Assessment of the Retina of Plp-α-Syn Mice as a Model for Studying Synuclein-Dependent Diseases

Purpose Synucleinopathies such as multiple system atrophy (MSA) and Parkinson's disease are associated with a variety of visual symptoms. Functional and morphological retinal aberrations are therefore supposed to be valuable biomarkers for these neurodegenerative diseases. This study examined the retinal morphology and functionality resulting from human α-synuclein (α-Syn) overexpression in the transgenic Plp-α-Syn mouse model. Methods Immunohistochemistry on retinal sections and whole-mounts was performed on 8- to 11-week-old and 12-month-old Plp-α-Syn mice and C57BL/6N controls. Quantitative RT-PCR experiments were performed to study the expression of endogenous and human α-Syn and tyrosine hydroxylase (TH). We confirmed the presence of human α-Syn in the retina in western blot analyses. Multi-electrode array (MEA) analyses from light-stimulated whole-mounted retinas were used to investigate their functionality. Results Biochemical and immunohistochemical analyses showed human α-Syn in the retina of Plp-α-Syn mice. We found distinct staining in different retinal cell layers, most abundantly in rod bipolar cells of the peripheral retina. In the periphery, we also observed a trend toward a decline in the number of retinal ganglion cells. The number of TH+ neurons was unaffected in this human α-Syn overexpression model. MEA recordings showed that Plp-α-Syn retinas were functional but exhibited mild alterations in dim light conditions. Conclusions Together, these findings implicate an impairment of retinal neurons in the Plp-α-Syn mouse. The phenotype partly relates to retinal deficits reported in MSA patients. We further propose the suitability of the Plp-α-Syn retina as a biological model to study synuclein-mediated mechanisms.

W ithin the group of neurodegenerative diseases, multiple system atrophy (MSA) is among the most severe and rapidly progressing of them, thus constituting a massive burden for patients and their social environment. With a prevalence of 3.4 to 4.9 cases per 100,000 of a population and an average age of onset of 53 years MSA leads to severe movement and autonomic dysfunction. 1-3 MSA belongs to a group of α-synucleinopathies characterized by misfolding and spreading of α-synuclein (α-Syn). This highly conserved presynaptic protein, which is encoded by the SCNA gene, 4 is thought to play a role in synaptic vesicle supply and maintenance of neurotransmitter release at presynaptic terminals 5,6 but it is also found in neuronal cell bodies. 7,8 A pathophysiological hallmark of the disease is the presence of α-Syn aggregates in oligodendroglia cells, referred to as glial cytoplasmic inclusions (GCIs), [9][10][11][12][13][14] and neurons, 15 finally leading to neuroinflammation, neurodegeneration, and cell death. 6,16  with duration of the disease and is accompanied by a selective loss of ganglion cells in the peripheral retina of MSA patients. 44,51 With regard to Parkinson's disease (PD), retinal layer thinning, 33 α-Syn aggregates, and Lewy bodies have been found in the inner retina of PD patients, 31,34,35 distinct from what has been shown in aged human retinas. 36 Moreover, loss of contrast sensitivity has been reported in PD [37][38][39] but not in MSA patients. 40,41 In order to investigate the retina as a candidate biomarker we examined Plp-α-Syn mice and found that this mouse model partly recapitulated the retinal characteristics of MSA patients. Human α-Syn accumulated in retinal second-order neurons but only slightly affected retinal function. Together, these findings make the retina of Plp-α-Syn mice an interesting model for exploring the biology of α-synucleinopathies.

Animals
Wild-type C57BL/6N and Plp-α-Syn mice 23 were housed in groups of two to six per cage under standard laboratory conditions (12-hour light/dark cycle) with access to water and food ad libitum. Genotyping was performed as previously described. 42 Mice of both sexes were investigated at the ages of 8 to 10 weeks (adult) and 1 year (aged). All experiments were performed according to the ethical guidelines with the permission of the Austrian Federal Ministry of Science and Research (breeding permission BMWF-66.011/0120-II/3b/2013).

Immunohistochemistry
Fixation, embedding, and immunolabeling of vertical sections were performed as previously described. 43 Retinas were embedded in optical cutting temperature medium (Tissue-Tek O.C.T Compound; Sakura Finetek, Tokyo, Japan). For whole-mount staining, primary antibodies (Table 1) were diluted in an antibody solution comprised of 1% BSA in 1% Triton X-100 (Sigma-Aldrich, St. Louis, MO, USA) and 0.02% sodium azide in 1× PBS, and incubated for 1 week on a shaker at room temperature. Whole-mounts were washed three times in 1× PBS for 30 minutes. Secondary antibodies ( Table 2) were diluted in 1× PBS with Tween 20 (Sigma-Aldrich) and incubated overnight at room temperature on a shaker. After additional washing steps, wholemounts were flattened by cutting them four times ("cloverleaf" cuts) and were mounted using Aqua Poly/Mount (Polysciences, Inc., Warrington, PA, USA).
For confocal microscopy and image analysis, sections were imaged with a confocal laser scanning microscope (Leica TCS SP5-II; Leica Microsystems, Wetzlar, Germany) at 40× magnification (numerical aperture [NA] = 1.30). A series of micrographs were taken at 0.42-μm intervals and collapsed to a z-projection with maximum intensities in ImageJ (National Institutes of Health, Bethesda, MD, USA). The analysis of the retinal layer thickness and cell counting was conducted using ImageJ.
Colocalization analysis of Plp and human α-Syn in the optic nerve was performed for individual slices in each image stack using the Coloc 2 plugin for ImageJ. To increase specificity of the colocalization results, two distinct regions of interest were compared and image stacks were deconvolved beforehand in order to reduce background and noise using the Huygens software suite (Scientific Volume Imaging BV, Hilversum, The Netherlands).
For glial fibrillary acidic protein (GFAP) quantification, we obtained maximum intensity projections of the stacks; the regions of interest (ROIs) contained the area between the outer plexiform layer (OPL) and the ganglion cell layer (GCL) in the central and the peripheral retina. A GFAPpositive signal was segmented using the interactive pixel classification routine in Ilastik software. 44 Segmented areas were quantified with ImageJ and calculated as GFAP-positive area (% of ROI).
Iba1 + microglial cells were analyzed for processes and cell body area. We obtained maximum intensity projections of image stacks from the central, dorsal, and ventral GCL and inner plexiform layer (IPL), as well as the OPL, and used them to train a pixel classification algorithm in the Ilastik software. The algorithm distinguished between processes and cell bodies over a wide range of input images. Measurements from the segmented images were extracted with macros in Image J.
Light Stimulation. The retina was stimulated with grayscale (luminance but not spectral content modulated) visual stimuli by a computer-controlled digital light processing projector (Light Crafter E4500MKII; EKB Technologies, Ltd., Bat Yam, Israel), using the built-in blue and green LED to reflect the rhodopsin and M opsin spectra. The projector image was focused onto the photoreceptors through a tube lens (AC254-050-A; Thorlabs, Newton, NJ, USA) and a 10× water-immersion objective (UMPLFLN10XW, NA = 0.3; Olympus, Tokyo, Japan). We limited the stimulus projector output to a ±50% Weber contrast range around a mean background (gray value, 200 ± 48). The light path contained a Thorlabs 650-nm long-pass dichroic mirror (DMLP650R), a Thorlabs shutter (SH1/M), and two motorized Thorlabs filter wheels (FW102C), with two sets of neutral density (ND) filters (63-390, 63-393, 63-395; Edmund Optics, York, UK) with optical densities from 1 (ND1, 10 1 -fold attenuation) to 3 (ND3, 10 3 -fold attenuation), and a fixed ND3 filter that could be combined.
Ex Vivo ERG Signals. Data were low-pass filtered (300 Hz, fourth-order Butterworth filter) and downsampled to 1 kHz. Noisy electrodes were discarded, and the remaining electrodes were averaged for the analysis of ex vivo ERG responses. 46,47 Ganglion Cell Spiking Activity. Spike sorting and analysis were performed as described previously, 48 based on the spiking responses of individual units. The response polarity of cells was assigned based on spike counts during the first 450 ms after flash onsets and offsets. 49 Peaks during preferred polarity flashes were detected using the MATLAB function peakfinder (MathWorks, Natick, MA, USA).

Full-Field Stimulation Protocols. Full-field flashes
consisted of 1-second negative and positive contrast steps of various contrast magnitudes (2% to 50% Weber contrast) with 5 seconds of background gray (gray value 200) in between. We analyzed the maximum positive responses after either the bright or the dark flash. The negative and positive deflections correspond roughly to in vivo ERG a-and b-waves, respectively. Chirp stimuli consisted of sinusoids with 8 seconds of contrast modulation (0%-50% contrast) at 2 Hz, a 2-second period of background gray (gray value 200) followed by 8 seconds of increasing frequency modulation (0-8 Hz) at 50% contrast. All responses were normalized to the negative deflection upon the 50% bright flash (corresponding to an in vivo ERG a-wave). Quantitative Real-Time PCR. All experiments were carried out using an Applied Biosystems 7500 Fast Real-Time PCR System (Applied Biosystems, Foster, CA, USA) and analyzed as described previously. 50 The following prefabricated Thermo Fisher Scientific Taqman assays were used: Mm00447333_m1 (mouse α-Syn), Hs 00240907_m1 (human α-Syn), Mm00447557_m1 (Th), and Sdha (Mm01352366_m1).

Western Blot Analysis
Membrane protein preparation from adult mouse retinas (pools of ten retinas) and brain was performed as described previously. 51 SDS-PAGE and the western blot procedure were used as previously reported, 52 except that we used primary and secondary antibodies as indicated in Tables 1  and 2.

Statistical Analysis
Data are presented as mean ± SEM for the indicated number of experiments (n) from the indicated number of animals (N). If not stated otherwise, statistical analyses of immunohistochemical and qRT-PCR data were performed using the Student's t-test. Multi-electrode array (MEA) data were analyzed for the indicated number of retinas (N retinas for ex vivo ERG) or spiking units (n units for ganglion cell activity). Each data point, therefore, represents the averaged signal of a recording from one retina (N, ERG) or the spiking activity of one unit (n, ganglion cell) extracted from one of the ERG recordings. Statistical analysis was performed using the Wilcoxon rank-sum test (MATLAB) for pair-wise comparison because data were not always normally distributed.

RESULTS
In MSA patients, a reduced number of ganglion cells and thinning of retinal layers have been reported. 53 We therefore set out to investigate changes in the retina of mice that overexpress human α-Syn under the control of Plp-α-Syn to model MSA.
We identified human α-Syn in retinas of Plp-α-Syn mice at the ages of 8 to 10 weeks in western blot experiments using a pan α-Syn antibody that detects both human and murine variants of α-Syn (Fig. 1A). Immunoreactivity in the Plp-α-Syn samples indicated an increase of total α-Syn (Fig. 1A). Similar to brain, phosphorylated α-Syn was observed in wild-type and Plp-α-Syn retinas when we used an antibody that detected only α-Syn phosphorylated on Ser129 (Fig. 1B). Expression of the endogenous form of α-Syn was comparable in wild-type and Plp-α-Syn mice, as demonstrated by immunohistochemical analyses (Fig. 2A). qRT-PCR experiments performed with exon-spanning Taqman assays FIGURE 1. α-Syn in mouse retinas. α-Syn expression was higher in Plp-α-Syn as compared to wild-type (WT) samples. (A) Retina of both WT and Plp-α-Syn mice compared to brain positive controls. The antibody (pan α-Syn; see Table 1) detected the murine and human forms of α-Syn. (B) The presence of the phosphorylated α-Syn (S129) in the retina, with glyceraldehyde 3-phosphate dehydrogenase (GAPDH) as loading control. In all experiments, the indicated amounts of retinal and brain tissue were loaded. The age of animals was 8 to 10 weeks.  showed that mouse α-Syn mRNA levels also did not differ (Fig. 2B). Human α-Syn mRNA was only detectable in Plpα-Syn retinas ( Supplementary Fig. S1). We assumed that the increase of total α-Syn seen in our western blot analyses was due to the presence of the human form of α-Syn in this mouse model rather than an effect on endogenous α-Syn.
Our immunohistochemical analyses discovered human α-Syn in the inner plexiform and ganglion cell layer in vertical Human α-Syn immunoreactivity (green) and 4 ,6-diamidino-2phenylindole (DAPI) (blue) of wild-type (WT) and Plp-α-Syn retinal sections. Distinct α-Syn immunoreactivity was obvious in the IPL and GCL in both age groups of Plp-α-Syn but was absent in WT mice. (A) Central and peripheral retina of adult (8 weeks) and aged (12 months) Plp-α-Syn animals. The antibody exclusively detected human α-Syn (anti-human-α-synuclein; see Table 1). The staining intensity increased in aged animals (arrows). (B) Central retina of adult and aged WT mice. Scale bar: 50 μm.
sections of the central retina of Plp-α-Syn mice (Fig. 3A), but not in wild-type controls (Fig. 3B). In the peripheral retina, we detected human α-Syn in the inner nuclear layer (INL) (Fig. 3A). This effect was pronounced in aged animals (Fig. 3A, arrows). Due to the localization of the cell bodies adjacent to the outer plexiform layer, we suggested that these were rod bipolar cells. Co-staining human α-Syn ( In line with previous reports, 54,55 we did not detect Plp immunoreactivity in the retinas of wild-type and Plp-α-Syn mice (Fig. 5A). In particular, we did not observe Plp protein in rod bipolar cells containing human α-Syn (Fig. 5A, right panel). In the optic nerve, which we used as a reference, Plp was more pronounced than in the retina. As expected, Plp stopped at the retina-optic nerve junction (Fig. 5B). In Plp-α-Syn mice, we detected human α-Syn in the optic nerve, where it colocalized with Plp, but also closer toward the retina (Fig. 5B, arrowhead). We measured colocalization between Plp and human α-Syn and compared two regions, where the optic nerve enters the retina compared to a more distal region on the optical nerve ( Supplementary Fig. S3, Supplementary Table S1). These analyses showed the close spatial proximity of human α-Syn with respect to the Plp that oligodendrocytes in the distal optic nerve produce.

Retinal Structure in Plp-α-Syn Mice
MSA patients show a reduction in ganglion cell density in the peripheral retina. 53,56 We therefore also investigated retinal ganglion cells in sections and whole-mounts of adult Plp-α-  Syn animals using the global marker RNA-binding protein with multiple splicing (Fig. 6). Whereas the ganglion cell shape seemed unaffected (Figs. 6A, 6B), we found a trend toward a reduction in their cell number (Fig. 6C, ventral) compared to wild-type retinas. Overall, the thickness of the different retinal layers was comparable in both adult and aged wild-type and Plp-α-Syn mice (Supplementary Fig. S4).

Glial Cells in Retinas Overexpressing Human α-Syn
In the brain of Plp-α-Syn mice, 57,58 microglia activation was comparable to the human condition. 10,59 We were therefore also interested in retinal microglia. To examine potential changes in the activation state of glial cells in the retina we performed immunostaining with the microglia marker Iba1 60 and GFAP, reported to accumulate in response to retinal degeneration. 61 We did not find evidence for acti-vated microglia in the ganglion cell and the outer plexiform layer of whole-mounted retinas (Fig. 7A); rather, microglia appeared in a homeostatic state characterized by a small cell body and long ramified processes (Fig. 7B). Quantitative analyses of Iba1 + microglia in Plp-α-Syn retinas revealed that their processes covered a smaller area in the outer plexiform layer but not in the ganglion cell layer compared to wild-type retinas (Supplementary Fig. S5A). We also found reduced microglia cell body areas (Supplementary Fig. S5B) which we could not explain by a reduction in the size of the single cell bodies ( Supplementary Fig. S5C) but rather by a reduction of Iba1 + microglia cell numbers ( Supplementary  Fig. S5D).
The anti-GFAP stainings in Figure 8 show that in adult central retinas GFAP was mainly concentrated in the end feet region of Müller cells and/or astrocytes, whereas in the periphery GFAP expanded into the ONL (Figs. 8B, 8C). In aged mice, GFAP was present in the inner and outer nuclear layers (Figs. 8B, 8C, arrowheads), and the increase in GFAP accumulation seemed to proceed from the central to the peripheral retina, where it reached into the ONL. Quantification of GFAP-positive areas showed differences between central and peripheral areas of the retina in adult (P = 0.0009, unpaired t-test) and aged animals (P = 0.0087, unpaired t-test). GFAP-positive signals were similar in retinas of wild-type and Plp-α-Syn mice, with the following %ROI values: For adult wild-type retinas, center = 3.91 ± 0.80 and periphery = 9.88 ± 2.47; for aged wild-type retinas, center = 2.97 ± 1.09 and periphery = 8.15 ± 1.53. For adult Plp-α-Syn mice, center = 3.73 ± 0.96 and periphery = 9.43 ± 0.86; for aged Plp-α-Syn mice, center = 3.47 ± 0.57 and periphery = 8.90 ± 3.04. Data are presented as mean ± SEM from three animals for each group.

Dopaminergic Retinal Neurons in the Plp-α-Syn Mice
In synucleinopathies such as PD, the dopaminergic system has been shown to be severely impacted. 62 In the retina, dopaminergic amacrine cells are interneurons that modulate key visual processes, such as light adaptation, but they also have trophic roles in retinal function. 63 To investigate dopaminergic retinal neurons in Plp-α-Syn mice we performed tyrosine hydroxylase (TH) stainings in wholemounted retinas. Quantification of TH+ cells showed no change in the number of cells in Plp-α-Syn retinas as compared to wild-type retinas (Figs. 9A, 9B). In line with this observation, TH mRNA levels also did not differ between wild-type and Plp-α-Syn retinas (Fig. 9C).

Functional Activity of Plp-α-Syn Retinas
To test the impact of human α-Syn accumulation on the function of the retina, we performed MEA recordings in adult wild-type and Plp-α-Syn retinal whole-mounts. We extracted the local field potential, a slow-wave potential regarded as a form of ex vivo ERG that mainly reveals photoreceptor and bipolar cell activation upon visual stimulation. First, we investigated responses to a full-field "chirp" stimulus that provided insight into aspects of sensitivity and timing of outer retina function in both scotopic (rod-driven) and photopic (mostly cone-driven) conditions (Fig. 10A). We found a significant delay in the responses to the frequency-modulated part of the chirp only at higher frequencies (>5 Hz) and specifically under scotopic conditions (Fig. 10B, left). Likewise, we observed changes in the response amplitudes only in scotopic luminance (data not  , N = 6) and Plp-α-Syn (red, N = 5) retinas from animals 8 to 11 weeks old in scotopic (left) and photopic (right) luminance. The stimulus was a full-field contrast-and frequency-modulated sinusoidal (chirp). Response peak delays (inset) were quantified (peak numbers: 1-16, contrast-modulated; 17, end of contrast modulation; 18-49, frequency modulated). (B) In scotopic luminance (left), delay times were longer in Plp-α-Syn retinas in the frequency-modulated part. * P < 0.05, Wilcoxon rank-sum test. In photopic luminance (right), no difference was observed. In the box plots, circles represent medians, boxes are the 25th to 75th percentiles, and whiskers are the most extreme data points. (C) Responses to a full-field flash stimulus consisting of negative contrasts (dark flashes) and positive contrasts (bright flashes) in scotopic luminance. Traces show average responses of WT (black, N = 6) and Plp-α-Syn (red, N = 5) retinas to five different contrast levels (50% to 2% Weber contrast); shaded areas represent the SD. Maximum responses (largest positive deflections) at two distinct time points (green shading) were analyzed. (D) Maximal responses after the dark flash showed differences for the two lowest contrasts in scotopic luminance whereas the bright flash revealed only a single change at 5% contrast in photopic luminance. * P < 0.05, ** P < 0.01, Wilcoxon rank-sum test. In the box plots, boxes are the 25th to 75th percentiles, whiskers are the most extreme data points, and dots are outliers. ganglion cells across all contrasts in both luminance levels. Amplitudes were significantly different for higher contrasts in both luminance levels (OFF cells) and at 50% contrast in photopic luminance (ON cells). (C) Peak delay timings of preferred polarity flash responses of OFF (left) and ON (right) ganglion cells across all contrasts in both luminance levels. Delays were significantly different, mainly in scotopic luminance at higher contrasts for both OFF and ON cells. * P < 0.05, ** P < 0.01, *** P < 0.001, Wilcoxon rank-sum test. Circles represent medians, boxes are the 25th to 75th percentiles, and whiskers are the most extreme data points. The numbers differ because individual cell responses could not be measured at all contrasts. The age of animals was 8 to 11 weeks. shown). Within the photopic regime, neither timing nor amplitude of the responses was different between wild-type and Plp-α-Syn retinas (Fig. 10B, right). In a second step, this observation was confirmed with a full-field flash stimulus (Fig. 10C) consisting of 1-second steps of different negative and positive contrasts (±2% to ±50% Weber contrast). We found reduced response amplitudes mainly within scotopic luminance. Response amplitude changes were restricted to the lowest flash contrasts, specifically to the 5% and 2% contrast flashes (Fig. 10D). In photopic luminance, only a single significant difference in the response to the positive contrast flash was observed (Fig. 10E). We also investigated retina function on the output level and analyzed spiking responses of retinal ganglion cells to the full-field flashes, based on the same MEA recordings used for the ERG. Figure 11A shows representative responses of a wildtype OFF cell to all trials and flash contrasts across both luminance levels (raster plot, left) and the average responses to different contrast flashes in scotopic luminance (mean convolved spike rates, right). The peak amplitudes to most contrasts were significantly reduced in OFF responding units of Plp-α-Syn retinas, in both scotopic and photopic luminance levels (Fig. 11B, left). ON responding units had similar response amplitudes in both genotypes, except for the 50% contrast flash in photopic luminance (Fig. 11B, right). Peak delay timings were significantly increased in Plp-α-Syn ganglion cells for both OFF and ON responding units, mainly in the scotopic luminance level (Fig. 11C). Together our functional data indicate that the mild differences in outer and inner retinal function were mostly at the scotopic luminance level, whereas photopic function seemed less altered.

DISCUSSION
Due to a variety of visual symptoms observed in patients with synucleinopathies, a role for the neuroretina as a biomarker for disease progression and/or differential diagnosis is being discussed. Evidence has been provided by optical coherence tomography (OCT) studies, 33,53,64,65 as well as morphological investigations in human tissue. 34,35,56,66,67 Studies consistently indicated a disease-induced retinal impairment in MSA patients. Because of the accessibility of the retina for such noninvasive techniques as OCT, which allows the ophthalmologist to map and measure the distinctive layers of the retina, and because of the urgent need for an early diagnostic marker to ease the disease burden of patients, investigating the retina in MSA mouse models is important.

Neuroretina in Plp-α-Syn Mice
Due to the nature of the Plp-α-Syn MSA model used in this study, accumulation of human α-Syn in the optic nerve was expected. Plp, the major myelin protein (OMIM 300112 4 ) and the promoter driving α-Syn expression in the present model, is expressed in oligodendrocytes, 68 which are absent from the retina but abundant in the optic nerve. Effects on retinal ganglion cells were anticipated, because the axonal/oligodendroglia pathology can lead to ganglion cell death. [69][70][71][72] In our study, we observed a trend toward a decrease in the ganglion cell density in the ventral part of the adult Plp retina.
Although the retina is devoid of oligodendroglia cells and Plp protein, 54,55 we observed human α-Syn protein in the retina. Our western blot experiments supported the presence of human α-Syn in the retina. We also found phosphorylated α-Syn in both wild-type and Plp-α-Syn retinas. Phosphorylation of α-Syn, however, is not necessarily only pathological 73 but also has implications in the regulation of physiological functions (for a review, see Oueslati 73 ). We therefore suggest that the levels observed represent baseline physiological phosphorylation levels.
Notably human α-Syn was visible in rod bipolar cells. This pronounced accumulation of α-Syn in rod bipolar cells is unique and to the best of our current knowledge not yet described in any other synucleinopathy model. Comparable to our observations, human microtubule-associated protein Tau in an Alzheimer's disease mouse model accumulated in rod bipolar cells in the inner retina. Tau was also located in the axonal compartment of retinal ganglion cells; however, light-induced retinal cell activation was not altered. 74 In the Plp-α-Syn model, along with the more pronounced expression of human α-Syn protein in rod bipolar cells of the peripheral retina, GFAP-accumulating Müller cells also increased from the center to the periphery. The increase of this established marker of retinal stress indicated stronger degenerative effects in the retinal periphery reminiscent of human patient data. 56 However, we also found GFAP accumulation in peripheral wild-type retinas. This finding in wild-type retinas is difficult to compare with published literature because most studies focus on the central retina only, and this observation is most likely not related to retinal reactivity. With respect to microglia activation, our findings in the retina differ from those for the brain, where region-specific, α-Syn-associated microglia activation has been reported. 58 We found no evidence for activated microglia; type A or A/B microglia corresponding to surveillant/homeostatic microglia were presented but not type C (hypertrophic) or D (amoeboid). 58 In the current study, our semiquantitative analyses of the microglia pool in the outer plexiform layer showed a tendency toward a reduction in the Plp-α-Syn retinas with a reduced area covered by microglia processes; however, we cannot conclude that we see a clear loss of microglia cells. Further studies will have to be undertaken to determine the underlying causes. Of note, microglia depletion in mice did not result in changes of the general retinal architecture, organization of second-order neurons, or photoreceptor structure but did lead to decreased ability of the retina to transmit light. 75 In our mouse model, we cannot fully exclude that the observed accumulation is due to ectopic expression of the Plp-α-Syn construct, because α-Syn could accumulate over a longer period even if mRNA transcript levels were low. Still, our findings implicate that retinal bipolar neurons can cope with increased levels of α-Syn protein because its expression did not cause any further morphological changes, and functionality was not strongly impacted as was seen in our MEA recordings.
α-Syn-expressing retinal neurons might also lack the appropriate clearing mechanisms to reduce the α-Syn load because intracellular homeostasis of α-Syn requires proper degradation of the protein. Different mechanisms (e.g., chaperone-mediated autophagy, macroautophagy, ubiquitin-proteasome system) have been demonstrated to be involved in α-Syn degradation. [76][77][78][79][80] We therefore propose the use of this Plp-α-Syn mouse model to further study the mechanisms of α-Syn aggregation and its clearance pathways.

Functionality of the Plp-α-Syn Retina
Despite exhibiting substantial accumulation of α-Syn in the inner retina and ganglion cells and the (peripheral) rod bipolar cells in particular, we found little change in retinal function of Plp-α-Syn mice. The changes in outer retina function we observed in our ex vivo ERG data were largely restricted to scotopic luminance levels, suggesting an involvement of rod-driven retinal circuitry. This finding correlates with the presence of α-Syn in rod bipolar cells, which are crucial for a major part of rod-derived signal transfer down to the inner retina. Even though α-Syn labeling of rod bipolar cells was most intense in the periphery, we saw no difference in the response profiles between the central and most peripheral parts of the retina (data not shown); therefore, we conclude that the levels of α-Syn present in these neurons at most mildly affect their function. Of note, we observed differences in ex vivo ERG elicited by stimuli with the weakest driving force for responses: high frequencies (in the chirp) and low contrasts (in the flash). These findings suggest an impairment of outer retinal signaling at the outskirts of the normal dynamic range, whereas stronger stimulation reveals no difference in ex vivo ERG. Ganglion cell responses by comparison differed more at higher contrast levels, reflecting either an additional inner retina effect or a result from an altered balance in synaptic gains driving these responses.
Because ERG is a non-invasive routine diagnostic tool in clinical application, the ex vivo ERG phenotype at low contrasts is interesting. Previous studies with patients failed to reveal substantial visual phenotypes. 40,[81][82][83] These studies, however, regularly used stimulation above cone threshold or higher contrast stimuli. Therefore, with regard to patient diagnosis, it might be worth measuring visual performance in ERGs with higher temporal frequencies and very low-contrast stimuli, specifically at scotopic luminance, as inferred by our MEA analyses.

Dopaminergic Neurons in the Plp-α-Syn Retina
Whereas cerebral loss of dopaminergic neurons has been shown in the substantia nigra of Plp-α-Syn mice, 58 data on retinal dopaminergic neurons have not yet been available for this model. Similar to our study, where we demonstrated comparable numbers of TH+ neurons and comparable levels of TH mRNA, a recent report in transgenic A53T mice also showed no changes in dopaminergic amacrine cells in retinal sections. 84 We therefore concluded that the retina of the Plpα-Syn model does not show an impairment of the dopaminergic system, a finding that compares to observations in the olfactory bulb of Plp-α-Syn mice. 85

How Does the Effect on the Ganglion Cell Morphology Reflect the Human Situation in MSA Patients?
Retinal ganglion cell density has been shown to be significantly reduced in the peripheral retina of MSA patients. 56 Even though the difference in the number of ganglion cells did not reach significance in the Plp-α-Syn mouse model, it seemed decreased in the ventral retina. A possible cause for an impairment could be differences in myelination, as suggested for the peripheral human retina that contains Mtype retinal ganglion cells. Their long axons show a high level of myelination in the retrolaminar optic nerve leading to a higher vulnerability to disease-prone oligodendrocyte damage. 64 Studies examining axonal myelination and degeneration in this mouse model exceeded the scope of this study. The fact that we found human α-Syn expressed in the retrolaminar optic nerve co-localizing with Plp but also towards the retina makes this an interesting follow up question.
Taken together, we found the MSA pathology partly reflected in the Plp-α-Syn mouse model, although the morphological and functional changes might be too subtle for a biomarker. However, due to the observed α-Syn expression in retinal neurons, Plp-α-Syn mice could serve as a useful biological model to study synuclein-dependent diseases in the retina, a uniquely accessible neuronal tissue.