Jiang Xiaotian, Rashwan Rabab, Voigt Valentina, Nerbonne Jeanne, Hunt David M, Carvalho Livia S
Centre for Ophthalmology and Vision Science, The University of Western Australia, Perth, WA 6009, Australia.
Lions Eye Institute, Nedlands, WA 6009, Australia.
Int J Mol Sci. 2021 May 5;22(9):4877. doi: 10.3390/ijms22094877.
Cone Dystrophy with Supernormal Rod Response (CDSRR) is a rare autosomal recessive disorder leading to severe visual impairment in humans, but little is known about its unique pathophysiology. We have previously shown that CDSRR is caused by mutations in the (Potassium Voltage-Gated Channel Modifier Subfamily V Member 2) gene encoding the Kv8.2 subunit, a modulatory subunit of voltage-gated potassium (Kv) channels. In a recent study, we validated a novel mouse model of Kv8.2 deficiency at a late stage of the disease and showed that it replicates the human electroretinogram (ERG) phenotype. In this current study, we focused our investigation on young adult retinas to look for early markers of disease and evaluate their effect on retinal morphology, electrophysiology and immune response in both the Kv8.2 knockout (KO) mouse and in the Kv2.1 KO mouse, the obligate partner of Kv8.2 in functional retinal Kv channels. By evaluating the severity of retinal dystrophy in these KO models, we demonstrated that retinas of Kv KO mice have significantly higher apoptotic cells, a thinner outer nuclear cell layer and increased activated microglia cells in the subretinal space. Our results indicate that in the murine retina, the loss of Kv8.2 subunits contributes to early cellular and physiological changes leading to retinal dysfunction. These results could have potential implications in the early management of CDSRR despite its relatively nonprogressive nature in humans.
伴有超常视杆细胞反应的视锥细胞营养不良(CDSRR)是一种罕见的常染色体隐性疾病,可导致人类严重视力损害,但其独特的病理生理学鲜为人知。我们之前已经表明,CDSRR是由编码Kv8.2亚基的(钾电压门控通道修饰子亚家族V成员2)基因突变引起的,Kv8.2亚基是电压门控钾(Kv)通道的一个调节亚基。在最近的一项研究中,我们在疾病晚期验证了一种新型的Kv8.2缺陷小鼠模型,并表明它复制了人类视网膜电图(ERG)表型。在当前的这项研究中,我们将研究重点放在年轻成年小鼠的视网膜上,以寻找疾病的早期标志物,并评估它们对Kv8.2基因敲除(KO)小鼠以及功能性视网膜Kv通道中Kv8.2的必需伴侣Kv2.1基因敲除小鼠的视网膜形态、电生理和免疫反应的影响。通过评估这些基因敲除模型中视网膜营养不良的严重程度,我们证明Kv基因敲除小鼠的视网膜有明显更多的凋亡细胞、更薄的外核细胞层以及视网膜下间隙中活化的小胶质细胞增加。我们的结果表明,在小鼠视网膜中,Kv8.2亚基的缺失会导致早期细胞和生理变化,进而导致视网膜功能障碍。尽管CDSRR在人类中相对不进展,但这些结果可能对其早期管理具有潜在意义。