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Choline acetyltransferase in ocular tissues of rabbits, cats, cattle, and man Joel S. Mindel* and Thomas W. Mittag The variation of choline acetyltransferase activity in ocular tissues of four mammalian species, rabbits, cats, cattle, and man, was determined. Enzyme activity of irides and ciliary bodies, i.e., parasympathetically innervated structures, tended to be similar in all four species. Two exceptions were bovine irides and human ciliary bodies; these two tissues had higlier enzyme activities. Choline acetyltransferase activity was present in the corneal epithelium of rabbit, bovine, and human eyes, but little or none could be detected in that of cats. Feline retina and pigment epithelium-choroid also contained far less choline acetyltransferase activity than the same tissues in the other three species. Key words: choline acetyltransferase, eye, ocular, cornea, iris, ciliary body, aqueous humor, retina, choroid. C optic nerve. In recent years, the retinal and corneal epithelial choline acetyltransferases have attracted the most interest. Ross and McDougal" have found that the inner plexiform layer contains high levels of choline acetyltransferase activity. Van Alphen7 and Williams and Coopers reported high concentrations of the enzyme in rabbit and bovine corneal epithelium. The corneal epithelium contains none of those structures normally associated with cholinergic activity, i.e., synapses, myoneural junctions, or parasympathetic motor axons. The presence of choline acetyltransferase activity in corneal epithelium, which consists primarily of epithelial cells and sensory nerve endings, has elicited several theories attempting to link cholinergic activity with corneal touch sensitivity0"11 and epithelial ion transport.s> 12 Although the choline acetyltransferase of specific tissues has interested different workers, no general survey of ocular structures has been reported. This paper de- holine acetyltransferase, the enzyme responsible for acetylcholine synthesis, has been assayed in a number of ocular tissues.1"s This enzyme is a more specific marker of cholinergic activity than are the ubiquitous cholinesterases. The first estimates of ocular choline acetyltransferase activity appeared in 19461'2; low enzyme levels were reported for canine and rabbit From the Departments of Pharmacology and Ophthalmology, Mount Sinai School of Medicine, City University of New York, and the Bronx Veterans Hospital, New York, N. Y. Supported in part by a Fight-for-Sight Grant-inAid and National Eye Institute Grant I RO1 EY01243. "Chief of Ophthalmology, Bronx Veterans Administration Hospital. Dr. Mindel is the recipient of a Research Career Development Award from the National Eye Institute. Submitted for publication Feb. 12, 1976. Reprint requests: J. S. Mindel, The Mount Sinai School of Medicine, Fifth Avenue & 100th St., New York, N. Y. 10029. 808 Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933298/ on 04/08/2017 Volume 15 Number JO scribes the distribution of choline acetyltransferase activity in the eyes of four species: rabbit, cat, cattle, and man. Materials and methods Eyes of adult female Dutch Belt rabbits and female mongrel cats, killed with parenteral pentobarbital or secobarbital, were studied. Bovine eyes were supplied on ice by an abattoir within 5 hours of death. Human eyes were obtained hours to days after death from the Eye Bank for Sight Restoration, New York, N. Y. Corneas were removed by trephine as full thickness buttons. In rabbits, the ciliary body is poorly developed and both it and the iris were excised and assayed together. In all four species, the pigment epithelium and choroid were dissected out and assayed together. Choline acetyltransferase was assayed by a modification of the methods of Schrier and Sinister™ and McCaman and Hunt.11 Tissues were homogenized on ice in pH 7.4 buffer solution of sufficient volume to give a concentration of less than 10 per cent weight/volume. The concentrations of buffer ingredients during incubation were 0.5 per cent Triton-X, 10 mM ethylenediamine tetraacetic acid (EDTA), 300 mM sodium chloride, and 150 mM potassium hydrogen phosphate. The assay was performed in duplicate 6 by 50 mm. tubes containing 200 fil of homogenate and 20 <ul of a solution giving a final concentration of 2 mM dithiothreitol, 0.1 mM physostigmine, 5 mM choline chloride, and 0.2 mM acetyl-coenzyme A. The last contained sufficient acetyl-1-C1 '-coenzyme A to give approximately 1 c.p.m. per picomole. A third tube served as blank and contained 0.1 mM naphthylvinylpyridinium hydroxyethyl bromidelr> but no choline. After a 30 min. incubation at 37.5° C, the reaction was terminated with 1 drop of CuCl;, 2.5 per cent, per tube. The contents of each tube were quantitatively transferred, using 1 ml. of H-O, to a 3 by 0.6 cm. column of BioRad AC1-X8, 200 to 400 mesh chloride form ion exchange resin in water. Effluents were collected directly in scintillation vials and counted in 10 ml. of Bray's solution. Protein content of tissues was determined by the method of Lowry and associates.1 <: Naphthylvinylpyridinium hydroxyethyl bromide, dithiotreitol, choline chloride, and acetyl-coenzyme A solutions were made up weekly and stored frozen. Physostigmine solutions were made up daily. Results The choline acetyltransferase activities of all four species were measured with a standardized assay. This assay was based Ocular choline acetyltransferase 809 on kinetic studies of rabbit tissues where the concentration of choline was varied between 25 /xM and 10 mM and the concentration of acetyl-coenzyme A was varied between 10 and 400 /xM. Using a double reciprocal plot by the method of Lineweaver-Burk, the Michaelis-Menton constants (Km's) were calculated from the extrapolated intercepts. The Km for choline was 500 /xM for all four ocular tissues, corneal epithelium, iris-ciliary body, retina, and pigment epithelium-choroid. The Km for acetyl-coenzyme A was 20 ju,M for corneal epithelium, iris-ciliary body, and pigment epithelium-choroid; the Km for retinal acetyl-coenzyme A was 50 /xM. The ocular tissues from eight eyes were pooled and the specific activities determined (expressed as nanomoles acetylcholine formed per hour per milligram [nmole ACh formed/hr./mg.] of protein)—comeal epithelial protein, 18.1; iris-ciliary body protein, 1.6; retinal protein, 58.4; and pigment epithelium-choroid protein, 6.7. The rates of reaction were found to be linear during the incubation period used in the assay. Enzyme activities of individual tissues were then assayed and calculated on a per milligram of protein basis and/or a per whole tissue basis. Variation in ocular choline acetyltransferase activity of rabbit, cat, cattle, and human ocular tissues (per milligram of protein). The corneal epithelium of cats, unlike the other three mammalian species, had little or no detectable choline acetyltransferase activity (Tables I to IV). Rabbit, bovine, and human corneal epithelia had high levels of enzyme activity. The corneal stroma and endothelium of all four species had little or no choline acetyltransferase activity. The enzyme activity of human, rabbit, and cat iris was, on the average, approximately 2 nmole ACh formed/hr./mg. of protein. However, the average bovine iris contained four to five times this activity. The ciliary bodies of cattle, rabbits, and cats formed 2 to 3 nmole ACh/hr./mg. of protein, whereas the average human ciliary Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933298/ on 04/08/2017 Investigative Ophthalmology October 1976 810 Minclel and Mittag Table I. Distribution of choline acetyltransferase activity (per milligram of protein) in the ocular tissues of Dutch Tissue Average* Conjunctiva 0.3 Cornea: Epithelium 20.6 Stroma-endo0.0f thelium Iris-ciliary body 2.6 Lens 0.0$ Vitreous 0.5 Retina 26.1 Pigment epithelium3.4 choroid Optic nerve 0.0 o.o§ Sclera °Nanomoles ACh formed/hr./mg. Range* _ Std. Dev. Table III. Distribution of choline acetyltransf erase activity (per milligram of protein) in the ocular tissues of cattle Tissue n 0.0 3 13.6 0.0 21 8 1.7 0.0 0.0- 2.1 0.7 5.8-94.4 20.5 0.2-12.4 3.1 5i 13 g 46 47 0.0- 0.1 0.0 0.0 — of protein. g 8 3.9-41.2 0.2- 4.9 Average* Range* Std. Dev. Cornea: 46.5 11.6-89.2 27.5 Epithelium 0.4 Stroma-endo0.0- 1.4 0.6 thelium IrJ 10.8 1.6-22.2 6.5 s Ciliary body 1.9 0.3- 6.9 2.1 0.1 — Lens o.ot Vitreous 0.9 0.5- 1.3 0.6 9.8 Retina 13.0 4.0-31.4 4.5 Pigment epithelium4.6 0.0-10.9 choroid — Optic nerve 0.3 — Sclera 1.8 — — °Nanomoles ACh formed/hr./mg. of protein f-0.15. n 8 8 10 10 2 2 10 10 1 1 t< 0.036. }< 0.003. 5< 0.010. Table IV. Distribution of choline acetyltransf erase activity (per milligram of protein) in the ocular tissues of man Table II. Distribution of choline acetyltransf erase activity (per milligram of protein) in ocular tissues of cats Tissue Average* Cornea: Epithelium 0.1 Stroma-endo0.0f thelium Full thickness 0.0 Iris 2.0 Ciliary body 2.9 Lens 0.0$ Vitreous 0.0§ Retina 0.7 Pigment epithelium0.5 choroid °Nanomoles ACh formed/hr./mg. t < 0.010. | < 0.029. 5< 0.013. Tissue Range* Std. Dev. n 0.0-0.6 — 0.2 0.0 8 4 0.0-0.3 0.3-5.5 0.5-6.6 — — 0.4-1.2 0.2-0.7 0.1 1.5 2.2 0.0 0.0 0.3 0.2 12 16 16 4 4 12 6 of protein body had five to eight times this level of activity. The vitreous humor contained small amounts of choline acetyltransferase activity. Aqueous humor choline acetyltransferase was assayed in 14 rabbit eyes. In 13 of the 14, no enzyme activity was detectable. In one eye, an activity of 0.1 nmole ACh formed/hr./ml. was found. Two pooled samples of bovine aqueous humor, one from 40 eyes and the other Average* Range* Std. Dev. Cornea: 11.2 Epithelium — — Strnma-enrio0.4 thelium 1.8 0.1- 5.3 2.5 Iris 0.1-38.0 14.3 16.8 Ciliary body — 0.0 0.0$ Lens — — 2.2 Vitreous 0.9-23.1 6.7 6.1 Retina 4.5 0.6-11.0 Pigment epithelium5.1 choroid — — 0.7 Optic nerve 1.2 — Sclera — "Nanomoles ACh formed/hr./m{%. of protein. tPooled sample of 12 eyes. t < 0.027. t | 10 11 6 t 10 10 t t from eight eyes, were assayed and their average enzyme activity was 1.4 nmole ACh formed/hr./ml. Aqueous humor choline acetyltransferase in seven human eyes ranged in value from 5.4 to 10.1 nmole ACh formed/hr./ml., with an average value of 7.8 ± 2.8. The retinal choline acetyltransferase activities of rabbits and cattle were, on the average, similar whereas human and, especially, feline enzyme activities were far Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933298/ on 04/08/2017 Ocular choline acetyltransferase 811 Volume 15 Number 10 Table V. Distribution of choline acetyltransferase activity (per whole tissue) in ocular tissues* Tissue Cornea Iris Ciliary body Retina Pigment epithelium—choroid Rabbit < 1-235 (100)t 10 A(\ (AA\ 60-160 (47) < 1 - 15 (42) Cat Bovine 0 (8) 27-60 (4) 26-48 (4) 9-26 (4) 26-50 (4) 130-1,600 (10) 28- 539 (5) 9- 239 (5) 157- 944 (5) 3- 533 (5) Human 0- 10 (6) 1- 35 (5) 0-221 (5) 22-105 (4) 16-103 (4) •Nanomoles ACh formed/hr. per whole tissue. t Numbers in parentheses = number of subjects assayed. less. The average values of rabbit, cattle, and human pigment epithelium-choroid choline acetyltransferase activities (3 to 5 nmole ACh formed/hr./mg. of protein) were five to seven times that of cat. Underlying all these mean values was a wide range in choline acetyltransferase activity that indicated considerable individual variation. Variation in ocular choline acetyltransferase activity of rabbit, cat, cattle, and human ocular tissues (per whole tissue). Table V shows the range of ocular choline acetyltransferase activities in the four species studied, calculated on a per whole tissue basis. Sufficient rabbit eyes were assayed to evaluate the distribution of enzyme activities for this species. Values for rabbit corneal choline acetyltransferase (Fig. 1) did not cluster around a central value as they did for the other three tissues: 62 per cent of iris-ciliary body samples fell in the range of 20 to 30 nmole ACh formed/hr. per whole tissue, 68 per cent of retinal samples fell in the range of 80 to 120 nmole ACh formed/hr. per whole tissue, and 60 per cent of pigment epithelium-choroid samples fell in the range of 5 to 10 nmoles ACh formed/hr. per whole tissue. Discussion In 1946, two papers appeared giving the first estimates of choline acetyltransferase activity in ocular tissues. Feldberg and Mann1 reported 0 to 15 /xg ACh formed/ hr./gram of acetone-dried powdered canine optic nerve and 400 /xg ACh formed/ hr./gram of acetone-dried powdered ca- 20 n 50 65 80 95 110 125 140155 7 14 21 28 nanomoles ACh FORMED/hr/CORNEA 190 235 Fig. 1. Distribution of choline acetyltransferase activity in the corneal epithelia of 100 Dutch Belt rabbits (per cent of total number of eyes assayed). nine retina. Nachmansohn and Bermanreported the same year that rabbit optic nerve produced 13 to 21 fxg of ACh/hr./ gram of whole tissue. De Roetth4 reported a much higher enzyme activity for rabbit optic nerve, 100 to 300 /xg of ACh formed/ hr./gram of acetone-dried powder. Hebb5 studied ocular choline acetyltransferase activity by an improved enzyme assay that was more likely to ensure that the acetylcoenzyme A substrate remained at saturating levels. A marked species variation in retinal choline acetyltransferase of dog, rabbit, chicken, and pigeon was found, and far lower optic nerve enzyme activities than de Roetth had reported earlier were noted. Hebb found a material present in ocular tissues that interfered with bioassay determinations of acetylcholine. The conditions of enzyme assay in the present study were chosen so as to be well above the Km's determined for rabbit ocular choline acetyltransferase. The corneal epithelial, iris-ciliary body, and pigment epithelium-choroid Km's were 500 tiM for Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933298/ on 04/08/2017 Investigative Ophthalmology October 1976 812 Minclel and Mittag choline and 20 /.LM for acetyl-coenzyme A. The Km's for retina were 500 fiM for choline and 50 /iM for acetyl-coenzyme A. These were of the same order of magnitude as those reported for calf and human brain. White and Cavallito17 found the Km's for calf brain choline acetyltransferase to be 800 /JM for choline and 16 pM for acetyl-coenzyme A. White and Wu ls found the Km's for human choline acetyltransferase to be 510 /xM for choline and 11 [xM for acetyl-coenzyme A. Choline acetyltransferase activities were calculated in two different manners. For the purpose of comparing different species whose ocular structures vary in size, enzyme activities were calculated on a per milligram of protein basis. However, the enzyme activities of the corresponding tissues of the two eyes of an individual animal agreed better if the data were calculated on a per whole tissue basis. The reasons this occurred will be dealt with in a separate publication. This is an important consideration when comparisons of enzyme activity between the two eyes are made following experimental manipulations to one eye with the other serving as control. The corneal epithelium showed the most marked species variation in choline acetyltransferase activity (Tables I to IV and Fig. 1). In contrast to the very high choline acetyltransferase activities of some rabbit (20.6 nmole ACh formed/hr./mg. of protein), bovine (46.5 nmole ACh formed/ hr./mg. of protein), and human (11.2 nmole ACh formed/hr./mg. of protein) corneal epithelia, that of the cat contained very little enzyme activity (0.1 nmole ACh formed/hr./mg. of protein). The value for bovine corneal epithelial choline acetyltransferase activity, 46.5 nmole ACh formed/hr./mg. of protein, agrees well with that of Williams and Cooper,8 33 nmole ACh formed/hr./mg. of protein. Van Alphen7 found a lower level of rabbit corneal epithelial enzyme activity than is reported here but he used a high concentration of cysteine in his extraction procedure and this was subsequently found to inhibit enzyme activity.19 Howard and Wilson'-0 and Howard, Wilson, and Dunn21 found an upper value of rabbit comeal epithelial choline acetyltransferase activity, 123.1 nmole ACh formed/hr./mg. of protein, approximately three times that reported here. Since there is normally great variation in the corneal enzyme activity of different rabbits (Fig. 1), these authors may have used animals with higher choline acetyltransferase activities. A second possibility is that since their assay did not use a specific choline acetyltransferase inhibitor, other acetylated cationic molecules, such as acetylcarnitine, may have contributed to falsely elevated values. The variation in rabbit corneal choline acetyltransferase activity (Fig. 1) is much greater than that described for other rabbit ocular tissues. The corneal epithelium is the only ocular tissue directly in contact with the external environment and several authors have suggested1-' -1 that the environment influences this tissue's choline acetyltransferase activity. The rather striking differences between feline corneal enzyme activity and those of rabbit, cattle, and human eyes were also found for retina and pigment epitheliumchoroid. The average retinal choline acetyltransferase activity of the cat was only 0.7 nmole ACh formed/hr./mg. of protein compared to values of 26.1, 13.0, and 6.1 nmole ACh formed/hr./mg. of protein in rabbit, bovine, and human eyes, respectively. HebbV reliance on a regional difference in myelinization to explain why pigeon central retina had lower choline acetyltransferase activity than peripheral retina would not seem to explain this interspecies variation. The rabbit retina is more highly myelinated2- than those of the other three species yet its enzyme activity is higher. Ross and McDougal0 have presented evidence that the inner plexiform, inner nuclear, and ganglion cell layers have significant amounts of choline acetyltransferase activity. They found that these retinal layers had less activity in cats than in monkeys, mice, or rabbits. For example, Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933298/ on 04/08/2017 Volume 15 Number 10 feline inner plexiform layer activity averaged only 3.61 mmol ACh formed/hr./kg. dry weight whereas that of rabbit averaged 56.4 mmol ACh formed/hr./kg. dry weight. This species difference was similar to that reported here for whole retina: 0.7 nmole ACh formed/hr./mg. of protein in cats and 26.1 in rabbits (Tables I and II). Ross and McDougal believed their data supported the view that the amacrine cells were primarily responsible for retinal choJinergic activity. The finding of choline acetyltransferase activity in the pigment epithelium-choroid samples was somewhat unexpected. Although neurons pass between sclera and choroid, some of which may terminate on the choroidal vasculature, there has been little evidence suggesting a cholinergic system in the choroid. Kovacik,23 using a bioassay, has detected acetylcholine in the choroid. Another unexpected finding was that although rabbit sclera did not contain choline acetyltransferase activity, human and bovine sclera did. Perhaps this reflected differences in the numbers of parasympathetic neurons penetrating the sclera of cattle and human eyes, whose irides and ciliary bodies were well developed, as opposed to those of rabbit eyes, whose irides and ciliary bodies were relatively poorly developed. Another possibility was that the enzyme activity reflected contamination from adjacent tissue autolysis in the same way as suggested for aqueous and vitreous humors in the ensuing discussion. Those structures with parasympathetic innervation, the iris and ciliary body, tended to have a more uniform interspecies distribution of choline acetyltransferase than was found for cornea, retina, and pigment epithelium-choroid. The two exceptions were the bovine iris and human ciliary body, both of which had considerably higher enzyme activities than those found in the other species. The amount of choline acetyltransferase activity found in the aqueous and vitreous humors correlated well with the length of Ocular choline acetyltransferase 813 time between death and the removal of these fluids; for example, human eyes, which were received up to 96 hours after death, and bovine eyes, which were received up to 5 hours after death, had higher enzyme activities than aqueous and vitreous humors of freshly killed rabbits and cats. De Roetth24 attributed a similar postmortem increase in cholinesterase activities of aqueous and vitreous humors to autolysis of tissues bordering the ocular fluids; a breakdown of iris, ciliary body, and retina could release choline acetyltransferase into the aqueous and vitreous humors. Alternatively, vitreous samples could be contaminated with small pieces of adjacent retina due to vitreoretinal adhesions. Both explanations assume that the sources of aqueous and vitreous humor choline acetyltransferase activities were the adjacent tissues. The authors wish to thank Patrick Freyne and The Eye Bank for Sight Restoration, Inc., New York, for generously supplying human ocular tissue. Art work was provided by the Medical Illustration Service of the Bronx Veterans Administration Hospital. REFERENCES 1. Feldberg, W., and Mann, T.: Properties and distribution of the enzyme system which synthesizes acetylcholine in nervous tissue, J. Physiol. 104: 411, 1946. 2. Nachmansohn, D., and Berman, M.: Studies on choline acetylase. III. On the preparation of the coenzyme and its effect on the enzyme, J. Biol. Chem. 165: 551, 1946. 3. de Roetth, A., Jr.: Choline acetylase activity in ocular tissues, Arch. Ophthalmol. 43: 849, 1950. 4. de Roetth, A., Jr.: Role of acetylcholine in nerve activity, J. Neurophysiol. 14: 55, 1951. 5. Hebb, C. O.: Choline acetylase in mammalian and avian sensory systems, Q. J. Exp. Physiol. 40: 176, 1955. 6. Ross, C. D., and McDougal, D. B., Jr.: The distribution of choline acetyltransferase activity in vertebrate retina, J. Neurochem. 26: 521, 1976. 7. van Alphen, G. W. H. M. V.: Acetylcholine synthesis in corneal epithelium, Arch. Ophthalmol. 58: 449, 1957. 8. Williams, J. D., and Cooper, J. R.: Acetylcholine in bovine corneal epithelium, Biochem. Pharmacol. 14: 1286, 1965. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933298/ on 04/08/2017 Investigative Ophthalmology October 1976 814 Mindel and Mittag 9. von Brucke, H. V., Hellauer, H. F., and Umrath, K.: Azetylcholin- und Aneuringehalt der Hornhaut und seine Beziehungen zur Nervenversorgung, Ophthalmologica 117: 19, 1949. 10. Hellauer, H. F.: Sensibilitat und Acetylcholingehalt der Hornhaut verschiedener Tiere und des Menschen, Z. Vergleichende Physiol. 32: 303, 1950. 11. Fitzgerald, C. C , and Cooper, J. R.: Acetylcholine as a possible sensory mediator in rabbit corneal epithelium, Biochem. Pharmacol. 20: 2741, 1971. 12. Stevenson, R. W., and Wilson, W. S.: The effect of acetylcholine and eserine on the movement of Na+ across the corneal epithelium, Exp. Eye Res. 21: 235, 1975. 13. Schrier, B. K., and Shuster, L.: A simplified radiochemical assay for choline acetyltransferase, J. Neurochem. 14: 977, 1967. 14. McCaman, R. E., and Hunt, J. M.: Microdetermination of choline acetylase in nervous tissue, J. Neurochem. 12: 253, 1965. 15. Cavallito, C. J., Yun, H. S., Kaplan, T., et al.: Choline acetyltransferase inhibitors. Dimensional and substituent effects among styrylpyridine analogs. J. Med. Chem. 13: 221, 1970. 16. Lowry, O. H., Rosebrough, N. J., Farr, A. L., et al.: Protein measurement with the folin phenol reagent, J. Biol. Chem. 193: 265, 1951. 17. White, H. L., and Cavallito, C. J.: Choline 18. 19. 20. 21. acetyltransferase. Enzyme mechanism and mode of inhibition by a styrylpyridine analogue, Biochim. Biophys. Acta 206: 343, 1970. White, H. L., and Wu, J. C : Separation of apparent multiple forms of human brain choline acetyltransferase by isoelectric focusing, J. Neurochem. 21: 939, 1973. Morris, D., Hebb, C , and Bull, C : Inhibition of choline acetyltransferase by excess cysteine, Nature 209: 914, 1966. Howard, R. O., and Wilson, W. S.: Development of acetylcholine, choline acetyltransferase and acetylcholinesterase in rabbit corneal epithelium, Br. J. Pharmacol. 76: 567P, 1972. Howard, R. O., Wilson, W. S., and Dunn, B. J.: Quantitative determination of choline acetylase, acetylcholine, and acetylcholinesterase in the developing rabbit cornea, INVEST. OPHTHALMOL. 12: 418, 1973. 22. Polyak, S. L.: The Vertebrate Visual System, Chicago, 1957, University of Chicago Press, pp. 219 and 239. 23. Kovacik, L.: Acetylcholine des tissus du segment posterieur de l'oeil des bovides. III. Reserve en acetylcholine de l'epithelium pigmente de la retine, Arch. Ophtalmol. 34: 59, 1974. 24. de Roetth, A., Jr.: Cholinesterase activity in ocular tissues and fluids, Arch. Ophthalmol. 43: 1004, 1950. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933298/ on 04/08/2017