Using the Electroretinogram to Assess Function in the Rodent Retina and the Protective Effects of Remote Limb Ischemic Preconditioning

Podsumowanie

The electroretinogram (ERG) is an electrical potential generated by the retina in response to light. This paper describes how to use the ERG to assess retinal function, in dark-adapted rats, and how it can be can be used to assess a neuroprotective intervention, in the present case remote ischemic preconditioning.

Streszczenie

The ERG is the sum of all retinal activity. The ERG is usually recorded from the cornea, which acts as an antenna that collects and sums signals from the retina. The ERG is a sensitive measure of changes in retinal function that are pan-retinal, but is less effective for detecting damage confined to a small area of retina. In the present work we describe how to record the ‘flash’ ERG, which is the potential generated when the retina is exposed to a brief light flash. We describe methods of anaesthesia, mydriasis and corneal management during recording; how to keep the retina dark adapted; electrode materials and placement; the range and calibration of stimulus energy; recording parameters and the extraction of data. We also describe a method of inducing ischemia in one limb, and how to use the ERG to assess the effects of this remote-from-the-retina ischemia on retinal function after light damage. A two-flash protocol is described which allows isolation of the cone-driven component of the dark-adapted ERG, and thereby the separation of the rod and cone components. Because it can be recorded with techniques that are minimally invasive, the ERG has been widely used in studies of the physiology, pharmacology and toxicology of the retina. We describe one example of this usefulness, in which the ERG is used to assess the function of the light-damaged retina, with and without a neuroprotective intervention; preconditioning by remote ischemia.

Wprowadzenie

The ERG is an electrical potential generated by the retina in response to light, and recorded from the corneal surface of the eye. When conditions of recording are managed carefully, the ERG can be used in a variety of ways to assess retinal function. Here we described how to record the ‘flash ERG’, the potential generated when the retina is exposed to a brief, bright flash presented in a Ganzfeld background. The Ganzfeld disperses the light homogenously and the flash of light reaches the whole retina approximately uniformly. If the retina is dark adapted before recording, and the dark-adaptation is maintained as the animal is prepared for recording, the ERG obtained is generated by both rod and cone photoreceptors.

The dark-adapted flash ERG has a characteristic waveform, which has been analysed in two ways. First, early and late components of the ERG waveform have been distinguished, and related to the sequence of neuronal activation in the retina. The earliest component is a short-latency negative-going potential, the a-wave (Figure 1). This is followed by a positive-going potential, called the b-wave. The rising phase of the b-wave shows oscillations, which are considered a separate component (oscillatory potentials or OPs). The a-wave is considered to be generated by photoreceptors, the b-wave by cells of the inner nuclear layer, and the OPs by amacrine cells¹.

Based on the stimulus strength, responses to very dim flashes termed the scotopic threshold response are possible. The scotopic threshold response is understood to be generated from the retinal ganglion cells^2-4. Second, the flash ERG can be separated by light adaptation, or by a two flash protocol described below, into rod- and cone-driven components. Under photopic conditions, the a-wave is not detectable in rats, because the cone population is low, but OPs and a b-wave are clear⁵. In primates, whose retinas have higher cone populations, both rod- and cone- pathways generate a detectable a-wave⁶.

Two useful measures often extracted from the flash ERG are the amplitudes of the a- and b-waves, measured as in Figure 1, with typical flash responses shown in Figure 2. When the photoreceptor population is reduced, for example by exposure to damagingly bright light, all components of the ERG are reduced. Neuroprotective interventions, such as remote ischemic preconditioning (RIP), can be validated by the preservation of the amplitudes of the a- and b-waves (Figure 3). In summary, the analysis of the ERG enables comparisons between healthy, light damaged and neuroprotected retina.

Protokół

This protocol follows the animal care guidelines of University of Sydney.

1. Making Electrodes

1. Construct the positive electrode (the one which will contact the cornea) from a short (5 cm) length of platinum wire 1-2 mm in diameter. Fashion it into a loop a few mm in diameter. Connect this loop to a conventional lead, long enough to reach the input stage of your amplifier (see Figure 4).
2. Construct the negative electrode (which will go in the animal’s mouth) using an Ag/AgCl pellet 1-2 mm in diameter, also connected to a convention lead (see Figure 4).
3. As a reference electrode (which will go into the animal’s rump), use a clean hypodermic needle (23 G), also connected to a lead of appropriate length (see Figure 4).
4. Ideally, use three-lead cables provided by instrument manufacturers, to connect the three electrodes (positive → cornea, negative → mouth, reference → rump) to the amplifier.

2. Connection and Calibration of Light Stimulus and ERG Set-up

1. Create (or locate) a small recording laboratory, which can be made dark. Equip with either or both of an over-the-bench light made red or a red head-lamp.
2. Use a lux meter to confirm that red light illuminance reaching the rat’s eye during setup does not exceed 1 lux.
   Note: A neutral density filter can be used to reduce lamp brightness and the source of lamp light must specifically emit red light. Dark adaption will be compromised if light sources emit lower (visible) wavelengths.
3. Seal off all stray light entering the recording laboratory (this often requires persistence with opaque tape) and prepare a neutral density filter (this can be purchased in sheets) large enough to fit over, and so dim, any computer screen you will have in the lab.
   Note: Stray light and the light of a screen are sufficient to prejudice dark adaptation of the rat eye.
4. Connect the amplifier to data acquisition hardware. Connect positive, negative and reference leads to the amplifier. Make sure the computer and the LED Ganzfeld power supply unit are securely connected to a ground source.
   Note: Some labs have specialised grounding points, connected to a building ground; a water pipe is an effective alternative.
5. Calibrate the LED light source with a research-quality radiometer. Fix the meter’s sensor in the position at which the animal’s eye will be located during an experiment.
6. Program the Ganzfeld LEDs to run a full-field ERG protocol with step-wise increases in flash energy, flash duration, flash repetition and time between flashes, termed interstimuls interval (ISI), settings. For an example full-field protocol see Table 1.
   Note: The full-field ERG flashes increase from repetitive dim flashes to bright flashes in a step wise fashion. The twin flash program follows on from the full-field protocol and enables isolation of rod and cone responses.

3. Day Prior to ERG Experimentation

1. Dark adapt Sprague-Dawley rats for 12 hr before recording. It is convenient to do this in the recording laboratory, once stray light has been eliminated.

4. Day of ERG Experimentation

1. Arrange for the animal to be gently heated while recording. We use a light metal platform built so that the animal’s head can rest at the correct point at the entry to the Ganzfeld. The platform has inbuilt tubing through which we pump water preheated to 40 °C in a water bath.
   Note: Experience shows that this keeps the animal’s core temperature at 37 °C.
2. Weigh the rat under dark conditions. Record weight and make up correct ketamine (60 mg/kg) and xylazine (5 mg/kg) dose. Restrain the rat gently and inject anaesthetic intraperitoneally.
3. Note time of injection. Once the animal is unconscious (usually within 5 min) check depth of anaesthesia by lightly pinching one foot pad, to see if a reflex response is present. It is best to wait until this reflex is absent or weak, before proceeding.
4. Apply a single drop of atropine and another of proxmethacaine to cornea.
5. Cut a 10 cm length of black thread. Make a loop with a simple knot and slip the loop over the equator of the eye. Tighten it slightly; the effect is to draw the eyeball slightly forward, with minimal pressure. This keeps the cornea clear from the eyelids.
6. Apply carbomer eye drops to the cornea surface. Ensure carbomer remains on corneal surface and does not spill onto the eyelids or the face.
7. Place absorbent bedding on top of heated platform.
8. Position rat on the bedding, with the head in the recommended place in the opening of the Ganzfeld.
9. Insert internal temperature probe into the rectum. Secure temperature probe in position by taping probe cord to the tail.
10. Insert the reference electrode (the 23 G needle) subcutaneously into the rear leg, and connect to amplifier.
11. Place the negative electrode (the Ag/AgCl pellet) securely in the mouth. To prevent this slipping out the mouth, affix the connecting lead to a stable surface.
12. Position the positive electrode over the centre of the cornea. Using a micromanipulator, ensure that the electrode touches the cornea gently.
13. Check body temperature is at 37.0 - 37.5 °C.
14. Once the animal is properly positioned and electrodes are in place, drape the whole setup (Ganzfeld and animal) with an opaque material (to preserve dark adaptation). We use a soft black cloth.
15. In the acquisition software set at a 2 KHz sampling rate with a collection time of 100-1000 msec with 5 msec of pre-collection sampling. Set the band pass filters to 1-1,000 Hz and ensure that sampling is triggered to sample the period of ~250 msec following a flash.
16. Check the recording baseline. It should be free of extraneous noise, but show some amplifier noise and a respiratory oscillation.
17. If the baseline shows extraneous noise, begin troubleshooting. Most problems are related to slippage in electrode position, or grounding. Use a faraday cage to ensure recordings are free of extraneous noise.
18. Run a test flash, 0.4 log scot cd.s.m^-2. An ERG waveform similar to Figure 2A should appear. In our laboratory typical responses for a 0.4 log scot cd.s.m^-2 flash are (a-wave: -474 ± 39 µV and b-wave: 1,512 ± 160 µV, n = 11).
19. Allow animal to dark re-adapt for 10 min. It is convenient to use these 10 min to recheck the baseline.
20. Following confirmation of stable signal begin recording.
21. At the end of the recording session, check that body temperature was maintained. Remove electrodes. Reapply carbomer polymer to corneas. Allow the animal to recover on a heat pad until it is fully mobile and active, before returning to animal housing.

5. Remote Ischemia

1. Perform remote ischemia in either awake or anesthetised rodents.
2. If the animal is anaesthetised, lay it on a heated platform (above) and slip the sphygmomanometer cuff over the upper part of the hind-limb, clear of the knee.
3. If the animals are used to being handled, it is possible to perform this procedure without anaesthesia; this requires two people. One person restrains the animal gently and the second applies the sphygmomanometer cuff and operates the sphygmomanometer.
4. For awake animals, use a piece of towel ~15 cm x 30-50 cm to gently wrap the animal, with one hindlimb free. Lay the animal on its back on (say) the left forearm, with its head tucked between the holder’s arm and torso, and place the cuff as just described.
5. Deflate the cuff and ensure the air pressure valve is closed. Pump the cuff to 160 mmHg in anesthetised animals, and to 180 mmHg in awake animals. This exceeds systolic pressure (usually 140 mmHg and 160 mmHg respectively).
6. Maintain these pressures as required, using the hand-held pump.
7. After the planned time for ischemia (we use 2 periods of 5 min separated by 5 min reperfusion), deflate the cuff pressure by loosening the air pressure valve.
8. Confirm the effect of remote ischemia with a skin temperature probe attached to the footpad. Skin temperature typically falls from 32-30 °C, over 5 min and recovers on reperfusion.

6. Light Damage

1. Ensure that rats are in a dark-adapted overnight, before the light damage procedure.
2. At the appropriate time following limb ischemia (in our experiments without delay), each animal is placed singly into a plexiglass boxes, with water and food in floor-based containers.
   Note: Light-induced damage can only be undertaken in albino animals.
3. Switch on a pre-calibrated 1,000 lux white light at a standard time (usually 9 am) and maintain this condition for 24 hr.

7. ERG Data Extraction and Analysis

1. Acquire averaged wave forms of the ERG. If required, correct for a non-zero baseline, by subtraction.
2. Measure the amplitude of the a-wave (presented at mid- to high stimulus intensities), as the voltage difference between the baseline and the first (<30 msec latency) trough (Figure 1).
3. Measure the b-wave amplitude as the voltage difference between the peak of the a-wave and the positive of the following wave, typically occurring at a latency of 80-100 msec (Figure 1).
4. Isolate oscillatory potentials by using a Fourier transform to filter data from 60-235 Hz, with a 90 Hz transition band⁷. If required the isolated oscillatory potential signal can then be subtracted from the unfiltered waveform to confirm the identity of the a-wave trough.
5. The implicit time (latency) of the a- and b-wave peaks can also be a useful measure (Figure 1). Use the twin flashes to isolate the rod response. Subtract the cone response (flash 2) from the mixed response (flash 1) to isolate the rod response (Figure 2).
6. Normalize individual light intensity a-wave and b-wave amplitudes (post-treatment/post-treatment-baseline) or averaged for treatment groups. Intensity-response curves plot the group amplitudes and error against flash energy.

Wyniki

The protocol can be used to measure visual function of rodent retina in vivo. The a-wave, a measure of photoreceptor function, and the b-wave, a measure of inner retina function, are annotated in Figure 1.

The rod-dominated ERG signal increases with the increasing light stimulus, as shown in Figure 2A. The a-wave becomes apparent at ~0.4 log scot cd.s.m^-2 and the amplitude of the a-wave increases until saturation at 2.5 log scot cd.s.m^...

Dyskusje

The dark-adapted flash ERG method described above is a reliable method for assessing retinal function in rats. Both the a-wave and b-wave were reduced by light damage. Remote ischemic preconditioning mitigated light damage-induced reductions in the a-wave and b-wave. This preservation of retinal function suggests that remote ischemic preconditioning has induced neuroprotection, resembling other forms of protective preconditioning such as hypoxia, ischemia and exercise^8-10. The ERG signal recorded is determined...

Materiały

Name	Company	Catalog Number	Comments
PC computer
Powerlab, 4 channel acquistion hardware	AD Instruments	PL 35044	Acquistion of ERG
Animal Bio Amp	AD Instruments	FE 136	Amplifier for ERG
Lab chart	AD Instruments		Signal collection software
Ganzfield	Photometric solutions	FS-250A	Light stimulus
Ganzfield operating system	Photometric solutions
Research Radiometer	International light technologies	ILT-1700	calibrate light series
Lux meter		LX-1010B	check red light illumanation
Excel	Microsoft
Lead wires	AD Instruments		Connect postive, negative ground electrodes to amplifier
Lead wires - alligator	AD Instruments		ground ganzfield and acquistion hardware to computer
Platinum wire 95%	A&E metals		postive electrode
Mouth electrode Ag/AgCl Pellet	SDR	E205	negative electode
26 G needle	BD		ground electode
Water pump
Water bath
Tubing
Homeothermic blanket system with flexible probe	Harvard Appartus	507222F
Atropine 1% w/v	Bausch & Lomb		topical mydriasis
Proxmethycaine 0.5% w/v	Bausch & Lomb		topical anaesthetic
Visco tears eye drops	Novartis		carbomer polymer
Thread			retract eye lid
Tweezers
Reusable adhesive	Blu tac		Dim red headlamp. Affix electrodes
Absorbent bedding
Ketamil - ketamine 100 mg/ml - 50 ml	Troy Laboratories Pty Ltd		dissociative
Xylium - Xylazine 100 mg/ml - 50 ml	Troy Laboratories Pty Ltd		muscle relaxant
Scale