| Retinal pigment epithelium |
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Section of retina. (Pigmented layer labeled at bottom right.)
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Plan of retinal neurons. (Pigmented layer labeled at bottom right.)
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| Details |
| Latin |
Stratum pigmentosum retinae,
pars pigmentosa retinae |
| Identifiers |
| Gray's |
p.1016 |
Dorlands
/Elsevier |
p_07/12617535 |
| TA |
A15.2.04.008 |
| FMA |
58627 |
| Anatomical terminology |
The pigmented layer of retina or retinal pigment epithelium (RPE) is the pigmented cell layer just outside the neurosensory retina that nourishes retinal visual cells, and is firmly attached to the underlying choroid and overlying retinal visual cells.[1][2]
Contents
- 1 History
- 2 Anatomy
- 3 Function
- 4 Pathology
- 5 See also
- 6 References
- 7 External links
History
Choroid dissected from a calf's eye, showing black RPE and iridescent blue tapetum lucidum
The RPE was known in the 18th and 19th centuries as the pigmentum nigrum, referring to the observation that the RPE is dark (black in many animals, brown in humans); and as the tapetum nigrum, referring to the observation that in animals with a tapetum lucidum, in the region of the tapetum lucidum the RPE is not pigmented.[3]
Anatomy
The RPE is composed of a single layer of hexagonal cells that are densely packed with pigment granules.[1]
At the ora serrata, the RPE continues as a membrane passing over the ciliary body and continuing as the back surface of the iris. This generates the fibers of the dilator. Directly beneath this epithelium is the neuroepithelium (i.e., rods and cones)passes jointly with the RPE. Both, combined, are understood to be the ciliary epithelium of the embryo. The front end continuation of the retina is the posterior iris epithelium, which takes on pigment when it enters the iris[4]
When viewed from the outer surface, these cells are smooth and hexagonal in shape. When seen in section, each cell consists of an outer non-pigmented part containing a large oval nucleus and an inner pigmented portion which extends as a series of straight thread-like processes between the rods, this being especially the case when the eye is exposed to light.
Function
The RPE has several functions,[5] namely, light absorption, epithelial transport, spatial ion buffering, visual cycle, phagocytosis, secretion and immune modulation.
- Light absorption: RPE are responsible for absorbing scattered light. This role is very important for two main reasons, first, to improve the quality of the optical system, second, light is radiation, and it is concentrated by a lens onto the cells of the macula, resulting in a strong concentration of photo-oxidative energy. Melanosomes absorb the scattered light and thus diminish the photo-oxidative stress. The high perfusion of Retina brings a high oxygen tension environment. The combination of light and oxygen brings oxidative stress, and RPEs have many mechanism to deal with it.
- Epithelial Transport: As mentioned above, RPE compose the BRB, the epithelia has tight junctions between the lateral surfaces and implies an isolation of the inner retina from the systemic influences. This is important for the immune privilege(not only as barrier, but with signalling process as well) of eyes, a highly selective transport of substances for a tightly controlled environment. RPE supply nutrients to photoreceptors, control ion homeostasis and eliminate water and metabolites.
- Spatial buffering of ions: Changes in the subretinal space are fast and require a capacitative compensation by RPE[6] many cells are involved in transduction of light and if they are not compensated for, they are no longer excitable and proper transduction would not be possible. The normal transepithelial transport of ions would be too slow to compensate quickly enough for these changes, there are many underlying mechanisms based on the activity of voltage-dependent ion channels add to the basic transepithelial transport of ions.[7]
- Visual Cycle: The visual cycle fulfills an essential task of maintaining visual function and needs therefore to be adapted to different visual needs such as vision in darkness or lightness. For this, functional aspects come into play: the storage of retinal and the adaption of the reaction speed. Basically vision at low light intensities requires a lower turn-over rate of the visual cycle whereas during light the turn-over rate is much higher. In the transition from darkness to light suddenly, large amount of 11-cis retinal is required. This comes not directly from the visual cycle but from several retinal pools of retinal binding proteins which are connected to each other by the transportation and reaction steps of the visual cycle.
- Phagocytosis of photoreceptor outer segment(POS) membranes: POS are exposed to constant photo-oxidative stress, and they go through constant destruction by it. They are constantly renew, by shedding the ends and then RPE phagocytosis and digest these segments.
- Secretion: The RPE is an epithelium which closely interacts with photoreceptors on one side but must also be able to interact with cells on the blood side of the epithelium, such as endothelial cells or cells of the immune system. In order to communicate with the neighboring tissues the RPE is able to secrete a large variety of factors and signaling molecules. It secretes ATP, fas-ligand (fas-L), fibroblast growth factors (FGF-1, FGF-2, and FGF-5), transforming growth factor-β (TGF-β), insulin-like growth factor-1 (IGF-1), ciliary neurotrophic factor (CNTF), platelet-derived growth factor (PDGF), vascular endothelial growth factor (VEGF), lens epithelium-derived growth factor (LEDGF), members of the interleukin family, tissue inhibitor of matrix metalloprotease (TIMP) and pigment epithelium-derived factor (PEDF). Many of these signaling molecules have important physiopathologic roles.
- Immune Privilege of the Eye: The inner eye represents an immune privileged space which is disconnected from the immune system of the blood stream. The immune privilege is supported by the RPE in two ways. First, it represents a mechanical and tight barrier which separates the inner space of the eye from the blood stream. Second, the RPE is able to communicate with the immune system in order to silence immune reaction in the healthy eye or, on the other hand, to activate the immune system in the case of disease.
Pathology
In the eyes of albinos, the cells of this layer contain no pigment. Dysfunction of the RPE is found in Age-Related Macular Degeneration [8] [9] and Retinitis Pigmentosa. RPE are also involved in Diabetic retinopathy.
See also
- Bruch's membrane
- Drusen
- Macula of retina
- Fovea centralis
- Fundus (eye)
References
This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)
- ^ a b Cassin, B. and Solomon, S. (2001). Dictionary of eye terminology. Gainesville, Fla: Triad Pub. Co. ISBN 0-937404-63-2.
- ^ Boyer MM, Poulsen GL, Nork TM. "Relative contributions of the neurosensory retina and retinal pigment epithelium to macular hypofluorescence." Arch Ophthalmol. 2000 Jan;118(1):27-31. PMID 10636410.
- ^ Coscas, Gabriel and Felice Cardillo Piccolino (1998). Retinal Pigment Epithelium and Macular Diseases. Springer. ISBN 0-7923-5144-4.
- ^ "eye, human."Encyclopædia Britannica from Encyclopædia Britannica 2006 Ultimate Reference Suite DVD 2009
- ^ Strauss O (2005) The retinal pigment epithelium in visual function. Physiol Rev 85:845-81
- ^ Steinberg RH, Linsenmeier RA, Griff ER (1983) Three light-evoked responses of the retinal pigment epithelium. Vision Res 23:1315-23
- ^ Baylor D (1996) How photons start vision. Proc Natl Acad Sci U S A 93:560-5
- ^ http://www.wsj.com/articles/stem-cells-show-potential-benefits-for-eye-diseases-1413327157
- ^ http://www.technologyreview.com/news/531791/stem-cells-seem-safe-in-treating-eye-disease/
External links
- pigment epithelium of eye at the US National Library of Medicine Medical Subject Headings (MeSH)
- Histology image: 07902loa – Histology Learning System at Boston University
- Histology at KUMC eye_ear-eye11
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Anatomy of the globe of the eye
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| Fibrous tunic (outer) |
| Sclera |
- Episcleral layer
- Schlemm's canal
- Trabecular meshwork
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| Cornea |
- Limbus
- layers
- Epithelium
- Bowman's
- Stroma
- Descemet's
- Endothelium
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| Uvea/vascular tunic (middle) |
| Choroid |
- Capillary lamina of choroid
- Bruch's membrane
- Sattler's layer
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| Ciliary body |
- Ciliary processes
- Ciliary muscle
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| Iris |
- Stroma
- Pupil
- Iris dilator muscle
- Iris sphincter muscle
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| Retina (inner) |
| Layers |
- Inner limiting membrane
- Nerve fiber layer
- Ganglion cell layer
- Inner plexiform layer
- Inner nuclear layer
- Outer plexiform layer
- Outer nuclear layer
- External limiting membrane
- Layer of rods and cones
- Retinal pigment epithelium
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| Cells |
- Photoreceptor cells (Cone cell, Rod cell) → (Horizontal cell) → Bipolar cell → (Amacrine cell) → Retina ganglion cell (Midget cell, Parasol cell, Bistratified cell, Giant retina ganglion cells, Photosensitive ganglion cell) → Diencephalon: P cell, M cell, K cell, Muller glia
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| Other |
- Macula
- Foveola
- Fovea centralis
- Parafovea
- Perifovea
- Optic disc
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| Anterior segment |
- Anterior chamber
- Aqueous humour
- Posterior chamber
- Lens
- Capsule of lens
- Zonule of Zinn
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| Posterior segment |
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| Other |
- Asthenopia
- Keratocytes
- Ocular immune system
- Tapetum lucidum
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Index of the eye
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| Description |
- Anatomy
- Physiology
- Phenomena
- appearance
- visual
- optical illusions
- proteins
- Development
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| Disease |
- Congenital
- Corneal dystrophy
- Neoplasms and cancer
- Other
- Symptoms and signs
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| Treatment |
- Procedures
- Drugs
- infection
- glaucoma and miosis
- mydriatics
- vascular
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