Posterior polymorphous corneal dystrophy (PPCD) is an inherited disorder of the cornea that is associated with the development of corneal edema, glaucoma and loss of vision. Locus heterogeneity has been described for PPCD, with truncating mutations identified in the zinc finger E-box binding homeobox 1 gene (ZEB1) on chromosome 10 (the PPCD3 locus) in approximately 1/3 of affected pedigrees and linkage analysis in 4 families demonstrating linkage to overlapping regions on chromosome 20 (the PPCD1 locus). Identification of the genetic basis of PPCD1 and characterization of ZEB1-mediated transcriptional control of COL4A3 in the pathogenesis of PPCD3 will provide important insights into the corneal endothelial cell transformation and dysfunction that characterize PPCD and reveal potential targets for gene- based therapeutic strategies.
Specific Aim I is to identify the genetic basis of posterior polymorphous corneal dystrophy 1 through next generation (whole exome) sequencing in affected and unaffected individuals from 29 PPCD families in which a ZEB1 mutation has not been identified. In addition, corneal endothelial expression of positional candidate genes implicated as potentially playing a role in the PPCD1 mouse will be measured.
Specific Aim II is to characterize the effect of ZEB1 mutations on ZEB1 protein function, COL4A3 expression and corneal endothelial cell phenotype in posterior polymorphous corneal dystrophy 3. This will be accomplished by: determining ZEB1-dependent gene regulation through comparing the gene expression profile between ex vivo control corneal endothelial cells, cultured control corneal endothelial cells, ex vivo PPCD3 corneal endothelial cells and cultured corneal endothelial cells with altered ZEB1 protein levels;determining the effects of ZEB1 mutations on cellular localization of mutant ZEB1 protein in transformed corneal endothelial cells and the effect of ZEB1 mutations and reduced ZEB1 protein on the morphology, proliferation, viability and motility of cultured corneal endothelial cells;and demonstrating using DNA-protein binding assays and transfection of an immortalized corneal endothelial cell line that ZEB1-mediated repression of COL4A3 expression is dependent upon ZEB1 binding to the E2 box motifs in the COL4A3 promoter.
The corneal endothelial dystrophies, which include posterior polymorphous corneal dystrophy, are inherited disorders of the cornea that result in loss of corneal clarity and vision. Mutations in the ZEB1 gene have been identified in approximately one-third of families with posterior polymorphous corneal dystrophy as well as in a smaller percentage of families with Fuchs endothelial corneal dystrophy, which is the most common indication for corneal transplantation in the United States. We propose to determine how mutations in the ZEB1 gene cause posterior polymorphous corneal dystrophy, and to identify the gene(s) that is (are) responsible for causing posterior polymorphous corneal dystrophy in the other two-thirds of families.
|Bui, Tina; Young, Jonathan W; Frausto, Ricardo F et al. (2015) Hereditary Benign Intraepithelial Dyskeratosis: Report of a Case and Re-examination of the Evidence for Locus Heterogeneity. Ophthalmic Genet :5-Jan|
|Han, Jonathan; Young, Jonathan W; Frausto, Ricardo F et al. (2015) X-linked Megalocornea Associated with the Novel CHRDL1 Gene Mutation p.(Pro56Leu*8). Ophthalmic Genet 36:145-8|
|Kim, Michelle J; Frausto, Ricardo F; Rosenwasser, George O D et al. (2014) Posterior amorphous corneal dystrophy is associated with a deletion of small leucine-rich proteoglycans on chromosome 12. PLoS One 9:e95037|
|Chung, Duk-Won D; Frausto, Ricardo F; Ann, Lydia B et al. (2014) Functional impact of ZEB1 mutations associated with posterior polymorphous and Fuchs' endothelial corneal dystrophies. Invest Ophthalmol Vis Sci 55:6159-66|
|Jang, Michelle S; Roldan, Ashley N; Frausto, Ricardo F et al. (2014) Posterior polymorphous corneal dystrophy 3 is associated with agenesis and hypoplasia of the corpus callosum. Vision Res 100:88-92|
|Hung, Crystal; Ayabe, Reed I; Wang, Cynthia et al. (2013) Pre-Descemet corneal dystrophy and X-linked ichthyosis associated with deletion of Xp22.31 containing the STS gene. Cornea 32:1283-7|
|Bakhtiari, Pejman; Frausto, Ricardo F; Roldan, Ashley N et al. (2013) Exclusion of pathogenic promoter region variants and identification of novel nonsense mutations in the zinc finger E-box binding homeobox 1 gene in posterior polymorphous corneal dystrophy. Mol Vis 19:575-80|
|Aldave, A J; Han, J; Frausto, R F (2013) Genetics of the corneal endothelial dystrophies: an evidence-based review. Clin Genet 84:109-19|
|Aldave, Anthony J; Ann, Lydia B; Frausto, Ricardo F et al. (2013) Classification of posterior polymorphous corneal dystrophy as a corneal ectatic disorder following confirmation of associated significant corneal steepening. JAMA Ophthalmol 131:1583-90|