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Amino acid pharmacology of mammalian central neurones grown in tissue culture.

1. Spinal and cerebellar-brainstem areas of fetal mouse were dissociated and grown in tissue culture until large enough to permit stable intracellular recording. 2. The tissue-cultured neurones, growing as a monolayer and accessible under direct vision using phase contrast optics, allowed precise placement of intracellular recording and extracellular ionophoretic pipettes. 3. Ionophoresis of GABA and glutamate revealed a non-uniform distribution of responses over the cell surface, with a lack of spatial coincidence in sensitivity between the two. GABA inhibited and glutamate excited all cells tested. 4. GABA responses evoked at the cell body and on nearby process membrane were almost uniformly hyperpolarizing, while those at some peripheral process membrane were either hyperpolarizing, depolarizing or a combination of both events. All responses were associated with an increase in membrane slope conductance. 5. Membrane polarization showed that all hyperpolarizing events extrapolated to about the same inversion potential, which averaged about 9 mV more negative than resting potential (n = 95 cells). The depolarizing phases of responses evoked at peripheral membranes extrapolated to about 0 mV (n = 5 cells). 6. The hyperpolarization and increase in membrane conductance of GABA responses at the cell body were dependent on Cl- ions and the inversion potential of the response was dependent on the Cl- ion concentration gradient. The inversion potentials of GABA, glycine and beta-alanine responses were identical. 7. When matched in magnitude for evoked conductance increase, glycine responses decayed more rapidly than GABA. Glycine and beta-alanine voltage responses both decayed faster than GABA responses of comparable size. 8. In about half the cells tested sustained or rapidly repeated application of GABA and glycine transformed hyperpolarizing responses into depolarizations which were associated with a maintained conductance increase. Results from conditioning-test experiments with pairs of GABA and glycine responses suggest that the reversal of response polarity is due to a rapid redistribution of Cl- ions. 9. The limiting slope of log-log dose-response curves for GABA-induced conductance averaged about 2, while those for glutamate-induced depolarizations averaged about 1. The results suggest that two molecules of GABA and one molecule of glutamate participate in the respective post-synaptic responses. 10. The observation indicate that mammalian C.N.S. tissue grown in culture is a suitable model to study C.N.S. membrane pharmacology with increasing precision.

Alanine↗

Quantitative VEP analysis in children with cortical visual impairment.

Children with cortical visual impairment (CVI) usually have a typical clinical presentation. However, in some cases, it may be useful to have confirmatory evidence based on objective electrophysiologic information. To achieve this, we examined some mathematically derived parameters constructed from 20 channel visual evoked potential (VEP). A group of 30 children diagnosed with CVI by clinical and CT findings was compared to a normal control group of 52 children. Each recorded VEP was mathematically transformed using Hjorth's source derivation, to reduce reference contamination and enhance local features. The area under the response curve, computed for each channel within a fixed time window, was used as a measure of the response activity at that channel. These areas were then used to construct several parameters ("R values") describing ratios of activities between different recording electrode areas. Some of these ratios provided good separation between patient and control groups, especially for children older than 5 years of age; in particular CVI patients were found to have a low occipital-to-parietal activity ratio. This finding, together with the observed age independence of the R values in the normal population, their ease of computation and possible physiological interpretability, suggest that R values could be used as confirmatory diagnostic measures.

Adolescent↗

Disparity minimisation, cyclovergence, and the validity of nonius lines as a technique for measuring torsional alignment.

Frisby et al (1993 Perception 22 Supplement, 115) proposed that the visual system might make cyclovergent eye movements in order to minimise the overall pattern of both vertical and horizontal disparities when an observer views an inclined stereoscopic surface. Their measurements of cyclovergence, which used vertically oriented nonius lines, were found to be consistent with that proposal. In our experiment 1, we measured torsional eye movements objectively, using scleral coils, and found no evidence of a cyclovergent response to either a real inclined surface or to a simulated inclined surface in which the two stereoscopic images were related by a horizontal shear transformation. These results are inconsistent with the disparity minimisation hypothesis. In order to account for the discrepant findings of the two studies, we propose that vertically oriented nonius lines may not be a valid method for assessing cyclovergence because the lines can be seen as lying 'within' the inclined surface. In experiment 2, we tested the predictions of the cyclovergence hypothesis of Frisby et al against our own 'within surface' explanation, using both horizontally and vertically oriented nonius lines and dichoptic images related by either a horizontal or a vertical shear. If cyclovergence were the cause of the misalignment, both horizontal and vertical nonius lines should appear misaligned to the same extent. This was not found to be the case. We conclude that vertical nonius lines may not be a valid technique for measuring cyclovergence when the lines are seen against a background of an inclined surface.

Depth Perception↗

Influence of spatial distribution with blur on fluctuations in accommodation.

PURPOSE: We investigated the influence of spatial distribution of retinal image with blur on the waveform of microfluctuations in accommodation. METHODS: We studied changes in accommodation in 8 young emmetropic subjects (21.88 +/- 2.36 years old), who viewed monocularly a target with the natural pupil. The spatial frequency of the target was varied from 0.85 to 15 cpd in 7 steps, and the blur intensity was increased in 7 steps to obtain a Gaussian distribution of retinal image. Continuous accommodation signals were recorded using an eye-tracking infrared optometer with a sampling frequency of 40.98 Hz, and analyzed with a fast Fourier transform (FFT) analyzer. The power spectra of the low frequency component (LFC, < 0.6 Hz) and the high frequency component (HFC) at approximately 1.9 Hz were calculated for each target with a frequency resolution of 0.02 Hz. RESULTS: Microfluctuations in accommodation increased as the blur was increased and decreased at further increases in blur intensity level. Microfluctuations peaked at a lower blur level as the spatial frequency was increased. Power spectral analysis revealed that these changes in the microfluctuations could be attributed mainly to increases of power in the LFC. CONCLUSIONS: Blurring of the edge and reduction in contrast provided accommodative cues, inducing microfluctuations in accommodation, and the LFC increased as the target sharpness was reduced, possibly in an attempt by the accommodation system to maintain the sharpness of the retinal image under poor stimulus conditions. However, when the blur level was increased, the amount of blur was indistinguishable and microfluctuations in accommodation decreased.

Accommodation, Ocular↗

Analysis of visual field progression in glaucoma.

BACKGROUND: Despite the widespread use of computerised perimetry the diagnosis of visual field deterioration in following glaucoma patients over time remains particularly difficult. A new method of analysis using a novel graphical display of longitudinal field data is presented. METHODS: A linear regression model of the luminance sensitivity at each stimulus location against time of follow up transforms the quantitative data from a series of fields into a colour coded form which illustrates the spatial configuration of change to aid the interpretation of field loss. The method of analysis and the developed computer software (PROGRESSOR) is described. Comparison with STATPAC-2 glaucoma change probability analysis is given including levels of agreement between the techniques using series of fields of 10 eyes from patients with normal tension glaucoma. RESULTS: Examples of this new method compare well with STATPAC-2 analysis. The level of agreement between the techniques to separate progressing from stable retinal locations is good (kappa = 0.62; SE = 0.04). CONCLUSIONS: This new technique, which combines the change in perimetric sensitivity over time with colour coding of significant change into one image may provide an efficient method to detect true progression in glaucomatous field loss.

Diagnosis, Computer-Assisted↗

Effect of hyperopic laser in situ keratomileusis on ocular alignment and stereopsis in patients with accommodative esotropia.

OBJECTIVE: To evaluate the effect of laser in situ keratomileusis (LASIK) on ocular alignment and stereopsis in patients with accommodative esotropia. DESIGN: Retrospective, non-comparative, interventional case series. PARTICIPANTS: Since 1998, 27 patients (mean age, 33.3 years; range, 10-52 years) with comitant esophoria or esotropia and hyperopia meeting eligibility requirements underwent bilateral LASIK for correction of refractive error. INTERVENTION: Bilateral hyperopic LASIK was performed using the Technolas Keracor 217 excimer laser (Bausch & Lomb) in 22 patients and using the Nidek 5000 excimer laser in 5 patients. MAIN OUTCOME MEASURES: Visual acuity (best-corrected and uncorrected), refractive error, ocular alignment, and stereopsis were recorded before and after LASIK. Log transformation of each visual acuity was done before data analysis. RESULTS: Using paired t tests, the mean uncorrected esotropia was significantly reduced from 9.0 prism diopters (PD) (range, 0 [esophoria only] to 20 PD; standard deviation [SD], 7.39) before surgery to 3.3 PD (range, 0-15 PD; SD, 6.20) after surgery (P < 0.0001). Most patients (14 patients, 58%) had a reduction in esodeviation after LASIK, but 10 patients (42%) had no response to surgery, and these patients could not be predicted on the basis of preoperative sensorimotor testing. No patient had a worsening sensorimotor status after LASIK. Nine patients subsequently underwent conventional eye muscle surgery. CONCLUSIONS: Hyperopic LASIK was effective in reducing the mean uncorrected esotropia in this group of patients. However, accurately determining those patients most likely to benefit from the procedure was difficult.

Accommodation, Ocular↗

A null cell adenoma of the pituitary detected seven years after removal of a prolactinoma. Recurrence or de novo tumourigenesis?

We report an extremely unusual case of prolactinoma which emerged at recurrence as a null cell adenoma. A 53-year-old woman sought medical attention for progressive visual loss and headache. A pituitary tumour was detected by a computed tomographic scan, and hyperprolactinemia was noted. The tumour, removed by a transfrontal surgery, was a chromophobe adenoma, and immunohistochemically the adenoma cells were selectively positive for PRL, which indicated a prolactinoma. Postoperatively, her plasma PRL level was normalized. Seven years later, she noted blurred vision and again sought medical attention. A CT scan demonstrated recurrence of a pituitary tumour. On this occasion, however, she was not hyperprolactinemic. She underwent again a transfrontal resection of the pituitary tumour. Its histology was again a chromophobe adenoma, but the adenoma cells showed no positive immunostaining for any anterior pituitary hormone including PRL, which indicated a null cell adenoma. We have no clear explanation of the pathogenesis underlying her very unusual course. However, null cells (assuming that the original tumour was a mixed adenoma) left behind at the first surgery, or unidentified hypothalamic and/or pituitary derangements might possibly have been responsible for the recurrence. We learned from this patient that recurrent pituitary adenomas may not necessarily have the same endocrine features as did the original tumours. This information appears to make a valid clinical point, because if hormone levels alone are followed after pituitary surgery, recurrent pituitary tumours may be overlooked.

Adenoma↗

Invariance of brain-wave representations of simple visual images and their names.

In two experiments, electric brain waves of 14 subjects were recorded under several different conditions to study the invariance of brain-wave representations of simple patches of colors and simple visual shapes and their names, the words blue, circle, etc. As in our earlier work, the analysis consisted of averaging over trials to create prototypes and test samples, to both of which Fourier transforms were applied, followed by filtering and an inverse transformation to the time domain. A least-squares criterion of fit between prototypes and test samples was used for classification. The most significant results were these. By averaging over different subjects, as well as trials, we created prototypes from brain waves evoked by simple visual images and test samples from brain waves evoked by auditory or visual words naming the visual images. We correctly recognized from 60% to 75% of the test-sample brain waves. The general conclusion is that simple shapes such as circles and single-color displays generate brain waves surprisingly similar to those generated by their verbal names. These results, taken together with extensive psychological studies of auditory and visual memory, strongly support the solution proposed for visual shapes, by Bishop Berkeley and David Hume in the 18th century, to the long-standing problem of how the mind represents simple abstract ideas.

Adult↗

Computerized simulation of color appearance for dichromats.

We propose an algorithm that transforms a digitized color image so as to simulate for normal observers the appearance of the image for people who have dichromatic forms of color blindness. The dichromat's color confusions are deduced from colorimetry, and the residual hues in the transformed image are derived from the reports of unilateral dichromats described in the literature. We represent color stimuli as vectors in a three-dimensional LMS space, and the simulation algorithm is expressed in terms of transformations of this space. The algorithm replaces each stimulus by its projection onto a reduced stimulus surface. This surface is defined by a neutral axis and by the LMS locations of those monochromatic stimuli that are perceived as the same hue by normal trichromats and a given type of dichromat. These monochromatic stimuli were a yellow of 575 nm and a blue of 475 nm for the protan and deutan simulations, and a red of 660 nm and a blue-green of 485 nm for the tritan simulation. The operation of the algorithm is demonstrated with a mosaic of square color patches. A protanope and a deuteranope accepted the match between the original and the appropriate image, confirming that the reduction is colorimetrically accurate. Although we can never be certain of another's sensations, the simulation provides a means of quantifying and illustrating the residual color information available to dichromats in any digitized image.

Algorithms↗

The dissonance mutation at the no-on-transient-A locus of D. melanogaster: genetic control of courtship song and visual behaviors by a protein with putative RNA-binding motifs.

Genetic and molecular results are here presented revealing that the dissonance (diss) courtship song mutation is an allele of the no-on-transient-A (nonA) locus of Drosophila melanogaster. diss (now called nonAdiss) was originally isolated as a mutant with aberrant pulse song, although it was then noted to exhibit defects in responses to visual stimuli as well. The lack of transient spikes in the electroretinogram (ERG) and optomotor blindness associated with nonAdiss are shown to be similar to the visual abnormalities caused by the original nonA mutations. nonAdiss failed to complement either the ERG or optomotor defects associated with four other nonA mutations. However, all four of these nonA mutants--which were isolated on visual criteria alone--sang a normal courtship song. nonAdiss complemented at least three of the nonA mutations with regard to the singing phenotype, as assessed by a new method for temporal analysis of the male's pulse song. Both visual and song abnormalities caused by nonAdiss were rescued by P-element-mediated transformation with overlapping 11 and 16 kilobase (kb) fragments of genomic DNA (originally cloned from the nonA locus by Jones and Rubin, 1990). Analysis of behavioral phenotypes in transformed flies carrying mutagenized versions of the 11 kb genomic fragment (in a nonAdiss genomic background) localized the rescuing DNA to a region containing an open reading frame that encodes a polypeptide (NONA) with similarity to a family of RNA-binding proteins. Immunohistochemical determination of NONA's spatial and temporal expression revealed that it is localized to the nuclei of cells in many neural and non-neural tissues, at all stages of the life cycle after very early in development. Genetic connections between the control of two quite different behaviors--reproductive and visual--are discussed, along with precedences for generally expressed gene products playing roles in specific behaviors.

Alleles↗

Orchestration of multiple arrays of signal cross-talk and combinatorial interactions for maturation and cell death: another vision of t(15;17) preleukemic blast and APL-cell maturation.

Despite intensive molecular biology investigations over the past 10 years, and an important breakthrough on how PML-RARalpha, the fusion protein resulting from t(15;17), can alter RARalpha and PML functions, no definitive views on how leukemia is generated and by what mechanism(s) the normal phenotype is restored, are yet available. 'Resistances' to pharmacological levels of all-trans-retinoic acid (ATRA) have been observed in experimental in vivo and in vitro models. In this review, we emphasize the key role played by signal cross-talk for both normal and neoplastic hemopoiesis. After an overview of reported experimental data on APL-cell maturation and apoptosis, we apply our current knowledge on signaling pathways to underline those which might generate signal cross-talks. The design of biological models suitable to decipher the integration of signal cross-talks at the transcriptional level should be our first priority today, to generate some realistic therapeutic approaches After 'Ten Years of Molecular APL', we still know very little about how the disease develops and how effective medicines work.

Apoptosis↗

Increment thresholds with various low background intensities at different locations in the peripheral retina.

A set of increment threshold data as a function of test-flash diameter, background luminance, and retinal eccentricity is presented. It is shown that for low background intensities the results can readily be described by simple transformations of flash diameter and background luminance: The threshold is independent of eccentricity if the quotient of diameter and eccentricity is constant and if the flash is presented on a background for which the product of background luminance and the square of eccentricity is constant. At an eccentricity of 50 deg, Ricco's law is violated: A small stimulus has a threshold 10 times as high as a large stimulus. On the basis of results found by other investigators for smaller eccentricities, it is concluded that the receptive field size at 50 deg of eccentricity is more than 10 deg (for low background luminances). For eccentricities smaller than 50 deg, a data analysis is given in order to derive an appropriate measure of the size of the sample units. This analysis shows that with increasing background luminance the decrease in the size of the sample unit is steplike rather than gradual.

Adult↗

Emergence of simple-cell receptive field properties by learning a sparse code for natural images.

The receptive fields of simple cells in mammalian primary visual cortex can be characterized as being spatially localized, oriented and bandpass (selective to structure at different spatial scales), comparable to the basis functions of wavelet transforms. One approach to understanding such response properties of visual neurons has been to consider their relationship to the statistical structure of natural images in terms of efficient coding. Along these lines, a number of studies have attempted to train unsupervised learning algorithms on natural images in the hope of developing receptive fields with similar properties, but none has succeeded in producing a full set that spans the image space and contains all three of the above properties. Here we investigate the proposal that a coding strategy that maximizes sparseness is sufficient to account for these properties. We show that a learning algorithm that attempts to find sparse linear codes for natural scenes will develop a complete family of localized, oriented, bandpass receptive fields, similar to those found in the primary visual cortex. The resulting sparse image code provides a more efficient representation for later stages of processing because it possesses a higher degree of statistical independence among its outputs.

Algorithms↗

Time-to-Collision estimation from motion based on primate visual processing.

A population coded algorithm, built on established models of motion processing in the primate visual system, computes the time-to-collision of a mobile robot to real-world environmental objects from video imagery. A set of four transformations starts with motion energy, a spatiotemporal frequency based computation of motion features. The following processing stages extract image velocity features similar to, but distinct from, optic flow; "translation" features, which account for velocity errors including those resulting from the aperture problem; and finally, estimate the time-to-collision. Biologically motivated population coding distinguishes this approach from previous methods based on optic flow. A comparison of the population coded approach with the popular optic flow algorithm of Lucas and Kanade against three types of approaching objects shows that the proposed method produces more robust time-to-collision information from a real world input stimulus in the presence of the aperture problem and other noise sources. The improved performance comes with increased computational cost, which would ideally be mitigated by special purpose hardware architectures.

Algorithms↗

Light adaptation and dark adaptation of human rod photoreceptors measured from the a-wave of the electroretinogram.

1. We recorded the a-wave of the human electroretinogram from subjects with normal vision, using a corneal electrode and ganzfeld (full-field) light stimulation. From analysis of the rising phase of rod-isolated flash responses we determined the maximum size (amax) of the a-wave, a measure of the massed circulating current of the rods, and the amplification constant (A) of transduction within the rod photoreceptors. 2. During light adaptation by steady backgrounds the maximal response was reduced, as reported previously. amax declined approximately as I0/(I0 + IB), where IB is retinal illuminance and I0 is a constant. In different subjects I0 ranged from 40 to 100 trolands, with a mean of 70 trolands, corresponding to about 600 photoisomerizations s-1 per rod. (1 troland is the retinal illuminance that results when a surface luminance of 1 cd m-2 is viewed through a pupil area of 1 mm2.) The amplification constant A decreased only slightly in the presence of steady backgrounds. 3. Following a full bleach amax recovered along an S-shaped curve over a period of 30 min. There was no detectable response for the first 5 min, and half-maximal recovery took 13-17 min. 4. The apparent amplification constant decreased at early times after large bleaches. However, upon correction for reduced light absorption due to loss of pigment, with regeneration of rhodopsin occurring with a time constant of 9-15 min in different subjects, it appeared that the true value of A was probably unchanged by bleaching. 5. The recovery of amax following a bleach could be converted into recovery of equivalent background intensity, using a 'Crawford transformation' derived from the light adaptation results. Following bleaches ranging from 10 to > 99 %, the equivalent background intensity decayed approximately exponentially, with a time constant of about 3 min. 6. The time taken for amax to recover to a fixed proportion of its original level increased approximately linearly (rather than logarithmically) with fractional bleach, with a slope of about 12 min per 100 % bleach. Similar behaviour has previously been seen in psychophysical dark adaptation experiments, for the dependence of the 'second component' of recovery on the level of bleaching.

Adaptation, Ocular↗

New skills for a new age: leading the introduction of public health concepts in healthcare curricula.

Health policy in the UK is going through significant changes. At the heart of the transformation is a dedicated focus on public health. The new primary-care-based health system will not only be premised on a specialist public health workforce, but also on broader based public-health-oriented health professionals. Within primary care, widening the foundation of health professionals with public health competencies suggests that higher education bodies will need to adapt their curricula to an approach that highlights population-based health principles, preventive philosophy, and public health concepts and methods. The first part of this paper describes the mapping of the public health content of healthcare curricula at one university in England, based on the 10 public health standard areas of competencies of the Faculty of Public Health Medicine. The second part examines, through the findings of a strengths, weaknesses, opportunities, threats (SWOT) analysis, the factors that advocates for a public-health-oriented educational strategy must examine before embarking on the instigation and development of public health concepts in the healthcare curricula. The aspects that necessitate consideration include strengths such as the prevailing policy, market forces, commitment, and motivation to the effort, and the availability of resources, information and external contacts. Features such as political drive and advocacy, interest in the education debate, collaborative links through joint working and partnerships, and ongoing internal reforms and restructuring could all act as opportunities. However, resistance and anxiety are to be expected, the operationalization of the effort and empowerment of those leading it need to be thought about, and issues of control and interests are critical. The presence of conflicting priorities and competition or the lack of vision and directives, or uncertainty about change, could act as threats and barriers to the effort. If shifting the 'traditional' healthcare curricula to a more 'innovative' public-health-oriented one is to be a success, administrators of educational change will need to take into account a 'melange' of factors and stakeholders involved in a gradual and incremental process.

Curriculum↗

Electroencephalogram-based scaling of multifocal visual evoked potentials: effect on intersubject amplitude variability.

PURPOSE: The interindividual variability of the visual evoked potential (VEP) has been recognized as a problem for interpretation of clinical results. This study examines whether VEP variability can be reduced by scaling responses according to underlying electroencephalogram (EEG) activity. METHODS: A multifocal objective perimeter provided different random check patterns to each of 58 points extending out to 32 degrees nasally. A multichannel VEP was recorded (bipolar occipital cross electrodes, 7 min/eye). One hundred normal subjects (age 58.9 +/- 10.7 years) were tested. The amplitude and inter-eye asymmetry coefficient for each point of the field was calculated. VEP signals were then normalized according to underlying EEG activity recorded using Fourier transform to quantify EEG levels. High alpha-rhythm and electrocardiogram contamination were removed before scaling. RESULTS: High intersubject variability was present in the multifocal VEP, with amplitude in women on average 33% larger than in men. The variability for all left eyes was 42.2% +/- 3.9%, for right eyes 41.7% +/- 4.4% (coefficient of variability [CV]). There was a strong correlation between EEG activity and the amplitude of the VEP (left eye, r = 0.83; P < 0.001; right eye, r = 0.82; P < 0.001). When this was used to normalize VEP results, the CVs dropped to 24.6% +/- 3.1% (P < 0.0001) and 24.0% +/- 3.2% (P < 0.0001), respectively. The gender difference was effectively removed. CONCLUSIONS: Using underlying EEG amplitudes to normalize an individual's VEP substantially reduces intersubject variability, including differences between men and women. This renders the use of a normal database more reliable when applying the multifocal VEP in the clinical detection of visual field changes.

Adult↗

Visual response properties of retinal ganglion cells in the royal college of surgeons dystrophic rat.

PURPOSE: Alterations in retinal ganglion cell response patterns were profiled in dystrophic Royal College of Surgeons (hereafter RCS) rats over the first 100 postnatal days as a baseline for retinal rescue and vision restoration strategies. This method enabled the evaluation of the extent to which postreceptoral neuronal attributes in degenerating retinas mirror inferred declines in photoreceptor function. METHODS: Single-unit responses from large retinal ganglion cells were recorded from age-matched dystrophic RCS (RCS-rdy(-)) and congenic RCS-p(+) (hereafter wild-type or wt) rats were recorded in vitro under visual control. Cells were profiled with conventional spatial and flux stimulus modulations. RESULTS: Ganglion cell single unit and population attributes alter slowly over the course of photoreceptor degeneration in dystrophic RCS rats, with significant decreases in apparent receptive field size, contrast sensitivity, and threshold sensitivity detected by the first month of life. Spatial frequency tuning and contrast responses were extremely weak by postnatal day (P)76, paralleled by a progressive decline in signal-to-noise (S-N) ratio to roughly unity by postnatal day (P)107. This decline was only a simple loss of responsivity, as background firing rates increased substantially over time. Whereas wt retinas were dominated by ON-center cells (15/23 cells), dystrophic animals were dominated by OFF-center cells by P47 (24/27 cells). CONCLUSIONS: The first definitive signs of degeneration in dystrophic RCS rats are parallel decreases in ganglion cell threshold sensitivity and receptive field size, followed by deterioration in spatial summation. Arguably, these changes can be qualitatively explained as photoreceptor signaling losses. However, the apparent shift in population profile from ON- to OFF-center ganglion cells long before loss of the b-wave at P90 implies that a reactive mechanism such as bipolar cell rewiring and/or transformation of neuronal phenotypes occur during the early phase of photoreceptor stress, before rod and cone death.

Animals↗