Leber congenital amaurosis 8 (LCA8) is the most severe, non-treatable, early-onset (usually at birth) blinding disease that is caused by recessive mutations in Crumbs homolog 1 (Crb1) gene. About 20% of children attending schools for the blind around world are affected by LCA. Development of effective, mechanism-based therapies require models that replicate human LCA8 pathology. Current mouse models have limitations in reproducing human phenotypes partly due to partial gene ablation in ocular tissues, thus pathogenic mechanism studies at the cellular and molecular levels are inadequate. The newly-generated, improved mouse model using conditional ablation of Crb1 and its paralog, Crb2, exhibits main features of LCA8 including thick retina, indistinct retinal lamination, defects in the retinal pigment epithelium, and most importantly, the early- onset visual loss at the eye opening stage. Intriguingly, our data also indicate that retinal pathology starts in the retinal progenitor cells (RPCs), unlike most other types of LCA. Mutant RPCs undergo defective interkinetic nuclear migration that may alter cellular processes involved in cell proliferation, growth, apico-basal polarity, and actomyosin cytoskeleton regulation. Additionally, we found that several signaling cascades were severely altered; decreased Yap signaling essential for the proliferation of the RPCs and cell survival; increased mTOR pathway implicated in cell growth and proliferation; over-activated RhoA-ROCK signaling regulating cytoskeleton dynamics by controlling actomyosin assembly. Therefore, we hypothesize that perturbed Crb1/Crb2 downstream signaling activities play crucial roles in the initial pathogenesis of LCA8 in the RPCs. To test this, we will first fully assess the development of LCA8 pathology using histological, immunofluorescence assays along with a non-invasive, longitudinal imaging for quantifying retinal lesions. Second, we will delineate RPC-specific, cellular and molecular mechanisms underlying LCA8 pathogenesis. Third, we will define signaling pathway-dependent contributions to LCA8 pathology by genetic and pharmacological approaches.
PROJECT NARATIVE Early-onset, degenerative retinal diseases disturb every steps of affected children. Disrupted retinal architecture underlies the early-onset, severe loss of vision in LCA8. Our main goal is to generate genuine mouse model that recapitulate the features of human patients. In addition, this project is focused on elucidating molecular and cellular basis of the disease-causing, detrimental signaling events.