AEA/NADA are consistent with full agonist action on the CAP/AEA/3H‐RTX binding site that may involve the Tyr511 residue of TRPV1 (Jordt & Julius, 2002), whereas suppression of CAP‐induced [Ca2+]i signalling by 2‐AG/WIN55,122 and PTX‐mediated suppression of the inhibitory action of 2‐AG confirm the metabotropic activation of Gαi and its downstream effectors in RGCs. Recent studies in central neurons similarly demonstrated the importance of anterograde mechanisms in synaptic plasticity (Yoshida et al. 2006; Kano et al. 2009; Chávez et al. 2014). Intriguingly, TRPV1 inhibition by 2‐AG was absent in early postnatal (P6–P8) (wild‐type and transgenic) RGCs. While the molecular mechanisms associated with the apparent age‐dependent effectiveness of eCB signalling remain to be determined, they could involve lower expression of CB1Rs in the early postnatal retina (Zabouri et al. 2011) or reduced expression of signalling components downstream from the GPCR. The resistance of AEA‐evoked [Ca2+]i elevations to HC‐067047 suggests that AEA hydrolases that produce downstream eicosanoid activators of TRPV4 were not operational under our experimental conditions.
Our findings identify new possible roles for time‐dependent modulation of eCB signalling in the inner retina. For example, activity‐dependent eCB release from bipolar cells and/or RGCs might transiently elevate [Ca2+]i in TRPV1‐expressing cells, followed by metabotropic, CB1R‐mediated suppression of glutamate release from CB1R‐expressing bipolar and amacrine processes (Middleton & Protti, 2011) and inhibition of TRPV1‐dependent Ca2+ signalling in RGCs. This could accentuate contrast sensitivity while preserving the response bandwidth of the bipolar‐RGC synapse (Miracourt et al. 2016). By decreasing glutamate release and suppressing postsynaptic voltage‐operated Ca2+ channels, eCB release might also protect RGCs from insults such as intraocular pressure (IOP)‐induced ischaemia (Lalonde et al. 2006; Opere et al. 2006; Nucci et al. 2007; Miraucourt et al. 2016), which would be consistent with the increased sensitivity of Cnr1 −/− mice to inflammatory, oxidative stress and excitotoxic insults (Albayram et al. 2011). In any case, the precise mechanism of eCB action on RGCs will be determined by the local balance between anandamide and 2‐AG release, which were proposed to modulate tonic and use‐dependent components of eCB signalling, respectively (Elphick, 2012).
Together, these findings reinforce the important role of non‐synaptic ion channels in the regulation of neuronal output (Llinás, 2014). TRP channels are increasingly recognized to play key functions in the transmission of information from the retina to more central visual structures, given their role in glutamatergic signalling (TRPM1; Morgans et al. 2009; Shen et al. 2009), swelling and inflammation (TRPV4; Ryskamp et al. 2011, 2014b, 2015), mechanical stress (TRPC1, TRPV1; Sappington et al. 2009; Molnar et al. 2016), sensitivity to membrane lipid derivatives (TRPV1/4; Ryskamp et al. 2014b, 2016) and cholesterol (Lakk et al. 2017), endoplasmic reticulum Ca2+ store repletion (TRPC1; Szikra et al. 2009; Molnar et al. 2016) and transduction of the intrinsic RGC response to light (TRPC6/7; Xue et al. 2011). Our data demonstrate that retinal TRPV1 expression is limited to subsets of RGCs and amacrine cells, with peak TRPV1+ RGC density between the centre and the mid‐periphery. Additional functions of TRPV1 may influence the intrinsic excitability of RGCs through integration of local pH and thermal stimuli (Miraucourt et al. 2016) and sensitivity to mechanical stress and IOP (Sappington et al. 2009; Ward et al. 2014).
Additional information
Competing interests
None.
Author contributions
Conception and design: A.O.J., M.M.C. and D.K.; acquisition, analysis and interpretation: A.O.J., M.L., J.M.N., O.Y., D.A.R., K.J., M.A.M. and D.K.; manuscript drafts: D.A.R., M.A.M. and D.K. All authors approved the final version of the manuscript and agree to be accountable for all aspects of the work. All persons designated as authors qualify for authorship, and all those who qualify for authorship are listed.
Funding
This study was supported by: National Institutes of Health (T32DC008553, F32NS093786, D.A.R.; EY014701, M.A.Mc.; EY022076, EY027920, P30EY014800, D.K.), Department of Defense (W81XWH‐12‐1‐0244, D.K.), the Japanese Ministry of Education, Culture, Sports, Science, and Technology (KAKENHI 15H05934, K.S.), the University of Utah Undergraduate Research Opportunity Program (A.O.J.), the University of Utah Neuroscience Initiative, the Diabetes and Metabolism Centre, the Willard L. Eccles Foundation (D.K.) and unrestricted support from Research to Prevent Blindness to the Departments of Ophthalmology at the University of Louisville and the Moran Eye Institute at the University of Utah School of Medicine.
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