The neural retina is a part of the central nervous system (CNS), and regeneration of the retina from retinal stem cells or other sources by transplantation is a critical issue from both clinical and neurobiological points of view. Although a report of successful regeneration of the CNS has appeared in the literature (
33), such has not been the case for the vertebrate neural retina. Transplantation of neural stem cells into the retina has been assumed to be particularly difficult in terms of the cells and their ability to survive, migrate, and establish morphological and functional connectivity with their hosts (
24). Even though some success has been achieved by transplanting stem cells, less than 1% of them repopulate and become integrated into the normal adult retina (
36,
42). A recent report indicated an essential role for reactive astroglial cells in preventing neural graft integration after transplantation into the adult retina (
24).
The neural retina consists of seven principal cell types, and these cells are derived from multipotent retinal progenitor cells (
26). Several lines of evidence indicated that retinal cell diversification is achieved by the sequential production of cell types in a defined histogenetic order (
26). A set of transcription factors such as Pax6, Rx/rax, Six3, Six6, and Lhx2 are known to play a role in initiating vertebrate eye development (
18). But the exact role of these factors in regulating the development of a complex population from uncommitted retinal progenitor cells has not been clarified.
The gene encoding the Rx/rax transcription factor (
3,
9) belongs to a subfamily of the paired-like homeobox genes (
12), and the homeodomain region of
Rx/rax is remarkably conserved among vertebrates (
27).
Rx/rax was first isolated by two independent groups, one using a cDNA library made from
Xenopus animal cap ectoderm induced by treatment with ammonium chloride (
27) and the other using degenerate PCR to amplify specific classes of genes expressed in the rat retina at E19 and P4 (
9).
Rx/rax is expressed in the anterior neural fold, including areas that will give rise to the ventral forebrain and optic vesicles in the early mouse embryo; and then, once the optic vesicles have formed,
Rx/rax expression becomes restricted to the ventral diencephalon and the optic vesicles (
27). This expression pattern is also remarkably conserved among vertebrates (
27). Targeted knockouts of
Rx/rax in mice eliminates eye formation (
27), and an eyeless inbred mouse strain was shown to have a mutation in its
Rx/rax gene (
38), indicating the essential role of Rx/rax in vertebrate eye development. In keeping with these observations, gain-of-function experiments indicated the ability of Rx/rax to promote retina formation. Injection of
Xenopus rx1 (Xrx1) synthetic RNA into 4 to 8 cell stage
Xenopus embryos resulted in the development of ectopic retinal pigmented epithelium between the eyes and the neural tube (
27). Another report showed that Xrx1 was able to define the retina-diencephalon territory in the anterior neural plate (
1). Although Rx/rax has the structure of a typical transcription factor, the targets of Rx/rax are not well defined. The involvement of Rx/rax in photoreceptor-specific gene expression was reported previously (
23), but the nature of the targets of early eye development is not known.
Embryonic stem (ES) cells, being an unlimited source for cell therapy, have been discussed in terms of their ability to generate specific cell lineages in vitro. ES cells possess the capacity to generate neurons and glial cells that express markers characteristic of specific classes of these cells (
19,
39). Furthermore, successful enrichment of a specific type of neuron was achieved by expression of an exogenous gene (
22). There are several reports describing attempts to differentiate ES cells into cells of the retinal cell lineage. Coculture of ES cell-derived neural progenitors with postnatal day 1 retinal cells resulted in expression of photoreceptor lineage markers in a subset of ES cells (
43). However, cells expressing photoreceptor-specific markers did not display typical photoreceptor morphology. A subset of cells also expressed bipolar markers, but it was not conclusive whether or not the cells expressing those markers were retinal cells, as these markers are expressed elsewhere in the CNS. Others reported that subretinally transplanted ES cells could rescue photoreceptor cells from degeneration in a mouse model of progressive retinal degeneration, but no direct differentiation from ES cells to retinal cells was evidenced (
34). Recently, generation of pigmented epithelium and lentoids from primate ES cells by stromal cell-derived inducing activity (SDIA) was reported (
20,
31). In the views of the current state of the literature, the successful generation of neural retina cells from ES cells is an important goal that remains to be achieved.
Here we show that subpopulations of retinal neurons can be generated in retinal explant cultures from grafted mouse ES cells ectopically expressing Rx/rax, a transcription factor known to be expressed in immature retinal cells. The retinal neurons generated by these ES cells expressed ganglion and horizontal cell markers and showed the electrophysiological properties expected of ganglion cells.