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6 protocols using atropine sulfate ophthalmic solution

1

Intravitreal Injection of KNA+ Cells

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Intravitreal injection was performed at 24 weeks of diabetes. All mice were immunosuppressed through intraperitoneal injection using cyclosporine (30 mg/kg) daily for 7 days before intravitreal injection and then biweekly for the next 3 weeks. The pupils were dilated using 1% atropine sulfate ophthalmic solution (AKORN) and 2.5% phenylephrine hydrochloride (Paragon BioTeck Inc.). Mice were anesthetized using 2.5% isoflurane (Fluriso, VetOne). A cell suspension containing 1 × 105 KNA+ cells in 1 μl of saline was slowly injected into the vitreous cavity through the sclera/choroid using a 32-gauge beveled needle (Hamilton Company, Reno, NV) (64 (link)). Another cohort of mice receiving 1 μl of saline injection into the vitreous cavity was used as control. Topical triple antibiotic ointment (Allegan) was applied to the injected eye.
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2

Anesthetized Animal Preparation for RVM Recording

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Following previously described methods (Cleary and Heinricher, 2013 (link), Martenson et al., 2016 (link)), animals were anesthetized (4 % isoflurane, Piramal) and a catheter placed in the external jugular vein for subsequent infusion of methohexital (Par Pharmaceutical). Animals were then transferred to a stereotaxic apparatus and kept deeply anesthetized while a small craniotomy posterior to the lambda suture was drilled to gain access to RVM. After surgery, anesthesia was adjusted so that noxious heat elicited a paw withdrawal, although there was no spontaneous movement. Animals were maintained at this stable anesthetic plane for the duration of the experiment by infusion of methohexital at a constant rate. Heart rate and body temperature were also monitored. All testing was performed in low ambient light conditions (<5  lx) and the pupils were dilated (1 % atropine sulfate ophthalmic solution, 20 µl/eye, Akorn Pharmaceuticals) to eliminate differences in amount of light reaching the retina due to pupillary light reflexes.
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3

Rabbit Model of Corneal Photoablation

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Rabbits premedicated with intramuscular (IM) injection of midazolam (0.7 mg/kg) and hydromorphone (0.1 mg/kg) were anesthetized using an IM injection of ketamine (15–30 mg/kg) followed by isoflurane (1%–4%) inhalation. The surgical area was disinfected with 0.2% povidone-iodine solution. The cornea of the right eye (OD) was treated with 0.5% proparacaine hydrochloride ophthalmic solution (Alcon) and a central zone marked with an 8 mm trephine (MSI Instruments, Phoenixville, PA). The epithelium within the marked area was then debrided using an excimer spatula (Beaver-Visitec International, Inc, Waltham, MA) followed by a PTK (6 mm diameter, 40 Hz, 250 pulses, 100 µm depth) using a NIDEK EC-5000 excimer laser (Nidek Co. Ltd, Gamagori, Japan) as described previously.38 (link) The left eye remained unwounded and served as a control. Atropine sulfate ophthalmic solution 1% (Akorn, Inc., Lake Forest, IL) and ofloxacin 0.3% ophthalmic solution (Alcon) were administrated OD following the PTK treatment. Buprenorphine (0.04 mg/kg) was administered subcutaneously for postoperative analgesia. Rabbits were randomly assigned to receive 40 µl of BSS (n = 6, vehicle control) or Fe2O3 NP (250 µg/ml) in BSS (n = 6) in both eyes six times a day.
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4

Light-Aversion Assay with Atropine

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The light-aversion assay was performed as previously described with modifications.57 (link),58 (link) A two-chamber box with open, light and closed, dark sections was used to measure time spent in the light compartment. An overhead LED lighting system, with adjustable illumination from 0 to 1000 lux calibrated with a light meter (HHLM-2; Omega Engineering, Norwalk, CT, USA), a standard LED spectrum, and diffusers provided uniform illumination in the open, lit side of the chamber. Behavior was monitored using an infrared light source and video camera with white light filter, and automated tracking and analysis were performed with a video tracker (Med Associates, St. Albans, VT, USA) and an activity monitor (Med Associates), respectively. Mice were acclimated to a dimly lit room (less that 10 lux) for at least 15 minutes and dark adapted prior to testing for at least 10 minutes. Light aversion was tested at 0 and 1000 lux: the 0-lux test was used as baseline to calculate aversion indices. A 1% Atropine Sulfate Ophthalmic Solution (Akorn, Lake Forest, IL, USA) was used as a dilating agent where indicated.
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5

Electroretinography to Assess Retinal Function

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For electoretinography (ERG), mice were dark-adapted overnight. Prior to injection of anesthesia, the eyes were dilated twice (10–15 min apart) with one drop each of 2.5% phenylephrine hydrochloride ophthalmic solution (Paragon BioTek, Inc., Portland, OR) and 1% atropine sulfate ophthalmic solution (Akorn, Inc., Lake Forest, IL). The mice were anesthetized with a mixture of ketamine (95 mg/kg) and xylazine (5–10 mg/kg) by intraperitoneal injection. Prior to placing electrodes to record ERG, one drop of sterile lubricant eye drops (CVS Pharmacy, Inc., Woonsocket, RI) was applied to each of the eyes to prevent the eye from drying during procedures. To examine retinal responses, scotopic a-, b- and c-wave amplitudes from each eye were measured using Espion full-field ERG system (Diagnosys LLC, Lowell, MA 01851) at a flash intensity of 20 cds/m2) [37 (link)]; the results from treated and untreated eyes were compared.
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6

iPSC-RPE Transplantation in Mouse Models

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iPSC-RPE cells were injected into the subretinal space of Mertk/– mice (129 genetic background) and BALB/cJ albino mice. Cultures of iPSC-RPE cells were washed thoroughly with PBS before enzymatic dissociation with TrypLE™. BSS PLUS™ (0065080050; Alcon Laboratories) was added to create a suspension at a concentration of 50,000 cells/μl. Mice (postnatal day (P) 10–16) were anesthetized by isoflurane inhalation. Their pupils were dilated with a drop of 1% (w/v) Atropine Sulfate ophthalmic solution (17478-215-02; Akorn Pharmaceuticals), and the corneas were kept moist with Hypromellose ophthalmic demulcent 2.5% solution (51394-315-15; Wilson Ophthalmic Corp.). A 1-μl suspension of iPSC-RPE cells was injected into the subretinal space of each eye, under a Zeiss Stemi 2000 microscope, as described previously [26 (link)]. Ophthalmic ointment (Neomycin & Polymyxin B sulfates and Dexamethasone, 61314-631-36; Falcon Pharmaceuticals) was applied to each eye immediately following injection. Cyclosporine (200 mg/l, 0078-0109-61; Novartis) was added to the drinking water of the dam from 1 day prior to the injection until the pups were weaned at P28. Mice were kept on a 12-h dark/12-h light cycle. For experiments concerning phagosomes, they were killed between 15 and 30 min after lights on.
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