From sea lemons to c-waves.

This review of retinal pigment epithelial (RPE) physiology pays tribute to Anthony L. F. Gorman, who introduced the author to the giant neuron of Anisodoris nobilis (the sea lemon) and cellular neurobiology. The RPE is an epithelial monolayer with tight junctions, which controls the environment of the photoreceptor outer segments. The apical and basal membranes have different electrical properties and generate a standing potential across the eye. The RPE helps maintain adhesion between the retina and the wall of the eye. Adhesion is weakened by cyanide, low pH or low calcium, but enhanced by ouabain or acetazolamide. The RPE transports water from the subretinal space toward the choroid. This water movement is inhibited by hypoxia or cyanide but enhanced by ouabain or acetazolamide. The c-wave of the electroretinogram is a composite of a cornea-positive wave produced by hyperpolarization of the apical RPE membrane and a cornea-negative wave produced by the Muller cells, both in response to the fall in extracellular potassium that follows illumination of the photoreceptors. The "light response" of the standing potential is produced by depolarization of the basal membrane of the RPE. These examples illustrate how principles of cellular neurophysiology can be applied to questions of clinical relevance.