Department of Ophthalmology and Visual Sciences, VEI, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Department of Cell and Developmental Biology, Vanderbilt University School of Medicine, Nashville, TN 37240, USA.
Hum Mol Genet. 2020 Dec 18;29(20):3373-3387. doi: 10.1093/hmg/ddaa228.
Uveal coloboma represents one of the most common congenital ocular malformations accounting for up to 10% of childhood blindness (~1 in 5000 live birth). Coloboma originates from defective fusion of the optic fissure (OF), a transient gap that forms during eye morphogenesis by asymmetric, ventral invagination. Genetic heterogeneity combined with the activity of developmentally regulated genes suggests multiple mechanisms regulating OF closure. The tumor suppressor and FERM domain protein Neurofibromin 2 (NF2) controls diverse processes in cancer, development and regeneration, via Hippo pathway and cytoskeleton regulation. In humans, NF2 mutations can cause ocular abnormalities, including coloboma, however, its actual role in OF closure is unknown. Using conditional inactivation in the embryonic mouse eye, our data indicate that loss of Nf2 function results in a novel underlying cause for coloboma. In particular, mutant eyes show substantially increased retinal pigmented epithelium (RPE) proliferation in the fissure region with concomitant acquisition of RPE cell fate. Cells lining the OF margin can maintain RPE fate ectopically and fail to transition from neuroepithelial to cuboidal shape. In the dorsal RPE of the optic cup, Nf2 inactivation leads to a robust increase in cell number, with local disorganization of the cytoskeleton components F-actin and pMLC2. We propose that RPE hyperproliferation is the primary cause for the observed defects causing insufficient alignment of the OF margins in Nf2 mutants and failure to fuse properly, resulting in persistent coloboma. Our findings indicate that limiting proliferation particularly in the RPE layer is a critical mechanism during OF closure.
葡萄膜缺损是最常见的先天性眼部畸形之一,占儿童失明的比例高达 10%(约每 5000 例活产中有 1 例)。缺损来源于视裂(optic fissure,OF)融合失败,这是眼部形态发生过程中由非对称、腹侧内陷形成的短暂裂隙。遗传异质性与发育调控基因的活性相结合,提示有多种机制调节 OF 闭合。肿瘤抑制因子和 FERM 结构域蛋白神经纤维瘤 2(Neurofibromin 2,NF2)通过 Hippo 通路和细胞骨架调节,控制着癌症、发育和再生中的多种过程。在人类中,NF2 突变可导致眼部异常,包括缺损,但 NF2 在 OF 闭合中的实际作用尚不清楚。通过在胚胎小鼠眼部进行条件性失活,我们的数据表明 NF2 功能的丧失是导致缺损的一个新的潜在原因。特别是,突变眼在裂隙区域显示出明显增加的视网膜色素上皮(retinal pigmented epithelium,RPE)增殖,同时获得了 RPE 细胞命运。沿 OF 边缘排列的细胞可以异位维持 RPE 命运,并不能从神经上皮转变为立方形状。在视杯的背侧 RPE 中,NF2 失活导致细胞数量的显著增加,细胞骨架成分 F-肌动蛋白和 pMLC2 局部紊乱。我们提出,RPE 过度增殖是导致 NF2 突变体观察到的缺陷的主要原因,这些缺陷导致 OF 边缘的对位不足,无法正确融合,从而导致持续性缺损。我们的研究结果表明,特别是在 OF 闭合过程中,限制增殖,特别是在 RPE 层,是一个关键机制。