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A lymphatic defect causes ocular hypertension and glaucoma in mice.

Benjamin R Thomson | Stefan Heinen | Marie Jeansson | Asish K Ghosh | Anees Fatima | Hoon-Ki Sung | Tuncer Onay | Hui Chen | Shinji Yamaguchi | Aris N Economides | Ann Flenniken | Nicholas W Gale | Young-Kwon Hong | Amani Fawzi | Xiaorong Liu | Tsutomu Kume | Susan E Quaggin
The Journal of clinical investigation | 2014

Glaucoma is a leading cause of blindness, afflicting more than 60 million people worldwide. Increased intraocular pressure (IOP) due to impaired aqueous humor drainage is a major risk factor for the development of glaucoma. Here, we demonstrated that genetic disruption of the angiopoietin/TIE2 (ANGPT/TIE2) signaling pathway results in high IOP, buphthalmos, and classic features of glaucoma, including retinal ganglion degeneration and vision loss. Eyes from mice with induced deletion of Angpt1 and Angpt2 (A1A2Flox(WB) mice) lacked drainage pathways in the corneal limbus, including Schlemm's canal and lymphatic capillaries, which share expression of the PROX1, VEGFR3, and FOXC family of transcription factors. VEGFR3 and FOXCs have been linked to lymphatic disorders in patients, and FOXC1 has been linked to glaucoma. In contrast to blood endothelium, in which ANGPT2 is an antagonist of ANGPT1, we have shown that both ligands cooperate to regulate TIE2 in the lymphatic network of the eye. While A1A2Flox(WB) mice developed high IOP and glaucoma, expression of ANGPT1 or ANGPT2 alone was sufficient for ocular drainage. Furthermore, we demonstrated that loss of FOXC2 from lymphatics results in TIE2 downregulation, suggesting a mechanism for ocular defects in patients with FOXC mutations. These data reveal a pathogenetic and molecular basis for glaucoma and demonstrate the importance of angiopoietin ligand cooperation in the lymphatic endothelium.

Pubmed ID: 25202984

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Associated grants

  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL124120
  • Agency: CIHR, Canada
    Id: M0P77756
  • Agency: NHGRI NIH HHS, United States
    Id: U54 HG006364
  • Agency: CIHR, Canada
    Id: M0P62931
  • Agency: NEI NIH HHS, United States
    Id: R01 EY019034
  • Agency: NIH HHS, United States
    Id: U42 OD011175
  • Agency: NCI NIH HHS, United States
    Id: P30 CA060553
  • Agency: NEI NIH HHS, United States
    Id: R01EY019034

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International Mouse Phenotyping Consortium (IMPC) (tool)

RRID:SCR_006158

Center that produces knockout mice and carries out high-throughput phenotyping of each line in order to determine function of every gene in mouse genome. These mice will be preserved in repositories and made available to scientific community representing valuable resource for basic scientific research as well as generating new models for human diseases.

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