Expression of Basic Fibroblast Growth Factor and Its Receptor in the Retina of Royal College of Surgeons Rats A Comparative Study Piroska E. Rakoczy* Martin F. Humphrey,^ Dinah M. Cavaney,^ Yi Chu,"\ and IanJ. Constable* Purpose. The aim of this study was to identify whether abnormalities in the synthesis of basic fibroblast growth factor (bFGF) or its receptor (bFGF-R) were responsible for the photoreceptor dystrophy in Royal College of Surgeons (RCS) rats. Methods. The polymerase chain reaction was used to detect the expression of bFGF and bFGFR messenger RNA in the retinal pigment epithelial (RPE) cells and the neural retina of RCS dystrophic rats and in PVG/C and RCS-rrf)>+ control animals. Results. In the RPE, it was found that there was no significant difference in the expression of bFGF and bFGF-R between RCS rats and the controls at the ages of 21 days and 3 mo. In the neural retina, the level of bFGF expression was lower in the 21-day-old RCS rats compared with the control group, but bFGF-R expression was as strong as in the PVG/C and RCS-rd)>+ animals. However, in 3-mo-old RCS rat neural retina, the bFGF and bFGF-R expression was found to be significantly lower than in the control animals. Conclusions. Although the mutant gene in RCS rats is expressed in the RPE cells, these results suggest that there is no significant defect in bFGF or bFGF-R expression in the RPE cells of RCS rats, which would be an initiating factor in the development of photoreceptor degeneration in these animals. The lowered bFGF levels in the neural retina at early stages (postnatal day 21) may explain the prolongation of photoreceptor survival when exogenous bFGF is injected. Invest Ophthalmol Vis Sci. 1993; 34:1845-1852. JLJegeneration of photoreceptors leads to permanent blindness because, in common with other central nervous system neuronal cells, they cannot be replaced by cell division in adults. The Royal College of Surgeons (RCS) mutant strain of rats with inherited retinal dys- From the *Linns Eye institute, Department of Surgery, University of Western Australia, and Ike -[Western Australia Retinitis Pigmentosa Research Centre, NedUinds, Western Australia, Australia. Supported l/y the Western Australian Retinitis Pigmentosa Foundation (Perth), the Australian Retinitis Pigmentosa Association (Spence), and the Lions Save-Sight Foundation (Perth), Australia. Submitted for publication: July 21, 1992; accepted November IS, 1992. Proprietary interest category: N. Reprint requests: Piroska F. Rakoczy, Lions Eye Institute, 2 Verdun Street, Nedlands 6009, Western Australia, Australia. Invesiiguiive Ophthalmology & Visual Science, April 1993, Vol. 34, No. 5 Copyright © Association for Research in Vision and Ophthalmology trophy has been used widely as a model to study photoreceptor degeneration.1 Although this particular type of defect is not common in humans, the procedures that prolong photoreceptor survival in this condition may be more widely applicable. The cellular nature of the genetic abnormality in RCS rats is known, but the underlying molecular defect has not yet been identified. In the RCS rat, the retinal pigment epithelium (RPE) does not phagocytose shed outer segments,2 thus resulting in accumulation of membranous debris in the subretinal space and subsequent death of the rod photoreceptors. Transplantation of RPE cells from normal rats results in long-term (5 mo after treatment) rescue of photore- 1845 1846 Investigative Ophthalmology & Visual Science, April 1993, Vol. 34, No. 5 ceptors and significantly reduces the debris zone thickness.34 By contrast, sham-injected surgical control animals and macrophage transplantation all reduce the thickness of the debris zone but have no long-term effect on photoreceptor cell survival.5 It was observed that the photoreceptor rescue effect extended beyond the immediate boundaries of the transplanted normal RPE cells,3"5 which suggested a possible trophic action of diffusible factors. Fibroblast growth factors (aFGF and bFGF) emerged as possible candidates because they are known to be present in the retina67 and RPE cells,8 and bFGF is known as a neurotrophic agent.9 In 1990, it was demonstrated that subretinal and intravitreal injection of bFGF at the beginning of photoreceptor degeneration (postnatal day 23) results in a delay of photoreceptor degeneration in RCS rats.10 Widespread photoreceptor rescue was detected across almost the entire retina for at least 2 mo. The mechanism of the rescue effect is not understood, but a possible neurotrophic role for bFGF in the retina was suggested by the authors. Thus, bFGF may have a general protective effect on compromised photoreceptors because there is preliminary evidence that it can decrease the photoreceptor loss caused by excessive light exposure.10 The role of bFGF in normal retinal development is not well understood.11 It is possible that bFGF normally maintains the photoreceptors and that a defect in this system in the RCS rat is the prime stimulus for photoreceptor cell death. In addition, other effects of bFGF could be important. For example, vascular endothelial cells are known to respond to bFGF,12 and the vessel ingrowth to the retina could be controlled by it. Abnormalities occur in the retinal and choroidal vasculature of the RCS rat as early as 3 mo after birth.13 At later stages of the degeneration, when all the photoreceptors have been lost, considerable neovascularization occurs.14 The aim of this study was to identify any possible abnormalities in the bFGF and bFGF receptor (bFGF-R) messenger RNA expression in the neural retina and RPE cells of RCS rats. MATERIALS AND METHODS Experimental Animals This research adhered to the ARVO Statement on the Use of Animals in Ophthalmic and Vision Research. The rats (PVG/C, RCS-rdy+, and RCS) were deeply anesthetized, the eyes enucleated, and the animals then killed. The eyes were immersed in HEPES buffered Hank's salt solution, and the cornea, iris, and lens were removed. The sclera and choroid were gently peeled away, the optic nerve head was excised, and the retina with attached RPE layer was then flattened by making radial cuts. It was placed with the pigment layer down onto a 0.45-^m membrane filter (Sartor- ius, Gottingen, Germany).15 A second membrane filter was then gently placed on the top of the retina. The resulting retinal sandwich was immersed in HEPES buffered Hank's salt solution and incubated for 30 min at 37°C. After incubation, the RPE and the neural retina were easily separated, snap frozen in liquid nitrogen, and stored at —70°C until use. At each stage, the retinas and RPE were examined histologically and compared with the intact eye. After separation, the filters with attached tissue were immersed in 1.25% glutaraldehyde and 3% paraformaldehyde in 0.1 mol/1 phosphate buffer, pH 7.4, overnight. These were then dehydrated in a graded ethanol series and embedded in Epon/Araldite (Fluka Chemie A. G., Bruchs, Switzerland) using a Lynx tissue processor (Australian Biomedical Corporation, Mount Waverly, Australia). We cut 1-2-jiim thick sections, counterstained them with toluidine blue, and examined them with the light microscope. Extraction of RNA Filters containing neural retinas and RPE cells were pooled (two animals, each of the same type and age) and extracted using a modified published method.16 Briefly, immediately after removal from the freezer, four filters were homogenized in 1 ml of denaturing solution (4 mol/1 guanidinium thiocyanate, 25 mmol/1 sodium citrate, pH 7.0, 0.5% sarcosyl, and 0.1 mol/1 2-mercaptoethanol) with an Ultra Turrax homogenizer (IKA Labortechnik, Staufen, Germany) for 1-2 min (minimum) at medium speed at room temperature. After homogenization 0.1 ml of 2 mol/1 sodium acetate, pH 4.0, 1 ml of phenol, and 0.2 ml of chloroform-isoamyl alcohol (49:1) mixture were added to the homogenate. The final suspension was mixed, incubated on ice for 15 min, and then centrifuged at 10,000 X g for 20 min at 4°C. The aqueous phase was removed and extracted further with 0.2 ml chloroform-isoamyl alcohol. The RNA that was present in the aqueous phase was precipitated with one volume of isopropanol at —20°C for 1 hr. The precipitated RNA was dissolved in 100 ml of denaturing solution, and an equal volume of isopropanol was added. It was stored at —70°C until use. Before use, the RNA was recovered by centrifugation, washed with 75% ethanol, and vacuum dried. The dry pellet was resuspended in 20 ml of water, and the amount of RNA was measured by spectrophotometry at 260 nm." Oligonucleotide Primer and Probe Selection and Synthesis Oligonucleotide primers and probes were selected using the Automatic Sequence Alignment program from DNA Sequence Analysis Software (International Biotechnologies, New Haven, CT). Upstream and downstream primers and specific oligonucleotide probes were selected from known bFGF and bFGF-receptor 1847 bFGF and Its Receptor in Rats DNA sequences1819 listed in GenBank (Table 1). Upstream and downstream primers for the amplification of rat /3-actin was synthesized as published earlier,20 and the specific oligonucleotide probe was selected by DNA analysis. All primers were purified using OPC cartridges (rapid purification cartridges, Applied Biosystems, Richmond, CA). Oligonucleotide probes were purified by ethanol precipitation. Polymerase Chain Reaction (PCR) Amplification of bFGF and bFGF-R Messenger RNA From the freshly recovered total RNA, 3 mg was subjected to DNase I digestion (Boehringer Mannheim, Mannheim, Germany) at 37°C for 45 min. PCR amplifications were performed using a GeneAmp RNA PCR kit from Perkin Elmer Cetus (Norwalk, CT) with or without reverse transcription. The PCR conditions for bFGF and bFGF-R primers were optimized using annealing temperatures ranging from 50-70°C and MgCl2 concentration of 0.8-5 mmol/1 (data not shown). The optimized PCR conditions for bFGF, bFGF-R, and /3-actin amplification included 2-min denaturation at 96°C, one cycle, which was followed by 35 cycles of denaturation at 96°C for 30 sec, annealing at 63°C for bFGF and 68°C for bFGF-R for 30 sec, and extension at 72°C for 30 sec. The 35 cycles were followed by 1 cycle of 7 min of additional extension at 72°C. From each DNase I digested, total RNA samples 1.5 mg were subjected to reverse transcription using oligo d(T)16 primer, following the protocol as described in GeneAmp RNA PCR kit. From each sample (using 0.5 mg each), PCR amplification for bFGF and bFGF-R were setup from reverse transcribed messenger RNA with controls using samples not digested with DNase I and not containing complementary DNA (not reverse transcribed). /3-Actin was used as internal control, and each PCR amplification included a negative control containing all the reagents except the sample. As a positive control for bFGF and bFGF-R amplification, PVG/C brain RNA sample was used. After PCR amplification, the samples were chloroform extracted and ethanol precipitated. The precipitated DNA was loaded onto 2% Agarose (Bio-Rad, Richmond, CA) gels and analyzed after ethidium bromide staining and Southern blot hybridization or subjected to dot-blot hybridization. Southern blots of PCR-amplified samples were prepared on Zeta- probe membranes (Bio-Rad, Richmond, CA) following the manufacturer's protocol. The filters were hybridized with the appropriate probes (bFGF probe, bFGF-R probe, or /3-actin probe). They were prehybridized for 2 hr in a mixture of 10% dextran sulfate, 5X SSC (IX SSC equals 0.15 mol/1 NaCl and 0.015 mol/1 sodium citrate), 20 mmol/1 NaH2PO4, pH 7.0, 7% sodium dodecyl sulfate, 10X Denhardt's (50X Denhardt's equals 1% Ficoll [Sigma, St. Louis, MO], 1% polyvinylpyrrolidone, and 1% bovine serum albumin) and 0.1 mg/ml salmon sperm DNA at 50°C. Oligonucleotide probes were 5'end labeled with 32P-deoxyadenosine triphosphate.21 The filters were hybridized overnight with a probe concentration of 2 X 106dpm/ml. After hybridization, they were washed twice at 50°C for 30 min each in 3X SSC, 10X Denhardt's, 5% sodium dodecyl sulfate, 25 mmol/1 NaH2PO4, pH 7.5, and once at 50°C for 30 min in 1X SSC and 1% sodium dodecyl sulfate. Autoradiographs were developed overnight at —70°C. Having established the specificity of PCR and hybridization for bFGF, bFGF-R, and /3-actin, all samples were routinely analyzed with slot—blot hybridization as described, and the intensity of the signals was assessed by visual observation and graded from one to three. RESULTS Separation of Retinal Cell Layers The successful separation of rat retina from the choroid is demonstrated in Figure 1. There was no adherent choroid present on the RPE cells, which appeared as an intact layer bordering the retina (Fig. 1A). The RPE cell layer was further separated from the neural retina, and in Figure IB, an intact RPE cell sheet attached to a membrane filter is demonstrated. Figure 2B shows the separated neural retina with no sign of RPE cells present. The histologic findings confirmed that, at 21 days, degeneration had begun in the retinas of the RCS rats (Fig. 2A). By 3 mo, there were almost TABLE l. Specific Oligonucleotide Primers and Probes Name Origin DNA Sequence FGF260 primer FGF699 primer FGF322 probe FGFR2 primer FGFR272 primer FGFR probe b-Actin probe bFGF cDNA bFGF cDNA bFGF cDNA bFGF receptor cDNA bFGF receptor cDNA bFGF receptor cDNA b-Actin cDNA 5'GGCAGCATCACTTCGCTTC 5'CAGCTCTTAGCAGACATTG 5'GCTTGGGATCCTTGAAGTGG 5'GTCCAGAGAACTTGCCGTAT 5'CTTGTAGATGATGACGGAGC 5TCA'CTCTGCATGGTTGACGGT 5'GTCAGAAGGACTCCTACGTG GC Content 58% 48% 55% 50% 50% 52% 55% 1848 Investigative Ophthalmology 8c Visual Science, April 1993, Vol. 34, No. 5 showed the presence of DNA contamination in the RNA (Fig. 3A, lane 4; Fig. 3B, Lane 3; Fig. 4, Lane 3). Samples, which were DNase I digested and PCR amplified after reverse transcription, detected the presence of bFGF messenger RNA (Fig, 3A, Lane 5; Fig. 3B, Lane 4) or bFGF-R (Fig. 4, Lane 2). DNase I digested but not reverse transcribed samples did not give any signals (Fig. 3A, Lane 6), even after hybridization (Fig. 3B, Lane 5; Fig. 4, Lane 4). The amount of messenger RNA per sample was estimated on the basis of the /8-actin signal intensity after DNase I digestion and reverse transcription (Fig. 3A, Lane 11; Fig. 4, Lane 8). Detection of bFGF Messenger RNA With PCR Amplification Followed by Hybridization The expression of bFGF was detected in the RPE cells and neural retina of 21-day-old PVG/C, RCS-rdy+, and RCS rats (Table 2) with a weaker signal present in the retina of 21-day-old RCS rats. This difference in- I. Separation of rat retina from the choroid at postnatal day 21. (A) A 12-/*m thick cryostat cross section of PVG/C retina periphery, the arrow pointing to RPE nucleus. There was no adherent choroid attached. Layers of the choroid-free retina were further separated with the sandwich technique. (B) Whole-mount RPE layer showing RPE sheet, separated from the neural retina and attached to a membrane filter. Both sections were stained with hematoxylin. FIGURE no photoreceptors remaining in the RCS rat retinas Specificity of Messenger RNA Detection With PCR Amplification PVG/C brain messenger RNA was used as positive control. The presence of bFGF and bFGF-R was detected with signals appearing at 458 and 290 base pairs, respectively (Fig. 3A, Lane 3) and hybridizing to specific oligonucleotide probes (Fig. 3B, Lane 2). Samples that were not DNase I digested but underwent reverse transcription usually showed the presence of a signal for bFGF and bFGF-R representing reverse transcribed messenger RNA and DNA contamination (Fig. 3A, Lane 4; Fig. 3B, Lane 3; Fig. 4, Lane 1). Samples amplified without reverse transcriptase FIGURE 2. (A) Histologic appearance of 21-day-old RCS rat retina. (B) The separated neural retina of the same animal showing no adherent RPE cells. Scale bar = 50 /im. bFGF and Its Receptor in Rats 1849 B. 1 A " 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 2 3 6 7 458 FIGURE 3. Detection of bFGF messenger RNA in the neural retina of 21 -day-old RCS rats. (A) PCR amplification followed by gel electrophoresis and ethidium bromide staining of samples. Lane 1: molecular weight marker V (Boehringer Mannheim); Lane 2: PVG/C brain; Lane 3: undigested sample with reverse transcription; Lane 4: undigested sample without reverse transcription; Lane 5: DNase I-digested sample with reverse transcription; Lane 6: DNase 1-digested sample without reverse transcription; Lane 7: negative control; Lanes 8, 9: empty wells; Lanes 10-13: PCR amplification with jS-aciin primers; Lane 10: undigested sample with reverse transcription; Lane I 1: DNase I-digested sample with reverse transcription; Lane 12: undigested sample without reverse transcription; Lane 13: DNase I-digested sample without reverse transcription; Lane 15: molecular weight marker. (B) Southern blot hybridization with bFGF specific probe. Lane 1: PVG/C positive control; Lane 2: undigested sample with reverse transcription; Lane 3: undigested sample without reverse transcription; Lane 4: DNase I-digested sample with reverse transcription; Lane 5: DNase I-digested sample without, reverse transcription; Lane 6: negative control. creased significantly in 3-mo-old animals (Table 2 and Fig. 5). By contrast, the intensity of bFGF expression signal intensity in the RPE cells of PVG/C, RCS-rdy+, and RCS rats was the same. During these experiments, the intensity of the relevant /3-actin signals were simi- 1 8 290 FIGURE 4. Detection of bFGF-R messenger RNA in the neural retina of 21-day-old RCS rats with PCR amplification and Southern blot analysis. Lane 1: undigested sample with reverse transcription; Lane 2: DNase 1-digested sample with reverse transcription; Lane 3: undigested sample without reverse transcription; Lane 4: DNase I-digested sample without reverse transcription; Lane 5: negative control; Lane 6: empty well; Lane 7: undigested sample with reverse transcription and PCR amplification with 0-actin primers; Lane 8: DNase 1-digested sample with reverse transcription and PCR amplification with /3-actin primers. lar, and no DNA signal was detected in any of the DNase I-digested samples. Detection of bFGF-R Messenger RNA With PCR Amplification Followed by Hybridization There was a different level of bFGF-R expression in the RPE cells of different types of rats at the age of 21 days. The most intense signal was detected in PVG/C rats, and a slightly weaker signal was seen in RCS rats. Even after several repeats, no signal could be obtained from the RPE of RCS-rd)>+ rats. The presence of bFGF-R messenger RNA expression was detected in all types of 3-mo-old rats, with weaker signals in the RCS-rdy+ rats. An intense receptor signal was detected in the neural retina of 21-day-old PVG/C RCS-rdy+ and RCS rats, which significantly decreased in the 3-mo-old RCS rats (Table 2 and Fig. 5). There was no DNA present in the samples, and the intensity of the 0-actin signals was similar. DISCUSSION The role of bFGF in the developing retina has been demonstrated both in vivo22 and in vitro,7-23 and it has been suggested that it plays an important role in cell differentiation,24 proliferation, and mitogenesis.25 By contrast, the role of bFGF in adult retinas has not been studied widely. Recently, it was reported that, in young 1850 Investigative Ophthalmology & Visual Science, April 1993, Vol. 34, No. 5 2. bFGF and bFGF-R in the Retina of PVG/C, RCS-rdy, and RCS Rats TABLE bFGF PVG/C RCS-rrfjif RCS bFGF-R RPE Cells Neural Retina RPE Cells Neural Retina +* ++ ++ +++ 000 +++ 000 ++ 0 +++00 ? 0 ++ 00 +++ 000 +++00 +++0 00 00 00 * Signal intensity increases from 1-3. 121-day-old rat. 0 3-month-old rat. RCS rats with inherited retinal dystrophy, the loss of photoreceptor cells can be delayed for at least 2 mo by administering subretinal injections of bFGF.10 Our own experiments confirmed the rescue effect of bFGF, although to a lesser degree than that reported (unpublished observations). Previous studies have localized the abnormality in the RCS rat to the RPE cells.226 To be able to identify any abnormality in the expression of bFGF or bFGF-R in the RPE cells in vivo, we separated first the retina from the choroid (Fig. 1A) and then the neural retina from the RPE cells (Figs. IB, 2B). Although RPE cells separated with the sandwich technique might have "contaminating" rod outer segment particles, the complete population of RPE cells present in the rat eye could be analyzed in this way and not just a representative population, as in RPE cell cultures. In this study, we used PCR amplification to provide relative comparison of the amounts of messenger RNA. Although the applied number of cycles was relatively high, using the conditions described in this article, the PCR signal remained proportional to the messenger RNA present in the samples (data not shown). There was no difference in the expression of bFGF in the RPE cells of PVG/C, RC$-rdy+, and RCS rats at the age of 21 days or 3 mo. This result suggests that a defect of bFGF expression by RPE cells is not the initiating factor in the development of photoreceptor degeneration in RCS rats. However, a defect in the structure of the bFGF produced by a mutated messenger RNA sequence cannot be dismissed, and the sequence of bFGF expressed by RCS rats should be analyzed in the future. At the later stages of the degeneration, the absence of a significant change in bFGF messenger RNA expression suggests that this aspect of RPE cell function is not strongly regulated by the condition of the neural retina. By contrast with the RPE, we found a lower level of bFGF messenger RNA in the neural retina of 21day-old RCS rats than that of the controls and a signifi- bFGF-R bFGF Age RPE neural retina RPE neural retina 21 days 3 months FIGURES. Deieuion of bFGF and bFGF-R in the retina of 21-day-old and 3-nu>-old RCS ral[s with PCR amplification and oligonucleotide hybridization. bFGF and Its Receptor in Rats cant decrease in 3-mo-old RCS rats (Fig. 5). In the neural retina, bFGF messenger RNA has been localized to several regions, such as the ganglion cell layer22 and the inner segments of photoreceptors.27 We believe that the significant decrease of retinal bFGF messenger RNA in 3-mo-old RCS rats is probably the result of a loss of the main source of expression, the photoreceptors, as a result of the dystrophy. The relative decrease at earlier stages was not as great as at 3 mo. There were few signs of photoreceptor loss at 21 days. However, it is possible that either a low level of photoreceptor loss28 or a shutting down of gene expression before cell death could explain the decreased bFGF messenger RNA levels. Alternatively, there may be another source of bFGF at this stage that is important for retinal development but deficient in the RCS rat. In situ hybridization studies for bFGF messenger RNA are required to settle this issue. In previous studies, it was shown that bFGF messenger RNA expression did not always coincide with the presence of bFGF in the neural retina,27 and it was suggested that bFGF proteins synthesized in the photoreceptor cells are secreted and diffuse to the target cells in the neural retina, although they are cellular rather than secreted proteins.29 The role of exogenous bFGF in the normal function of retinal cells gives increased importance to the expression of the bFGF messenger RNA receptor. The level of bFGF-R expression in this study was found to be the same in the RPE cells of PVG/C, RCS-rdy+, and RCS rats at both study points. However, although there was a strong signal in 21-day-old RCS rat neural retina, only a weak signal was detected in 3-mo-old animals. The decrease in the expression in bFGF-R followed the same pattern as the bFGF expression. bFGF-R has been shown to be present in the rod outer segments of normal animals, which suggests that the decrease in the expression of bFGF-R is the result of photoreceptor loss.30 By contrast with the neural retina, the RPE in RCS rats seems to be similar to that of PVG/C and RCSrdy+ rats. If the presence of exogenous bFGF is required for the normal functioning of neural retinal cells, RPE cells might continuously externalize bFGF, which diffuses to the neural retina. With the development of the dystrophy in RCS rats, less and less exogenous bFGF would be used by the neural retina, which might result in the accumulation of bFGF around the RPE cells and initiate the vascularization of the retina in dystrophic animals. In summary, on the basis of this study, we conclude that the level of bFGF or bFGF-R expression in RCS rat RPE cells is similar to that of normal animals and is therefore unlikely to be involved in the photoreceptor dystrophy. However, there is a lower level of bFGF messenger RNA expression in RCS rat neural 1851 retina compared with that in the controls, although the bFGF-R signal is similar to that of the controls. The introduction of exogenous bFGF might contribute to the survival of photoreceptors by a restoration of lowered bFGF levels to normal levels and explain the previously described rescue effect.10 We cannot, however, exclude the possibility that the exogenous bFGF acts by stimulating abnormal processes. Key Words Royal College of Surgeons (RCS) rats, basic fibroblast growth factor (bFGF), basic fibroblast growth factor receptor (bFGF-R), polymerase chain reaction (PCR), photoreceptor dystrophy, pigment epithelium Acknowledgments The authors thank Dr. M. M. La Vail (University of California at San Francisco, San Francisco, California) for providing the RCS rats to establish the colony and for critical reading of the manuscript and Kelly Sailer for typing the manuscript. References 1. Mullen RJ, La Vail MM. Inherited retinal dystrophy: Primary defect in pigment epithelium determined with experimental rat chimeras. Science. 1976; 192:799-801. 2. Chaitin MH, Hall MO. Defective ingestion of rod outer segments by cultured dystrophic rat pigment epithelial cells. Invest Ophthalmol Vis Sci. 1983; 24:812820. 3. Li L, Turner JE. Inherited retinal dystrophy in the RCS rat: Prevention of photoreceptor degeneration by pigment epithelial cell transplantation. Exp Eye Res. 1988;47:911-917. 4. Lopez R, Gouras P, Kjeldbye H, et al. Transplanted retinal pigment epithelium modifies the retinal degeneration in the RCS rat. Invest Ophthalmol Vis Sci. 1989;30:586-588. 5. Li L, Sheedlo HJ, Gaur V, Turner JE. 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