title: Stress-wave-induced injury to retinal pigment epithelium cells in vitro.
abstract: OBJECTIVE
  To determine the survival of in vitro retinal pigment epithelium (RPE) cells subjected to laser-generated stress transients (shock waves) and compare it to that of other cell lines.
  
  
  METHODS
  Normal and transformed human retinal pigment epithelium cell lines were used. The cells were imbedded in a gel to prevent motion and cavitation and located in a thin layer at the bottom of a pipette tube closed at one end by a polyimide film. Stress transients were generated by pulsed excimer laser (193 nm and 248 nm wavelength) ablation of the polyimide film. Cell survival, compared to that of unirradiated cells, was assessed by counting surviving cells. The stress was varied from 300 to 740 bars and the number of shock wave pulses applied varied from 5 to 150.
  
  
  RESULTS
  Cell survival decreased sharply at the higher stresses but some cells always survived. The lowest survival rate was 50%. Increasing the number of shock wave pulses did not increase cell killing after 20 pulses, demonstrating a saturation effect. In contrast to the transformed cell line, normal cells could not be killed at the highest stress available to us.
  
  
  CONCLUSIONS
  The susceptibility of RPE cells to damage by stress waves varies with cell line. Transformed retinal pigment epithelium cells are more susceptible than normal ones. Saturation of the damage versus number of pulses is observed and a threshold-like behavior for cell killing versus stress is found. Because at least 50% of the cells survived, normal cell growth can serve to replenish damaged cells.
authors.affiliation: Wellman Laboratories of Photomedicine, Massachusetts General Hospital, Boston 02114, USA.
authors.forename: T
authors.initials: T
authors.lastname: Douki
authors.forename: S
authors.initials: S
authors.lastname: Lee
authors.forename: K
authors.initials: K
authors.lastname: Dorey
authors.forename: T J
authors.initials: TJ
authors.lastname: Flotte
authors.forename: T F
authors.initials: TF
authors.lastname: Deutsch
authors.forename: A G
authors.initials: AG
authors.lastname: Doukas
mesh_terms: D016923:Cell Death / Q000528:radiation effects; D002455:Cell Division / Q000528:radiation effects; D002460:Cell Line; D002461:Cell Line, Transformed; D006801:Humans; D007834:Lasers; D008854:Microscopy, Electron; D010857:Pigment Epithelium of Eye / Q000166:cytology / Q000528:radiation effects* / Q000648:ultrastructure