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Photopharmacological control of bipolar cells restores visual function in blind mice
Laura Laprell, … , Dirk Trauner, Russell N. Van Gelder
Laura Laprell, … , Dirk Trauner, Russell N. Van Gelder
Published June 5, 2017
Citation Information: J Clin Invest. 2017;127(7):2598-2611. https://doi.org/10.1172/JCI92156.
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Research Article Ophthalmology

Photopharmacological control of bipolar cells restores visual function in blind mice

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Abstract

Photopharmacological control of neuronal activity using synthetic photochromic ligands, or photoswitches, is a promising approach for restoring visual function in patients suffering from degenerative retinal diseases. Azobenzene photoswitches, such as AAQ and DENAQ, have been shown to restore the responses of retinal ganglion cells to light in mouse models of retinal degeneration but do not recapitulate native retinal signal processing. Here, we describe diethylamino-azo-diethylamino (DAD), a third-generation photoswitch that is capable of restoring retinal ganglion cell light responses to blue or white light. In acute brain slices of murine layer 2/3 cortical neurons, we determined that the photoswitch quickly relaxes to its inactive form in the dark. DAD is not permanently charged, and the uncharged form enables the photoswitch to rapidly and effectively cross biological barriers and thereby access and photosensitize retinal neurons. Intravitreal injection of DAD restored retinal light responses and light-driven behavior to blind mice. Unlike DENAQ, DAD acts upstream of retinal ganglion cells, primarily conferring light sensitivity to bipolar cells. Moreover, DAD was capable of generating ON and OFF visual responses in the blind retina by utilizing intrinsic retinal circuitry, which may be advantageous for restoring visual function.

Authors

Laura Laprell, Ivan Tochitsky, Kuldeep Kaur, Michael B. Manookin, Marco Stein, David M. Barber, Christian Schön, Stylianos Michalakis, Martin Biel, Richard H. Kramer, Martin P. Sumser, Dirk Trauner, Russell N. Van Gelder

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Figure 1

DAD is an uncharged photoswitch that responds to visible light.

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DAD is an uncharged photoswitch that responds to visible light.
(A) Mole...
(A) Molecular structures of DAD (i), lidocaine (ii), DENAQ (iii), and QX-314 (iv). (B) DAD can exist in deprotonated or protonated forms. The uncharged state should be plasma-membrane permeable, enabling efficient loading into retinal neurons. Irradiation with blue or white light converts DAD to its less stable cis isomer, which quickly relaxes back to trans in darkness. (C) Schematic view of DAD’s blocking mechanism.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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