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1.
Proc Natl Acad Sci U S A ; 115(17): E4081-E4090, 2018 04 24.
Artigo em Inglês | MEDLINE | ID: mdl-29632212

RESUMO

The neural signals generated by the light-sensitive photoreceptors in the human eye are substantially processed and recoded in the retina before being transmitted to the brain via the optic nerve. A key aspect of this recoding is the splitting of the signals within the two major cone-driven visual pathways into distinct ON and OFF branches that transmit information about increases and decreases in the neural signal around its mean level. While this separation is clearly important physiologically, its effect on perception is unclear. We have developed a model of the ON and OFF pathways in early color processing. Using this model as a guide, we can produce imbalances in the ON and OFF pathways by changing the shapes of time-varying stimulus waveforms and thus make reliable and predictable alterations to the perceived average color of the stimulus-although the physical mean of the waveforms does not change. The key components in the model are the early half-wave rectifying synapses that split retinal photoreceptor outputs into the ON and OFF pathways and later sigmoidal nonlinearities in each pathway. The ability to systematically vary the waveforms to change a perceptual quality by changing the balance of signals between the ON and OFF visual pathways provides a powerful psychophysical tool for disentangling and investigating the neural workings of human vision.


Assuntos
Percepção de Cores/fisiologia , Luz , Ilusões Ópticas/fisiologia , Células Fotorreceptoras de Vertebrados/fisiologia , Transdução de Sinais/fisiologia , Visão Ocular/fisiologia , Idoso , Humanos , Masculino , Pessoa de Meia-Idade
2.
N Engl J Med ; 372(20): 1887-97, 2015 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-25938638

RESUMO

BACKGROUND: Mutations in RPE65 cause Leber's congenital amaurosis, a progressive retinal degenerative disease that severely impairs sight in children. Gene therapy can result in modest improvements in night vision, but knowledge of its efficacy in humans is limited. METHODS: We performed a phase 1-2 open-label trial involving 12 participants to evaluate the safety and efficacy of gene therapy with a recombinant adeno-associated virus 2/2 (rAAV2/2) vector carrying the RPE65 complementary DNA, and measured visual function over the course of 3 years. Four participants were administered a lower dose of the vector, and 8 were administered a higher dose. In a parallel study in dogs, we investigated the relationship among vector dose, visual function, and electroretinography (ERG) findings. RESULTS: Improvements in retinal sensitivity were evident, to varying extents, in six participants for up to 3 years, peaking at 6 to 12 months after treatment and then declining. No associated improvement in retinal function was detected by means of ERG. Three participants had intraocular inflammation, and two had clinically significant deterioration of visual acuity. The reduction in central retinal thickness varied among participants. In dogs, RPE65 gene therapy with the same vector at lower doses improved vision-guided behavior, but only higher doses resulted in improvements in retinal function that were detectable with the use of ERG. CONCLUSIONS: Gene therapy with rAAV2/2 RPE65 vector improved retinal sensitivity, albeit modestly and temporarily. Comparison with the results obtained in the dog model indicates that there is a species difference in the amount of RPE65 required to drive the visual cycle and that the demand for RPE65 in affected persons was not met to the extent required for a durable, robust effect. (Funded by the National Institute for Health Research and others; ClinicalTrials.gov number, NCT00643747.).


Assuntos
DNA Complementar/administração & dosagem , Terapia Genética , Vetores Genéticos/administração & dosagem , Amaurose Congênita de Leber/terapia , Retina/fisiologia , cis-trans-Isomerases/genética , Adolescente , Animais , Criança , Dependovirus , Modelos Animais de Doenças , Progressão da Doença , Cães , Humanos , Amaurose Congênita de Leber/genética , Mutação , Células Fotorreceptoras de Vertebrados , Visão Ocular , Adulto Jovem
3.
J Vis ; 18(6): 12, 2018 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-30029223

RESUMO

Thirty years ago, Mollon, Stockman, & Polden (1987) reported that after the onset of intense yellow 581-nm backgrounds, S-cone threshold rose unexpectedly for several seconds before recovering to the light-adapted steady-state value-an effect they called: "transient-tritanopia of the second kind" (TT2). Given that 581-nm lights have little direct effect on S-cones, TT2 must arise indirectly from the backgrounds' effects on the L- and M-cones. We attribute the phenomenon to the action of an unknown L- and M-cone photobleaching product, X, which acts at their outputs like an "equivalent" background light that then inhibits S-cones at a cone-opponent, second-site. The time-course of TT2 is similar in form to the lifetime of X in a two-stage, first-order biochemical reaction A→X→C with successive best-fitting time-constants of 3.09 ± 0.35 and 7.73 ± 0.70 s. Alternatively, with an additional slowly recovering exponential "restoring-force" with a best-fitting time-constant 23.94 ± 1.42 s, the two-stage best-fitting time-constants become 4.15 ± 0.62 and 6.79 ± 1.00 s. Because the time-constants are roughly independent of the background illumination, and thus the rate of photoisomerization, A→X is likely to be a reaction subsidiary to the retinoid cycle, perhaps acting as a buffer when the bleaching rate is too high. X seems to be logarithmically related to S-cone threshold, which may result from the logarithmic cone-opponent, second-site response compression after multiplicative first-site adaptation. The restoring-force may be the same cone-opponent force that sets the rate of S-cone recovery following the unusual threshold increase following the offset of dimmer yellow backgrounds, an effect known as "transient-tritanopia" (TT1).


Assuntos
Percepção de Cores/fisiologia , Opsinas dos Cones/metabolismo , Fotodegradação , Células Fotorreceptoras Retinianas Cones/fisiologia , Adaptação Ocular/fisiologia , Humanos , Modelos Teóricos , Estimulação Luminosa , Retinoides/metabolismo
4.
J Vis ; 18(2): 6, 2018 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-29466601

RESUMO

Cone signals in the luminance or achromatic pathway were investigated by measuring how the perceptual timing of M- or L-cone-detected flicker depended on temporal frequency and chromatic adaptation. Relative timings were measured, as a function of temporal frequency, by superimposing M- or L-cone-isolating flicker on "equichromatic" flicker (flicker of the same wavelength as the background) and asking observers to vary contrast and phase to cancel the perception of flicker. Measurements were made in four observers on up to 35 different backgrounds varying in wavelength and radiance. Observers showed substantial perceptual delays or advances of L- and M-cone flicker that varied systematically with cone class, background wavelength, and radiance. Delays were largest for M-cone-isolating flicker. Although complex, the results can be characterised by a surprisingly simple model in which the representations of L- and M-cone flicker are comprised not only of a fast copy of the flicker signal, but also of a slow copy that is delayed by roughly 30 ms and varies in strength and sign with both background wavelength and radiance. The delays, which are too large to be due to selective cone adaptation by the chromatic backgrounds, must arise postreceptorally. Clear evidence for the slow signals can also be found in physiological measurements of horizontal and magnocellular ganglion cells, thus placing the origin of the slow signals in the retina-most likely in an extended horizontal cell network. Luminance-equated stimuli chosen to isolate chromatic channels may inadvertently generate slow signals in the luminance channel.


Assuntos
Percepção de Cores/fisiologia , Transdução de Sinal Luminoso/fisiologia , Células Fotorreceptoras Retinianas Cones/fisiologia , Adaptação Ocular/fisiologia , Adulto , Fusão Flicker/fisiologia , Humanos , Masculino , Estimulação Luminosa , Fotometria
5.
J Vis ; 17(13): 7, 2017 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-29114807

RESUMO

The mean hue of flickering waveforms comprising only the first two harmonics depends on their temporal alignment. We evaluate explanatory models of this hue-shift effect using previous data obtained using L- and M-cone-isolating stimuli together with chromatic sensitivity and hue discrimination data. The key questions concerned what type of nonlinearity produced the hue shifts, and where the nonlinearities lay with respect to the early band-pass and late low-pass temporal filters in the chromatic pathways. We developed two plausible models: (a) a slew-rate limited nonlinearity that follows both early and late filters, and (b) a half-wave rectifying nonlinearity-consistent with the splitting of the visual input into ON- and OFF-channels-that lies between the early and late filters followed by a compressive nonlinearity that lies after the late filter.


Assuntos
Percepção de Cores/fisiologia , Opsinas dos Cones/fisiologia , Vias Visuais/fisiologia , Humanos , Modelos Teóricos , Dinâmica não Linear
6.
J Vis ; 17(9): 3, 2017 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-28768318

RESUMO

When M- or L-cone-isolating sawtooth waveforms flicker at frequencies between 4 and 13.3 Hz, there is a mean hue shift in the direction of the shallower sawtooth slope. Here, we investigate how this shift depends on the alignment of the first and second harmonics of sawtooth-like waveforms. Below 4 Hz, observers can follow hue variations caused by both harmonics, and reliably match reddish and greenish excursions. At higher frequencies, however, the hue variations appear as chromatic flicker superimposed on a steady light, the mean hue of which varies with second-harmonic alignment. Observers can match this mean hue against a variable-duty-cycle rectangular waveform and, separately, set the alignment at which the mean hue flips between reddish and greenish. The maximum hue shifts were approximately frequency independent and occurred when the peaks or troughs of the first and second harmonics roughly aligned at the visual input-consistent with the hue shift's being caused by an early instantaneous nonlinearity that saturates larger hue excursions. These predictions, however, ignore phase delays introduced within the chromatic pathway between its input and the nonlinearity that produces the hue shifts. If the nonlinearity follows the substantial filtering implied by the chromatic temporal contrast-sensitivity function, phase delays will alter the alignment of the first and second harmonics such that at the nonlinearity, the waveforms that produce the maximum hue shifts might well be those with the largest differences in rising and falling slopes-consistent with the hue shift's being caused by a central nonlinearity that limits the rate of hue change.


Assuntos
Percepção de Cores/fisiologia , Luz , Células Fotorreceptoras Retinianas Cones/fisiologia , Feminino , Humanos , Masculino , Estimulação Luminosa
7.
J Vis ; 17(9): 2, 2017 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-28768317

RESUMO

Observers viewed M- or L-cone-isolating stimuli and compared slowly-on and slowly-off sawtooth waveforms of the same mean chromaticity and luminance. Between 6 and 13 Hz, the mean hue of slowly-on L-cone and slowly-off M-cone sawtooth flicker appeared redder, and the mean hue of slowly-off L-cone and slowly-on M-cone sawtooth stimuli appeared greener-despite all the waveforms' having the same mean, near-yellow-appearing chromaticity. We measured the effect of the modulation depth and the slope of the sawtooth on the mean hue shifts as a function of temporal frequency. The results are complex but show that discriminability depended mainly on the second harmonic of the waveforms. We considered several models with combinations of linear and nonlinear stages. First, we considered models in which a nonlinear stage limits the rate of change of hue and restricts the steep slope of the sawtooth waveform more than its shallow slope, thus shifting the mean hue in the direction of the shallower slope (such a nonlinearity is also known as a slew-rate limit). Second, we considered saturation models in which the nonlinear stage compresses hue signals and thus shifts the mean of asymmetrical waveforms with or without differentiation before the nonlinearity. Overall, our modeling and results suggest that the hue shift occurs at some nonlinear mechanism in the chromatic pathway; and that, in terms of the Fourier components of the various waveforms, the effect of the nonlinearity depends crucially on the timing of the second harmonic relative to the first.


Assuntos
Percepção de Cores/fisiologia , Células Fotorreceptoras Retinianas Cones/fisiologia , Feminino , Humanos , Masculino , Movimento (Física) , Estimulação Luminosa
8.
J Vis ; 15(15): 20, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26605849

RESUMO

Restored rod visual function after gene therapy can be established unequivocally by demonstrating that, after dark adaptation, spectral sensitivity has the shape characteristic of rods and that this shape collapses to a cone-like shape before rods have recovered after an intense bleach. We used these tests to assess retinal function in eight young adults and children with early-onset severe retinal dystrophy from Phase II of a clinical gene-therapy trial for RPE65 deficiency that involved the subretinal delivery of a recombinant adeno-associated viral vector carrying RPE65. We found substantial improvements in rod sensitivity in two participants: dark-adapted spectral sensitivity was rod-like after treatment and was cone-like before rods had recovered after a bleach. After 40 min of dark adaptation, one participant showed up to 1,000-fold sensitivity improvements 4 months after treatment and the second up to 100-fold improvements 6 months after treatment. The dark-adapted spectral sensitivities of the other six participants remained cone-like and showed little improvement in sensitivity.


Assuntos
Dependovirus/genética , Terapia Genética , Amaurose Congênita de Leber/fisiopatologia , Amaurose Congênita de Leber/terapia , Células Fotorreceptoras Retinianas Bastonetes/fisiologia , Visão Ocular/fisiologia , cis-trans-Isomerases/genética , Adulto , Criança , Adaptação à Escuridão/fisiologia , Vetores Genéticos , Humanos , Luz , Pessoa de Meia-Idade , Estimulação Luminosa , Acuidade Visual/fisiologia , Campos Visuais/fisiologia , Adulto Jovem
9.
J Vis ; 14(3): 1, 2014 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-24591566

RESUMO

Lights near 560 nm appear brighter when flickered, whereas lights near 520 or 650 nm appear yellower. Both effects are consistent with signal distortion within the visual pathway--brightness changes at an expansive nonlinearity, and hue shifts at a compressive one. We previously manipulated the distortion products generated by each nonlinearity to extract the temporal properties of stages of the L- and M-cone pathways that signal brightness and color before (early stages) and after (late stages) each nonlinearity. We find that the attenuation characteristics of the early and late stages are virtually identical in both pathways: The early temporal stage acts like a band-pass filter peaking at 10-15 Hz, while the late stage acts like low-pass filter with a cut-off frequency near 3 Hz. We propose a physiologically relevant model that accounts for the filter shapes and incorporates both nonlinearities within a common parvocellular pathway. The shape of the early band-pass filter is consistent with antagonism between center signals and more sluggish and delayed surround signals, while the late filter is consistent with a simple two-stage low-pass filter. Modeling suggests that the brightness change and hue shift are both initially caused by the half-wave rectification and partition of signals into ON and OFF components. However, the hue shift is probably caused by the additional effects of a later nonlinearity that compresses chromatic red and green signals. Plausible sites for the expansive half-wave rectifying nonlinearity are after surround antagonism, possibly from horizontal cells, but the compressive nonlinearity is likely to be after the late filter.


Assuntos
Visão de Cores , Luz , Células Fotorreceptoras Retinianas Cones/fisiologia , Vias Visuais/fisiologia , Sensibilidades de Contraste/fisiologia , Humanos , Estimulação Luminosa
10.
Am J Hum Genet ; 87(1): 26-39, 2010 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-20579627

RESUMO

X-linked cone and cone-rod dystrophies (XLCOD and XLCORD) are a heterogeneous group of progressive disorders that solely or primarily affect cone photoreceptors. Mutations in exon ORF15 of the RPGR gene are the most common underlying cause. In a previous study, we excluded RPGR exon ORF15 in some families with XLCOD. Here, we report genetic mapping of XLCOD to Xq26.1-qter. A significant LOD score was detected with marker DXS8045 (Z(max) = 2.41 [theta = 0.0]). The disease locus encompasses the cone opsin gene array on Xq28. Analysis of the array revealed a missense mutation (c. 529T>C [p. W177R]) in exon 3 of both the long-wavelength-sensitive (LW, red) and medium-wavelength-sensitive (MW, green) cone opsin genes that segregated with disease. Both exon 3 sequences were identical and were derived from the MW gene as a result of gene conversion. The amino acid W177 is highly conserved in visual and nonvisual opsins across species. We show that W177R in MW opsin and the equivalent W161R mutation in rod opsin result in protein misfolding and retention in the endoplasmic reticulum. We also demonstrate that W177R misfolding, unlike the P23H mutation in rod opsin that causes retinitis pigmentosa, is not rescued by treatment with the pharmacological chaperone 9-cis-retinal. Mutations in the LW/MW cone opsin gene array can, therefore, lead to a spectrum of disease, ranging from color blindness to progressive cone dystrophy (XLCOD5).


Assuntos
Opsinas dos Cones/genética , Doenças Genéticas Ligadas ao Cromossomo X/genética , Células Fotorreceptoras Retinianas Cones/patologia , Doenças Retinianas/genética , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Sequência de Aminoácidos , Cromossomos Humanos X/genética , Feminino , Estudos de Associação Genética , Ligação Genética , Loci Gênicos , Haplótipos , Humanos , Escore Lod , Masculino , Pessoa de Meia-Idade , Dados de Sequência Molecular , Mutação de Sentido Incorreto , Linhagem , Estrutura Secundária de Proteína , Doenças Retinianas/patologia , Doenças Retinianas/fisiopatologia
11.
J Vis ; 13(7): 15, 2013 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-23798031

RESUMO

Flickering 560-nm light appears brighter and less saturated than steady light of the same average intensity. The changes in appearance are consistent with the visual signal's being distorted at some nonlinear site (or sites) within the visual pathway at which new temporal components, not part of the original waveform, are produced. By varying the input stimulus to manipulate these new temporal components--called distortion products--and measuring our observers' sensitivity in detecting them, we derived the temporal attenuation characteristics of the early (prenonlinearity) and late (post-nonlinearity) stages of the L- and M-cone pathway that signals brightness. We found that the early stage acts like a band-pass filter peaking at 10-15 Hz with sensitivity losses at both lower and higher frequencies, whereas the late stage acts like a two-stage low-pass filter with a corner frequency near 3 Hz. Although brightness is often associated with the fast achromatic or luminance pathway, these filter characteristics, and particularly those of the late filter, are consistent with comparable features of the L-M chromatic pathway that produce mainly chromatic distortion products (Petrova, Henning, & Stockman, 2013). A plausible site for the nonlinearity is after surround antagonism from horizontal cells. Modeling suggested the form of the nonlinearity to be initially expansive but possibly with a hard limit at the highest input levels.


Assuntos
Visão de Cores/fisiologia , Fusão Flicker/fisiologia , Luz , Células Fotorreceptoras Retinianas Cones/fisiologia , Vias Visuais/fisiologia , Adulto , Sensibilidades de Contraste/fisiologia , Feminino , Humanos , Masculino , Limiar Sensorial
12.
J Vis ; 13(4): 2, 2013 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-23457358

RESUMO

Flickering long-wavelength light appears more yellow than steady light of the same average intensity. The hue change is consistent with distortion of the visual signal at some nonlinear site (or sites) that produces temporal components not present in the original stimulus (known as distortion products). We extracted the temporal attenuation characteristics of the early (prenonlinearity) and late (post-nonlinearity) filter stages in the L- and M-cone chromatic pathway by varying the input stimulus to manipulate the distortion products and the measuring of the observers' sensitivity to them. The early, linear, filter stage acts like a band-pass filter peaking at 10-15 Hz with substantial sensitivity losses at both lower and higher frequencies. Its characteristics are consistent with nonlinearity being early in the visual pathway but following surround inhibition. The late stage, in contrast, acts like a low-pass filter with a cutoff frequency around 3 Hz. The response of the early stage speeds up with radiance, but the late stage does not. A plausible site for the nonlinearity, which modelling suggests may be smoothly compressive but with a hard limit at high input levels, is after surround inhibition from the horizontal cells.


Assuntos
Visão de Cores/fisiologia , Células Fotorreceptoras Retinianas Cones/fisiologia , Adulto , Sensibilidades de Contraste/fisiologia , Feminino , Humanos , Masculino , Estimulação Luminosa/métodos , Limiar Sensorial/fisiologia , Vias Visuais/fisiologia
13.
Color Res Appl ; 48(6): 818-840, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38504724

RESUMO

Normal color perception is complicated. But at its initial stage it is relatively simple, since at photopic levels it depends on the activations of just three photoreceptor types: the long- (L-), middle- (M-) and short- (S-) wavelength-sensitive cones. Knowledge of how each type responds to different wavelengths-the three cone spectral sensitivities-can be used to model human color vision and in practical applications to specify color and predict color matches. The CIE has sanctioned the cone spectral sensitivity estimates of Stockman and Sharpe (Stockman and Sharpe, 2000, Vision Res) and their associated measures of luminous efficiency as "physiologically-relevant" standards for color vision (CIE, 2006; 2015). These LMS cone spectral sensitivities are specified at 5- and 1-nm steps for mean "standard" observers with normal cone photopigments and average ocular transparencies, both of which can vary in the population. Here, we provide formulae for the three cone spectral sensitivities as well as for macular and lens pigment density spectra, all as continuous functions of wavelength from 360 to 850 nm. These functions reproduce the tabulated discrete CIE LMS cone spectral sensitivities for 2-deg and 10-deg with little error in both linear and logarithmic units. Furthermore, these formulae allow the easy computation of non-standard cone spectral sensitivities (and other color matching functions) with individual differences in macular, lens and photopigment optical densities, and with spectrally shifted hybrid or polymorphic L- and M-cone photopigments appropriate for either normal or red-green color vision deficient observers.

14.
Prog Retin Eye Res ; 87: 101001, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34506951

RESUMO

Our ability to see flicker has an upper frequency limit above which flicker is invisible, known as the "critical flicker frequency" (CFF), that typically grows with light intensity (I). The relation between CFF and I, the focus of nearly 200 years of research, is roughly logarithmic, i.e., CFF âˆ log(I)-a relation called the Ferry-Porter law. However, why this law should occur, and how it relates to the underlying physiology, have never been adequately explained. Over the past two decades we have measured CFF in normal observers and in patients with retinal gene defects. Here, we reanalyse and model our data and historical CFF data. Remarkably, CFF-versus-I functions measured under a wide range of conditions in patients and in normal observers all have broadly similar shapes when plotted in double-logarithmic coordinates, i.e., log (CFF)-versus-log(I). Thus, the entire dataset can be characterised by horizontal and vertical logarithmic shifts of a fixed-shape template. Shape invariance can be predicted by a simple model of visual processing built from a sequence of low-pass filters, subtractive feedforward stages and gain adjustment (Rider, Henning & Stockman, 2019). It depends primarily on the numbers of visual processing stages that approach their power-law region at a given intensity and a frequency-independent gain reduction at higher light levels. Counter-intuitively, the CFF-versus-I relation depends primarily on the gain of the visual response rather than its speed-a conclusion that changes our understanding and interpretation of human flicker perception. The Ferry-Porter "law" is merely an approximation of the shape-invariant template.


Assuntos
Adaptação Ocular , Fusão Flicker , Humanos , Luz , Percepção Visual
15.
Am J Ophthalmol ; 241: 9-27, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35469785

RESUMO

OBJECTIVE: To evaluate the pattern of vision loss and genotype-phenotype correlations in WFS1-associated optic neuropathy (WON). DESIGN: Multicenter cohort study. METHODS: The study involved 37 patients with WON carrying pathogenic or candidate pathogenic WFS1 variants. Genetic and clinical data were retrieved from the medical records. Thirteen patients underwent additional comprehensive ophthalmologic assessment. Deep phenotyping involved visual electrophysiology and advanced psychophysical testing with a complementary metabolomic study. MAIN OUTCOME MEASURES: WFS1 variants, functional and structural optic nerve and retinal parameters, and metabolomic profile. RESULTS: Twenty-two recessive and 5 dominant WFS1 variants were identified. Four variants were novel. All WFS1 variants caused loss of macular retinal ganglion cells (RGCs) as assessed by optical coherence tomography (OCT) and visual electrophysiology. Advanced psychophysical testing indicated involvement of the major RGC subpopulations. Modeling of vision loss showed an accelerated rate of deterioration with increasing age. Dominant WFS1 variants were associated with abnormal reflectivity of the outer plexiform layer (OPL) on OCT imaging. The dominant variants tended to cause less severe vision loss compared with recessive WFS1 variants, which resulted in more variable phenotypes ranging from isolated WON to severe multisystem disease depending on the WFS1 alleles. The metabolomic profile included markers seen in other neurodegenerative diseases and type 1 diabetes mellitus. CONCLUSIONS: WFS1 variants result in heterogenous phenotypes influenced by the mode of inheritance and the disease-causing alleles. Biallelic WFS1 variants cause more variable, but generally more severe, vision and RGC loss compared with heterozygous variants. Abnormal cleftlike lamination of the OPL is a distinctive OCT feature that strongly points toward dominant WON.


Assuntos
Proteínas de Membrana/genética , Doenças do Nervo Óptico , Estudos de Coortes , Progressão da Doença , Estudos de Associação Genética , Humanos , Nervo Óptico , Doenças do Nervo Óptico/diagnóstico , Doenças do Nervo Óptico/genética , Tomografia de Coerência Óptica/métodos
16.
N Engl J Med ; 358(21): 2231-9, 2008 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-18441371

RESUMO

Early-onset, severe retinal dystrophy caused by mutations in the gene encoding retinal pigment epithelium-specific 65-kD protein (RPE65) is associated with poor vision at birth and complete loss of vision in early adulthood. We administered to three young adult patients subretinal injections of recombinant adeno-associated virus vector 2/2 expressing RPE65 complementary DNA (cDNA) under the control of a human RPE65 promoter. There were no serious adverse events. There was no clinically significant change in visual acuity or in peripheral visual fields on Goldmann perimetry in any of the three patients. We detected no change in retinal responses on electroretinography. One patient had significant improvement in visual function on microperimetry and on dark-adapted perimetry. This patient also showed improvement in a subjective test of visual mobility. These findings provide support for further clinical studies of this experimental approach in other patients with mutant RPE65. (ClinicalTrials.gov number, NCT00643747 [ClinicalTrials.gov].).


Assuntos
Cegueira/terapia , Proteínas de Transporte/genética , Proteínas do Olho/genética , Terapia Genética , Vetores Genéticos , Degeneração Retiniana/terapia , Adolescente , Adulto , Cegueira/congênito , Cegueira/genética , Cegueira/patologia , DNA Complementar , Dependovirus/genética , Técnicas de Transferência de Genes , Humanos , Injeções , Mutação , Retina/patologia , Retina/fisiopatologia , Degeneração Retiniana/congênito , Degeneração Retiniana/genética , Degeneração Retiniana/patologia , Acuidade Visual , cis-trans-Isomerases
17.
Prog Retin Eye Res ; 83: 100937, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33388434

RESUMO

Over the past two decades we have developed techniques and models to investigate the ways in which known molecular defects affect visual performance. Because molecular defects in retinal signalling invariably alter the speed of visual processing, our strategy has been to measure the resulting changes in flicker sensitivity. Flicker measurements provide not only straightforward clinical assessments of visual performance but also reveal fundamental details about the functioning of both abnormal and normal visual systems. Here, we bring together our past measurements of patients with pathogenic variants in the GNAT2, RGS9, GUCA1A, RPE65, OPA1, KCNV2 and NR2E3 genes and analyse the results using a standard model of visual processing. The model treats flicker sensitivity as the result of the actions of a sequence of simple processing steps, one or more of which is altered by the genetic defect. Our analyses show that most defects slow down the visual response directly, but some speed it up. Crucially, however, other steps in the processing sequence can make compensatory adjustments to offset the abnormality. For example, if the abnormal step slows down the visual response, another step is likely to speed up or attenuate the response to rebalance system performance. Such compensatory adjustments are probably made by steps in the sequence that usually adapt to changing light levels. Our techniques and modelling also allow us to tease apart stationary and progressive effects, and the localised molecular losses help us to unravel and characterise individual steps in the normal and abnormal processing sequences.


Assuntos
Visão Ocular , Percepção Visual , Humanos , Biologia Molecular , Psicofísica , Retina
18.
J Vis ; 10(2): 12.1-19, 2010 Feb 16.
Artigo em Inglês | MEDLINE | ID: mdl-20462313

RESUMO

Sensitivity regulation enables the visual system to function effectively from the absorption of a few photons at the lowest visual threshold to the absorption of enough photons to bleach nearly all the light-sensitive photopigment in the eye. Here, we investigate sensitivity regulation in the rod (or scotopic) range from -3.8 to -0.8 log(10) scotopic trolands. Over most of this range, the rate of photon absorption per rod is too low for sensitivity regulation to be practicable within the rod photoreceptor itself, so that regulation must occur postreceptorally. We measured adaptation-dependent changes in visual sensitivity and visual delay, which together provide a much more complete characterization of the effects of light adaptation than the usual method of measuring sensitivity changes alone. Our results demonstrate clearly that changes in scotopic sensitivity with increasing light levels are achieved in large part by a speeding up of the scotopic response and a decrease in the temporal integration time. Thus, the scotopic and the photopic systems both regulate their steady-state sensitivity using the same strategy, even though the scotopic system does it largely postreceptorally and the photopic system largely receptorally.


Assuntos
Adaptação Ocular/fisiologia , Sensibilidades de Contraste/fisiologia , Adaptação à Escuridão/fisiologia , Células Fotorreceptoras Retinianas Bastonetes/fisiologia , Limiar Sensorial/fisiologia , Calibragem , Visão de Cores/fisiologia , Humanos , Masculino , Modelos Neurológicos , Estimulação Luminosa/métodos , Psicofísica , Tempo de Reação/fisiologia , Células Fotorreceptoras Retinianas Cones/fisiologia
19.
J Vis ; 9(3): 10.1-16, 2009 Mar 13.
Artigo em Inglês | MEDLINE | ID: mdl-19757949

RESUMO

Under dim background conditions, the S-cones make little or no contribution to luminance (A. Eisner & D. I. MacLeod, 1980; W. Verdon & A. J. Adams, 1987), yet under conditions of intense long-wavelength adaptation, a small but robust contribution to luminance--as defined by heterochromatic flicker photometry (A. Stockman, D. I. MacLeod, & D. D. DePriest, 1987, 1991) or motion (J. Lee & C. F. Stromeyer, 1989)--can be found. Here, by using selective adaptation and/or tritanopic metamers to isolate the S-cone response, we investigate the dependence of the S-cone luminance input on changes in background wavelength and radiance. Interestingly, the S-cone luminance input disappears completely when no adapting background is present, even though the same S-cone stimulus makes a clear contribution to luminance when a background is present. The dependence of the S-cone luminance input on the wavelength and radiance of the adapting background is surprising. We find that the S-cone signal can be measured on fields of 491 nm and longer wavelengths that exceed a criterion background radiance. These criterion radiances roughly follow an L + M spectral sensitivity, which suggests that the S-cone luminance input is silent unless the L- and M-cones are excited above a certain level. We hypothesize that the L + M cone signals produced by the steady adapting backgrounds somehow "gate" the S-cone luminance signals, perhaps by being modulated by them.


Assuntos
Adaptação Ocular/fisiologia , Visão de Cores/fisiologia , Células Fotorreceptoras Retinianas Cones/fisiologia , Feminino , Fusão Flicker/fisiologia , Humanos , Limite de Detecção , Masculino , Estimulação Luminosa , Fotometria , Psicofísica , Limiar Sensorial/fisiologia
20.
J Vis ; 9(5): 21.1-18, 2009 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-19757899

RESUMO

Flicker perception was investigated using two-alternative forced-choice detection and discrimination tasks with four different types of external noise: (1) broadband noise, (2) 5-Hz notched-noise--broadband noise with a 5-Hz band centered on the signal frequency removed, (3) 10-Hz notched-noise, and (4) no external noise. The signal was a burst of 10-Hz sinusoidal flicker presented in one of two observation intervals. In discrimination experiments, a pedestal--sinusoidal flicker with the same frequency, duration, and phase as the signal--was added to both observation intervals. With no noise, observers' performance first improved with increasing pedestal modulation, before deteriorating in accordance with Weber's Law, producing the typical "dipper" shaped plot of signal versus pedestal modulation. Noise affects performance, but the dipper effect persisted in each type of noise. The results exclude three models: the ideal-observer in which the pedestal improves performance by specifying the signal exactly; off-frequency-looking models in which the dipper depends on detection by channels tuned to temporal frequencies different from that of the signal; and strict energy detectors. Our data are consistent with signal processing by a single mechanism with an expansive non-linearity for near-threshold signal modulations (with an exponent of six) and a compressive "Weberian" non-linearity for high modulations.


Assuntos
Discriminação Psicológica/fisiologia , Fusão Flicker/fisiologia , Mascaramento Perceptivo/fisiologia , Percepção Visual/fisiologia , Sensibilidades de Contraste , Humanos , Masculino , Pessoa de Meia-Idade , Estimulação Luminosa
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