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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Mol. Neurosci.</journal-id>
<journal-title>Frontiers in Molecular Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Mol. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-5099</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnmol.2017.00197</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Complement Components Showed a Time-Dependent Local Expression Pattern in Constant and Acute White Light-Induced Photoreceptor Damage</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Sch&#x00E4;fer</surname> <given-names>Nicole</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/367359/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Grosche</surname> <given-names>Antje</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/88666/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Schmitt</surname> <given-names>Sabrina I.</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/417647/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Braunger</surname> <given-names>Barbara M.</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Pauly</surname> <given-names>Diana</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/365706/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Ophthalmology, University Hospital Regensburg</institution> <country>Regensburg, Germany</country></aff>
<aff id="aff2"><sup>2</sup><institution>Institute of Human Genetics, University Regensburg</institution> <country>Regensburg, Germany</country></aff>
<aff id="aff3"><sup>3</sup><institution>Institute of Human Anatomy and Embryology, University Regensburg</institution> <country>Regensburg, Germany</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: <italic>Clint L. Makino, Boston University School of Medicine, United States</italic></p></fn>
<fn fn-type="edited-by"><p>Reviewed by: <italic>Tiansen Li, National Institutes of Health, United States; Kip M. Connor, Harvard Medical School, United States</italic></p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x002A;Correspondence: <italic>Diana Pauly, <email>diana.pauly@ukr.de</email></italic></p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>20</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>10</volume>
<elocation-id>197</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>02</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>06</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017 Sch&#x00E4;fer, Grosche, Schmitt, Braunger and Pauly.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Sch&#x00E4;fer, Grosche, Schmitt, Braunger and Pauly</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p><bold>Background:</bold> Photoreceptor cell death due to extensive light exposure and induced oxidative-stress are associated with retinal degeneration. A correlated dysregulation of the complement system amplifies the damaging effects, but the local and time-dependent progression of this mechanism is not thoroughly understood.</p>
<p><bold>Methods:</bold> Light-induced photoreceptor damage (LD) was induced in Balb/c mice with white light illumination either for 24 h with 1000 lux (constant model) or 0.5 h with 5000 lux (acute model). Complement protein and mRNA expression levels were compared at 1 and 3 days post-LD for C1s, complement factor B (CFB), mannose binding lectin A, mannose-binding protein-associated serine protease 1 (MASP-1), C3, C4, C9, and complement factor P in retina and RPE/choroid. Histological analyses visualized apoptosis, microglia/macrophage migration, gliosis and deposition of the complement activation marker C3d. Systemic anaphylatoxin serum concentrations were determined using an ELISA.</p>
<p><bold>Results:</bold> Apoptosis, gliosis and microglia/macrophage migration into the outer nuclear layer showed similar patterns in both models. Local complement factor expression revealed an early upregulation of complement factor mRNA in the acute and constant light regimen at 1 day post-treatment for <italic>c1s</italic>, <italic>cfb</italic>, <italic>masp-1</italic>, <italic>c3</italic>, <italic>c4</italic> and <italic>c9</italic> in the RPE/choroid. However, intraretinal complement mRNA expression for <italic>c1s</italic>, <italic>cfb</italic>, <italic>c3</italic> and <italic>c4</italic> was increased at 1 day in the constant and at 3 days in the acute model. A corresponding regulation on protein level in the retina following both LD models was observed for C3, which was upregulated at 1 day and correlated with increased C3d staining in the ganglion cell layer and at the RPE. In the RPE/choroid C1s-complex protein detection was increased at 3 days after LD irrespectively of the light intensities used.</p>
<p><bold>Conclusion:</bold> LD in mouse eyes is correlated with local complement activity. The time-dependent local progression of complement regulation on mRNA and protein levels were equivalent in the acute and constant LD model, except for the intraretinal, time-dependent mRNA expression. Knowing the relative time courses of local complement expression and cellular activity can help to elucidate novel therapeutic options in retinal degeneration indicating at which time point of disease complement has to be rebalanced.</p>
</abstract>
<kwd-group>
<kwd>light-induced photoreceptor degeneration</kwd>
<kwd>complement system</kwd>
<kwd>retina</kwd>
<kwd>RPE/choroid</kwd>
<kwd>C3</kwd>
</kwd-group>
<counts>
<fig-count count="8"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="54"/>
<page-count count="17"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec><title>Introduction</title>
<p>Exposure to sunlight has been suggested years ago as a risk factor for the development and progression of retinal degeneration and particularly age-related macular degeneration (AMD) [reviewed in <xref ref-type="bibr" rid="B44">Sui et al. (2013)</xref>]. Extensive light exposure induces apoptosis-driven photoreceptor loss in humans and mice (<xref ref-type="bibr" rid="B50">Wenzel et al., 2005</xref>; <xref ref-type="bibr" rid="B28">Organisciak and Vaughan, 2010</xref>). This is dependent on light intensity, light quality and exposure time (<xref ref-type="bibr" rid="B50">Wenzel et al., 2005</xref>). Several mechanisms are correlated with light-induced photoreceptor degeneration (LD), including an altered retinoid metabolism, increased oxidative stress and immunoreactions (<xref ref-type="bibr" rid="B24">Maeda et al., 2009</xref>; <xref ref-type="bibr" rid="B31">Pujol-Lereis et al., 2016</xref>). The exact interplay of these cascaded events still needs to be deciphered. Time-dependent analysis of the transcriptome after LD in mice revealed a clustered gene expression which imply a strongly regulated temporal coordination of stress gene expression in the light-damaged retina (<xref ref-type="bibr" rid="B9">Choi et al., 2001</xref>). However, we still lack an accurate understanding of the functional relevance of this time-dependent gene expression following LD and data that reveal how the transcriptomics are translated into protein expression.</p>
<p>The aim of the present study was to identify a LD-dependent transcriptional and protein expression profile of components of the complement system. Complement involvement in LD had been shown in a wide spectrum of white light treatment models, including mice/rats which were illuminated with light intensities between 1000 and 10000 lux for 1 h&#x2013;10 days and evaluated after a recovery time up to 7 days (<xref ref-type="bibr" rid="B35">Rohrer et al., 2007</xref>; <xref ref-type="bibr" rid="B37">Rutar et al., 2011</xref>; <xref ref-type="bibr" rid="B15">Hadziahmetovic et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Song et al., 2012</xref>). Comparison and generalization of these studies is difficult. Especially, since we know, that different light intensities, low and bright light, induce different apoptotic pathways in the retina (<xref ref-type="bibr" rid="B33">Roca et al., 2004</xref>) and prolonged recovery times influence the number of apoptotic cells following LD (<xref ref-type="bibr" rid="B54">Zhang et al., 2005</xref>; <xref ref-type="bibr" rid="B17">Jiao et al., 2015</xref>). Therefore, we chose a short-term, acute (0.5 h) and an intermediate, constant (24 h) exposure time with high (5000 lux) and medium (1000 lux) white light intensities to compare the effects of illumination on complement factor expression after 1 and 3 days of treatment (Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S1A&#x2013;C</xref>).</p>
<p>The complement system is a humoral part of the innate immune system which bridges the adaptive and innate immune response. Genetic polymorphisms in the complement cascade, complement depositions in drusen and drugs targeting factors of the complement system as potential AMD-therapeutics, supposed a connection between retinal degeneration, complement expression and light irradiation (<xref ref-type="bibr" rid="B1">Anderson et al., 2010</xref>; <xref ref-type="bibr" rid="B49">Weber et al., 2014</xref>; <xref ref-type="bibr" rid="B47">Volz and Pauly, 2015</xref>). The complement system is composed of over 40 interacting proteins which are successively involved in the reaction. The cascade is activated by three distinct pathways: the classical, lectin and alternative pathways. Activation of all three pathways results in the cleavage of complement component C3 to C3a and C3b, with the latter being required for the cleavage of C5 to C5a and C5b as well as the formation of the terminal complement complex. The complement system finally results in three main biological functions: tagging of cell waste and pathogens by opsonins (e.g., iC3b), attraction and activation of immune cells by anaphylatoxins (e.g., C3a, C5a) and cell lysis by the terminal complement complex (C5b-C9). The activity of the complement system is tightly controlled under physiological conditions, but it can be dysregulated in pathological events resulting in an autoreactive damage of cells.</p>
<p>Previous studies reported that <italic>c1q/s</italic>, <italic>c2</italic>, <italic>c3</italic> and <italic>c4</italic> mRNA expression was upregulated in the retina after LD (<xref ref-type="bibr" rid="B21">Lohr et al., 2006</xref>; <xref ref-type="bibr" rid="B35">Rohrer et al., 2007</xref>; <xref ref-type="bibr" rid="B37">Rutar et al., 2011</xref>; <xref ref-type="bibr" rid="B15">Hadziahmetovic et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Song et al., 2012</xref>), which was associated with microglia/macrophage migration (<xref ref-type="bibr" rid="B37">Rutar et al., 2011</xref>) and complement activated cell lysis (<xref ref-type="bibr" rid="B21">Lohr et al., 2006</xref>). Complement reaction after light treatment had been also suggested as an important pathway as complement factor D deficient mice were protected from LD (<xref ref-type="bibr" rid="B35">Rohrer et al., 2007</xref>).</p>
<p>To obtain a conclusive picture, here we correlate the time-dependent glial activation pattern, neuronal cell loss and expression of different complement factors on mRNA and, importantly, on protein level in the retina and RPE/choroid. Our results confirm previously described expression patterns regarding <italic>c1s</italic>, <italic>c3</italic> and <italic>c4</italic> and we added analyses regarding <italic>cfb</italic>, <italic>masp-1</italic>, <italic>mbl</italic>-a, <italic>c9</italic> and <italic>cfp</italic>. We describe an early gene upregulation in the RPE/choroid after 1 day of LD in both tested light models and in the retina for the constant light regime. Complement gene expression showed a delayed increase in the retina at 3 days following acute LD. We report for the first time, that C3 and C1s were altered on protein level in Western blots following both constant and acute LD either in the retina or in the RPE/choroid, respectively. Overall the studies revealed that C3, C1s and C9 could serve as time-dependent marker proteins for complement involvement for LD in mice.</p>
</sec>
<sec id="s1" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec><title>Animals, Ethics Statement, and LD</title>
<p>Six to nine week old BALB/c mice obtained from Charles River Laboratories (Wilmington, MA, United States) and tested homozygous for the L450 variant of RPE65 (<xref ref-type="bibr" rid="B51">Wenzel et al., 2001</xref>) were kept in cyclic light (12 h on/12 h off, lights on at 7 am, light intensity approx. 400 lux) (Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S1A&#x2013;C</xref>). Mouse experiments were strictly performed according to the guidelines of replacement, refinement, and reduction of animals in research (<xref ref-type="bibr" rid="B36">Russell and Burch, 1959</xref>) and approved by the committee on the ethics of animal experiments of the regional agency for animal health <italic>Regierung der Oberpfalz, Veterin&#x00E4;rwesen</italic> (54-2532.1-04/11). To induce LD in mice, they were transferred to cyclic dim light (&#x003C;100 lux) for 5 days and followed by dark-adapted period of 18 h. As the severity of retinal phototoxicity in rodents depends on the circadian rhythm (<xref ref-type="bibr" rid="B46">Vaughan et al., 2002</xref>) the light damage experiments were always performed in the early morning according to previously described protocols (<xref ref-type="bibr" rid="B6">Braunger et al., 2013a</xref>; <xref ref-type="bibr" rid="B3">Boneva et al., 2016</xref>). Briefly, mice were isolated placed in reflective cages and exposed to diffuse cool, white fluorescent light coming from the top of the cage for the constant LD model with an intensity of 1000 lux for 24 h and for the acute LD model with 5000 lux for 0.5 h. The average light intensity was measured on the cage floor. After light exposure, mice were allowed to recover first for 6 h in dim light, and then brought back to normal cyclic light conditions until sacrifice. The effects of LD were evaluated 1 and 3 days after light exposure (Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S1A&#x2013;C</xref>).</p>
</sec>
<sec><title>Antibodies</title>
<p>Used antibodies are listed in Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S1</xref>. The polyclonal anti-mouse CFP serum was generated by sequential immunizations of rats with recombinant murine CFP as described previously (<xref ref-type="bibr" rid="B30">Pauly et al., 2014</xref>).</p>
</sec>
<sec><title>Terminal dUTP Transferase Mediated Nicked-End Labeling (TUNEL)</title>
<p>Apoptotic cell death was analyzed by TUNEL labeling using the Apoptosis Detection System (DeadEnd Fluorometric TUNEL, Promega). The light exposed and control retinae were investigated following manufacturers&#x2019; instructions and protocols published previously (<xref ref-type="bibr" rid="B7">Braunger et al., 2013b</xref>, <xref ref-type="bibr" rid="B5">2015</xref>; <xref ref-type="bibr" rid="B20">Kugler et al., 2015</xref>). For quantitative analysis, the number of TUNEL-positive nuclei in mid-horizontal sections throughout the entire retina was counted and normalized to the area of the ONL. Indicating ONL cell density DAPI-positive cells were counted within central retina (100 &#x03BC;m area).</p>
</sec>
<sec><title>Gene Expression Analyses</title>
<p>One eye from each animal was enucleated and hemisected for total RNA extraction. To this end, RPE/choroid and retina were removed from eyecups and immediately deposited in RNA stabilizer (RNAlater, Qiagen, Hamburg, Germany). RNA was isolated using <italic>Nucleospin</italic> RNA/Protein Kit (Macherey-Nagel, D&#x00FC;ren, Germany) and reverse-transcribed to cDNA using <italic>QuantiTect</italic> Reverse Transcription Kit (Qiagen, Hamburg, Germany) according to the manufacturer&#x2019;s protocol. Mouse liver cDNA was prepared equally.</p>
<p>PCR was performed to validate mouse complement gene-specific primer pairs (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S2</xref>) using the following conditions: 94&#x00B0;C for 30 s, 60&#x00B0;C for 30 s, 72&#x00B0;C for 30 s, 33 cycles. Amplification products were analyzed using 2% agarose gels (Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S2</xref>), fluorescent bands were excised and amplified cDNA was purified after manufacturer&#x2019;s instructions (<italic>Nucleospin</italic> PCR and Gel Clean-up Kit, Macherey-Nagel, D&#x00FC;ren, Germany). GeneArt (Thermo Fisher Scientific, Braunschweig, Germany) performed sequencing of amplicons (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S2</xref>).</p>
<p>Quantitative real-time PCR (qRT-PCR) was performed on a Rotor-Gene Q PCR cycler (Qiagen, Hamburg, Germany) using mouse gene-specific primer pairs (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S2</xref>) and Rotor Gene Sybr green PCR Kit (95&#x00B0;C for 5 min, 40 cycle with 95&#x00B0;C for 5 s and 60&#x00B0;C for 10 s; Qiagen, Hamburg, Germany). A relative gene expression was calculated using mRNA levels of <italic>actin</italic> as a housekeeper with the &#x0394;CT method (&#x0394;CT = C<sub>T</sub> <italic>gene of interest</italic> - C<sub>T</sub> <italic>actin</italic>) (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>) for normalization as well as with the 2<sup>-&#x0394;&#x0394;CT</sup> method [fold change = 2<sup>-(&#x0394;CT treated-&#x0394;CT untreated)</sup>] for comparison of treated and untreated mice (<bold>Figures <xref ref-type="fig" rid="F2">2</xref></bold>, <bold><xref ref-type="fig" rid="F3">3</xref></bold> and Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S1</xref>, <xref ref-type="supplementary-material" rid="SM1">S3</xref>; <xref ref-type="bibr" rid="B38">Schmittgen and Livak, 2008</xref>).</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Local expression of complement factors in the healthy albino retina and RPE/choroid.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Factor</th>
<th valign="top" align="left">Main pathway</th>
<th valign="top" align="left">Main function</th>
<th valign="top" align="center" colspan="4">mRNA [&#x0394; CT actin]<sup>a</sup></th>
<th valign="top" align="center" colspan="4">Protein [% GAPDH signal]<sup>b</sup></th>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="left" colspan="4"><hr/></td>
<td valign="top" align="left" colspan="4"><hr/></td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<th valign="top" align="center">Retinal</th>
<th valign="top" align="center">RPE/choroid</th>
<th valign="top" align="center"><italic>P</italic>-value</th>
<th valign="top" align="center">Fold diff.</th>
<th valign="top" align="center">kDa</th>
<th valign="top" align="center">Retina</th>
<th valign="top" align="center">RPE/choroid</th>
<th valign="top" align="center">Fold diff.</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">C1s</td>
<td valign="top" align="left">Classical</td>
<td valign="top" align="left">Activating protease binding to C1q</td>
<td valign="top" align="center">8.5&#x00B1;0.6</td>
<td valign="top" align="center"><bold>6.2&#x00B1;0.4</bold></td>
<td valign="top" align="center"><bold>&#x003C;0.0001</bold></td>
<td valign="top" align="center"><bold>1.4</bold></td>
<td valign="top" align="center">140</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center"><bold>17&#x00B1;8</bold></td>
<td valign="top" align="center"></td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center">52</td>
<td valign="top" align="center"><bold>31&#x00B1;15</bold></td>
<td valign="top" align="center">6&#x00B1;1</td>
<td valign="top" align="center">5</td>
</tr>
<tr>
<td valign="top" align="left">CFB</td>
<td valign="top" align="left">Alternative</td>
<td valign="top" align="left">Component of alternative C3-/C5-convertase</td>
<td valign="top" align="center">13.9&#x00B1;1.3</td>
<td valign="top" align="center">12.8&#x00B1;0.9</td>
<td valign="top" align="center">0.13</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">105</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">60&#x00B1;22</td>
<td valign="top" align="center"></td>
</tr>
<tr>
<td valign="top" align="left">MBL-A</td>
<td valign="top" align="left">Lectin</td>
<td valign="top" align="left">Activating sugar binding molecule</td>
<td valign="top" align="center">18.9<sup>c</sup></td>
<td valign="top" align="center">20&#x00B1;0.5<sup>c</sup></td>
<td valign="top" align="center">n.d.</td>
<td valign="top" align="center">n.d.</td>
<td valign="top" align="center">74</td>
<td valign="top" align="center">50&#x00B1;10</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center">37</td>
<td valign="top" align="center">64&#x00B1;13</td>
<td valign="top" align="center">74&#x00B1;47</td>
<td valign="top" align="center">1.1</td>
</tr>
<tr>
<td valign="top" align="left">MASP-1</td>
<td valign="top" align="left">Lectin</td>
<td valign="top" align="left">Activating protease binding to MBL and ficolin</td>
<td valign="top" align="center">17.6&#x00B1;0.2<sup>c</sup></td>
<td valign="top" align="center">15.8&#x00B1;2<sup>c</sup></td>
<td valign="top" align="center">0.17</td>
<td valign="top" align="center">1.1</td>
<td valign="top" align="center">n.d.</td>
<td valign="top" align="center">n.d.</td>
<td valign="top" align="center">n.d.</td>
<td valign="top" align="center">n.d.</td>
</tr>
<tr>
<td valign="top" align="left">C3</td>
<td valign="top" align="left">Central</td>
<td valign="top" align="left">Component of alternative C3- and all C5-convertases</td>
<td valign="top" align="center">6.3&#x00B1;0.5</td>
<td valign="top" align="center"><bold>3.7&#x00B1;1.6</bold></td>
<td valign="top" align="center"><bold>0.003</bold></td>
<td valign="top" align="center"><bold>1.7</bold></td>
<td valign="top" align="center">&#x223C;120</td>
<td valign="top" align="center">1&#x00B1;1</td>
<td valign="top" align="center"><bold>34&#x00B1;18<sup>d</sup></bold></td>
<td valign="top" align="center">34</td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center">&#x223C;65</td>
<td valign="top" align="center">0.3&#x00B1;0.5</td>
<td valign="top" align="center"><bold>50&#x00B1;22<sup>d</sup></bold></td>
<td valign="top" align="center">50</td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="left"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center">&#x223C;45</td>
<td valign="top" align="center">3&#x00B1;3</td>
<td valign="top" align="center"><bold>10&#x00B1;4<sup>d</sup></bold></td>
<td valign="top" align="center">3</td>
</tr>
<tr>
<td valign="top" align="left">C4</td>
<td valign="top" align="left">Classical/lectin</td>
<td valign="top" align="left">Component of classical/lectin C3-convertase</td>
<td valign="top" align="center">7&#x00B1;0.5</td>
<td valign="top" align="center">6.7&#x00B1;1</td>
<td valign="top" align="center">0.62</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">160</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">33&#x00B1;27</td>
<td valign="top" align="center"></td>
</tr>
<tr>
<td valign="top" align="left">C9</td>
<td valign="top" align="left">Terminal</td>
<td valign="top" align="left">Component of membrane attack complex</td>
<td valign="top" align="center">17.8&#x00B1;0.9</td>
<td valign="top" align="center">18.6&#x00B1;3.5<sup>c</sup></td>
<td valign="top" align="center">0.61</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">&#x003C;170</td>
<td valign="top" align="center">36&#x00B1;9</td>
<td valign="top" align="center"><bold>151&#x00B1;97</bold></td>
<td valign="top" align="center">4</td>
</tr>
<tr>
<td valign="top" align="left">CFP</td>
<td valign="top" align="left">Alternative</td>
<td valign="top" align="left">Stabilizer of alternative C3-convertase</td>
<td valign="top" align="center"><bold>7.3&#x00B1;0.4</bold></td>
<td valign="top" align="center">9.9&#x00B1;0.7</td>
<td valign="top" align="center"><bold>&#x003C;0.0001</bold></td>
<td valign="top" align="center"><bold>1.4</bold></td>
<td valign="top" align="center">55</td>
<td valign="top" align="center">108&#x00B1;46</td>
<td valign="top" align="center">142&#x00B1;111</td>
<td valign="top" align="center">1.3</td>
</tr>
<tr>
<td valign="top" align="left"></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic><sup>a</sup>Determined by quantitative real-time PCR, <sup>b</sup>detected in Western blot, <sup>c</sup>high CT-values: not all tested tissues were positive for gene expression (see <bold>Figures <xref ref-type="fig" rid="F2">2</xref></bold>, <bold><xref ref-type="fig" rid="F3">3</xref></bold> for details), <sup>d</sup>C3d immunolabeling confirmed increased C3 protein content in the RPE/choroid (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>); means &#x00B1; standard deviations of six mice; n.d. not determined; unpaired <italic>t</italic>-test.</italic></attrib>
</table-wrap-foot>
</table-wrap>
</sec>
<sec><title>Western Blot</title>
<p>Protein isolation of RPE/choroid and retina (one eye from each animal) was performed with <italic>Nucleospin</italic> RNA/Protein Kit (Macherey-Nagel, D&#x00FC;ren, Germany). Samples were separated on a reducing 10% SDS-PAGE and transferred onto polyvinylidene difluoride membranes. Membranes were soaked in blocking solution [5% BSA/PBS-T (PBS, 0.1% Tween 20), 1 h] and subsequently incubated with primary antibodies diluted in blocking solution (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S1</xref>, overnight, 4&#x00B0;C). After washing steps, membranes were treated with detection antibodies diluted in blocking solution (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S1</xref>, 1 h) and developed with Lumi-Light blotting substrate (Roche Diagnostics GmbH, Mannheim, Germany) or WesternSure PREMIUM Chemiluminescent Substrate (LI-COR, Bad Homburg, Germany).</p>
</sec>
<sec><title>Immunostainings</title>
<p>Retinae were immersion-fixed (4% paraformaldehyde, 4 h) and embedded in paraffin. Six micrometer thick sections were used. For epitope retrieval paraffin sections were deparaffinized and heated in citrate-buffer pH 6 (1 h in a steamer, #ZUC028-500, Zytomed, Berlin, Germany). For C3d and glial fibrillary acidic protein (GFAP) analysis unspecific bindings were blocked (30 min, #ZUC007-100, Zytomed, Berlin, Germany) and primary antibodies were incubated overnight at 4&#x00B0;C in antibody diluent (#ZUC025-500, Zytomed, Berlin, Germany). Sections were washed (0.1% Tween 20/PBS) and incubated with secondary antibodies in antibody diluent (50 min). Cell nuclei were labeled with DAPI/Hoechst 33342 (1:1000; #H1399, Thermo Fisher Scientific, Braunschweig, Germany). After several washes (0.1% Tween 20/PBS, PBS) the slices were embedded in fluorescent mounting medium (#S302380-2, Dako, Glostrup, Denmark). For the staining of the ionized calcium binding adaptor molecule 1 (Iba-1) we used the Zytochem Plus AP Polymer Kit (#POLAP-006, Zytomed, Berlin, Germany) according to the manufacturer&#x2019;s protocol. Brief, sections were blocked with 3% H<sub>2</sub>O<sub>2</sub> (10 min) and blocking solution (10 min). Primary antibody and DAPI/Hoechst 33342 were incubated in antibody solution (4 h). Detection was performed using AP-polymer-rabbit (1 h) and permanent AP red (#ZUC001-125, Zytomed, Berlin, Germany). Every incubation step was followed by washing (0.1% Tween20/PBS). For C5b-C9 staining, the sections were blocked with 5% bovine serum albumin (BSA, Roth Karlsruhe, Germany) in 0.1 M phosphate buffer (1 h) and incubated with anti-C5b-C9 in blocking solution (4&#x00B0;C overnight). Detection was performed using a biotinylated anti-rabbit IgG, Alexa 488 conjugated streptavidin and DAPI counterstaining in fluorescent mounting medium. Images were acquired using confocal microscopy (VisiScope, Visitron System, Puchheim, Germany).</p>
</sec>
<sec><title>C3a/C5a ELISA</title>
<p>Systemic complement activation was analyzed in serum. Maxisorp microtiter plates (Nalgene Nunc, Penfield, NY, United States) were coated with anti-mouse C3a and anti-mouse C5a (phosphate buffer pH 6.5 (C3a) or carbonate buffer pH 9.5 (C5a), 4&#x00B0;C, overnight) (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S1</xref>), respectively. After blocking [2% skim milk in PBS-T (C3a) or 10% FCS in PBS (C5a), 1 h], mouse sera (1:5&#x2013;1:50), native mouse C3a and recombinant mouse C5a (for the standard curve 1&#x2013;100 ng/mL, BD Bioscience) in sample buffer [0.1 mg/mL Nafamostat Mesylate (Futhan, TCI, Eschborn, Germany), 10 mM EDTA in PBS] were incubated (2 h). Each incubation step was followed by three consecutive washing steps (PBS-T). Detection was performed with anti-mouse C3a-biotin- and anti-mouse C5a-biotin-antibody (PBS, 1 h) (Supplementary Table <xref ref-type="supplementary-material" rid="SM1">S1</xref>) and a final incubation with streptavidin-HRP (1:5000 in PBS). Signal was developed using 3,3&#x2032;,5,5&#x2032;-tetramethylbenzidine (TMB, Seramun Diagnostica GmbH, Heidesee/Wolzig, Germany). Optical density (absorption) was measured at 450 nm.</p>
</sec>
<sec><title>Software and Statistical Analysis</title>
<p>Data were statistically analyzed using GraphPad Prism 5 (GraphPad Software, San Diego, CA, United States). Western blot and microscopy pictures were evaluated using ImageJ (<xref ref-type="bibr" rid="B40">Schneider et al., 2012</xref>).</p>
</sec>
</sec>
<sec><title>Results</title>
<sec><title>Light-Treatment Caused Damage in the Retina</title>
<p>Photoreceptor cell death is a hallmark in LD (<xref ref-type="bibr" rid="B14">Grimm and Rem&#x00E9;, 2013</xref>). In order to determine whether constant (1000 lux, 24 h) or acute (5000 lux, 0.5 h) white light treatment differ in the progression of LD, we counted TUNEL-positive cells indicating apoptosis (<bold>Figures <xref ref-type="fig" rid="F1">1A</xref>&#x2013;<xref ref-type="fig" rid="F1">F</xref></bold>), and DAPI-positive cell nuclei (<bold>Figures <xref ref-type="fig" rid="F1">1A&#x2013;E,G</xref></bold>), displaying photoreceptor density in the ONL. Cell apoptosis occurred in the ONL of mice treated with white light (<bold>Figures <xref ref-type="fig" rid="F1">1A</xref>&#x2013;<xref ref-type="fig" rid="F1">F</xref></bold>) irrespective of the light intensities. TUNEL-positive cells were observed in the central region of mouse retinae 1 and 3 days post-light treatment (<bold>Figures <xref ref-type="fig" rid="F1">1A,B,D,E,F</xref></bold>). Overall cell loss was indicated by a reduced number of DAPI-positive cells in the ONL after both light treatments (<bold>Figures <xref ref-type="fig" rid="F1">1A,B,D,E,G</xref></bold>). Reactivity of retinal cells to light stimuli was proven by increased expression levels of LD marker <italic>lif1</italic> and <italic>gfap</italic> in the retina 1 and 3 days post-light-treatment (Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S1D&#x2013;F</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Cell death occurs in the ONL 1 day post-light treatment. Detection of cell death in retinae of mice either treated with <bold>(A,B)</bold> 1000 lux (24 h) or <bold>(D,E)</bold> 5000 lux (0.5 h) was performed by TUNEL- (green) and DAPI-staining (dark blue) of cell nuclei. <bold>(C)</bold> Untreated, Balb/c mice did not show TUNEL-positive cells in the retina. Albino mice treated with light showed apoptotic TUNEL positive cells (green) in the ONL <bold>(A,D)</bold> 1 day and <bold>(B,E)</bold> 3 days after light exposure. There was a significant increase in numbers of <bold>(F)</bold> TUNEL positive cells and a significant decrease in numbers of <bold>(G)</bold> DAPI positive cells following light exposure, however, no significant differences in the numbers of <bold>(F)</bold> TUNEL- and <bold>(G)</bold> DAPI-positive cells regarding the light treatment regimen was observed. Scale bars, 200 &#x03BC;m. <sup>&#x2217;</sup>0.01 &#x003C; <italic>P</italic> &#x003C; 0.05, <sup>&#x2217;&#x2217;</sup>0.001 &#x003C; <italic>P</italic> &#x003C; 0.01 (ordinary one-way ANOVA, Dunnett&#x2019;s multiple comparisons test, with a single pooled variance) ON, optic nerve; OS, ora serrata.</p></caption>
<graphic xlink:href="fnmol-10-00197-g001.tif"/>
</fig>
</sec>
<sec><title>Complement Factors Were Locally Expressed in the Untreated Albino Mouse Eye</title>
<p>The aim of the study was to evaluate the role of the local complement system in LD. First, we compared complement factor expression on mRNA and protein level in the retina and RPE/choroid of untreated control albino mice (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>). Complement factors <italic>c1s</italic>, <italic>cfb</italic>, <italic>c3</italic>, <italic>c4</italic> and <italic>cfp</italic> mRNA were constantly expressed in the retina and RPE/choroid of untreated Balb/c mice (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>). We determined a significantly higher expression level for <italic>c1s</italic> and <italic>c3</italic> mRNA in the RPE/choroid compared to the retina (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>) and vice versa a higher expression of <italic>cfp</italic> mRNA in the retina than in the RPE/choroid (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>). There was no significant difference in the tissue-specific expression of <italic>cfb</italic> and <italic>c4</italic> in the eye (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>). <italic>C9</italic> mRNA and complement factors of the lectin pathway, <italic>mbl-a</italic> and <italic>masp-1</italic>, were detected only in a few animals of the control group (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold> and <bold>Figures <xref ref-type="fig" rid="F2">2</xref></bold>, <bold><xref ref-type="fig" rid="F3">3</xref></bold>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Retinal transcription of complement factors changed dependent on the recovery time after different light treatment regimens. mRNA expression was analyzed in the retinae of mice treated either with constant (1000 lux, 24 h; white bars) or acute white light (5000 lux, 0.5 h; black bars) and compared to untreated controls. <bold>(A)</bold> <italic>c1s</italic>, <bold>(B)</bold> <italic>cfb</italic>, <bold>(C)</bold> <italic>mbl-a</italic>, <bold>(D)</bold> <italic>masp-1</italic>, <bold>(E)</bold> <italic>c3</italic>, <bold>(F)</bold> <italic>c4</italic>, <bold>(G)</bold> <italic>c9</italic>, and <bold>(H)</bold> <italic>cfp</italic> mRNA was determined. <bold>(A)</bold> <italic>C1s</italic>, <bold>(B)</bold> <italic>cfb</italic>, <bold>(E)</bold> <italic>c3</italic>, and <bold>(F)</bold> <italic>c4</italic> mRNA was significantly elevated either at 1 day following constant (white column) or at 3 days following acute (black column) light treatment. <bold>(G,H)</bold> <italic>C9</italic> and <italic>cfp</italic> mRNA expression was decreased following LD. Data represent mean values <underline>+</underline> standard error of the mean. <bold>(C)</bold> <italic>mbl-a</italic>, <bold>(D)</bold> <italic>masp-1</italic> and <bold>(G)</bold> <italic>c9</italic> mRNA was partly detected. Positive animals were indicated as small numbers in the bars. Mean of untreated control shown as dotted line. <sup>&#x2217;</sup>0.01 &#x003C; <italic>P</italic> &#x003C; 0.05, <sup>&#x2217;&#x2217;</sup>0.001 &#x003C; <italic>P</italic> &#x003C; 0.01, <sup>&#x2217;&#x2217;&#x2217;</sup>0.0001 &#x003C; <italic>P</italic> &#x003C; 0.001, and <sup>&#x2217;&#x2217;&#x2217;&#x2217;</sup><italic>P</italic> &#x003C; 0.0001 (ordinary one-way ANOVA, Dunnett&#x2019;s multiple comparisons test, with a single pooled variance).</p></caption>
<graphic xlink:href="fnmol-10-00197-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>mRNA expression of complement factors in the RPE/choroid-complex is increased at 1 day following constant and acute LD. mRNA expression was analyzed in the RPE/choroid of mice treated either with constant (1000 lux, 24 h; white bars) or acute white light (5000 lux, 0.5 h; black bars) and compared to untreated controls. <bold>(A)</bold> <italic>c1s</italic>, <bold>(B)</bold> <italic>cfb</italic>, <bold>(C)</bold> <italic>mbl-a</italic>, <bold>(D)</bold> <italic>masp-1</italic>, <bold>(E)</bold> <italic>c3</italic>, <bold>(F)</bold> <italic>c4</italic>, <bold>(G)</bold> <italic>c9</italic>, and <bold>(H)</bold> <italic>cfp</italic> mRNA was determined. <bold>(A)</bold> <italic>C1s</italic>, <bold>(B)</bold> <italic>cfb</italic>, <bold>(E)</bold> <italic>c3</italic>, <bold>(F)</bold> <italic>c4</italic>, and <bold>(G)</bold> <italic>c9</italic> mRNA was elevated at 1 day post-light treatment. mRNA expression decreased 3 days following LD. <bold>(C)</bold> <italic>mbl-a</italic> and <bold>(G)</bold> <italic>c9</italic> mRNA was partly detected. Positive animals were indicated as small numbers in the bars. Data represent mean values <underline>+</underline> standard error of the mean. Mean of untreated control shown as dotted line. <sup>&#x2217;</sup>0.01 &#x003C; <italic>P</italic> &#x003C; 0.05, <sup>&#x2217;&#x2217;&#x2217;</sup>0.0001 &#x003C; <italic>P</italic> &#x003C; 0.001, <sup>&#x2217;&#x2217;&#x2217;&#x2217;</sup><italic>P</italic> &#x003C; 0.0001 (ordinary one-way ANOVA, Dunnett&#x2019;s multiple comparisons test, with a single pooled variance).</p></caption>
<graphic xlink:href="fnmol-10-00197-g003.tif"/>
</fig>
<p>All tested complement factors were found on protein level in the RPE/choroid (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>). In general, the retina was less positive for complement deposition than the RPE/choroid as we observed no CFB or C4 protein and low C3 protein levels in the untreated retina (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold> and <bold>Figures <xref ref-type="fig" rid="F4">4</xref></bold>&#x2013;<bold><xref ref-type="fig" rid="F6">6</xref></bold>). The increased tissue-specific mRNA expression for <italic>c3</italic> in the RPE/choroid (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>) was confirmed by increased protein detection in Western blots (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold> and <bold>Figures <xref ref-type="fig" rid="F4">4C</xref></bold>, <bold><xref ref-type="fig" rid="F6">6D</xref></bold>) and immunohistochemistry (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>). Higher molecular weight complexes containing either C1s or C9 showed also a 4&#x2013;5-fold enhanced protein detection signal in the RPE/choroid than in the retina (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>, <bold>Figures <xref ref-type="fig" rid="F4">4A,D</xref></bold>, <bold><xref ref-type="fig" rid="F6">6A,F</xref></bold>, and Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S6A,B</xref>, <xref ref-type="supplementary-material" rid="SM1">S7D,E</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Complement protein expression in the retina showed increased C3 deposition after LD. Complement protein expression of <bold>(A)</bold> C1s (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S6A</xref>), <bold>(B)</bold> MBL (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S6C</xref>), <bold>(C)</bold> C3 (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S6D</xref>), <bold>(D)</bold> C9 (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S6B</xref>) and <bold>(E)</bold> CFP (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S6E</xref>) in the retinae of mice either treated with constant (1000 lux, 24 h; white bars) or acute white light (5000 lux, 0.5 h; black bars) was compared to untreated controls (gray bars) in Western blot. <bold>(B,C)</bold> Stacked bars correspond to different molecular weights of protein fragments. Data represent mean percentages of the GAPDH control signal of 4&#x2013;6 mice of each treatment group. Exemplarily Western blots are shown for complement protein detection in one mouse tissue, respectively (for entire blots see Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S6</xref>). Blots were sequentially developed (Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S4</xref>). CFB and C4 were not detected in retinae. <sup>&#x2217;</sup>0.01 &#x003C; <italic>P</italic> &#x003C; 0.05 (ordinary one-way ANOVA, Dunnett&#x2019;s multiple comparisons test, with a single pooled variance).</p></caption>
<graphic xlink:href="fnmol-10-00197-g004.tif"/>
</fig>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>Reactive M&#x00FC;ller cells, astrocytes and RPE are co-localized with C3d in LD retinae. Immunolabelled mouse eye sections for C3d (red) and GFAP (green) showed a LD-dependent M&#x00FC;ller cell and astrocyte activation (GFAP, green) as well as complement activation (C3d, red), irrespective of light intensity and recovery time. <bold>(A)</bold> Untreated mouse retinae were negative for gliosis and showed a distinct C3d-dependent staining of Bruch&#x2019;s membrane. <bold>(B&#x2013;E)</bold> Retinae treated with bright light depicted an increased GFAP-staining of M&#x00FC;ller cells and astrocytes which was partly co-localized with C3d staining in the retina. C3d staining at the RPE/Bruch&#x2019;s membrane was increased after light treatment and additionally deposited at the surface of RPE cells. Retinal layers from the top to the bottom: GCL, ganglion cell layer; IPL, inner plexiform layer; INL, inner nuclear layer; OPL, outer plexiform layer; ONL, outer nuclear layer; PRS, photoreceptor segments; RPE, retinal pigment epithelium; BM, Bruch&#x2019;s membrane; Ch, choroid. Scale bars, 20 &#x03BC;m.</p></caption>
<graphic xlink:href="fnmol-10-00197-g005.tif"/>
</fig>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption><p>Increased C1s-complex and decreased C9-complex deposition in the RPE/choroid after LD. Complement protein expression of <bold>(A)</bold> C1s (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7D</xref>), <bold>(B)</bold> CFB (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7C</xref>), <bold>(C)</bold> MBL (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7F</xref>), <bold>(D)</bold> C3 (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7A</xref>), <bold>(E)</bold> C4 (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7H</xref>), <bold>(F)</bold> C9 (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7E</xref>), and <bold>(G)</bold> CFP (see also Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7G</xref>) in the RPE/choroid of mice either treated with constant (1000 lux, 24 h; white bars) or acute white light (5000 lux, 0.5 h; black bars) was compared to untreated controls (gray bars) in Western blot. <bold>(A,D)</bold> Stacked bars correspond to different molecular weights of protein fragments. Data represent mean percentages of the GAPDH control signal of 4&#x2013;6 mice of each treatment group. Exemplarily Western blots are shown for complement protein detection in one mouse tissue, respectively (for entire blots see Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7</xref>). Blots were sequentially developed (Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S4</xref>). <sup>&#x2217;&#x2217;</sup>0.001 &#x003C; <italic>P</italic> &#x003C; 0.01 (ordinary one-way ANOVA, Dunnett&#x2019;s multiple comparisons test, with a single pooled variance).</p></caption>
<graphic xlink:href="fnmol-10-00197-g006.tif"/>
</fig>
</sec>
<sec><title>White Light Increased <italic>c1s</italic>, <italic>cfb</italic>, <italic>c3</italic>, and <italic>c4</italic> Expression in the Retina Dependent on the Recovery Time, But Decreased <italic>cfp</italic> and <italic>c9</italic> Expression</title>
<p>Complement activation was previously described as a cause for LD (<xref ref-type="bibr" rid="B35">Rohrer et al., 2007</xref>; <xref ref-type="bibr" rid="B37">Rutar et al., 2011</xref>). We asked the question, whether there is a difference in complement factor expression following constant (1000 lux, 24 h) or acute (5000 lux, 0.5 h) LD in the eye (<bold>Figures <xref ref-type="fig" rid="F2">2</xref></bold>, <bold><xref ref-type="fig" rid="F3">3</xref></bold>). We identified a significant increase of <italic>c1s</italic>, <italic>cfb</italic>, <italic>c3</italic> and <italic>c4</italic> mRNA expression in the retina following both light treatment regimens (<bold>Figures <xref ref-type="fig" rid="F2">2A,B,E,F</xref></bold>). Interestingly, there was a difference in the reaction regarding the recovery time after light treatment. Mice treated with 1000 lux for 24 h (constant) showed an enhanced complement gene expression in the retina after 1 day recovery (<bold>Figure <xref ref-type="fig" rid="F2">2</xref></bold>, white bars), which correlated with the time-dependent apoptosis in the ONL (<bold>Figure <xref ref-type="fig" rid="F1">1F</xref></bold>). In contrast, mice treated with 5000 lux for 0.5 h (acute) showed a change in <italic>c1s</italic>, <italic>cfb</italic>, <italic>c3</italic> and <italic>c4</italic> expression in the retina mainly 3 days after light illumination (<bold>Figure <xref ref-type="fig" rid="F2">2</xref></bold>, black bars).</p>
<p>The terminal complement factor <italic>c9</italic> and the alternative cascade stabilizer <italic>cfp</italic> were constantly expressed in the healthy retina (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>), but the expression signals were decreased in the light treated animals (<bold>Figures <xref ref-type="fig" rid="F2">2G,H</xref></bold>). <italic>Cfp</italic> mRNA expression was promptly regulated and a significant change was detected as early as 1 day post-treatment in both models (<bold>Figure <xref ref-type="fig" rid="F2">2H</xref></bold>).</p>
</sec>
<sec><title>Complement Factor Expression in the RPE/Choroid Changed Independently from the Light Intensity and Increased at 1 Day But Decreased at 3 Days Post-LD</title>
<p>The complement factor mRNA expression in the RPE/choroid correlated in the constant light (1000 lux, 24 h) treated animals, for most of the analyzed factors (exception: <italic>c9, cfp</italic>), with the retinal expression pattern (white bars, <bold>Figures <xref ref-type="fig" rid="F2">2</xref></bold>, <bold><xref ref-type="fig" rid="F3">3</xref></bold>). We observed a significant increase of mRNA for <italic>cfb</italic> and <italic>c4</italic> (<bold>Figures <xref ref-type="fig" rid="F3">3B,F</xref></bold>) as well as an elevated signal for <italic>c1s</italic>, <italic>c3</italic> and <italic>c9</italic> at 1 day compared to 3 days post-LD (<bold>Figures <xref ref-type="fig" rid="F3">3A,E,G</xref></bold>). The mice treated with acute light (5000 lux, 0.5 h) showed a comparable expression as the constant light treated animals in the RPE/choroid (<bold>Figure <xref ref-type="fig" rid="F3">3</xref></bold>). This was in contrast to the retinal expression pattern in the acute group, where we observed an increased mRNA expression only 3 days after LD but not immediately 1 day post-LD (black bars, <bold>Figures <xref ref-type="fig" rid="F2">2</xref></bold>, <bold><xref ref-type="fig" rid="F3">3</xref></bold>). The complement factor expression in the RPE/choroid decreased at 3 days post-LD in both models (<bold>Figure <xref ref-type="fig" rid="F3">3</xref></bold>). We emphasize that the gene expression levels for <italic>cfb</italic> and <italic>c3</italic> even dropped below the normal expression levels of untreated mice (<bold>Figures <xref ref-type="fig" rid="F3">3B,E</xref></bold>).</p>
</sec>
<sec><title>Similar Regulation of Complement Factors at mRNA Levels in Acute and Constant LD</title>
<p>The described complement gene expression studies (<bold>Figures <xref ref-type="fig" rid="F2">2</xref></bold>, <bold><xref ref-type="fig" rid="F3">3</xref></bold>) suggested a pattern for the regulation of complement gene expression following LD. Indeed, when we plotted the gene expression profiles of all tested genes in one graph corresponding to the used light intensities and tested tissues (Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S3</xref>), we found two different mRNA expression profiles. On the one hand, a similar expression pattern in the RPE/choroid complex following constant (1000 lux, 24 h) and acute (5000 lux, 0.5 h) LD as well as in the retina after constant LD (Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S3A,C,D</xref>): Complement mRNA expression decreased from 1 day recovery to 3 days recovery. On the other hand, this progress of complement expression appeared to lag behind in the retinae of animals treated with 5000 lux (Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S3B</xref>): All complement factors (except <italic>cfb</italic>) showed no change in expression level after 1 day recovery in mice treated with 5000 lux compared to the control group. However, in contrast to the 1000 lux treated animals the mice showed an increase of complement expression in the retina at 3 days (except <italic>c9</italic>) (Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S3B</xref>).</p>
</sec>
<sec><title>C3 Deposition Was Increased after LD</title>
<p>Further, we investigated if the mRNA expression of complement genes corresponded to protein detection in the eye (<bold>Figures <xref ref-type="fig" rid="F4">4</xref>&#x2013;<xref ref-type="fig" rid="F6">6</xref></bold> and Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S4</xref>, <xref ref-type="supplementary-material" rid="SM1">S6</xref>, <xref ref-type="supplementary-material" rid="SM1">S7</xref>). The only significant changes in the retina after light treatment were observed in regard to C3-the central complement protein (<bold>Figures <xref ref-type="fig" rid="F4">4C</xref></bold>, <bold><xref ref-type="fig" rid="F5">5</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S6D</xref>). C3 protein concentrations were elevated in all light-treated mice retinae compared to the control in Western blots, irrespectively of the recovery time (<bold>Figure <xref ref-type="fig" rid="F4">4C</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S6D</xref>). C3d deposition, which is a cleavage product of C3b, was also increased in immunostainings of tissue sections following acute and constant LD (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>). C3d-staining in the LD-retinae co-localized with GFAP-reactive M&#x00FC;ller cells and astrocytes (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>). The increased C3 protein detection in the retina correlated with increased <italic>c3</italic> mRNA expression in the retina after LD (<bold>Figure <xref ref-type="fig" rid="F2">2E</xref></bold>), except that the <italic>c3</italic>-transcription level in the acute model did not change after 1 day recovery (<bold>Figure <xref ref-type="fig" rid="F2">2E</xref></bold>).</p>
<p>The trend for diminished <italic>c3</italic> mRNA expression in the RPE/choroid complex 3 days after constant and acute LD (<bold>Figure <xref ref-type="fig" rid="F3">3E</xref></bold>) corresponded to decreased C3 protein detection in Western blots in the RPE/choroid (<bold>Figure <xref ref-type="fig" rid="F6">6D</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7A</xref>). Especially, the C3-alpha chain fragment (45 kDa) was missing after 3 days in the RPE/choroid-complex (<bold>Figure <xref ref-type="fig" rid="F6">6D</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7A</xref>). In contrast, we observed an increased C3d immunostaining in the RPE/choroid after LD (<bold>Figures <xref ref-type="fig" rid="F5">5B</xref>&#x2013;<xref ref-type="fig" rid="F5">E</xref></bold>). C3d was deposited at the surface of the RPE-cells following both light regimens (<bold>Figures <xref ref-type="fig" rid="F5">5B</xref>&#x2013;<xref ref-type="fig" rid="F5">E</xref></bold>). The differences in C3d-detection in Western Blots and immunostainings could be explained by the different specificities and affinities of the antibodies used here: the anti-C3 antibody in the Western Blots detected C3 irrespective of its activation pattern (<bold>Figure <xref ref-type="fig" rid="F6">6D</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7A</xref>) and in the immunostaining the antibody showed a selective specificity against the C3d activation product (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>).</p>
</sec>
<sec><title>Classical Complement Pathway Initiator C1s-Protein Complex Accumulated in RPE/Choroid after LD</title>
<p>C1s is a protease, which acts in a high molecular weight protein complex with C1r and C1q. Western blots from the RPE/choroid of LD mice showed a significant increase of the C1s-complex (140 kDa) 3 days post-light treatment (<bold>Figure <xref ref-type="fig" rid="F6">6A</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7D</xref>). The 2-times higher C1s-complex signal in the RPE/choroid did not completely overlap with an elevated local <italic>c1s</italic> mRNA expression following light-treatment but could be a result of a delayed increase of C1s protein expression compared to its transcript in the retina and RPE/choroid at 1 day after constant and acute light illumination (<bold>Figures <xref ref-type="fig" rid="F2">2A</xref></bold>, <bold><xref ref-type="fig" rid="F3">3A</xref></bold>). We did not observe a change in C1s protein deposition in the retina (<bold>Figure <xref ref-type="fig" rid="F4">4A</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S6A</xref>).</p>
</sec>
<sec><title>LD Resulted in Reduced Soluble C9-Complex Concentrations in the RPE/Choroid and Increased C5b-C9 Deposition in the Retina</title>
<p>C9 is the central protein of the terminal pathway of the complement system and forms the membrane attack complex together with C5b-C8. Soluble C9 protein detection in untreated mice was 4-fold higher in the RPE/choroid than in retina (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>, <bold>Figures <xref ref-type="fig" rid="F4">4D</xref></bold>, <bold><xref ref-type="fig" rid="F6">6F</xref></bold>, and Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S6B</xref>, <xref ref-type="supplementary-material" rid="SM1">S7E</xref>). LD resulted in decreased soluble C9 levels at 3 days in the RPE/choroid in both treatment regimens compared to the control (<bold>Figure <xref ref-type="fig" rid="F6">6F</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7E</xref>). This correlated with decreased <italic>c9</italic> mRNA expression in the RPE/choroid following constant and acute white light-treatment after 3 days recovery (<bold>Figure <xref ref-type="fig" rid="F3">3G</xref></bold>). While the concentration of the terminal complement membrane attack complex, consisting of C5b-C9, was enhanced after light-treatment in the retinae (Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S5</xref>).</p>
</sec>
<sec><title>M&#x00FC;ller Cells, Astrocytes, and Microglia/Macrophages Were Activated 1 Day after Light Treatment</title>
<p>Next we asked the question whether the local, time dependent expression of complement factors after LD is associated with local cellular activity. Hence, the activity of M&#x00FC;ller cells and astrocytes (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>) as well as the migration of microglia/macrophages was assessed by immunostaining (<bold>Figure <xref ref-type="fig" rid="F7">7</xref></bold>). GFAP-staining (a marker for gliosis) showed reactive M&#x00FC;ller cells and astrocytes in all mice at 1 and 3 days after light treatment (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>), but not in the untreated animals. It is of note that a co-localization of C3d and GFAP was observed in the light treated mouse retinae (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>).</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption><p>Microglia/macrophage cells migrate at 1 day after LD in the ONL and at 3 days in the PRS. Immunoreactivity for Iba-1 (green) showed microglia/macrophage distribution in <bold>(A)</bold> an untreated mouse retina, <bold>(B,C)</bold> retinae treated with 1000 lux for 24 h and <bold>(D,E)</bold> retinae illuminated with 5000 lux for 0.5 h. <bold>(B,D)</bold> Mice showed microglia/macrophage migration into the ONL at 1 day post-LD (white arrows). <bold>(C,E)</bold> Three days post-light treatment microglia/macrophages were located in the ONL (white arrows) and additionally in the PRS (black arrows) in both light treatment regimens. Retinal layers from the top to the bottom: GCL, ganglion cell layer; IPL, inner plexiform layer; INL, inner nuclear layer; OPL, outer plexiform layer; ONL, outer nuclear layer; PRS, photoreceptor segments; RPE, retinal pigment epithelium; Ch, choroid. Scale bars, 20 &#x03BC;m.</p></caption>
<graphic xlink:href="fnmol-10-00197-g007.tif"/>
</fig>
<p>Iba-1 positive cells (a marker for microglia/macrophages) were sparsely localized in the plexiform layers and in the choroid of untreated mice (<bold>Figure <xref ref-type="fig" rid="F7">7A</xref></bold>). A moderate recruitment of amoeboid microglia/macrophages into the ONL was observed after light treatment in both light regimens (white arrows, <bold>Figures <xref ref-type="fig" rid="F7">7B</xref>&#x2013;<xref ref-type="fig" rid="F7">D</xref></bold>). An extended recovery time of 3 days after LD promoted microglia/macrophage migration into the photoreceptor layer (PRS) (black arrows, <bold>Figures <xref ref-type="fig" rid="F7">7C,E</xref></bold>). We did not observe an obvious difference in the microglia/macrophage reaction pattern using constant or acute white light treatment.</p>
</sec>
<sec><title>LD Resulted in Increased Systemic C3a and C5a Concentrations</title>
<p>The interaction of local and systemic complement system in retinal degeneration is still under debate. We evaluated systemic complement involvement in mice after LD by determining serum concentrations of C3a and C5a, which are activation markers for all three complement pathways (<bold>Figure <xref ref-type="fig" rid="F8">8</xref></bold>). The systemic reaction toward light treatment was very heterogeneous. We observed a partial increase of anaphylatoxin concentrations, but not in all animals, following LD (<bold>Figure <xref ref-type="fig" rid="F8">8</xref></bold>). We identified a significant increase of C3a concentration after 1 day of constant light treatment (1000 lux, 24 h) (<bold>Figure <xref ref-type="fig" rid="F8">8A</xref></bold>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption><p>Systemic C3a and C5a concentrations were altered in LD mice. Anaphylatoxin concentrations, <bold>(A)</bold> C3a and <bold>(B)</bold> C5a, in sera of mice treated with white light were determined in ELISA. <bold>(A)</bold> C3a and <bold>(B)</bold> C5a concentrations were elevated compared to the control group, but showed a wide concentration range and standard error within the groups. <bold>(A)</bold> Systemic C3a concentration in mice was significantly increased 1 day post-constant light treatment (1000 lux, 24 h). Data represent mean values <underline>+</underline> standard error mean of six mice. <sup>&#x2217;</sup>0.01 &#x003C; <italic>P</italic> &#x003C; 0.05 (ordinary one-way ANOVA, Dunnett&#x2019;s multiple comparisons test, with a single pooled variance).</p></caption>
<graphic xlink:href="fnmol-10-00197-g008.tif"/>
</fig>
</sec>
</sec>
<sec><title>Discussion</title>
<sec><title>Complement Factors Are Locally Expressed in the Healthy, Albino Mouse Retina</title>
<p>Dysregulation of the complement system in the eye is associated with retinal degeneration and damage of the blood-retinal barrier (<xref ref-type="bibr" rid="B49">Weber et al., 2014</xref>). However, we are still confronted with a chicken and egg problem in regard to retinal degeneration. At what time is which player activating the complement cascade in the eye? Is the systemic complement system involved, which is produced in the liver or by immune cells and then transported by the blood into the choroid? Or is the damage of the retinal blood barrier associated with locally produced complement factors by RPE cells and retinal cells? Successful treatment strategies for retinal degeneration depend on an effective on-site drug application and therefore our knowledge about regional and temporal complement involvement needs to be extended (<xref ref-type="bibr" rid="B47">Volz and Pauly, 2015</xref>).</p>
<p>In this study, we focused on eye tissue specific complement factor analysis, dissecting the retina from the RPE/choroid. In accordance with the literature we showed, that <italic>c3</italic> and <italic>c1s</italic> mRNA were mainly expressed in the RPE/choroid of healthy albino mouse eyes (<xref ref-type="bibr" rid="B22">Luo et al., 2011</xref>; <xref ref-type="bibr" rid="B12">Gemenetzi and Lotery, 2015</xref>). Conversely, <italic>cfp</italic> mRNA was expressed at higher amounts in the retina and the local expression levels of <italic>cfb</italic>, <italic>c4</italic> and <italic>c9</italic> mRNA were equivalent in both eye tissues (<xref ref-type="bibr" rid="B23">Luo et al., 2013</xref>; <xref ref-type="bibr" rid="B53">Woodell et al., 2013</xref>). In contrast, genes involved in the lectin pathway, <italic>mbl-a</italic> and <italic>masp-1</italic>, were only detected in a few control mice in retinal and RPE/choroid samples. Lou et al. described also a lack of <italic>mbl</italic> and low <italic>masp</italic> expression in the mouse eye (<xref ref-type="bibr" rid="B22">Luo et al., 2011</xref>).</p>
<p>The tested complement factors in this study were soluble, secreted proteins which were deposited and acted independently of their mRNA synthesis site. A tissue-specific correlation of mRNA detection and protein deposition revealed only for C3 and MASP-1 an overlap of similar, local mRNA and protein levels. However, we detected enhanced mRNA levels for <italic>c1s</italic> in the RPE/choroid but more C1s protein in the retina than in the RPE/choroid. Additionally, we determined an equivalent expression of <italic>cfb</italic>, <italic>c4</italic>, and <italic>c9</italic> mRNA in both tissues, but an enhanced tissue-specific protein detection either in the retina for CFB and C4 or in the RPE/choroid for C9.</p>
<p>In summary, we conclude that complement factors are produced by healthy eye tissues on mRNA and protein level. Therefore, local complement expression could play an important role in the modulation of the complement homeostasis in the mouse eye and should be evaluated in parallel on mRNA levels as well as on protein levels. Care has to be taken when concluding from immunolocalization of respective complement proteins to the cell types actually producing the proteins given their features as secreted proteins.</p>
</sec>
<sec><title>Complement Expression Is Time-Dependently Altered in the Murine Eye as a Consequence of LD</title>
<p><xref ref-type="bibr" rid="B35">Rohrer et al. (2007)</xref>, <xref ref-type="bibr" rid="B37">Rutar et al. (2011)</xref>, <xref ref-type="bibr" rid="B15">Hadziahmetovic et al. (2012)</xref>, and <xref ref-type="bibr" rid="B43">Song et al. (2012)</xref> suggested an involvement of the complement system in the degenerative processes in LD and described an upregulation of <italic>c3</italic> mRNA expression 3 h after LD and with a plateau at d4&#x2013;10 post-LD. We confirmed these results, describing a statistically significant difference in <italic>c3</italic> mRNA expression at 1 day after constant and 3 days after acute light treatment compared to untreated animals (<bold>Figure <xref ref-type="fig" rid="F2">2E</xref></bold>). These previous studies did not report a decrease of <italic>c3</italic> mRNA expression at 3 days post-LD (<xref ref-type="bibr" rid="B35">Rohrer et al., 2007</xref>; <xref ref-type="bibr" rid="B37">Rutar et al., 2011</xref>), which was characteristic for the studied mRNA expression in the constant and acute LD models in the RPE/choroid and the constant model in the retina (<bold>Figures <xref ref-type="fig" rid="F2">2E</xref></bold>, <bold><xref ref-type="fig" rid="F3">3E</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S3</xref>). Likely reasons for the differences could be that in the study by <xref ref-type="bibr" rid="B35">Rohrer et al. (2007)</xref> the mice were treated with continuous white light without a low light recovery phase and in our study light treatment was used as a trigger mechanism for a maximum of 24 h. <xref ref-type="bibr" rid="B37">Rutar et al. (2011)</xref> used rats for LD. Perhaps LD-dependent complement expression is different in murine and rat retina. This hypothesis is supported by novel data of the same group showing, that for pigmented light treated mice <italic>c3</italic> mRNA expression decreases after a peak expression at d5 again in contrast to <italic>c3</italic> expression in rats (<xref ref-type="bibr" rid="B37">Rutar et al., 2011</xref>; <xref ref-type="bibr" rid="B26">Natoli et al., 2016</xref>)</p>
<p>Additionally to the central complement component C3, we report a tissue- and LD model-dependent increase of C1s mRNA and protein after LD (<bold>Figures <xref ref-type="fig" rid="F2">2A</xref></bold>, <bold><xref ref-type="fig" rid="F3">3A</xref></bold>, <bold><xref ref-type="fig" rid="F4">4A</xref></bold>, <bold><xref ref-type="fig" rid="F6">6A</xref></bold> and Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S6A</xref>, <xref ref-type="supplementary-material" rid="SM1">S7D</xref>). The upregulation of this classical pathway activation factor was also described previously for LD in rats (<xref ref-type="bibr" rid="B37">Rutar et al., 2011</xref>). We emphasized the function of C1s in LD by showing for the first time an elevated C1s-protein complex accumulation in the RPE/choroid complex after LD (<bold>Figure <xref ref-type="fig" rid="F6">6A</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7D</xref>). C1s is a protease which acts in concert with C1q and C1r and cleaves components of the classical complement pathway. This could implicate an involvement of the classical complement pathway at the retinal-blood-barrier after LD. It was already proposed that the C1 complex could be involved in retinal degeneration, since a single nucleotide polymorphism in the C1-inhibitor is associated with AMD (<xref ref-type="bibr" rid="B10">Ennis et al., 2008</xref>). However, a deficiency in C1q did not result in a significant difference of retinal structure following LD compared to wild-type mice (<xref ref-type="bibr" rid="B35">Rohrer et al., 2007</xref>).</p>
<p>The possible involvement of the classical (C1s) pathway in LD requires the activity of molecules downstream of the activation step to execute the full biological function of the complement system in LD. We showed in accordance with previous reports, that <italic>c4</italic> mRNA, a part of the classical/lectin C3/C5-convertase, is upregulated in the retina and RPE/choroid following LD (<bold>Figures <xref ref-type="fig" rid="F2">2F</xref></bold>, <bold><xref ref-type="fig" rid="F3">3F</xref></bold>; <xref ref-type="bibr" rid="B35">Rohrer et al., 2007</xref>; <xref ref-type="bibr" rid="B37">Rutar et al., 2011</xref>), but we could not correlate changes on protein level for C4 (<bold>Figure <xref ref-type="fig" rid="F6">6E</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7H</xref>), probably due to antibody detection problems. Nevertheless, this complement component should be further studied in retinal degeneration, especially in regard to the complexity of the <italic>c4</italic> gene locus and the association of copy number variations of the C4A gene in different disease (<xref ref-type="bibr" rid="B13">Grassmann et al., 2016</xref>; <xref ref-type="bibr" rid="B42">Sekar et al., 2016</xref>).</p>
<p>Interestingly, <xref ref-type="bibr" rid="B35">Rohrer et al. (2007)</xref> suggested an important role of the alternative complement pathway in LD as photoreceptors of complement factor D-deficient mice were significantly protected from LD. The important function of the alternative pathway in retinal degeneration was also shown in CFB-deficient mice, which were protected from retinal degeneration by laser-induced choroidal neovascularization and cigarette smoke exposure (<xref ref-type="bibr" rid="B53">Woodell et al., 2013</xref>; <xref ref-type="bibr" rid="B39">Schnabolk et al., 2015</xref>). We showed in accordance with these studies that <italic>cfb</italic> mRNA is strongly and promptly upregulated in the RPE/choroid and in the retina after LD, this promotes the role of CFB and the alternative pathway in LD (<bold>Figures <xref ref-type="fig" rid="F2">2B</xref></bold>, <bold><xref ref-type="fig" rid="F3">3B</xref></bold>), while we did not observe CFB protein deposition in the retina and no change in the RPE/choroid with the used antibodies (<bold>Figure <xref ref-type="fig" rid="F6">6B</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7C</xref>). CFB is cleaved into Bb and Ba during complement activation. Therefore, further studies analyzing the function of CFB in retinal damage should focus on the detection of the CFB cleavage products, Bb and Ba, in the retina to elucidate our reported discrepancy between enhanced <italic>cfb</italic> mRNA expression and the uncorrelated CFB full-length protein detection.</p>
<p>The lectin pathway is the third complement activation mechanism of the complement system and microarray studies showed a changed expression for ficolin, an initiating molecule of the lectin pathway, in rats after LD (<xref ref-type="bibr" rid="B37">Rutar et al., 2011</xref>). Our studies revealed a low expression of <italic>mbl-a</italic> and <italic>masp-1</italic> after LD (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>, Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S2</xref>, and <bold>Figures <xref ref-type="fig" rid="F2">2C,D</xref></bold>, <bold><xref ref-type="fig" rid="F3">3C,D</xref></bold>) and no significant change either on protein or on mRNA levels (<bold>Figures <xref ref-type="fig" rid="F4">4B</xref></bold>, <bold><xref ref-type="fig" rid="F6">6C</xref></bold> and Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S6C</xref>, <xref ref-type="supplementary-material" rid="SM1">S7F</xref>). However, a participation of the lectin pathway in retinal degeneration was proposed as it was shown that MBL and MASP-1 were systemically upregulated in late AMD-patients (<xref ref-type="bibr" rid="B29">Osthoff et al., 2015</xref>; <xref ref-type="bibr" rid="B19">Kim et al., 2016</xref>). Taking our results into account, it seems that previously reported effects of the lectin pathway on RPE cells and in a laser-induced neovascularization mouse model are either supported by systemic MBL and MASP or other lectin activating molecules like ficolin, than by locally expressed <italic>mbl-a</italic> and <italic>masp-1</italic> (<xref ref-type="bibr" rid="B34">Rohrer et al., 2011</xref>; <xref ref-type="bibr" rid="B18">Joseph et al., 2013</xref>).</p>
<p>In context of complement profiling in LD, we also aimed to analyze the role of C9, the main component of the terminal complement complex. C9 had been proposed to be relevant in laser-induced choroidal neovascularization in mice (<xref ref-type="bibr" rid="B34">Rohrer et al., 2011</xref>; <xref ref-type="bibr" rid="B2">Birke et al., 2014</xref>) and had been associated with the development of AMD (<xref ref-type="bibr" rid="B48">Wang et al., 2010</xref>; <xref ref-type="bibr" rid="B41">Seddon et al., 2013</xref>). Surprisingly, the transcription of the <italic>c9</italic> gene was, besides <italic>cfp</italic>, the only complement gene which was downregulated after LD in the retina, but immediately upregulated in the RPE/choroid (<bold>Figures <xref ref-type="fig" rid="F2">2G</xref></bold>, <bold><xref ref-type="fig" rid="F3">3G</xref></bold>). This is in accordance with previously shown increased deposition of terminal complement complexes at the RPE/choroid interface in mice and human age-related retinal modifications (<xref ref-type="bibr" rid="B45">Tomita et al., 2005</xref>; <xref ref-type="bibr" rid="B16">Izawa et al., 2016</xref>; <xref ref-type="bibr" rid="B27">Niwa et al., 2016</xref>), but it is contrary to the decreasing protein concentration of C9 in the RPE/choroid determined by Western blots in this study (<bold>Figure <xref ref-type="fig" rid="F6">6F</xref></bold> and Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S7E</xref>). We suggest that the enhanced <italic>c9</italic> mRNA synthesis in the RPE/choroid following LD resulted in higher concentrations of C9 protein, which was immediately integrated into membrane pores (Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S5C&#x2013;E</xref>) and could not be purified and detected in the used Western blot protocol (<bold>Figures <xref ref-type="fig" rid="F4">4D</xref></bold>, <bold><xref ref-type="fig" rid="F6">6F</xref></bold> and Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S6B</xref>, <xref ref-type="supplementary-material" rid="SM1">S7E</xref>). Therefore, the soluble C9 protein concentration was decreased following LD, but the membrane associated C9 concentration was increased after retinal damage (<xref ref-type="bibr" rid="B45">Tomita et al., 2005</xref>; <xref ref-type="bibr" rid="B16">Izawa et al., 2016</xref>; <xref ref-type="bibr" rid="B27">Niwa et al., 2016</xref>).</p>
<p>Complement activity is tightly regulated by membrane-bound and soluble complement factors. We assumed that the expression of CFP, the only known stabilizing regulator of the alternative complement pathway, would also be altered in LD. Surprisingly, <italic>cfp</italic> mRNA expression was not upregulated after LD like other tested complement factors (<bold>Figures <xref ref-type="fig" rid="F2">2H</xref></bold>, <bold><xref ref-type="fig" rid="F3">3H</xref></bold>). <italic>Cfp</italic> expression has not been evaluated in previous LD studies. Indeed, <italic>cfp</italic> expression has been shown to be quite stable <italic>in vivo</italic> and <italic>in vitro</italic> in response to several stimuli such as preeclampsia or renal tubular damage (<xref ref-type="bibr" rid="B32">Reis et al., 2006</xref>; <xref ref-type="bibr" rid="B8">Buurma et al., 2012</xref>; <xref ref-type="bibr" rid="B25">Nagamachi et al., 2014</xref>), while it has been described to be upregulated following shear stress in endothelium (<xref ref-type="bibr" rid="B4">Bongrazio et al., 2003</xref>). However, our results do not automatically imply, that CFP is not involved in degeneration, as we know from other studies that CFP deposition was positive in patient eyes with AMD (<xref ref-type="bibr" rid="B52">Wolf-Schnurrbusch et al., 2009</xref>) and was associated with drusen-like deposition in Alzheimer&#x2019;s disease (<xref ref-type="bibr" rid="B11">Fonseca et al., 2011</xref>). Further studies have to be performed to decipher the expression pattern of CFP in more detail.</p>
<p>Interestingly, the activation pattern of the complement system (at protein level) mirrors the glial activation pattern. Similar to increasing C3 and C1s protein levels from 1 to 3 days post-treatment, the microglia/macrophages migrated into the subretinal space and got into close contact with photoreceptor segments 3 days after LD. Moreover C3d deposition on GFAP-positive M&#x00FC;ller glia cells was only observed in retinae 3 days after LD. Specifically microglia/macrophages are known to express receptors for complement factors such as C3a (<xref ref-type="bibr" rid="B37">Rutar et al., 2011</xref>). In sum, this could imply that the complement activity by binding on M&#x00FC;ller cells (e.g., C3b or C3d levels) triggers or modulates the microglial (e.g., C3a) response pattern upon tissue damage. This finding should be followed up in future studies.</p>
</sec>
</sec>
<sec><title>Conclusion</title>
<p>Our results indicate a time-dependent and tissue-specific complement modulation in close association with LD in albino mice eyes which was mostly independent of the used light intensities. In the end, the complement proteins C3, C1s and C9 were identified as putative marker proteins in the LD model to monitor disease progression, as they showed valid concentration changes in a time-dependent manner compared to control mice (<bold>Figures <xref ref-type="fig" rid="F4">4C</xref></bold>, <bold><xref ref-type="fig" rid="F6">6A,F</xref></bold> and Supplementary Figures <xref ref-type="supplementary-material" rid="SM1">S6D</xref>, <xref ref-type="supplementary-material" rid="SM1">S7D,E</xref>). The most significant alterations in complement protein concentration in the retina (C3) and RPE/choroid-complex (C9, C1s) after LD were observed 3 days post-treatment. The proteins were regulated in different ways: C3 and C1s were increased, but C9 was downregulated. This may indicate different functions of the proteins during retinal degeneration that need to be investigated in future studies.</p>
<p>Complement expression is time-dependently regulated after the initiation of cell stress in the retina and RPE/choroid. This also implies that one should monitor the eye-specific complement expression pattern after damage, when complement-manipulating reagents are tested for therapeutic reasons in the mouse eye.</p>
</sec>
<sec><title>Availability of Data and Material</title>
<p>The datasets supporting the conclusions of this article are available at the University of Regensburg Publication Server, <ext-link ext-link-type="uri" xlink:href="http://doi.org/10.5283/epub.35102">http://doi.org/10.5283/epub.35102</ext-link></p>
</sec>
<sec><title>Author Contributions</title>
<p>DP developed concept and designed the study. AG, BB, and DP designed experiments. NS, SS, AG, BB, and DP performed experiments. NS, BB, AG, and DP analyzed and discussed data. NS, BB, AG, and DP wrote the manuscript. All authors read and approved the final manuscript.</p>
</sec>
<sec><title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> The authors thank the following foundations for their generous support: NS was founded by the Maloch Foundation. The confocal microscope used in the study was funded by the DFG (INST 89/386-1 FUGG) to AG.</p>
</fn>
</fn-group>
<ack>
<p>We thank D. Felder, R. F&#x00F6;ckler, E. Eckert, and A. Dannullis for technical assistance.</p>
</ack>
<sec sec-type="supplementary material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="http://journal.frontiersin.org/article/10.3389/fnmol.2017.00197/full#supplementary-material">http://journal.frontiersin.org/article/10.3389/fnmol.2017.00197/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.PDF" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink">
</supplementary-material>
</sec>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Anderson</surname> <given-names>D. H.</given-names></name> <name><surname>Radeke</surname> <given-names>M. J.</given-names></name> <name><surname>Gallo</surname> <given-names>N. B.</given-names></name> <name><surname>Chapin</surname> <given-names>E. A.</given-names></name> <name><surname>Johnson</surname> <given-names>P. T.</given-names></name> <name><surname>Curletti</surname> <given-names>C. R.</given-names></name><etal/></person-group> (<year>2010</year>). <article-title>The pivotal role of the complement system in aging and age-related macular degeneration: hypothesis re-visited.</article-title> <source><italic>Prog. Retin. Eye Res.</italic></source> <volume>29</volume> <fpage>95</fpage>&#x2013;<lpage>112</lpage>. <pub-id pub-id-type="doi">10.1016/j.preteyeres.2009.11.003</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Birke</surname> <given-names>M. T.</given-names></name> <name><surname>Lipo</surname> <given-names>E.</given-names></name> <name><surname>Adhi</surname> <given-names>M.</given-names></name> <name><surname>Birke</surname> <given-names>K.</given-names></name> <name><surname>Kumar-Singh</surname> <given-names>R.</given-names></name></person-group> (<year>2014</year>). <article-title>AAV-mediated expression of human PRELP inhibits complement activation, choroidal neovascularization and deposition of membrane attack complex in mice.</article-title> <source><italic>Gene Ther.</italic></source> <volume>21</volume> <fpage>507</fpage>&#x2013;<lpage>513</lpage>. <pub-id pub-id-type="doi">10.1038/gt.2014.24</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Boneva</surname> <given-names>S. K.</given-names></name> <name><surname>Gro&#x00DF;</surname> <given-names>T. R.</given-names></name> <name><surname>Schlecht</surname> <given-names>A.</given-names></name> <name><surname>Schmitt</surname> <given-names>S. I.</given-names></name> <name><surname>Sippl</surname> <given-names>C.</given-names></name> <name><surname>J&#x00E4;gle</surname> <given-names>H.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Cre recombinase expression or topical tamoxifen treatment do not affect retinal structure and function, neuronal vulnerability or glial reactivity in the mouse eye.</article-title> <source><italic>Neuroscience</italic></source> <volume>325</volume> <fpage>188</fpage>&#x2013;<lpage>201</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroscience.2016.03.050</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bongrazio</surname> <given-names>M.</given-names></name> <name><surname>Pries</surname> <given-names>A. R.</given-names></name> <name><surname>Zakrzewicz</surname> <given-names>A.</given-names></name></person-group> (<year>2003</year>). <article-title>The endothelium as physiological source of properdin: role of wall shear stress.</article-title> <source><italic>Mol. Immunol.</italic></source> <volume>39</volume> <fpage>669</fpage>&#x2013;<lpage>675</lpage>. <pub-id pub-id-type="doi">10.1016/S0161-5890(02)00215-8</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Braunger</surname> <given-names>B. M.</given-names></name> <name><surname>Leimbeck</surname> <given-names>S. V.</given-names></name> <name><surname>Schlecht</surname> <given-names>A.</given-names></name> <name><surname>Volz</surname> <given-names>C.</given-names></name> <name><surname>J&#x00E4;gle</surname> <given-names>H.</given-names></name> <name><surname>Tamm</surname> <given-names>E. R.</given-names></name></person-group> (<year>2015</year>). <article-title>Deletion of ocular transforming growth factor &#x03B2; signaling mimics essential characteristics of diabetic retinopathy.</article-title> <source><italic>Am. J. Pathol.</italic></source> <volume>185</volume> <fpage>1749</fpage>&#x2013;<lpage>1768</lpage>. <pub-id pub-id-type="doi">10.1016/j.ajpath.2015.02.007</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Braunger</surname> <given-names>B. M.</given-names></name> <name><surname>Ohlmann</surname> <given-names>A.</given-names></name> <name><surname>Koch</surname> <given-names>M.</given-names></name> <name><surname>Tanimoto</surname> <given-names>N.</given-names></name> <name><surname>Volz</surname> <given-names>C.</given-names></name> <name><surname>Yang</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2013a</year>). <article-title>Constitutive overexpression of Norrin activates Wnt/&#x03B2;-catenin and endothelin-2 signaling to protect photoreceptors from light damage.</article-title> <source><italic>Neurobiol. Dis.</italic></source> <volume>50</volume> <fpage>1</fpage>&#x2013;<lpage>12</lpage>. <pub-id pub-id-type="doi">10.1016/j.nbd.2012.09.008</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Braunger</surname> <given-names>B. M.</given-names></name> <name><surname>Pielmeier</surname> <given-names>S.</given-names></name> <name><surname>Demmer</surname> <given-names>C.</given-names></name> <name><surname>Landstorfer</surname> <given-names>V.</given-names></name> <name><surname>Kawall</surname> <given-names>D.</given-names></name> <name><surname>Abramov</surname> <given-names>N.</given-names></name><etal/></person-group> (<year>2013b</year>). <article-title>TGF-&#x03B2; signaling protects retinal neurons from programmed cell death during the development of the mammalian eye.</article-title> <source><italic>J. Neurosci.</italic></source> <volume>33</volume> <fpage>14246</fpage>&#x2013;<lpage>14258</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.0991-13.2013</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Buurma</surname> <given-names>A.</given-names></name> <name><surname>Cohen</surname> <given-names>D.</given-names></name> <name><surname>Veraar</surname> <given-names>K.</given-names></name> <name><surname>Schonkeren</surname> <given-names>D.</given-names></name> <name><surname>Claas</surname> <given-names>F. H.</given-names></name> <name><surname>Bruijn</surname> <given-names>J. A.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>Preeclampsia is characterized by placental complement dysregulation.</article-title> <source><italic>Hypertension</italic></source> <volume>60</volume> <fpage>1332</fpage>&#x2013;<lpage>1337</lpage>. <pub-id pub-id-type="doi">10.1161/HYPERTENSIONAHA.112.194324</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Choi</surname> <given-names>S.</given-names></name> <name><surname>Hao</surname> <given-names>W.</given-names></name> <name><surname>Chen</surname> <given-names>C. K.</given-names></name> <name><surname>Simon</surname> <given-names>M. I.</given-names></name></person-group> (<year>2001</year>). <article-title>Gene expression profiles of light-induced apoptosis in arrestin/rhodopsin kinase-deficient mouse retinas.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>98</volume> <fpage>13096</fpage>&#x2013;<lpage>13101</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.201417498</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ennis</surname> <given-names>S.</given-names></name> <name><surname>Jomary</surname> <given-names>C.</given-names></name> <name><surname>Mullins</surname> <given-names>R.</given-names></name> <name><surname>Cree</surname> <given-names>A.</given-names></name> <name><surname>Chen</surname> <given-names>X.</given-names></name> <name><surname>Macleod</surname> <given-names>A.</given-names></name><etal/></person-group> (<year>2008</year>). <article-title>Association between the SERPING1 gene and age-related macular degeneration: a two-stage case-control study.</article-title> <source><italic>Lancet</italic></source> <volume>372</volume> <fpage>1828</fpage>&#x2013;<lpage>1834</lpage>. <pub-id pub-id-type="doi">10.1016/S0140-6736(08)61348-3</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fonseca</surname> <given-names>M. I.</given-names></name> <name><surname>Chu</surname> <given-names>S.-H.</given-names></name> <name><surname>Berci</surname> <given-names>A. M.</given-names></name> <name><surname>Benoit</surname> <given-names>M. E.</given-names></name> <name><surname>Peters</surname> <given-names>D. G.</given-names></name> <name><surname>Kimura</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2011</year>). <article-title>Contribution of complement activation pathways to neuropathology differs among mouse models of Alzheimer&#x2019;s disease.</article-title> <source><italic>J. Neuroinflammation</italic></source> <volume>8</volume>:<issue>4</issue>. <pub-id pub-id-type="doi">10.1186/1742-2094-8-4</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gemenetzi</surname> <given-names>M.</given-names></name> <name><surname>Lotery</surname> <given-names>A. J.</given-names></name></person-group> (<year>2015</year>). <article-title>Complement pathway biomarkers and age-related macular degeneration.</article-title> <source><italic>Eye</italic></source> <volume>44</volume> <fpage>1</fpage>&#x2013;<lpage>14</lpage>. <pub-id pub-id-type="doi">10.1038/eye.2015.203</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Grassmann</surname> <given-names>F.</given-names></name> <name><surname>Cantsilieris</surname> <given-names>S.</given-names></name> <name><surname>Schulz-Kuhnt</surname> <given-names>A.-S.</given-names></name> <name><surname>White</surname> <given-names>S. J.</given-names></name> <name><surname>Richardson</surname> <given-names>A. J.</given-names></name> <name><surname>Hewitt</surname> <given-names>A. W.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Multiallelic copy number variation in the complement component 4A (C4A) gene is associated with late-stage age-related macular degeneration (AMD).</article-title> <source><italic>J. Neuroinflammation</italic></source> <volume>13</volume>:<issue>81</issue>. <pub-id pub-id-type="doi">10.1186/s12974-016-0548-0</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Grimm</surname> <given-names>C.</given-names></name> <name><surname>Rem&#x00E9;</surname> <given-names>C. E.</given-names></name></person-group> (<year>2013</year>). <article-title>Light damage as a model of retinal degeneration.</article-title> <source><italic>Methods Mol. Biol.</italic></source> <volume>935</volume> <fpage>87</fpage>&#x2013;<lpage>97</lpage>. <pub-id pub-id-type="doi">10.1007/978-1-62703-080-9_6</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hadziahmetovic</surname> <given-names>M.</given-names></name> <name><surname>Kumar</surname> <given-names>U.</given-names></name> <name><surname>Song</surname> <given-names>Y.</given-names></name> <name><surname>Grieco</surname> <given-names>S.</given-names></name> <name><surname>Song</surname> <given-names>D.</given-names></name> <name><surname>Li</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>Microarray analysis of murine retinal light damage reveals changes in iron regulatory, complement, and antioxidant genes in the neurosensory retina and isolated RPE.</article-title> <source><italic>Invest. Ophthalmol. Vis. Sci.</italic></source> <volume>53</volume> <fpage>5231</fpage>&#x2013;<lpage>5241</lpage>. <pub-id pub-id-type="doi">10.1167/iovs.12-10204</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Izawa</surname> <given-names>H.</given-names></name> <name><surname>Shimazawa</surname> <given-names>M.</given-names></name> <name><surname>Inoue</surname> <given-names>Y.</given-names></name> <name><surname>Uchida</surname> <given-names>S.</given-names></name> <name><surname>Moroe</surname> <given-names>H.</given-names></name> <name><surname>Tsuruma</surname> <given-names>K.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Protective effects of NSP-116, a novel imidazolyl aniline derivative, against light-induced retinal damage in vitro and in vivo.</article-title> <source><italic>Free Radic. Biol. Med.</italic></source> <volume>96</volume> <fpage>304</fpage>&#x2013;<lpage>312</lpage>. <pub-id pub-id-type="doi">10.1016/j.freeradbiomed.2016.03.036</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jiao</surname> <given-names>H.</given-names></name> <name><surname>Natoli</surname> <given-names>R.</given-names></name> <name><surname>Valter</surname> <given-names>K.</given-names></name> <name><surname>Provis</surname> <given-names>J. M.</given-names></name> <name><surname>Rutar</surname> <given-names>M.</given-names></name></person-group> (<year>2015</year>). <article-title>Spatiotemporal cadence of macrophage polarisation in a model of light-induced retinal degeneration.</article-title> <source><italic>PLoS ONE</italic></source> <volume>10</volume>:<issue>e0143952</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0143952</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Joseph</surname> <given-names>K.</given-names></name> <name><surname>Kulik</surname> <given-names>L.</given-names></name> <name><surname>Coughlin</surname> <given-names>B.</given-names></name> <name><surname>Kunchithapautham</surname> <given-names>K.</given-names></name> <name><surname>Bandyopadhyay</surname> <given-names>M.</given-names></name> <name><surname>Thiel</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Oxidative stress sensitizes retinal pigmented epithelial (RPE) cells to complement-mediated injury in a natural antibody-, lectin pathway-, and phospholipid epitope-dependent manner.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>288</volume> <fpage>12753</fpage>&#x2013;<lpage>12765</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M112.421891</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname> <given-names>H.-J.</given-names></name> <name><surname>Ahn</surname> <given-names>S. J.</given-names></name> <name><surname>Woo</surname> <given-names>S. J.</given-names></name> <name><surname>Hong</surname> <given-names>H. K.</given-names></name> <name><surname>Suh</surname> <given-names>E. J.</given-names></name> <name><surname>Ahn</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Proteomics-based identification and validation of novel plasma biomarkers phospholipid transfer protein and mannan-binding lectin serine protease-1 in age-related macular degeneration.</article-title> <source><italic>Sci. Rep.</italic></source> <volume>6</volume>:<issue>32548</issue>. <pub-id pub-id-type="doi">10.1038/srep32548</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kugler</surname> <given-names>M.</given-names></name> <name><surname>Schlecht</surname> <given-names>A.</given-names></name> <name><surname>Fuchshofer</surname> <given-names>R.</given-names></name> <name><surname>Kleiter</surname> <given-names>I.</given-names></name> <name><surname>Aigner</surname> <given-names>L.</given-names></name> <name><surname>Tamm</surname> <given-names>E. R.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Heterozygous modulation of TGF-&#x03B2; signaling does not influence M&#x00FC;ller glia cell reactivity or proliferation following NMDA-induced damage.</article-title> <source><italic>Histochem. Cell Biol.</italic></source> <volume>144</volume> <fpage>443</fpage>&#x2013;<lpage>455</lpage>. <pub-id pub-id-type="doi">10.1007/s00418-015-1354-y</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lohr</surname> <given-names>H. R.</given-names></name> <name><surname>Kuntchithapautham</surname> <given-names>K.</given-names></name> <name><surname>Sharma</surname> <given-names>A. K.</given-names></name> <name><surname>Rohrer</surname> <given-names>B.</given-names></name></person-group> (<year>2006</year>). <article-title>Multiple, parallel cellular suicide mechanisms participate in photoreceptor cell death.</article-title> <source><italic>Exp. Eye Res.</italic></source> <volume>83</volume> <fpage>380</fpage>&#x2013;<lpage>389</lpage>. <pub-id pub-id-type="doi">10.1016/j.exer.2006.01.014</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luo</surname> <given-names>C.</given-names></name> <name><surname>Chen</surname> <given-names>M.</given-names></name> <name><surname>Xu</surname> <given-names>H.</given-names></name></person-group> (<year>2011</year>). <article-title>Complement gene expression and regulation in mouse retina and retinal pigment epithelium/choroid.</article-title> <source><italic>Mol. Vis.</italic></source> <volume>17</volume> <fpage>1588</fpage>&#x2013;<lpage>1597</lpage>.</citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luo</surname> <given-names>C.</given-names></name> <name><surname>Zhao</surname> <given-names>J.</given-names></name> <name><surname>Madden</surname> <given-names>A.</given-names></name> <name><surname>Chen</surname> <given-names>M.</given-names></name> <name><surname>Xu</surname> <given-names>H.</given-names></name></person-group> (<year>2013</year>). <article-title>Complement expression in retinal pigment epithelial cells is modulated by activated macrophages.</article-title> <source><italic>Exp. Eye Res.</italic></source> <volume>112</volume> <fpage>93</fpage>&#x2013;<lpage>101</lpage>. <pub-id pub-id-type="doi">10.1016/j.exer.2013.04.016</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maeda</surname> <given-names>A.</given-names></name> <name><surname>Maeda</surname> <given-names>T.</given-names></name> <name><surname>Golczak</surname> <given-names>M.</given-names></name> <name><surname>Chou</surname> <given-names>S.</given-names></name> <name><surname>Desai</surname> <given-names>A.</given-names></name> <name><surname>Hoppel</surname> <given-names>C. L.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>Involvement of all-trans-retinal in acute light-induced retinopathy of mice.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>284</volume> <fpage>15173</fpage>&#x2013;<lpage>15183</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M900322200</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nagamachi</surname> <given-names>S.</given-names></name> <name><surname>Ohsawa</surname> <given-names>I.</given-names></name> <name><surname>Suzuki</surname> <given-names>H.</given-names></name> <name><surname>Sato</surname> <given-names>N.</given-names></name> <name><surname>Inoshita</surname> <given-names>H.</given-names></name> <name><surname>Hisada</surname> <given-names>A.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>Properdin has an ascendancy over factor H regulation in complement-mediated renal tubular damage.</article-title> <source><italic>BMC Nephrol.</italic></source> <volume>15</volume>:<issue>82</issue>. <pub-id pub-id-type="doi">10.1186/1471-2369-15-82</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Natoli</surname> <given-names>R.</given-names></name> <name><surname>Jiao</surname> <given-names>H.</given-names></name> <name><surname>Barnett</surname> <given-names>N. L.</given-names></name> <name><surname>Fernando</surname> <given-names>N.</given-names></name> <name><surname>Valter</surname> <given-names>K.</given-names></name> <name><surname>Provis</surname> <given-names>J. M.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>A model of progressive photo-oxidative degeneration and inflammation in the pigmented C57BL/6J mouse retina.</article-title> <source><italic>Exp. Eye Res.</italic></source> <volume>147</volume> <fpage>114</fpage>&#x2013;<lpage>127</lpage>. <pub-id pub-id-type="doi">10.1016/j.exer.2016.04.015</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Niwa</surname> <given-names>M.</given-names></name> <name><surname>Aoki</surname> <given-names>H.</given-names></name> <name><surname>Hirata</surname> <given-names>A.</given-names></name> <name><surname>Tomita</surname> <given-names>H.</given-names></name> <name><surname>Green</surname> <given-names>P. G.</given-names></name> <name><surname>Hara</surname> <given-names>A.</given-names></name></person-group> (<year>2016</year>). <article-title>Retinal cell degeneration in animal models.</article-title> <source><italic>Int. J. Mol. Sci.</italic></source> <volume>17</volume>:<issue>110</issue>. <pub-id pub-id-type="doi">10.3390/ijms17010110</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Organisciak</surname> <given-names>D. T.</given-names></name> <name><surname>Vaughan</surname> <given-names>D. K.</given-names></name></person-group> (<year>2010</year>). <article-title>Retinal light damage: mechanisms and protection.</article-title> <source><italic>Prog. Retin. Eye Res.</italic></source> <volume>29</volume> <fpage>113</fpage>&#x2013;<lpage>134</lpage>. <pub-id pub-id-type="doi">10.1016/j.preteyeres.2009.11.004</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Osthoff</surname> <given-names>M.</given-names></name> <name><surname>Dean</surname> <given-names>M. M.</given-names></name> <name><surname>Baird</surname> <given-names>P. N.</given-names></name> <name><surname>Richardson</surname> <given-names>A. J.</given-names></name> <name><surname>Daniell</surname> <given-names>M.</given-names></name> <name><surname>Guymer</surname> <given-names>R. H.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Association study of mannose-binding lectin levels and genetic variants in lectin pathway proteins with susceptibility to age-related macular degeneration: a case-control study.</article-title> <source><italic>PLoS ONE</italic></source> <volume>10</volume>:<issue>e0134107</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0134107</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pauly</surname> <given-names>D.</given-names></name> <name><surname>Nagel</surname> <given-names>B. M.</given-names></name> <name><surname>Reinders</surname> <given-names>J.</given-names></name> <name><surname>Killian</surname> <given-names>T.</given-names></name> <name><surname>Wulf</surname> <given-names>M.</given-names></name> <name><surname>Ackermann</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>A novel antibody against human properdin inhibits the alternative complement system and specifically detects properdin from blood samples.</article-title> <source><italic>PLoS ONE</italic></source> <volume>9</volume>:<issue>e96371</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0096371</pub-id></citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pujol-Lereis</surname> <given-names>L. M.</given-names></name> <name><surname>Sch&#x00E4;fer</surname> <given-names>N.</given-names></name> <name><surname>Kuhn</surname> <given-names>L. B.</given-names></name> <name><surname>Rohrer</surname> <given-names>B.</given-names></name> <name><surname>Pauly</surname> <given-names>D.</given-names></name></person-group> (<year>2016</year>). <article-title>Interrelation between oxidative stress and complement activation in models of age-related macular degeneration.</article-title> <source><italic>Adv. Exp. Med. Biol.</italic></source> <volume>854</volume> <fpage>87</fpage>&#x2013;<lpage>93</lpage>. <pub-id pub-id-type="doi">10.1007/978-3-319-17121-0_13</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Reis</surname> <given-names>E. S.</given-names></name> <name><surname>Barbuto</surname> <given-names>J. A. M.</given-names></name> <name><surname>Isaac</surname> <given-names>L.</given-names></name></person-group> (<year>2006</year>). <article-title>Human monocyte-derived dendritic cells are a source of several complement proteins.</article-title> <source><italic>Inflamm. Res.</italic></source> <volume>55</volume> <fpage>179</fpage>&#x2013;<lpage>184</lpage>. <pub-id pub-id-type="doi">10.1007/s00011-006-0068-y</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Roca</surname> <given-names>A.</given-names></name> <name><surname>Shin</surname> <given-names>K. J.</given-names></name> <name><surname>Liu</surname> <given-names>X.</given-names></name> <name><surname>Simon</surname> <given-names>M. I.</given-names></name> <name><surname>Chen</surname> <given-names>J.</given-names></name></person-group> (<year>2004</year>). <article-title>Comparative analysis of transcriptional profiles between two apoptotic pathways of light-induced retinal degeneration.</article-title> <source><italic>Neuroscience</italic></source> <volume>129</volume> <fpage>779</fpage>&#x2013;<lpage>790</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroscience.2004.08.021</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rohrer</surname> <given-names>B.</given-names></name> <name><surname>Coughlin</surname> <given-names>B.</given-names></name> <name><surname>Kunchithapautham</surname> <given-names>K.</given-names></name> <name><surname>Long</surname> <given-names>Q.</given-names></name> <name><surname>Tomlinson</surname> <given-names>S.</given-names></name> <name><surname>Takahashi</surname> <given-names>K.</given-names></name><etal/></person-group> (<year>2011</year>). <article-title>The alternative pathway is required, but not alone sufficient, for retinal pathology in mouse laser-induced choroidal neovascularization.</article-title> <source><italic>Mol. Immunol.</italic></source> <volume>48</volume> <fpage>e1</fpage>&#x2013;<lpage>e8</lpage>. <pub-id pub-id-type="doi">10.1016/j.molimm.2010.12.016</pub-id></citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rohrer</surname> <given-names>B.</given-names></name> <name><surname>Guo</surname> <given-names>Y.</given-names></name> <name><surname>Kunchithapautham</surname> <given-names>K.</given-names></name> <name><surname>Gilkeson</surname> <given-names>G. S.</given-names></name></person-group> (<year>2007</year>). <article-title>Eliminating complement factor D reduces photoreceptor susceptibility to light-induced damage.</article-title> <source><italic>Invest. Ophthalmol. Vis. Sci.</italic></source> <volume>48</volume> <fpage>5282</fpage>&#x2013;<lpage>5289</lpage>. <pub-id pub-id-type="doi">10.1167/iovs.07-0282</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Russell</surname> <given-names>W. M. S.</given-names></name> <name><surname>Burch</surname> <given-names>R. L.</given-names></name></person-group> (<year>1959</year>). <source><italic>The Principles of Humane Experimental Technique.</italic></source> <publisher-loc>London</publisher-loc>: <publisher-name>Universities Federation for Animal Welfare (UFAW)</publisher-name>.</citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rutar</surname> <given-names>M.</given-names></name> <name><surname>Natoli</surname> <given-names>R.</given-names></name> <name><surname>Kozulin</surname> <given-names>P.</given-names></name> <name><surname>Valter</surname> <given-names>K.</given-names></name> <name><surname>Gatenby</surname> <given-names>P.</given-names></name> <name><surname>Provis</surname> <given-names>J. M.</given-names></name></person-group> (<year>2011</year>). <article-title>Analysis of complement expression in light-induced retinal degeneration: synthesis and deposition of C3 by microglia/macrophages is associated with focal photoreceptor degeneration.</article-title> <source><italic>Invest. Ophthalmol. Vis. Sci.</italic></source> <volume>52</volume> <fpage>5347</fpage>&#x2013;<lpage>5358</lpage>. <pub-id pub-id-type="doi">10.1167/iovs.10-7119</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schmittgen</surname> <given-names>T. D.</given-names></name> <name><surname>Livak</surname> <given-names>K. J.</given-names></name></person-group> (<year>2008</year>). <article-title>Analyzing real-time PCR data by the comparative CT method.</article-title> <source><italic>Nat. Protoc.</italic></source> <volume>3</volume> <fpage>1101</fpage>&#x2013;<lpage>1108</lpage>. <pub-id pub-id-type="doi">10.1038/nprot.2008.73</pub-id></citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schnabolk</surname> <given-names>G.</given-names></name> <name><surname>Coughlin</surname> <given-names>B.</given-names></name> <name><surname>Joseph</surname> <given-names>K.</given-names></name> <name><surname>Kunchithapautham</surname> <given-names>K.</given-names></name> <name><surname>Bandyopadhyay</surname> <given-names>M.</given-names></name> <name><surname>O&#x2019;Quinn</surname> <given-names>E.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Local production of the alternative pathway component, factor B, is sufficient to promote laser-induced choroidal neovascularization.</article-title> <source><italic>Invest. Ophthalmol. Vis. Sci.</italic></source> <volume>56</volume> <fpage>1850</fpage>&#x2013;<lpage>1863</lpage>. <pub-id pub-id-type="doi">10.1167/iovs.14-15910</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schneider</surname> <given-names>C. A.</given-names></name> <name><surname>Rasband</surname> <given-names>W. S.</given-names></name> <name><surname>Eliceiri</surname> <given-names>K. W.</given-names></name></person-group> (<year>2012</year>). <article-title>NIH Image to ImageJ: 25 years of image analysis.</article-title> <source><italic>Nat. Methods</italic></source> <volume>9</volume> <fpage>671</fpage>&#x2013;<lpage>675</lpage>. <pub-id pub-id-type="doi">10.1038/nmeth.2089</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Seddon</surname> <given-names>J. M.</given-names></name> <name><surname>Yu</surname> <given-names>Y.</given-names></name> <name><surname>Miller</surname> <given-names>E. C.</given-names></name> <name><surname>Reynolds</surname> <given-names>R.</given-names></name> <name><surname>Tan</surname> <given-names>P. L.</given-names></name> <name><surname>Gowrisankar</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Rare variants in CFI, C3 and C9 are associated with high risk of advanced age-related macular degeneration.</article-title> <source><italic>Nat. Genet.</italic></source> <volume>45</volume> <fpage>1366</fpage>&#x2013;<lpage>1370</lpage>. <pub-id pub-id-type="doi">10.1038/ng.2741</pub-id></citation></ref>
<ref id="B42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sekar</surname> <given-names>A.</given-names></name> <name><surname>Bialas</surname> <given-names>A. R.</given-names></name> <name><surname>de Rivera</surname> <given-names>H.</given-names></name> <name><surname>Davis</surname> <given-names>A.</given-names></name> <name><surname>Hammond</surname> <given-names>T. R.</given-names></name> <name><surname>Kamitaki</surname> <given-names>N.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Schizophrenia risk from complex variation of complement component 4.</article-title> <source><italic>Nature</italic></source> <volume>530</volume> <fpage>177</fpage>&#x2013;<lpage>183</lpage>. <pub-id pub-id-type="doi">10.1038/nature16549</pub-id></citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Song</surname> <given-names>D.</given-names></name> <name><surname>Song</surname> <given-names>Y.</given-names></name> <name><surname>Hadziahmetovic</surname> <given-names>M.</given-names></name> <name><surname>Zhong</surname> <given-names>Y.</given-names></name> <name><surname>Dunaief</surname> <given-names>J. L.</given-names></name></person-group> (<year>2012</year>). <article-title>Systemic administration of the iron chelator deferiprone protects against light-induced photoreceptor degeneration in the mouse retina.</article-title> <source><italic>Free Radic. Biol. Med.</italic></source> <volume>53</volume> <fpage>64</fpage>&#x2013;<lpage>71</lpage>. <pub-id pub-id-type="doi">10.1016/j.freeradbiomed.2012.04.020</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sui</surname> <given-names>G.-Y.</given-names></name> <name><surname>Liu</surname> <given-names>G.-C.</given-names></name> <name><surname>Liu</surname> <given-names>G.-Y.</given-names></name> <name><surname>Gao</surname> <given-names>Y.-Y.</given-names></name> <name><surname>Deng</surname> <given-names>Y.</given-names></name> <name><surname>Wang</surname> <given-names>W.-Y.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Is sunlight exposure a risk factor for age-related macular degeneration? A systematic review and meta-analysis.</article-title> <source><italic>Br. J. Ophthalmol.</italic></source> <volume>97</volume> <fpage>389</fpage>&#x2013;<lpage>394</lpage>. <pub-id pub-id-type="doi">10.1136/bjophthalmol-2012-302281</pub-id></citation></ref>
<ref id="B45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tomita</surname> <given-names>H.</given-names></name> <name><surname>Kotake</surname> <given-names>Y.</given-names></name> <name><surname>Anderson</surname> <given-names>R. E.</given-names></name></person-group> (<year>2005</year>). <article-title>Mechanism of protection from light-induced retinal degeneration by the synthetic antioxidant phenyl-<italic>N</italic>-tert-butylnitrone.</article-title> <source><italic>Invest. Ophthalmol. Vis. Sci.</italic></source> <volume>46</volume> <fpage>427</fpage>&#x2013;<lpage>434</lpage>. <pub-id pub-id-type="doi">10.1167/iovs.04-0946</pub-id></citation></ref>
<ref id="B46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vaughan</surname> <given-names>D. K.</given-names></name> <name><surname>Nemke</surname> <given-names>J. L.</given-names></name> <name><surname>Fliesler</surname> <given-names>S. J.</given-names></name> <name><surname>Darrow</surname> <given-names>R. M.</given-names></name> <name><surname>Organisciak</surname> <given-names>D. T.</given-names></name></person-group> (<year>2002</year>). <article-title>Evidence for a circadian rhythm of susceptibility to retinal light damage.</article-title> <source><italic>Photochem. Photobiol.</italic></source> <volume>75</volume> <fpage>547</fpage>&#x2013;<lpage>553</lpage>. <pub-id pub-id-type="doi">10.1562/0031-8655(2002)075&#x003C;0547:EFACRO&#x003E;2.0.CO;2</pub-id></citation></ref>
<ref id="B47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Volz</surname> <given-names>C.</given-names></name> <name><surname>Pauly</surname> <given-names>D.</given-names></name></person-group> (<year>2015</year>). <article-title>Antibody therapies and their challenges in the treatment of age-related macular degeneration.</article-title> <source><italic>Eur. J. Pharm. Biopharm.</italic></source> <volume>95</volume> <fpage>158</fpage>&#x2013;<lpage>172</lpage>. <pub-id pub-id-type="doi">10.1016/j.ejpb.2015.02.020</pub-id></citation></ref>
<ref id="B48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>L.</given-names></name> <name><surname>Clark</surname> <given-names>M. E.</given-names></name> <name><surname>Crossman</surname> <given-names>D. K.</given-names></name> <name><surname>Kojima</surname> <given-names>K.</given-names></name> <name><surname>Messinger</surname> <given-names>J. D.</given-names></name> <name><surname>Mobley</surname> <given-names>J. A.</given-names></name><etal/></person-group> (<year>2010</year>). <article-title>Abundant lipid and protein components of drusen.</article-title> <source><italic>PLoS ONE</italic></source> <volume>5</volume>:<issue>e10329</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0010329</pub-id></citation></ref>
<ref id="B49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Weber</surname> <given-names>B. H. F.</given-names></name> <name><surname>Charbel Issa</surname> <given-names>P.</given-names></name> <name><surname>Pauly</surname> <given-names>D.</given-names></name> <name><surname>Herrmann</surname> <given-names>P.</given-names></name> <name><surname>Grassmann</surname> <given-names>F.</given-names></name> <name><surname>Holz</surname> <given-names>F. G.</given-names></name></person-group> (<year>2014</year>). <article-title>The role of the complement system in age-related macular degeneration.</article-title> <source><italic>Dtsch. Arztebl. Int.</italic></source> <volume>111</volume> <fpage>133</fpage>&#x2013;<lpage>138</lpage>. <pub-id pub-id-type="doi">10.3238/arztebl.2014.0133</pub-id></citation></ref>
<ref id="B50"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wenzel</surname> <given-names>A.</given-names></name> <name><surname>Grimm</surname> <given-names>C.</given-names></name> <name><surname>Samardzija</surname> <given-names>M.</given-names></name> <name><surname>Rem&#x00E9;</surname> <given-names>C. E.</given-names></name></person-group> (<year>2005</year>). <article-title>Molecular mechanisms of light-induced photoreceptor apoptosis and neuroprotection for retinal degeneration.</article-title> <source><italic>Prog. Retin. Eye Res.</italic></source> <volume>24</volume> <fpage>275</fpage>&#x2013;<lpage>306</lpage>. <pub-id pub-id-type="doi">10.1016/j.preteyeres.2004.08.002</pub-id></citation></ref>
<ref id="B51"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wenzel</surname> <given-names>A.</given-names></name> <name><surname>Reme</surname> <given-names>C. E.</given-names></name> <name><surname>Williams</surname> <given-names>T. P.</given-names></name> <name><surname>Hafezi</surname> <given-names>F.</given-names></name> <name><surname>Grimm</surname> <given-names>C.</given-names></name></person-group> (<year>2001</year>). <article-title>The Rpe65 Leu450Met variation increases retinal resistance against light-induced degeneration by slowing rhodopsin regeneration.</article-title> <source><italic>J. Neurosci.</italic></source> <volume>21</volume> <fpage>53</fpage>&#x2013;<lpage>58</lpage>.</citation></ref>
<ref id="B52"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wolf-Schnurrbusch</surname> <given-names>U. E. K.</given-names></name> <name><surname>Stuck</surname> <given-names>A. K.</given-names></name> <name><surname>Hess</surname> <given-names>R.</given-names></name> <name><surname>Wolf</surname> <given-names>S.</given-names></name> <name><surname>Enzmann</surname> <given-names>V.</given-names></name></person-group> (<year>2009</year>). <article-title>Complement Factor P in choroidal neovascular membranes of patients with age-related macular degeneration.</article-title> <source><italic>Retina</italic></source> <volume>29</volume> <fpage>966</fpage>&#x2013;<lpage>973</lpage>. <pub-id pub-id-type="doi">10.1097/IAE.0b013e3181a2f40f</pub-id></citation></ref>
<ref id="B53"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Woodell</surname> <given-names>A.</given-names></name> <name><surname>Coughlin</surname> <given-names>B.</given-names></name> <name><surname>Kunchithapautham</surname> <given-names>K.</given-names></name> <name><surname>Casey</surname> <given-names>S.</given-names></name> <name><surname>Williamson</surname> <given-names>T.</given-names></name> <name><surname>Ferrell</surname> <given-names>W. D.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Alternative complement pathway deficiency ameliorates chronic smoke-induced functional and morphological ocular injury.</article-title> <source><italic>PLoS ONE</italic></source> <volume>8</volume>:<issue>e67894</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0067894</pub-id></citation></ref>
<ref id="B54"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>C.</given-names></name> <name><surname>Shen</surname> <given-names>J.</given-names></name> <name><surname>Lam</surname> <given-names>T. T.</given-names></name> <name><surname>Zeng</surname> <given-names>H.</given-names></name> <name><surname>Chiang</surname> <given-names>S. K.</given-names></name> <name><surname>Yang</surname> <given-names>F.</given-names></name><etal/></person-group> (<year>2005</year>). <article-title>Activation of microglia and chemokines in light-induced retinal degeneration.</article-title> <source><italic>Mol. Vis.</italic></source> <volume>11</volume> <fpage>887</fpage>&#x2013;<lpage>895</lpage>.</citation></ref>
</ref-list>
<glossary>
<title>Abbreviations</title>
<def-list id="DL1">
<def-item>
<term>CFB</term>
<def>
<p>complement factor B</p>
</def>
</def-item>
<def-item>
<term>CFP</term>
<def>
<p>complement factor P</p>
</def>
</def-item>
<def-item>
<term>ELISA</term>
<def>
<p>enzyme linked immunosorbent assay</p>
</def>
</def-item>
<def-item>
<term>LD</term>
<def>
<p>light-induced photoreceptor damage</p>
</def>
</def-item>
<def-item>
<term>MASP-1</term>
<def>
<p>mannose-binding protein-associated serine protease 1</p>
</def>
</def-item>
<def-item>
<term>MBL-A</term>
<def>
<p>mannose binding lectin A</p>
</def>
</def-item>
<def-item>
<term>ONL</term>
<def>
<p>outer nuclear layer</p>
</def>
</def-item>
<def-item>
<term>RPE</term>
<def>
<p>retinal pigmented epithelium</p>
</def>
</def-item>
<def-item>
<term>TUNEL</term>
<def>
<p>terminal deoxynucleotidyl transferase dUTP nick end labeling</p>
</def>
</def-item>
</def-list>
</glossary>
</back>
</article>