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Observations on the rod and cone layer of the human retina A light and electron microscopic study Ben S. Fine and Lorenz E. Zimmerman Electron microscopy combined with certain histochemical studies on thin sections of the human retina has provided additional information concerning the mucinous material that occupies the intercellular space between the outer limiting membrane and the retinal pigment epithelium. The myoid region of the inner segments of hotli rods and cones contains an abundance of organelles associated with the intmcellular elaboration of mucinous and proteinaceous substances. It is suggested that this part of the photoreceptor cells is the most likely source of the mucoid ground substance in which the inner and outer segments of the visual cells are suspended. The organelles that are so concentrated in the apical region of the photoreceptor cells are probably also involved in the production of intracellular materials required for photoreception and/or generation and transmission of nerve impulses. -L hotoreceptor cells ("rods" and "cones") of the retina have been, studied in a number of animal species by electron microscopy.1"-'1 Attention has been directed mainly toward the study of these cells, with emphasis upon their outermost segments. Less attention has been directed toward their inner segments and to the matrix (i.e., extracellular substance) in which the rods and cones are embedded. Few studies have been made on human photoreceptor cells.21"27 Some of the methods of light microscopy'^"1" have been used to study the material that fills the intercellular space of the rod and cone layer. This indistinct material has not only been clearly demonstrated in human and animal retinas, but has been tentatively characterized as containing a hyaluronidase-resistant acid mucopolysaccharide.31':" In certain species, such as the rat and rabbit, this interstitial matrix appears smaller in quantity,'" and because this space is occupied for the most part by the processes of the pigment epithelial cells in such species as the frog (Rana pipiens) there has been some question as to whether this mucoid material in the human retina lies actually within or between the cell processes. This study, combining techniques of light microscopy, histochemistry, and elec- From the Ophthalmic Pathology Branch, Armed Forces Institute of Pathology, Washington, D. C. This investigation was supported by Research Grants 6X59-01-001 and DAMEDDH 61-51 from the Medical Research and Development Command, United States Army, Washington 25, D. C. 446 Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 Volume 2 Number 5 tron microscopy, was designed to seek answers to the following questions: 1. Can the mucoid (Hale-positive) material be identified by electron microscopy in the human retina? 2. Is this material intracellular, extracellular, or both? 3. What are some of the probable sources for production of this material? Materials and methods The materials and methods used have been202734 described in detail previously.' > 34 Illustrations are all oriented with the rod and cone outer segments directed downward. The vitreous cavity is above. All markers are 1 /», unless otherwise indicated. Rod and cone layer of human retina 447 Observations The descriptive observations are recorded as legends to each figure. The figures are arranged with a light micrograph, as in Fig. 1, for purposes of orientation, followed by electron micrographs showing regions of the perikaryon (Figs. 2 and 3). These are followed by a series of micrographs illustrating the external limiting membrane and myoid portions of the photoceptor cells to 6)a end of their inner segments (Figs. 4 to 6) and finally including an adjacent portion of their outer segments (Fig. 7). Discussion The photoreceptor cells of the retina include more than what is conventionally Fig. 1. A light micrograph of human retina taken from approximately the parafoveal region. The section is celloidin embedded and stained with hematoxylin and eosin. The orientation is such that the internal limiting membrane (ILM) is above and the external limiting membrane (XLM) is below. The electron micrographs that follow are arranged to illustrate the region from A down to B. The free arrow points to the zone of ONL, of outer nu clear segments ofnuceli the photoreceptor cells. MLM, middle limiting membrane; ONL, ofthe nuclear layer (the nuclei of the photoreceptor cells); CC, choriocapilla of the ri s ) Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 448 Fine and Zimmerman called the layer of rods and cones, since these cells extend from the free inner surface of the retinal pigment epithelium to the inner part of the outer plexiform layer (region of the middle limiting membrane27) (Fig. 1). In the various cellular layers occupied by the photoreceptor cells, only two other histologic elements are present. Between the outer limiting membrane and the pigment epithelium there is an intercellular substance that fills the spaces between adjacent photoreceptor cells. Inside the outer limiting membrane the cytoplasm of Miiller's cells fills up all potential space between the photoreceptors (Figs. 2 to 4). Miiller's cells and the photoreceptors are joined most firmly at the level of the outer limiting membrane, where there are numerous terminal bars. Apparently the outer limiting membrane serves as an effective barrier preventing the passage of the normal interstitial mucoid matrix about the outer ends of the visual cells directly into the retina proper, just as in pathologic states it serves to prevent extension of exudates and hemorrhages out into the subretinal area. That part of the photoreceptor cells between the nucleus and the retinal pigment epithelium is the free or apical half of the cell (Fig. 2). As is true of less highly specialized epithelia, the apical part of these neuroepithelial cells near the nucleus contains the Golgi complex, associated secretory vesicles, ribonucleoprotein particles, and smooth-surfaced endoplasmic reticulum. The apical cytoplasm of the photoreceptors includes that part of the cell Inoestigative Ophthalmology October 1963 passing through the external limiting membrane, together with the inner segments of the rod and cone layer. The outer segments of these cells are considered as remarkably specialized ciliated villous projections of the apical cytoplasm. The Golgi complex, generally considered to play an important role in the secretory activities of cells, is very prominent in the apical part of the photoreceptors, where there are also large numbers of associated vesicles. Many of the larger vesicles contain a finely granular or filamentous material that is electron lucent (Figs. 3 to 5). This material resembles closely that which occupies the intercellular spaces between the outer limiting membrane and the pigment epithelium (Figs. 5 and 7). These observations suggest the possibility that the apical part of the photoreceptor cells (i.e., the rod and cone inner segments) is the source of most of the mucoid matrix in which the free ends of these cells are enveloped. The occurrence of a film of mucoid material within the lumen of well-differentiated rosettes of retinoblastomas and in those of dysplastic retinas31 provides additional support for the belief that the visual cells produce this mucoid ground substance. The human rod and cone inner segments have long been subdivided into a refractile outer part, or ellipsoid, and a nonrefractile, basophilic inner part, or myoid. This subdivision is more prominent in cones than in rods. The "ellipsoid" is filled with mitochondria,20 while the "myoid" (Fig. 3) contains Fig. 2. This electron micrograph for orientation shows an area corresponding to region A of the light micrograph. The nuclei (N) are those of the rod and cone photoreceptor cells, which make up the outer nuclear layer (see Fig. 1, ONL). The external limiting membrane (a series of terminal bars) is indicated by the free arrows toward the bottom of the micrograph. The very lucent cytoplasm of the Miiller cell (MC) can be seen occupying the "spaces" between the photoreceptor cells internal to the external limiting membrane. The basal cytoplasm of these photoreceptor cells is attenuated into rod axons (RA) and cone axons (CA). The apical cytoplasm, which contains the large Golgi complex (G), extends outward "through" the external limiting membrane as the photoreceptor inner segments. Here, between these inner segments, lie the narrow villous extensions of the Miiller cells, which cannot be seen at this low magnification but can be in Fig. 3 (MV). (Nasal macula, untreated. x6,800.) Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 Volume 2 Number 5 Rod and cone layer of human retina. 449 Fig. 2. For legend see opposite page. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 450 Investigative OiMbalnmlogy Octoficr JS63 Fine and Zimmerman ss Fig. 3. For legend see page 453. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 Rod and cone layer of human retina 451 Volume 2 Number .5 ro ss DE SS MV Fig. 4. For legend see page 453. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 rxlifiatiirt' Ophthalmology October 1963 452 Fine and Zimmerman SS SS " " w v ? ^ -MP • FR MP , M Fig. 5. For lopMid sec opposite page. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 Rod and cone layer of human retina the large Golgi complex, many of its associated vesicles, and considerable quantities of both free and membrane-bound ribosomes. The granular endoplasmic reticulum ("ergastoplasm") shows little orientation. Many segments of agranular endoplasmic reticulum are also present, as are a few electron-dense bodies.15 The term "myoid" is derived from a similar, but contractile, portion of some amphibian cones and is not a meaningful term in relation to the human, for there is as yet no evidence, either physiologic or morphologic (including electron microscopic), for the properties of a muscle here. The myoid region of the cone has, however, long been known to be basophilic, a characteristic that is accounted for by the densely congregated ribosomes. The 453 ribosomes (ribonucleoprotein particles) produce most of the cytoplasmic basophilia30 and are involved in the synthesis of certain proteins.37' HS For other reasons,"4 these particles and/or associated membrane systems have been suspected of playing a significant role in the synthesis of a variety of mutinous materials, which are then collected and probably concentrated in the Golgi complex,3""11 from which they are eventually extruded from the cell (Fig. 4). The similarity in appearance of the material within the Golgi complex here with that occupying the extracellular spaces does not imply chemical identity, especially if the intracellular material is a precursor material, the composition of which may be undergoing change prior to discharge from the cell. Fig. 3. Higher magnification of the apical region of the cone photoreceptor, above, and two rod photoreceptors, lower left portion of the micrograph. The terminal bars (TB) that form the external limiting membrane are evident, and the lucent cytoplasm of the Miiller cell (MC) is indicated between the photoreceptor cells. The apical part of the visual cell, which is continuous with the myoid portion, contains a very large Golgi complex (G) with many associated vesicles varying in size. Some of these larger vesicles contain a lucent, almost filamentous material (free arrows) that closely resembles the extracellular material observed more distally (Figs. 4, 5, and 7). The cytoplasm here also contains large quantities of ribonucleoprotein particles (RNP), most of which lie "free" or in small clusters. Moderate numbers of these ribosomes are observed to be associated with short fragments of a doublemembrane system, which here shows little orientation. Considerable quantities of agranular double membranes (smooth-surfaced endoplasmic reticulum) (SS) are also present. MV, Miiller cell vilh; N, nucleus. (Nasal macula, uranyl acetate treated. x27,000.) Fig. 4. Photoreceptor (rod) inner segments at the region of the external limiting membrane (TB) and extending outward from the retina, separated here for the most part by the delicate villous processes (MV) of the Miiller cells (MC). Large vesicles, rjresumably a part of the Colgi complex, are present, filled with a lucent, finely granular to filamentous material (free arrows). A small segment of agranular reticulum (V,) lies close to the surface membrane of the cell. In another region the cell surface membrane protrudes inward (V), suggesting the possibility of fusion here with an intracellular vesicle. Throughout the cytoplasm are large aggregates of smooth-surfaced endoplasmic reticulum (SS), as well as small clusters of granular endoplasmic reticulum (ER) and widespread groupings of free ribosomes (R). OB, • dense body. (Nasal macula, uranyl acetate treated. x27,000.) Fig. 5. Photoreceptor (rod) inner segments just external to the portions illustrated in Fig. 4. The villi of Miiller's cells protrude between these inner segments, and one can be seen cut obliquely at MV. Beyond this villous process, lying in the space between adjacent cells, is a lucent, finely granular to filamentous material (MP). This material occupies more space as the cells are more widely separated distally (toward the lower right of the micrograph)Within these cells is an extensive Golgi complex system (G) together with several large vesicles frequently observed to contain a finely granular to filamentous, lucent material (free arrows) that resembles the material lying between the cells (MP). Many segments of granular endoplasmic reticulum (ER), as well as many free clusters of ribosomes and agranular membranes (SSJ, are also present. CR, portion of a cross-banded ciliary rootlet; DB, dense body; M, mitochondria. (Nasal macula, uranyl acetate treated. x25,200.) Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 •.stigalioe Ophthalmology October .1963 454 Fine and Zimmerman The presence of such large quantities of ribosomes, membrane systems, and an enormous Golgi complex in this "myoid region" of the photoreceptor inner segment strongly points to the synthesis of various mutinous and proteinaceous materials at this site within the cell. Such a relationship has also been observed in other actively secreting cells that produce both mutinous and proteinaceous materials.'-"11 What portion of this synthetic activity is related to production of the interstitial mutinous materials, and what portion to possible use within the cell for purposes of photoreception and/or nerve impulse generation and conduction, is not at all clear. The relative paucity of highly organized granular endoplasmic reticulum and. the presence of large quantities of "free" ribosomes also suggest considerable synthetic activity at this site for local or intracellular use.4Si 4" The inner segments of rods and cones contain similar components, but, in general, the materials in the rod inner segment are more diffusely arranged,-'1 and the division of inner segment into ellipsoid and myoid regions is not as distinct, nor is the histochemical staining as distinct as in the cone inner segment (Fig. 6). At the base of these photoreceptor inner segments (just external to the outer limiting membrane), villi of the Muller cells protrude into the extracellular spaces for a distance approximately the length of the myoid portions (Figs. 4 and 5). These villi might contribute to the extracellular material, but evidence supporting such a possibility is, at present, lacking. Because of their considerable morphologic similarity to the apical microvilli of the brush border of intestinal epithelium, or to those of the actively absorptive cells of the proximal convoluted tubule of the kidney nephron,17 one might consider the possibility of a greater absorptive function here than secretory, although determination of their actual function must await other methods of investigation. Another possible source of some of the interstitial mucoid material is the retinal pigment epithelium, but these cells, like the Muller cells, have not been found to have the high degree of cytoplasmic organization that is generally associated with this type of secretory activity. The outer segments of both rods and cones in man consist (as in other animals) of finely laminated structures, in reality layers of membranes and tubules. Both of these laminated structures are intensely periodic acid-Schiff positive'113 and are enveloped within an expansion of the cell surface membrane that includes the projecting cilium. The limiting plasma membrane of the cylindrical rod outer segment is very closely applied to its laminated inner structure, whereas that of the cone is usually more widely separated (Fig. 7). This slight separation of the cell membrane in the cone outer segment introduces the possibility that a small amount of Halepositive material may occupy this region, which cannot be adequately resolved by light microscopic techniques. The human rod and cone outer segments are easily distinguished from one another by a number of morphologic criteria, which will be discussed in more detail elsewhere. Conclusions From these observations and interpretations one may conclude, therefore, that the Hale-positive region of the rod and cons layer in the human retina represents mainly the extracellular material in which the photoreceptor outer segments are embedded. This material contains an acid mucopolysaccharide that is not sensitive to either bovine testicular or streptococcal hyaluronidase.31';|- The major portion of this material is probably synthesized within the apical cytoplasm (inner segments) of the photoreceptor cells and extruded from there into the intercellular space. From these observations and conclusions, a further possibility appears that some of the sites of the synthetic processes involved in elaboration of these various materials Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 Investigative Ophthalmology Volume 2 Number 5 Fine and Zimmerman: Rod and cone layer of human retina 455 Fig. 6. A, A 1 to 1.5 A thick section of osmium-fixed, methacrylate-embedded human retina treated by a combination of the periodic acid-Schiff reaction and the Hale colloidal-iron technique for acid mucopolysaccharides. The photoreceptor outer segments are clearly P.A.S. positive, while the material between the cells is P.A.S. negative, but intensely Hale positive. Note that within the inner segments, P.A.S. positivity is greater in the ellipsoid portion, where most of the mitochondria are congregated in the cone cell, while the myoid portion, where most of the Golgi complex is to be found, is somewhat Hale positive. The dark granules at the bottom of the figure are the pigment granules of the retinal pigment epithelium. B, Several of the rod photoreceptor segments are seen in cross-section. They are intensely P.A.S. positive. The material that fills the space between the photoreceptor segments is Hale positive and considered to contain an acid mucopolysaccharide. (Nasal retina, periodic acid-Schiff, and Hale treated, x 1,440.) Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 Volunw 2 Number 5 Rod and cone layer of human retina Fig. 7. For legend see pa£e 458. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933144/ on 06/17/2017 457 458 Fine and Zimmerman ! Ophthalmology October 1963 Fig. 7. Junction of outer and inner segments of a rod and a cone from the nasal macular area of a 40-year-old man. Only the apexes of the receptor inner segments are seen here. The cone inner segment contains a large number of mitochondria (M) as well as large numbers of "free" ribosomes. The cone-connecting cilium, identical to that of the rod, is seen at ClL. The cross striations of a cilium rootlet are seen at R. The laminations or discs of the rod outer segment are clearly seen, as are the staggered groupings of the cut ends of tubules. The cone outer segment is not cylindrical but tapered, somewhat like the cones of lower animals. No cut ends of tubules resembling those of the rod are seen in the cone, and the more closely arranged double lamellas of the cone in this particular section end along one side as dilated tubules and vesicles. The lamellas themselves frequently present as loops (L) at right angles to the longitudinal axis of the segment. The limiting plasma membrane (PL) of the cone cell here is more widely separated from the lamellated internal structure than is that of the rod cell. The large intercellular space is occupied by a lucent, finely granular to filamentous material (MP) that corresponds to most of the Hale-positive region seen in Fig. 6 (Nasal macula, uranyl acetate treated. x23,800.) may also be concerned here with the production of some compounds necessary for the processes of photoreception and/or generation and propagation of the nerve impulse in these special neuroepithelial cells. REFERENCES 1. Cohen, A. I.: The infrastructure of the rods of the mouse retina, Am. ]. Anat. 107: 23, 1960. 2. Cohen, A. I.: The fine structure of the extrafoveal receptors of the rhesus monkey, Exper. Eye Res. 1: 128, 1961. 3. Cohen, A. I.: The fine structure of the visual receptors of the pigeon, Exper. Eye Res. 2: 88, 1963. 4. De Robertis, E.: Electron microscopic observations on the submicroscopic organization of the retinal rods, J. Biophys. & Biochem. Cytol. 2: 319S 1956. 5. 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