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Differentiation, Maintenance, and Analysis of Human Retinal Pigment Epithelium Cells: A Disease-in-a-dish Model for BEST1 Mutations
Published on: August 24, 2018
Disease-associated mutations of claudin-19 disrupt retinal neurogenesis and visual function
Shao-Bin Wang1,2,3, Tao Xu1,2,4, Shaomin Peng4
11Department of Surgery, Yale University, PO Box 208062, New Haven, CT USA.
Abstract:
Mutations of claudin-19 cause Familial Hypomagnesaemia and Hypercalciuria, Nephrocalcinosis with Ocular Involvement. To study the ocular disease without the complications of the kidney disease, naturally occurring point mutations of human CLDN19 were recreated in human induced pluripotent cells or overexpressed in the retinae of newborn mice. In human induced pluripotent cells, we show that the mutation affects retinal neurogenesis and maturation of retinal pigment epithelium (RPE). In mice, the mutations diminish the P1 wave of the electroretinogram, activate apoptosis in the outer nuclear layer, and alter the morphology of bipolar cells. If mice are given 9-cis-retinal to counter the loss of retinal isomerase, the P1 wave is partially restored. The ARPE19 cell line fails to express claudin-19. Exogenous expression of wild type, but not mutant claudin-19, increases the expression of RPE signature genes. Mutated claudin-19 affects multiple stages of RPE and retinal differentiation through its effects on multiple functions of the RPE.
Insights
Mutations in claudin-19 disrupt retinal development and function, leading to ocular disease. Restoring a key molecule partially improved vision in mouse models, highlighting claudin-19
Area of Science:
- Ophthalmology
- Genetics
- Cell Biology
Background:
- Familial Hypomagnesaemia and Hypercalciuria with Ocular Involvement is linked to claudin-19 mutations.
- Studying ocular manifestations requires isolating them from renal complications.
Purpose of the Study:
- To investigate the specific role of claudin-19 mutations in ocular disease.
- To understand the impact of these mutations on retinal development and function.
Main Methods:
- Recreating human CLDN19 point mutations in induced pluripotent stem cells.
- Overexpressing wild-type and mutant CLDN19 in newborn mouse retinae.
- Utilizing electroretinography and histological analysis in mouse models.
- Assessing RPE signature gene expression in cell lines.
Main Results:
- Claudin-19 mutations impaired retinal neurogenesis and RPE maturation in cell models.
- Mouse models showed reduced electroretinogram P1 waves, outer nuclear layer apoptosis, and altered bipolar cell morphology.
- Partial restoration of the P1 wave was observed with 9-cis-retinal administration.
- Exogenous wild-type claudin-19, but not mutant, enhanced RPE signature gene expression.
Conclusions:
- Mutated claudin-19 significantly affects RPE and retinal differentiation.
- The study elucidates the molecular mechanisms underlying claudin-19-associated ocular pathology.
- Targeting specific pathways may offer therapeutic potential for these genetic eye diseases.
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