and ear

CHAPTER 11 Eye and ear




DEVELOPMENT OF THE EYE


The eye is an organ of remarkable complexity and apparently flawless design. Eyes develop from three sources: (1) the neuroectoderm of the forebrain, (2) the surface ectoderm of the head, and (3) head mesenchyme of neural crest origin between these layers. Ectodermal outgrowth from the brain gives rise to the retina, iris and optic nerve, the surface ectoderm forms the lens, and the surrounding mesenchyme forms the vascular and fibrous coats of the eye.



Optic cup and lens vesicle


The area of the neural plate that gives rise to the eyes is initially a single medial region, the optic field, near the anterior margin of the future prosencephalon. Interactions of the neuroectoderm of the optic field with underlying mesoderm lead to a separation of the single optic field into lateral eye-forming regions. At the end of the third week of gestation in most species, shallow grooves are formed on the sides of the forebrain. With closure of the neural tube, these grooves expand as outpockets of the prosencephalon – the optic vesicles (Figs 11-1, 11-2). The optic vesicles remain attached to the prosencephalon by the optic stalk. It has been shown in the mouse that the transcription factor Rx is expressed very early in the optic field. In its absence, the optic vesicles fail to form.




Each optic vesicle grows laterally until it comes into contact with the surface ectoderm, where it induces a circumscribed thickening of the ectoderm, the lens placode. This placode subsequently invaginates and forms a lens vesicle, which loses its contact with the surface ectoderm. As the lens vesicles develop, the optic vesicles invaginate and become double-walled structures, the optic cups (Figs 11-1, 11-3). The inner and outer layers of the optic cups are at first separated by a lumen, the intraretinal space, but it soon disappears, and the two layers appose each other. The inner layer of the optic cup later develops into the neural retina with its three layers of neurons that function in visual perception. The outer layer of the optic cup becomes the pigmented layer of the retina (Figs 11-4, 11-5). The optic stalk connects the optic cup with the prosencephalon and, later, the diencephalon; the stalk serves to guide the growth of neuronal axons from the retinal ganglion layer back to the developing brain.






Retina


The retina develops from the optic cups. The outer, thinner, layer, characterized in most species by cells containing small pigment granules, becomes the pigmented layer of the retina. The inner layer of the optic cup thickens, and the epithelial cells begin a complicated process of differentiation into neurons and light receptor cells of the multilayered neural retina (Figs 11-6, 11-7). The outer lips of the optic cup undergo a quite different transformation. They give rise to the iris and ciliary body, which control the amounts of light that reach the retina and the curvature of the lens, respectively.




In the adult, the neural retina is a multilayered structure. The sensory pathway of the retina consists of a chain of three neurons. The first link in the chain is a light- or photoreceptor, either a rod cell or a cone cell. The nuclei of the photoreceptors are located in what is referred to as the outer nuclear layer. The rod and cone cells send processes towards the outer plexiform layer, where they synapse with processes of the second neurons of the chain, the bipolar neurons, the nuclei of which occupy the inner nuclear layer. The other process of each bipolar neuron leads into the internal plexiform layer and establishes synapses with the third neuron in the chain, the ganglion cell. The bodies of the ganglion cells are located in the ganglion cell layer. Their long axons course through the innermost layer of the retina, the nerve fibre layer, towards the optic disc through which they leave the eye in order to reach the brain as the optic nerve (II).


Even in the retina, many levels of integration of visual signals occur: horizontal and amacrine cells are involved in the horizontal distribution of the signals. This facilitates the integration of simple signals into a more complex visual pattern. Another important cell type in the retina is the Müller glial cell; these cells provide mechanical support and nutrition to the retina, a role analogous to that of fibrous astrocytes in the central nervous system.


The normal development and differentiation of the neural retina depends upon its close contact and interaction with the pigmented layer, as well as interactions between the neural and the glial elements within the neural layers. Disruptions of these contacts result in abnormal retinal development. In ungulates, retinal differentiation and maturation is essentially completed at birth whereas in carnivores they continue for up to 5 weeks after birth.


In the originally single-layered columnar inner layer of the optic cup many mitoses occur, transforming the primordium of the neural retina into a thickened pseudostratified columnar epithelium. The polarity of the retina also becomes fixed during these early stages; the anterior-posterior axis first then the dorso-ventral axis and, finally, radial polarity.


As the number of cells in the inner layer of the early retina increases, the differentiation of the neurons begins. There are two major gradients of differentiation of the retina: the first proceeds more or less vertically from the inner to the outer layers; the second is more horizontal, from the centre towards the periphery. Differentiation in the horizontal gradient starts with the appearance of ganglion cells. As the ganglion cell layer is established, premature differentiation of neighbouring neural precursor cells is prevented by expression of the Notch gene. The protein coded by Notch keeps these cells in an undifferentiated state that will be overcome later by differentiation signals from the neighbourhood of the neuroblasts. Differentiation of amacrine and horizontal cells completes the differentiation of the inner and outer nuclear layers of the retina. These neurons send out processes that contribute to the definition of the inner and outer plexiform layers. The last retinal cells to differentiate are the bipolar neurons and receptor cells – the rod and cone cells.





Iris and ciliary body


Differentiation of the iris and ciliary body occurs at the lip of the optic cup, where the neural and pigment layers of the retina meet. The iris develops by the peripheral extensions of both layers of the optic cup so that they cover the edges of the lens vesicle. This brings the lens vesicle entirely inside the boundary of the optic cup (Fig. 11-1). Thus the iris consists of an inner non-pigmented epithelial layer and an outer pigmented layer, which are continuous with the neural and pigmented layers of the retina, respectively. The stroma of the iris is of neural crest origin and migrates into the iris separately. The muscles of the iris, the sphincter pupillae and dilator pupillae are, interestingly, of neuroectodermal origin; they result from a transformation of the anterior epithelial layers of the iris into smooth muscle cells. The levels and distribution of pigmentation in the iris determine eye colour. The bluish colour of the iris seen in most newborn animals is caused by the pigmentation of the outer pigmented layer of the iris. Pigment cells, however, also appear in the stroma of the iris; the greater the density of pigment cells in the stroma, the browner is the eye colour. Definitive pigmentation of the eye develops during the first months of postnatal life.


The ciliary body, containing the ciliary muscle, takes shape between the iris and the neural retina. The neural-crest-derived ectomesenchyme of this area proliferates unevenly and forms a series of ridges (processus ciliaris) that are covered by a two-layered epithelium (Fig. 11-1). The pigmented epithelium of the ciliary body is derived from the outer layer of the optic cup and is continuous with the retinal pigmented layer. The inner epithelial layer is continuous with the neural layer of the retina posteriorly and the epithelium of the iris anteriorly. This inner epithelium later becomes the source of aqueous humour. The ciliary body is connected to the lens by a set of radial elastic fibres (zonular fibres) forming the suspensory ligaments of the lens. Contraction of the ciliary muscle, which is derived from the ectomesenchyme within the ciliary body, diminishes the tension of the zonular fibres and results in a more spherical, relaxed shape of the lens, critical to the focusing of the lens.



Lens


When the optic vesicles contact the surface ectoderm, the ectoderm thickens to form the lens placodes (Fig. 11-1). These structures subsequently invaginate and form the lens vesicles, which break away from the surface ectoderm. Shortly after formation of the lens vesicles, cells of the posterior wall of the vesicles elongate to form primary lens fibres which fill the hollow lens vesicle cavity and thereby transform it into a solid lens (Fig. 11-5). Growth of the lens is not finished at this stage; new, secondary lens fibres are continuously added to the central core of the lens, extending almost pole to pole. On the posterior side of the lens, less differentiated cells that do not elongate move to the poles of the lens, proliferate and serve as a source for new lens fibres. The cells of the lens secrete a basal-membrane-like, elastic material rich in glycoproteins that covers the surface of the lens. This lens capsule contributes to the elastic properties of the lens, essential to its function. Zonular fibres, essentially collagenous fibres that are formed from mesenchymal cells situated between the ciliary body and the lens, attach to this capsule.


Differentiation of the lens is precisely controlled at several levels of organization. At the cellular level, cytodifferentiation transforms mitotically dividing anterior lens epithelial cells into elongated postmitotic transparent lens fibres. Most of the soluble protein (up to 90%) of the lens fibres consists of three crystalline proteins: α, β, and γ. This process is under control of the transcription factor Sox2 and other proteins paired with the oncogene Maf. During cell differentiation in the lens, all cell organelles gradually disappear, leaving lens fibres with an intact outer membrane, an inner cytoskeleton and transparent cytoplasm filled with crystalline proteins. The crystalline proteins appear in a characteristic sequence: first α-crystalline proteins, then, when the cells elongate, β-crystallins; then, and only in the terminally differentiated lens fibres, γ-crystallins


Formation of crystallin-containing lens fibres starts with the elongation of epithelial cells from the posterior pole of the lens vesicle. These primary lens fibres make up the lens nucleus. The remaining lens fibres originate from the elongation of the cuboidal cells of the anterior lens epithelium. They form concentric layers (secondary lens fibres) around the primary fibres of the lens nucleus. Consequently, the most peripheral lens fibres are the youngest and, as long as the lens grows, new secondary lens fibres move in from the equator to the outer cortex of the lens. The midline regions, where secondary lens fibres from opposite points on the equator meet, are called the anterior and posterior lens sutures.


The development of the lens is strongly influenced by the retina. Fibroblast growth factor secreted by the retina accumulates in the vitreous humour behind the lens and stimulates the formation of lens fibres. During its rapid growth, the lens also requires a rather extensive blood supply. This is established by a vascular tunic that covers the lens, supplied by blood vessels from two sources: the blood supply for the front of the lens comes from the vessels of the stroma of the iris; the posterior surface of the lens is invested by the hyaloid artery, a branch of the choroid vessels that passes through the optic fissure and crosses the vitreous chamber. Branches of the vessels from the stroma of the iris form a vascular membrane called the pupillary membrane, which extends across, and temporarily occludes, the pupil. Both the pupillary membrane and the hyaloid artery normally regress long before birth. The more proximal part of the hyaloid arterial systems persists as the central artery of the retina.


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Jul 18, 2016 | Posted by in PHARMACOLOGY, TOXICOLOGY & THERAPEUTICS | Comments Off on and ear

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