Research Signpost 37/661 (2), Fort P.O., Trivandrum-695 023, Kerala, India Strategies for Retinal Tissue Repair and Regeneration in Vertebrates: From Fish to Human, 2007: 97-112 ISBN: 978-81-308-0200-8 Editor: Chikafumi Chiba 6 Retina regeneration in the embryonic chick Jason R. Spence1, Christian Gutierrez2 and Katia Del Rio-Tsonis2 Cincinnati Children’s Hospital Research Foundation, Division of Developmental Biology, 3333 Burnet Ave, Cincinnati, OH 45229, USA 2 Miami University, Department of Zoology, Oxford, OH 45056, USA 1 Abstract Several animal models exist that are able to regenerate or repair retina. In this review we explore the chick as a model to dissect the molecular mechanisms of retina regeneration. The embryonic chick has the capability of regenerating a retina, complete with all of the different cell types during restricted stages of its development. The retina is regenerated in two distinct ways, and mitogens must be added in order to induce regeneration. One type of regeneration, called transdifferentiation, takes place when a source of fibroblast growth factor (FGF) stimulates the retina pigmented epithelium (RPE) to Correspondence/Reprint request: Dr. Katia Del Rio-Tsonis, Miami University, Department of Zoology, Oxford OH 45056, USA. E-mail: delriok@muohio.edu 98 Jason R. Spence et al. dedifferentiate, proliferate and then re-differentiate into retina. The other type of regeneration occurs when stem/progenitor cells in the ciliary margin of the eye are stimulated to proliferate and give rise to a new retina. In this review, we attempt to give a comprehensive historical overview of both types of regeneration while focusing on the recent mechanistic advances made in the field. Finally, the future research directions for both types of retina regeneration are briefly discussed. Introduction Blindness is a debilitating condition that affects millions throughout the world. According to the American Foundation for the Blind (http://www.afb.org/Section.asp?sectionid=15), in the US alone, there are over Figure 1. Retina regeneration from different eye sources. In the embryonic chick, there are several pools of cells that can be induced to regenerate the retina. One of these includes stem/progenitor cells of the Ciliary body/Ciliary marginal zone (CB/CMZ) located in the anterior portion of the eye. The other source includes the cells of the retinal pigmented epithelium (RPE) which undergo transdifferentiation to replace the retina that was damaged. In the post-hatch chick, and in mammals, only Müller glia cells have been shown to participate in retina repair. In fish both retinal stem/progenitor cells as well as Müller glia participate in retina repair. In amphibians RPE transdifferentiation is the major source of retina regeneration while activation of cells in the CMZ also plays a role. (Modified from Haynes and Del Rio-Tsonis, 2003; Ref # 4). Chick retina regeneration 99 ten million cases of blindness. A large percentage of blindness is due to the degeneration of retina. Age-related macular degeneration is a prime example in which the central portion of the retina degenerates leading to varying degrees of vision loss. Currently, therapies for retina degeneration are limited, however the possibility of using adult or embryonic stem cells to replace lost or damaged tissue is being investigated (1,2). The ideal mechanism for replacing lost or damaged retinal tissue would be to activate stem/progenitor cells that reside within the eye. In the adult human, a population of quiescent stem cells has been identified in the ciliary body (CB) (2; see Figure 1 for location). While stem cells have been identified in the human eye, they remain quiescent in their native environment and do not respond to injury. However, when these cells are isolated and cultured, they have the ability to self-renew as well as differentiate into many different retina cell types. In addition, they have the ability to integrate and differentiate when transplanted into the chick and mouse retina under certain conditions demonstrating they have the potential to be induced for retinal repair (2). Therefore, studying animal models that are capable of regenerating lost or damaged retinal tissue becomes extremely important for deciphering the mechanism for induction of regeneration. Many animals, including amphibians, fish and birds can repair or regenerate damaged retina to different degrees (For review, see 3, 4, 5; Figure 1). In this review we will explore the different ways that the embryonic chick responds to retinal injury for repair/regeneration. While there is an excellent body of work focusing on the response of the post-hatch chick retina to injury and to exogenous growth factors (5-11), this review will focus specifically on retina regeneration in the embryonic chick. Over a century of study The process of retina regeneration in the embryonic chick has intrigued scientists for over a century (12-23). According to I. E. Alexander (14), one of the first experiments to demonstrate the ability of the embryonic chick to regenerate retinal tissue was carried out by Barfurth and Dragendorff in 1902 (12). Barfurth and Dragendorff used a hot needle to damage the retina of embryonic day E2.5-E3 (Hamburger and Hamilton: HH 13-18) chicks, and made the observation that the presumptive tapetal tissue [tapetal tissue refers to the retina pigmented epithelium (RPE)] was able to regenerate some neural tissue. However, the amount of damage done in the procedure was extensive, and it was unclear the extent to which the presumptive RPE was able to regenerate neural retina. In 1929, Reverberi was the next scientist to tackle the mystery of retina regeneration (13). It appears that Reverberi performed the first surgical retinectomy, removing the majority of the retina from the optic cup between 100 Jason R. Spence et al. 29-45 hours of development (HH 9-12), after which the RPE would convert to other cell fates and become presumptive neural retina. Following Reverberi, Alexander was able to show that RPE isolated from E2.0 to E3.5 (HH 13-19) embryos was able to regenerate retina when transplanted into the body wall of 20-40 hour (HH 5-11) embryos (14). In 1938, Dorris also showed that 78 hour (HH 21) RPE explants grown in culture were able to give rise to a “young retina” (15). As the first half of the 1900’s approached, the phenomenon of retina regeneration from the RPE of the embryonic chick was well accepted as there were several different studies documenting the plasticity of the early presumptive RPE. The groundwork for modern studies In 1960, elegant experiments done by Orts-Llorca and Genis-Galvez showed that the RPE was able to regenerate retina when the two layers of tissue were separated from one another by a strand of thread (16). This work was followed by Coulombre and Coulombre in 1965. They performed a complete retinectomy in embryonic chick eyes and demonstrated that up until approximately E4.5 (HH 24-25) the RPE was capable of regenerating the retina (17). Coulombre and Coulombre also showed that it was absolutely necessary to include a small piece of the retina back into the optic cup once it was removed. They also demonstrated that the ability to induce retina regeneration is specific to certain tissue types and is not a general phenomenon. That is, the otocyst (otic vesicle) was able to induce regeneration, but a piece of the optic tectum was not able to induce regeneration. From their studies, Coulombre and Coulombre were able to propose two mechanisms by which retina regeneration was induced. The first was a “seeding” mechanism, whereby the tissue placed into the optic cup to induce regeneration was responsible for contributing to the regenerating tissue. Although they could not conclusively rule out this mechanism at the time, they speculated that this was not the way regeneration was occurring. The second mechanism they proposed was that of an “inductive cue” where certain tissue types have the ability to induce retina regeneration. In 1970, Coulombre and Coulombre were able to abandon the possibility that there was a seeding mechanism involved in retina regeneration (18). In this study, they used embryonic mouse retina to induce regeneration. Based on histological differences between the mouse and chick retina, they concluded that the mouse retina did not contribute to the regenerated retina, but that retina regeneration was due to inductive signals from the mouse retina. This study also demonstrated that there were common cues across species that were able to induce retina regeneration. Chick retina regeneration 101 In addition to proposing that retina regeneration was a result of inductive cues, Coulombre and Coulombre were also the first to describe in detail two different types of retina regeneration from the embryonic chick eye (Figure 1). The first has already been discussed in this review and was the focus of much of the very early work in this field. This is the process where RPE is converted to neural retina, a process that was referred to as “transdifferentiation” by Park and Hollenberg (20). During this process, a differentiated tissue such as the RPE dedifferentiates and loses its characteristic phenotypes (such as cell shape and pigmentation), proliferates, and then re-differentiates to give rise to a different tissue type (neural retina). The second type of retina regeneration described by Coulombre and Coulombre was retina regenerated from the anterior margin of the eye, where the putative ciliary marginal zone (CMZ) and ciliary body (CB) are located. In the chick, the retina of the eye forms a laminated, multi-layered sensory structure in the posterior of the optic cup. During early stages of eye development, the retina is continuous with the CB, which is comprised of a nonpigmented epithelium as well as a pigmented epithelium (6, 7, 21, 23). The CB and the CMZ are indistinguishable at early stages of development, but later they clearly differentiate as seen in the illustration depicted in figure 1. Coulombre and Coulombre demonstrated that the anterior margin of the eye was able to regenerate new retina after the retina had been completely removed. Like transdifferentiation of the RPE, regeneration from the anterior margin required an inductive cue, such as a piece of chick or mouse retina (17, 18). Modern studies in retina regeneration For almost 20 years after the seminal work in retina regeneration performed by Coulombre and Coulombre, the advancement of the field was very limited. It was not until 1989 that more work on retina regeneration in the embryonic chick was published. In this study, Park and Hollenberg revealed that the inductive cue that is required for retina regeneration to take place was basic FGF (bFGF, also know as FGF2) (19). Their paper did not discuss both types of retina regeneration, but focused only on transdifferentiation of the RPE. However, upon careful inspection of their paper, it is clear that retina regeneration was also taking place from the ciliary body when stimulated with FGF2. Park and Hollenberg went on to show that acidic FGF (aFGF, also known as FGF1) was also able to induce retina regeneration, whereas several other growth factors were not, including transforming growth factor beta (TGF-beta), Insulin, Insulin like growth factor 1 and 2 (IGF-1, IGF-2) and nerve growth factor-beta (NGFbeta) (20). Over a decade passed since Park and Hollenberg showed that members of the FGF family of growth factors are responsible for inducing retina regeneration in the embryonic chick before a new study on the subject was published (21). In 2004, we contributed a detailed cellular and molecular study 102 Jason R. Spence et al. on both transdifferentiation of the RPE and regeneration from the ciliary margin. We have followed up with two recent studies, one focusing solely on transdifferentiation and one focusing on regeneration from the ciliary margin. For the purposes of this review, we will discuss each type of regeneration separately in the following sections. Retina regeneration via transdifferentiation of the RPE Prior to our work (21), the characterization of transdifferentiation of the RPE was based on histological observations only. It had been demonstrated that when the RPE transdifferentiates, the resulting regenerated retina appeared in the reverse orientation from that of normal retina (17-21; Figure 2 G & H ). Figure 2. Retina regeneration in the embryonic chick. The retina is removed at E4 and an FGF bead (*) is placed in the optic cup (A). By three days, a new neuroepithelium forms from both the CB/CMZ and the RPE (E, F), while no regeneration took place when FGF was not added (B). By seven days after retinectomy, the neuroepithelium differentiated into the different retina layers and cell types of the retina (C, H, I). These regenerated retinas are similar in appearance (in terms of retina layers) to an E11 developing retina (G). RPE: retina pigmented epithelium, CB/CMZ: ciliary body/ciliary marginal zone, cr: ciliary regeneration, td: transdifferentiation, l: lens, ne: neuroepithelium, GCL: ganglion cell layer, IPL: inner plexiform layer, INL: inner nuclear layer, OPL: outer plexiform layer, and ONL: outer nuclear layer. Scale bars: 100 µm. (A, B); 500 µm. (C); 100 µm. (D-I). (Modified from Spence et al., 2004; Ref # 21 and reproduced with permission of the Company of Biologists). Chick retina regeneration 103 It was hypothesized that the reverse orientation was a result of cell polarity established early during eye development before invagination of the optic cup when the RPE and retina are a continuous epithelial sheet (17, 18). We used retina cell type specific markers to compare retina regeneration with normal retina development both temporally and spatially (21). When the retina was removed at E4 – E4.5 and an FGF2 soaked heparin bead was placed into the optic cup, a well defined neuroepithelium co-expressing the markers Pax6 and Chx10 was present by E7. Pax6/Chx10 co-expression in a cell indicates that the cell is a retinal progenitor (6, 21, 24). The neuroepithelium present at E7 after 3 days of regeneration is approximately equivalent to an E4 developing retina (Figure 2E). In addition to the regenerated Pax6/Chx10 positive neuroepithelium, by 3 days of regeneration, differentiation of the neuroepithelium is also underway, and some photoreceptors and ganglion cells are identifiable using immunohistochemistry. By 7 days of regeneration, at E11, all major cell types can be observed using different cell markers. Indeed, the regenerated retina has “caught up” to the equivalent stage of a developing retina both histologically (Figure 2H) and when analyzed for the presence of specific cell types (21). In addition, the birth of the different retinal cell types seems to occur in the same order as it does during normal development. While the appearance of different retinal cell types is overlapping, the general trend during development is for the ganglion, horizontal, cone and amacrine cells to differentiate early and the bipolar, rods and Müller glia to differentiate late (reviewed in 25, 26). Importantly, once the RPE transdifferentiates in the embryonic chick, it is lost for good, as it does not self-renew after giving rise to the new retina (21; Figure 2 E, H). The usual suspects: FGF, Pax6, Mitf While it was thought that regeneration via transdifferentiation of the RPE was only able to happen during a limited window of developmental time (until E4.5), it was demonstrated by Azuma et al. that ectopic expression of the basic helix-loop-helix transcription factor Pax6 was enough to induce transdifferentiation of the RPE in the developing chick eye up until E14 (27). Because of its inductive properties, Pax6 has been called the “master regulator” of RPE transdifferentiation (22). We have shown that Pax6 upregulation is required for FGF2 stimulated transdifferentiation. Work from both Azuma et al. (27) and our lab (22) has demonstrated that Pax6 is downstream of FGF signaling. Thus, at E4.5, during transdifferentiation of the RPE, a rapid upregulation of Pax6 is observed soon after FGF2 is added to the optic cup (Figure 3). Furthermore, we demonstrated that the FGF signaling that caused an upregluation of Pax6 was mediated by FGFR/MEK/Erk signaling (Figure 4). We also showed that the RPE specific transcription factor, Microphthalmia (Mitf) 104 Jason R. Spence et al. Figure 3. FGF induced transdifferentiation. When the retina is removed from E4 chick eyes and a heparin bead coated with FGF2 is added to the eye cup, within 6 hours, Pax6 protein appears in the RPE (A, top). The amount of Pax6 in the RPE increases with time with a significant amount present by 24 hours (C, top). Heparin beads with no FGF2 have no effect on Pax6 regulation (D). Microphthalmia (Mitf) which is normally expressed in the RPE disappears upon retina removal independent of FGF2 treatment (A-E, bottom). Scale bars represent 50 µm. A was taken at a closer magnification than that of B-E; see scale bars. (Modified from Spence et al., 2007; Ref # 22). Figure 4. FGF regulates transdifferentiation through MAPK signaling. When FGF2 beads are added after retina removal in E4 chick eyes, levels of phosphorylated Erk increase (A) compared to control eyes that received heparin beads only (B). If FGF receptors (C) or MEK (D) are inhibited after adding FGF2, using specific inhibitors (for the FGFR inhibitor PD173074 and for MEK inhibitor PD98059), phosphorylation of Erk is inhibited, suggesting that FGF2 is signaling through the MAPK pathway. Topimmunohistochemistry using an antibody against the phosphorylated form of Erk; bottom- DIC images corresponding to the immunohistochemistry represented on the top panels. Scale bars represent 50 µm. (Modified from Spence et al., 2007; Ref # 22). is spontaneously down regulated after retinectomy in the chick RPE at E4.5 (Figure 3), but that overexpression of Mitf in the RPE is sufficient to inhibit FGF stimulated transdifferentiation (22). This inhibition is likely due to an interaction between Mift and Pax6, as they have been shown to negatively regulate each other (28). However, direct interactions between Mitf and Pax6 have not been shown in the embryonic chick transdifferentation model. The observation that downregulation of Mitf after retinectomy did not lead to transdifferentiation of the RPE, contrasts with developmental studies where Mitf downregulation leads to spontaneous transdifferentiation of the RPE (29, 30, 31). In these developmental studies, the retina is still present in the eye and it could provide stimuli, such as FGFs, that would induce transdifferentiation. In addition to FGF, Pax6 and Mitf, Sonic Hedgehog (Shh) has also been implicated in both RPE development and transdifferentiation/regeneration (21, 32). Chick retina regeneration 105 Figure 5. Shh modulates chick retina regeneration. (A) FGF2 can induce retina regeneration from transdifferentiation (td) of the RPE and via activation of stem/progenitor cells (cr) when present in E4 retinectomized chick eyes. The regenerated retina in A was analyzed 7 days post-retinectomy. (B) Inhibition of Shh in the presence of FGF increases the domain of transdifferentiation. (C) When Shh is over-expressed in the chick eye in the presence of FGF2, transdifferentiation is inhibited while regeneration from the CB/CMZ is not. Eyes in B and C were analyzed 3 days post-retinectomy. Scale bar= 500 µm and applies to A-C. td= transdifferention; cr= retina regenerated from the CB/CMZ; KAAD= Shh inhibitor. (Modified from Spence et al., 2004; Ref # 21 and reproduced with permission of the Company of Biologists). In the developing chick eye, inhibition of Hh signaling induced RPE transdifferentiation to retina whereas ectopic Shh induced pigmentation of the retina (32). In our regenerating model, Hh inhibition increased the amount of RPE that underwent transdifferentiation when stimulated with FGF2 (Figure 5B), and conversely, overexpression of Shh in the RPE inhibited FGF2 stimulated transdifferentiation (21; Figure 5C). Transdifferentiation of the RPE: Perspectives While the body of scientific work investigating RPE transdifferentiation has grown slowly over more than a century, new advances in technology and the use of molecular tools and pharmacological inhibitors has allowed more recent and detailed studies of the process of retina regeneration from transdifferentiation of the RPE. However, there are still more questions than answers at this point in time. First and foremost is the issue of the temporal competence of the embryonic chick RPE to transdifferentiate. Simply stated, why can the RPE transdifferentiate at E4 and not E5? Based on what is known, several different explanations can be explored. For example, the reason may be as simple as differential regulation of FGF receptors between E4 and E5. However, FGF signaling is very complex, so another possibility is that FGF signaling is differentially regulated between E4 and E5 by modulators of FGF signaling, such as the Sprouty or Spred proteins, as has been seen in different developmental contexts (33). Additionally, how Hh signaling inhibits 106 Jason R. Spence et al. transdifferentiation is still unknown. It will be interesting to see if Hh signaling is responsible for the difference in RPE competency to transdifferentiate between E4 and E5, as well as the mechanism by which it inhibits transdifferentiation at E4. It is possible that Shh, Mitf and Pax6 participate in a complex web of molecular interactions where Shh could drive Mitf expression which in turn could inhibit Pax6 and repress transdifferentiation of the RPE. In the developing frog RPE, it was demonstrated that Shh downregulation can lead to Mitf downregulation as well (34). Alternatively, it is possible that Shh inhibits Pax6 independently of Mitf expression. This is also a viable possibility, since it has been demonstrated that Hh signaling is required in the midline during early brain and eye development to downregulate Pax6 inorder to separate the developing eye fields (35). It will be interesting to see where this exciting field of regenerative biology goes in the future. Regeneration from the ciliary margin Retina regeneration from the ciliary margin was only briefly described by Coulombre and Coulombre, and Park and Hollenberg (17, 20). In fact, until our studies, there was not even a histological description of this type of retina regeneration (21). We have subsequently determined that there is a population of stem/progenitor cells that reside in this area of the eye, and that these cells are able to proliferate in response to an FGF signal and give rise to new retina after it has been completely removed (21). In fact, these stem/progenitor cells persist in the ciliary margin well into post-hatch life (6). It is important to point out that the ciliary margin is continuous with the retina and it is critical that it is not removed during retinectomy in order for this type of regeneration to take place as removing the source of stem/progenitor cells will ultimately inhibit this type of regeneration. Like transdifferentiation, all of the major different cell types are regenerated from the ciliary margin. Using immunohistochemical markers, we showed that ganglion, amacrine, bipolar, horizontal and photoreceptor cells are all regenerated from the ciliary margin. The regenerated tissue also proliferates and differentiates at an accelerated rate and catches up to the equivalent stage of a developing retina (Figure 2 I), and like transdifferentiation, appearance of the different cell types happens in an order that is stereotypical of development (21). In contrast to its negative regulation during transdifferentiation, overexpressing Shh in the absence of FGF2 stimulates retina regeneration from the ciliary margin (21; Figure 6 B). The fact that Shh is able to stimulate regeneration from the ciliary margin of the embryonic chick is consistent with its ability to regulate proliferation in the margin of the post-hatch chick (11). We went on to further characterize the role of both FGF and Shh in stimulating retina regeneration from the ciliary margin (22). We showed that both signaling Chick retina regeneration 107 Figure 6. Cooperation between Hh and FGF signaling during retina regeneration from the CB/CMZ. The Retina was removed at E4 and retina regeneration was evaluated histologically 3 days post-retinectomy. (A) FGF2 induces regeneration from both transdifferentiation (td) and by the activation of the CB/CMZ (arrowhead). (B) Over-expressing Shh using a retrovirus (RCAS) also was enough to induce retina regeneration from the CB/CMZ (arrowhead). (C) Inhibiting the Hh pathway with beads soaked in KAAD (a Hh inhibitor) decreases retina regeneration from the CB/CMZ (arrowheads) when stimulated with FGF2. Asterisks represent KAAD-soaked beads. The arrowhead near the lens points to regeneration from the CB/CMZ that is closely associated with the lens; td is transdifferentiating retina. Likewise if retina regeneration is stimulated with Shh and either FGF receptors (D) or MEK are inhibited, retina regeneration from the ciliary region dramatically decreases (D,E), indicating that both the Hh and the FGF pathways are needed to be functional in order for retina regeneration to take place properly from the CB/CMZ. FGF receptors were inhibited using PD173074 and MEK was inhibited using PD98059. CB/CMZ: ciliary body/ciliary marginal zone, R: retina, L: lens, RPE: retina pigmented epithelium, and td: transdifferentiation. DMSO: dimethyl sulfoxide- control medium for inhibitors. Scale bars in all panels are 100 µm. (Modified from Spence et al., 2007; Ref # 23). pathways must be active in order for retina regeneration to take place. That is, if regeneration was stimulated with FGF and the Hh pathway was inhibited, regeneration from the CB/CMZ was significantly decreased (Figure 6C). Similarly, if regeneration was stimulated with Shh and FGF signaling was inhibited, regeneration was also decreased or inhibited (Figure 6 D). We also showed that Shh was able to increase levels of phosphorylated Erk (pERK) and that this 108 Jason R. Spence et al. increase in pERK was dependant on new protein synthesis and FGF signaling (Figure 7 A, B). If regeneration was stimulated with Shh and either protein synthesis or FGF signaling was inhibited, Erk activation was also inhibited. Furthermore, we showed that Shh was able to upregulate FGF ligands FGF1, FGF2 and FGF3, as well as the FGFR1 in the ciliary margin. This increase is likely responsible for increased FGF signaling and increased phosphorylated Erk. However, we have not provided evidence on whether the Shh mediated upregulation of FGF ligands and receptor is direct or indirect (22). In addition to suggesting a mechanism whereby Shh and FGF are able to stimulate retina regeneration from the ciliary margin, we also showed that both Shh and FGF are able to stimulate proliferation and cell survival in this region. Both molecules are also required for proliferation, as inhibition of either pathway led to a decrease in basal proliferation in the ciliary margin. Finally, we showed that Shh was required for the maintenance of progenitor cell identity in the ciliary margin, and inhibition of Shh resulted in a decrease in the number of Pax6/Chx10 positive cells in this region (22). Figure 7. (A) E4 untreated CB/CMZ explants were used as control (lanes 1–3). E4 explants were treated with 10 ug/ml FGF2 (lanes 4-6) or 10 ug/ml Shh (lanes 7- 9) for 4 hr in vitro. Anti-FGFR or anti-FGF2 blocking antibodies were added to the culture medium. Protein was extracted and a Western blot was performed using antibodies against the phosphorylated form of Erk and actin as a control. Both anti-FGF2 and antiFGFR inhibited Erk phosphorylation stimulated by FGF2 (lanes 4–6) as well as Erk phosphorylation stimulated by Shh (lanes 7–9). (B) Densitometry showing the ratio of pErk/actin. (Modified from Spence et al., 2007). Retina regeneration from the ciliary margin: Perspectives Our group has laid the groundwork to study retina regeneration in the embryonic chick, by first characterizing the process of retina regeneration at a cellular level (21), and then by attempting to dissect some of the molecular mechanisms that control regeneration from the ciliary margin (22). However, there is still a lot of work that needs to be done to better understand this process. For example, there are several candidate molecules that have been implicated in control of stem/progenitor cells, or their niche, that need to be investigated in this system. For example Wnt and Notch signaling have been Chick retina regeneration 109 extensively implicated in regulating stem/progenitor cells in the developing retina (36-45). Furthermore, we have recently discovered that BMP signaling regulates retina regeneration from the ciliary margin (46). While there is still much to be understood regarding the mechanisms by which regeneration from the ciliary margin is controlled in the embryonic chick, the lessons that we learn from current and future studies will lead to a better understanding of stem cell regulation in this zone of the eye. It will be interesting to determine if the lessons we learn from development and from regeneration of the chick retina can be applied to stem cell biology. Specifically, since retinal stem cells have been identified in the ciliary body of adult humans, it will be exciting to see how these cells can be manipulated and regulated for the potential use in therapy to treat degenerative diseases of the retina (2). Conclusion Tissue regeneration is a phenomenon in biology that has perplexed scientists for centuries. The fact that a tissue or even an entire organ can be damaged or removed and then regenerate is a fascinating process. In the context of disease, discovering a way to promote self renewal of damaged or injured tissue would obviously be one of the best ways to treat or cure the disease. However, understanding the mechanism to stimulate self renewal and regeneration of damaged tissue still remains elusive. Therefore, it is imperative that biologists learn as many lessons about regeneration from the handful of animals that possess this remarkable capability. For over a century, the embryonic chick has been used as a model to study retina regeneration. This has proven to be an excellent model as it provides two types of retina regeneration to study in a single model organism (21). Further molecular and functional analysis on regeneration via transdifferentation of the RPE and regeneration from activation of stem/progenitor cells present in the ciliary margin will give us insight into mechanisms by which the embryonic chick regenerates a retina after it has been damaged or removed. It will also give us insights on how to induce retina repair/regeneration in other animals incapable of such repair, such as humans. While studies on this phenomenon have progressed from the descriptive (12-18) to the mechanistic (19-23), there is still a lot of exciting work to be done to continue moving this field of regenerative biology forward. Acknowledgements This work was supported by NIA grant AG 24397-01 to KDRT and by the Research Incentive Program, Miami University, Oxford Ohio to KDRT. We thank Tracy Haynes and Natalia Vergara for critical review of the manuscript. 110 Jason R. Spence et al. References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Lamba DA, Karl MO, Ware CB, Reh TA. 2006. Efficient generation of retinal progenitor cells from human embryonic stem cells. Proc Natl. Acad. Sci. 103(34):12769-12774. Coles BL, Angenieux B, Inoue T, Del Rio-Tsonis K, Spence JR, McInnes RR, Arsenijevic Y, van der Kooy D. 2004. Facile isolation and the characterization of human retinal stem cells. Proc. Natl. Acad. Sci. 101(44):15772-15777. Hitchcock P, Ochocinska M, Sieh A, Otteson D. 2004. Persistent and injuryinduced neurogenesis in the vertebrate retina. Prog. Retina Eye Res. 23:183–194. Haynes T, Del Rio-Tsonis K. 2004. Retina repair, stem cells and beyond. Curr. Neurovasc. Res. 1:231–239. Fischer AJ. 2005. Neural regeneration in the chick retina. Prog. Retina Eye Res. 24(2):161-182. Fischer AJ, Reh TA. 2000. Identification of a proliferating marginal zone of retinal progenitors in postnatal chickens. Dev. Biol. 220:197–210. Fischer AJ, Reh TA. 2003. Growth factors induce neurogenesis in the ciliary body. Dev Biol 259:225–240. Fischer AJ, Dierks BD, Reh TA. 2002. Exogenous growth factors induce the production of ganglion cells at the retinal margin. Development 129:2283–2291. Fischer A.J., Reh T.A. 2001. Müler glia are a potential source of neural regeneration in the postnatal chicken retina. Nat. Neurosci. 4:247-252. Fischer A.J., McGuire C.R., Dierks B.D., Reh T.A. 2002. Insulin and fibroblast growth factor 2 activate a neurogenic program in Müler glia of the chicken retina. J. Neurosci. 22:9387-9398. Moshiri A, McGuire CR, Reh TA. 2005. Sonic hedgehog regulates proliferation of the retinal ciliary marginal zone in post-hatch chicks. Dev. Dyn. 233: 66–75. Barfurth D. and Dragendorff 1902. Versuche uber Regeneration des Auges und der Linse beim Hiihnerembryo. Anat. Anz., Bd. 21, Erg.-H., S. 185-200. Reverberi, G. 1929. Risultati di esperimenti di asportazione parriale e totale della vescicola ottica nell’embrione di pollo. Boll. 1st. 2001. Univ. Roma, T. 7, pp. 1-51. Alexander L.E. 1937. An experimental study of the role of optic cup and overlying ectoderm in lens formation in the chick embryo. J. Exptl. Zool. 75: 41-73. Dorris F. 1938. Differentiation of the chick eye in vitro. J. Exptl. Zool. 78:385- 415. Orts-Llorca F. and Genis-Galvez J.M. 1960. Experimental production of retinal septa in the chick embryo. Differentiation of pigment epithelium into neural retina. Acta. Anat. 42:31-70. Coulombre J.L., Coulombre A.J. 1965. Regeneration of neural retina from the pigmented epithelium in the chick embryo. Dev. Biol. 12:79-92. Coulombre J.L., Coulombre A.J. 1970. Influence of Mouse Neural Retina on Regeneration of Chick Neural Retina from Chick embryonic Pigmented Epithelium. Nature. 228:559-560. Park C.M., Hollenberg M.J. 1989. Basic fibroblast growth factor induces retinal regeneration in vivo. Dev. Biol. 134:201-205. Park C.M., Hollenberg M.J. 1991. Induction of retinal regeneration in vivo by growth factors. Dev. Biol. 148: 322-333. Chick retina regeneration 111 21. Spence J.R., Madhavan M., Ewing J.D., Jones D.K., Lehman B.M., Del Rio-Tsonis K. 2004. The hedgehog pathway is a modulator of retina regeneration. Development 18: 4607- 4621. 22. Spence JR, Madhavan M, Aycinena JC, Del Rio-Tsonis K. 2007. Retina regeneration in the chick embryo is not induced by spontaneous Mitf downregulation but requires FGF/FGFR/MEK/Erk dependent upregulation of Pax6. Mol. Vis. 13:57-65. 23. Spence JR, Aycinena JC, Del Rio-Tsonis K. 2007. Fibroblast growth factorhedgehog interdependence during retina regeneration. Dev. Dyn. 236(5):1161-1174. 24. Belecky-Adams T, Tomarev S, Li HS, Ploder L, McInnes RR, Sundin O, Adler R. 1997. Pax-6, Prox 1, and Chx10 homeobox gene expression correlates with phenotypic fate of retinal precursor cells. Invest. Ophthalmol. Vis. Sci. 38:1293-1303. 25. Livesey FJ, Cepko CL. 2001. Vertebrate neural cell-fate determination: lessons from the retina. Nature Reviews–Neuroscience 2(2):109-118. 26. Marquardt T, Gruss P. 2002. Generating neuronal diversity in the retina: one for nearly all. Trends Neurosci. 25(1):32-38. 27. Azuma N, Tadokoro K, Asaka A, Yamada M, Yamaguchi Y, Handa H, Matsushima S, Watanabe T, Kida Y, Ogura T, Torii M, Shimamura K, Nakafuku M. 2005. Trans-differentiation of the retinal pigment epithelia to the neural retina by transfer of the Pax6 transcriptional factor. Hum. Mol. Genet. 14:1059-1068. 28. Planque N, Leconte L, Coquelle FM, Martin P, Saule S. 2001. Specific Pax6/microphthalmia transcription factor interactions involve their DNA-binding domains and inhibit transcriptional properties of both proteins. J. Biol. Chem. 276: 29330-29337. 29. Nguyen M, Arnheiter H. 2000. Signaling and transcriptional regulation in early mammalian eye development: a link between FGF and MITF. Development 127:3581-3591. 30. Mochii M, Ono T, Matsubara Y, Eguchi G. 1998. Spontaneous transdifferentiation of quail pigmented epithelial cell is accompanied by a mutation in the Mitf gene. Dev. Biol. 196:145-159. 31. Bumsted KM, Barnstable CJ. 2000. Dorsal retinal pigment epithelium differentiates as neural retina in the microphthalmia (mi/mi) mouse. Invest. Ophthalmol. Vis. Sci. 41:903-908. 32. Zhang, X. M. and Yang, X. J. (2001). Temporal and spatial effects of sonic hedgehog signaling in chick eye morphogenesis. Dev. Biol. 233:271-290. 33. Sivak JM, Petersen LF, Amaya E. 2005. FGF signal interpretation is directed by Sprouty and Spred proteins during mesoderm formation. Dev. Cell. 8(5): 689-701. 34. Perron, M., Boy, S., Amato, M. A., Viczian, A., Koebernick, K., Pieler, T. and Harris, W. A. 2003. A novel function for Hedgehog signaling in retinal pigment epithelium differentiation. Development 130:1565 -1577. 35. Macdonald R, Barth KA, Xu Q, Holder N, Mikkola I, Wilson SW. 1995. Midline signalling is required for Pax gene regulation and patterning of the eyes. Development. 121(10): 3267-3278. 36. Koso H, Ouchi Y, Tabata Y, Aoki Y, Satoh S, Arai K, Watanabe S. 2006. SSEA-1 marks regionally restricted immature subpopulations of embryonic retinal progenitor cells that are regulated by the Wnt signaling pathway. Dev. Biol. 292(1):265-276. 112 Jason R. Spence et al. 37. Kubo F, Takeichi M, Nakagawa S. 2005. Wnt2b inhibits differentiation of retinal progenitor cells in the absence of Notch activity by downregulating the expression of proneural genes. Development. 132(12): 2759-2770. 38. Kubo F, Takeichi M, Nakagawa S. 2003. Wnt2b controls retinal cell differentiation at the ciliary marginal zone. Development. 130(3): 587-598. 39. Nakamura K, Chiba C. 2006. Evidence for Notch signaling involvement in retinal regeneration of adult newt. Brain Res. 1136(1):28-42. 40. Raymond PA, Barthel LK, Bernardos RL, Perkowski JJ. 2006. Molecular characterization of retinal stem cells and their niches in adult zebrafish. BMC Dev Biol. 6:36. 41. Sullivan SA, Barthel LK, Largent BL, Raymond PA. 1997. A goldfish Notch-3 homologue is expressed in neurogenic regions of embryonic, adult, and regenerating brain and retina. Dev Genet. 20(3):208-223. Erratum in: Dev Genet 1997; 21(2):175-176. 42. Alexson TO, Hitoshi S, Coles BL, Bernstein A, van der Kooy D. 2006. Notch signaling is required to maintain all neural stem cell populations--irrespective of spatial or temporal niche. Dev Neurosci. 28(1-2):34-48. 43. Jadhav AP, Cho SH, Cepko CL. 2006. Notch activity permits retinal cells to progress through multiple progenitor states and acquire a stem cell property. Proc. Natl. Acad. Sci. 103(50):18998-9003. 44. Nelson BR, Hartman BH, Georgi SA, Lan MS, Reh TA. 2007. Transient inactivation of Notch signaling synchronizes differentiation of neural progenitor cells. Dev Biol. 304(2):479-498. 45. James J, Das AV, Rahnenfuhrer J, Ahmad I. 2004. Cellular and molecular characterization of early and late retinal stem cells/progenitors: differential regulation of proliferation and context dependent role of Notch signaling. J. Neurobiol. 61(3):359-376. 46. Haynes T, Gutierrez, C, Aycinena, JC, Tsonis, PA and Del Rio-Tsonis, K. 2007. BMP signaling mediates stem/progenitor cell induced neural retina regeneration. Proc Natl. Acad. Sci. 104(51):20380-20385.