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Contents:
Volume 85, Issue 3; July, 2005.
[Index by Author] [Editorial Board]
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= article is free immediately upon publication
(all articles are free one year after publication)
Cover: The retinal pigment epithelium (RPE) is a monolayer of pigmented cells covering the inner wall of the bulbus of the eye. It is located between the light-sensitive outer segments of photoreceptors and the fenestrated endothelium of the choriocapillaris. Specialized interfaces enable the RPE to interact with the neighboring tissues: Bruch's membrane (on its basolateral side, facing the endothelium of the choriocapillaris) and long microvilli together with the interphotoreceptor matrix (on its apical side, facing the outer segments of photoreceptors). For a long time it was believed that the main function of the RPE was its ability to adsorb light. With the knowledge of a complex interaction between the RPE and the photoreceptors, now both tissues can be regarded as a functional unit. This interaction includes (from left to right): 1) absorption of light and protection against photo-oxidative damage; 2) transport of ions from the subretinal space to the blood site and transport of nutrition, such as glucose or retinol, from blood to photoreceptors; 3) spatial buffering of ions in the subretinal space to maintain excitability of photoreceptors; 4) recycling of photo-isomerized all-trans-retinal to 11-cis-retinal; 5) phagocytosis of shed photoreceptor outer segments to maintain structural integrity of photoreceptors; and 6) secretion of a variety of growth factors. Alterations or failure of one of these functions can cause retinal degenerations and blindness. Furthermore, mutations in genes expressed in the RPE can lead to photoreceptor degeneration, or mutations in genes expressed in photoreceptors can lead to degeneration of the RPE with subsequent secondary degeneration of photoreceptors. The understanding that photoreceptors and the RPE can be regarded as a functional unit is of great importance to understand retinal diseases such as age-related macular degeneration, to date one of the most common causes of blindness in industrialized countries. See Strauss, Olaf. Physiol Rev 85: 845–881, 2005.
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