Summary

Subretinal Injection of Gene Therapy Vectors and Stem Cells in the Perinatal Mouse Eye

Published: November 25, 2012
doi:

Summary

This surgical technique illustrates the injection of gene therapy vectors and stem cells into the subretinal space of the mouse eye.

Abstract

The loss of sight affects approximately 3.4 million people in the United States and is expected to increase in the upcoming years.1 Recently, gene therapy and stem cell transplantations have become key therapeutic tools for treating blindness resulting from retinal degenerative diseases. Several forms of autologous transplantation for age-related macular degeneration (AMD), such as iris pigment epithelial cell transplantation, have generated encouraging results, and human clinical trials have begun for other forms of gene and stem cell therapies.2 These include RPE65 gene replacement therapy in patients with Leber’s congenital amaurosis and an RPE cell transplantation using human embryonic stem (ES) cells in Stargardt’s disease.3-4 Now that there are gene therapy vectors and stem cells available for treating patients with retinal diseases, it is important to verify these potential therapies in animal models before applying them in human studies. The mouse has become an important scientific model for testing the therapeutic efficacy of gene therapy vectors and stem cell transplantation in the eye.5-8 In this video article, we present a technique to inject gene therapy vectors or stem cells into the subretinal space of the mouse eye while minimizing damage to the surrounding tissue.

Protocol

1. Assemble Devices for the Subretinal Injection Purchase or make a 100 μm diameter needle from a glass capillary tube. This can be done manually by using a Sutter P-97 pipet puller or other similar equipment. The end of the capillary tube will be heated and pulled until it reaches the desired diameter (100 μm). A smaller diameter needle can be used for gene therapy vectors; however, this is the recommended diameter for cell injection without damage to the cells or the eye. Compared to steel needles, t…

Representative Results

A drawing of the mouse eye is shown with major structures labeled for reference, with arrows displaying the locations for both intravitreal and subretinal injection surgical procedures (arrowheads, Figure 1). Gene therapy vectors, such as the lacZ lentiviral vector (Figure 2), can be injected using these locations. Additionally, stem cells, such as mouse embryonic stem cells (Figure 3), can also be transplanted at these sites in the mouse eye. <p class="jov…

Discussion

This video technique provides instructions on completing the subretinal injection surgical procedure successfully, and ensuring that the gene therapy vector or stem cells are placed in the location necessary to efficiently treat the ophthalmic disease. This technique allows for the targeting of retinal cells such as the RPE or photoreceptors, since it places the gene therapy vectors or stem cell-derived tissues in the vicinity of these cells. Previous methods involved intravitreal injections, where the fluid is placed wi…

Divulgaciones

The authors have nothing to disclose.

Acknowledgements

Research to Prevent Blindness; Experimental assistance from Takayuki Nagasaki; This research complies with the ARVO Statement for the Use of Animals in Ophthalmic and Visual Research. KJW is supported by NIH grants 5T32EY013933 and 5T32DK007647-20. VBM is supported by NIH grant K08EY020530.

Materials

Name Company Catalog Comments
0.8-1.10 x 100 mm Capillary Tube (glass) Kimble Glass, Inc. 34502 99
Flaming/Brown Micropipette Puller Sutter Instrument P-97 Narishige microforge can be used instead.  Catalog #MF-900
Sigmacote Sigma Aldrich SL2-25ML Silicone
Dubecco’s Phosphate Buffered Saline with Calcium Chloride and Magnesium Chloride Gibco-Invitrogen 14040-133
Safety-Lok 25 3/4G x 12″; Blood Collection Set B-D Vacutainer 367298
1 ml Sub-Q 26 5/8G Slip-Tip Syringe Becton-Dickinson 309597
0.5-10 μl Finnpipette II Adjustable-Volume Pipetter Fisherbrand 21-377-815
1-200 μl Natural Beveled Tips USA Scientific, Inc. 1111-1700
Discovery.V8 Stereo Microscope Zeiss MC1500
60 mm x 15 mm Style Treated Polystyrene Cell Culture Dish Corning Incorporated 430166
Vannas Straight Scissors Storz Ophthalmics E3383 S
Curved Dressing Forceps with Serrations Delicate Storz Ophthalmics E1408
15 Degree Microsurgery Knife Wilson Ophthalmic Corp. 091204
Ketamine Ketaset III NADA #45-290
Xylazine Lloyd Laboratories NADA #139-236
Bupivacaine (Marcaine) AstraZeneca N/A
Buprenorphine Sigma Aldrich B9275

Referencias

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Wert, K. J., Skeie, J. M., Davis, R. J., Tsang, S. H., Mahajan, V. B. Subretinal Injection of Gene Therapy Vectors and Stem Cells in the Perinatal Mouse Eye. J. Vis. Exp. (69), e4286, doi:10.3791/4286 (2012).

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