Restoring visual function to blind mice with a photoswitch that exploits electrophysiological remodeling of retinal ganglion cells

Neuron. 2014 Feb 19;81(4):800-13. doi: 10.1016/j.neuron.2014.01.003.

Abstract

Retinitis pigmentosa (RP) and age-related macular degeneration (AMD) are blinding diseases caused by the degeneration of rods and cones, leaving the remainder of the visual system unable to respond to light. Here, we report a chemical photoswitch named DENAQ that restores retinal responses to white light of intensity similar to ordinary daylight. A single intraocular injection of DENAQ photosensitizes the blind retina for days, restoring electrophysiological and behavioral responses with no toxicity. Experiments on mouse strains with functional, nonfunctional, or degenerated rods and cones show that DENAQ is effective only in retinas with degenerated photoreceptors. DENAQ confers light sensitivity on a hyperpolarization-activated inward current that is enhanced in degenerated retina, enabling optical control of retinal ganglion cell firing. The acceptable light sensitivity, favorable spectral sensitivity, and selective targeting to diseased tissue make DENAQ a prime drug candidate for vision restoration in patients with end-stage RP and AMD.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blindness / drug therapy
  • Blindness / physiopathology*
  • Disease Models, Animal
  • Electrophysiological Phenomena / physiology
  • Light
  • Mice
  • Mice, Inbred C57BL
  • Photoreceptor Cells / physiology*
  • Photosensitizing Agents / chemistry
  • Photosensitizing Agents / pharmacology
  • Retina / drug effects
  • Retina / physiopathology*
  • Retinal Degeneration / drug therapy
  • Retinal Degeneration / physiopathology*
  • Retinal Ganglion Cells / cytology
  • Retinal Ganglion Cells / physiology*
  • Treatment Outcome
  • Vision, Ocular / drug effects
  • Vision, Ocular / physiology*

Substances

  • Photosensitizing Agents