RPE Flashcards

1
Q

How is the RPE and photoreceptor outer segment aligned?

A

apex to apex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is in the neural retina?

A

photoreceptors, bipolar, ganglion, horizontal and amacrine cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where is the ocular ventricle?

A

The potential space between the RPE and POS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

After lens induction begins, the _____ _____ collapses back onto itself. The inner invagination becomes the _______ while the outer part becomes the _______

A

After lens induction begins, the optic vesicle collapses back onto itself. The inner invagination becomes the neural retina while the outer part becomes the RPE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The basement membrane of the RPE becomes ____ ____ during development. The basement of the neural retina becomes the ____ ____ ____

A

The basement membrane of the RPE becomes Bruch’s membrane during development. The basement of the neural retina becomes the inner limiting membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where would you find microvilli on the RPE?

A

the apical portion. Microvilli envelope the photoreceptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The epithelial cells of the Blood Retinal barrier are bound together by _____ _____ and divide the cells into apical halves that face the _______ and basal halves that face the ______

A

The epithelial cells of the Blood Retinal barrier are bound together by tight junctions and divide the cells into apical halves that face the receptors and basal halves that face the choroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What gives the RPE its black appearance?

A

Pigment granules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is proliferative vitreoretinopathy?

A

Pigment granules separate from the RPE as free cells and appear as “tobacco dust” in the vitreous. Cells then settle and form contractile fibrocellular membranes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What part of the retina uses the most energy?

A

The outer segments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Photoreceptor survival depends on having _____ and _____ in large quantities

A

blood and glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the four extreme properties that the choroid has developed to meet the demands of the photoreceptors?

A
  1. High permeability
  2. High throughput of blood - more blood faster
  3. High oxygen levels
  4. No auto-regulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Name the two problems created by the thin and sparse central retinal circulation (made necessary since it lies in the path of light)

A
  1. Very little oxygen reserve

2. Small vessel diameter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the five functions of the RPE? (RPEAM)

A

Retinal barrier
Photoreceptor renewal and light absorption
Environment protection against superoxides
A… Vitamin A metabolism and storage
Matrix synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the two aspects of the blood-retinal barrier?

A
  1. Tight junctions of the endothelial cells of the CRC

2. Tight junctions of the RPE keeping blood out of the retina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The fenestrated choriocapillaries permit leakage of _______

A

protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Protein concentration in front of the RPE is ____ while the concentration in the ECS behind the RPE is ____

A

Protein concentration in front of the RPE is low while the concentration in the ECS behind the RPE is high

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The RPE can absorb up to ___% of the aqueous secretion in a day

A

50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the factors preventing RPE/retina detachment?

A
  1. Oncotic fluid gradient
  2. Finger-like folds of the RPE
  3. Interphotoreceptor matrix
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Due to the high membrane fluidity required by the retina, the ____ bonds of the _____ _____ _____ make the retina highly susceptible to superoxide attack.

A

Due to the high membrane fluidity required by the retina, the double bonds of the unsaturated fatty acids make the retina highly susceptible to superoxide attack.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Hurler’s syndrome is the buildup of _____ molecules due to an improperly functioning degrading _____

A

Hurler’s syndrome is the buildup of GAG molecules due to an improperly functioning degrading enzyme

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Photoreceptors are degraded by _____ and ____

A

Photoreceptors are degraded by phagocytosis and autophagy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

A single RPE cells is responsible for phagocytosing ____ or more rods

A

10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Define autophagy

A

Self-digestion by a cell through the action of enzymes of the same cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What are the two patterns of photoreceptor replacement?
1. Membrane replacement | 2. Molecular replacement
26
All structures in the rod turnover during membrane replacement except for ____
DNA
27
What two molecules are replaced independent of the discs in rods?
transducin and PDE
28
Where would the disc accumulate if photoreceptor renewal did not take place?
subretinal space
29
Phagocytosis of the photoreceptor outer segment is carried out by the ____
RPE
30
In order to digest the outer segment portion of a photoreceptor, a _____ fuses with the ____ ____.
In order to digest the outer segment portion of a photoreceptor, a *lysosome* fuses with the *RPE phagosome*
31
In embryogenesis up till 6 months, growth of photoreceptors is ______ than phagocytosis. From Age 6 months until adulthood, growth is ______ to phagocytosis. Disease is observed when growth is ______ than phagocytosis.
In embryogenesis up till 6 months, growth of photoreceptors is *greater* than phagocytosis. From Age 6 months until adulthood, growth is *equal* to phagocytosis. Disease is observed when growth is *less* than phagocytosis.
32
What can radioautography do?
Allows the researcher to follow the synthesis of a molecule by administrating a "pulse" of radiolabeled molecule into the molecule.
33
A radiolabeled molecule is referred to as ____
"hot"
34
An unlabeled molecule seen during radioautography is referred to as _____
"cold"
35
Photoreceptor renewal is _______ in cones than in rods
Slower
36
What do the proteins incisin and peripherin do in photoreceptors?
control the spacing of the discs
37
Where are polysaccharides found in a photoreceptor?
Between the discs. Acts as a cushion
38
The label in radioautography is found in a lipid-surrounded vesicle known as a _______
Schleppersome
39
Rods are phagocytosed 1.5 hours after _____ and the cones are phaocytosed 1.5 hours after _____
Rods are phagocytosed 1.5 hours after *dawn* and the cones are phaocytosed 1.5 hours after *nightfall*
40
The circadian rhythm runs on a ___ hour cycle
12
41
True / False. Seeing and circadian control rely on the same receptor
Fuck no
42
Constant light results in the ______ of the outer segments while constant darkness results in _____ of the outer segments
Constant light results in the *shortening* of the outer segments while constant darkness results in *elongation* of the outer segments
43
What two methods has the cornea developed to act again oxidation by superoxides?
Chemical mechanism - superoxide dismutase | Anatomical mechanism - replacement of tissue
44
Oxidation takes place across what type of bond?
double bonds
45
Why can't the lens replace its own tissue?
Cells are sloughed off towards the center
46
Shorter wavelength light is ______ destructive than longer wavelength light
more
47
Why is the retina the weakest tissue of the body?
Retina has highly fluid membranes
48
Macular pigments surround the macula and absorb _____ light in order to fight off free radicals.
blue light
49
The lens protects the retina by absorbing most of the incoming _____ light
UV light
50
Superoxides can be broken down to hydrogen peroxide and oxygen in the presence of ____, ____, ___, and _____ ______
Zn, Cu, Mn, and superoxide dismutase
51
Hydrogen peroxide may revert back to superoxide in the presence of ____
Fe ions
52
The Glutathione peroxidase pathway (the predominant retinal pathway) requires ____
Se++
53
As lipids become crosslinked, the super destructive element ________ is kicked out
malonaldehyde
54
Vitamins __ and __ are used to get rid of malonaldehyde
Vitamins C and E
55
When lipofuscin accumulates in the RPE, it becomes _____
Drusen
56
Early accumulation of lipfuscin is seen in _____ and _____
Stargardt's and ARMD
57
Each RPE cell ingests more than any other phagocytic cell at __% of its own volume
7%
58
11-cis-retinal + aporhodopsin -> ____ + _____
Rhodopsin + water
59
When exposed to light, rhodopsin breaks down into ______ + ______
aporhodopsin + all-trans-retinal
60
Humans typically begin with _______ photoreceptors
100,000,000
61
Retinal detachment = starvation due to a lack of ____ and ____
oxygen and glucose
62
______ _____ is the basement membrane of the RPE
Bruch's membrane
63
What happens when Bruch's membrane is stretched?
neovascularization
64
Fatty acid deficiency in the choroid results in the inability to delivery ____ _ to the retina. This may lead to ____ ____
Vitamin A. Night blindness
65
_____ ____ is a generice name for a group of inherited disorders that cause progressive loss of photoreceptor and RPE function
Retinitis Pigmentosa (RP)
66
RP prevalence is about
1:4,000
67
Damage to the ___ is predominant in RP
rods
68
In the oxygen toxicity hypothesis: as the outer segments are lost, oxygen use by the ____ diminishes and the ___ ___ is flooded with oxygen.
In the oxygen toxicity hypothesis: as the outer segments are lost, oxygen use by the *photoreceptors* diminishes and the *outer retina* is flooded with oxygen.
69
photoreceptors that survive oxygen toxicity are damaged and upregulate expression of _____ _____ which slows degeneration
protective factors
70
What are the two types of ARMD?
dry and wet
71
In Dry ARMD, drusen appears which can either be ____, ____, or _____
soft (acute), hard (chronic), or calcified (under repair)
72
Why does drusen accumulate in the macula more than the fovea?
the fovea is protected by pigment
73
Accumulation of Drusen can lead to
retinal detachment
74
How does Wet ARMD differ from Dry ARMD?
neovascularization in Wet ARMD
75
Aging changes may cause _____ blood flow
decreased
76
What transport mechanisms are used to pump ions in and out of the RPE?
Na/K Na/K/Cl co-transport Na/2HCO3 co-transport Na/H2O:Lac
77
Most potassium in the retina exist through the ____ ____
retinal membrane
78
HCO exits the retina through the ____ _____ in the RPE choroidal membrane
Cl/HCO3 exhangers
79
The retinal barrier creates a retina ____ transepithelial potential as a result of transepithelial transport of ion
The retinal barrier creates a retina *positive* transepithelial potential as a result of transepithelial transport of ion