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2015 ; 21
(ä): 1071-84
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Glaucomatous MYOC mutations activate the IL-1/NF-?B inflammatory stress response
and the glaucoma marker SELE in trabecular meshwork cells
#MMPMID26396484
Itakura T
; Peters DM
; Fini ME
Mol Vis
2015[]; 21
(ä): 1071-84
PMID26396484
show ga
PURPOSE: Activation of the IL-1/NF-?B inflammatory stress pathway and induction
of SELE expression in the trabecular meshwork (TBM) is a marker for high-tension
glaucomas of diverse etiology. Pathway activation stimulates aqueous outflow and
protects against oxidative stress, but may be damaging in the long-term. MYOC
mutations have been causally linked to high-tension forms of primary open angle
glaucoma (POAG). This study investigated a possible link between MYOC mutations
and activation of the IL-1/NF-?B pathway and expression of SELE. METHODS: We
constructed MYOC expression vectors with mutations at sites that cause POAG.
Mutations (Q368X, Y437H, A427T) were selected to represent proteins with
differing POAG-causing potency (Q368X > Y437H > A427T) and intracellular
retention behavior (Q368X and Y437H retained, A427T released). The constructs
were made in two different kinds of vectors; one a plasmid designed for transient
transfection (pCMV6), and one a doxycycline-inducible lentiviral vector (pSLIK)
for stable cell transduction. The immortalized human trabecular meshwork line
TM-1 was used for all expression studies. Expression of IL1A mRNA was determined
by reverse transcription (RT)-PCR, as well as a set of five other genes
associated with signaling pathways linked to glaucoma: IL1B and IL6 (NF-?B
pathway), TGFB2 and ACTA2 (TGF-? pathway) and FOXO1 (E2F1 apoptotic pathway). An
ELISA was used to quantify IL1A protein released into culture media. To quantify
intracellular NF-?B activity, we transiently transfected stably transduced cell
lines with a luciferase expression vector under control of the IL8 promoter
(containing an NF-?B response element). RESULTS: Transiently expressed wild-type
MYOC was released into cell culture media, whereas mutant MYOCs Q368X and Y437H
remained within cells. Both mutant MYOCs activated the IL-1/ NF-?B pathway,
significantly stimulating expression of IL1A and IL1B. However Y437H, which
causes a severe glaucoma phenotype, was less effective than Q368X, which causes a
moderate glaucoma phenotype. In addition, the retained mutants stimulated
expression of stress response genes ACTA2 and FOXO1. Unexpectedly, wild-type MYOC
significantly decreased expression of IL6 and TGFB2, to approximately half of the
control levels, and expression of IL1B and ACTA2 was also slightly decreased.
Induction of MYOC mutants Q368X and Y437H in stably transduced cell lines
significantly stimulated the level of IL1A protein released into culture media.
Once again however, the effect of the severe MYOC mutant Y437H was less than the
effect of the moderate MYOC mutant Q368X. In contrast, induced expression of the
intracellularly retained mutant MYOC A427T or wild-type MYOC did not change the
amount of IL1A protein in culture media. Induction of Y437H MYOC plus IL1A
treatment increased NF-?B activity by 25% over IL1A alone. In contrast, induction
of Q368X or A427T plus IL1A treatment did not significantly affect NF-?B activity
over IL1A alone. However, wild-type MYOC expression inhibited IL1A-stimulated
NF-?B activity. We also observed that endogenous MYOC expression was induced by
IL1A in TM-1 cells and primary TBM cell cultures. SELE was co-expressed with MYOC
in the primary cell lines. CONCLUSIONS: These results indicate that POAG-causing
MYOC mutants activate the IL-1/NF-?B pathway, with activation levels correlated
with intracellular retention of the protein, but not POAG-causing potency.
Unexpectedly, it was also discovered that wild-type MYOC inhibits activation of
the IL-1/NF-?B pathway, and that activation of the IL-1/NF-?B pathway stimulates
expression of MYOC. This is the first evidence that glaucoma-causing MYOC mutants
can activate the inflammatory response and that wild-type MYOC has
anti-inflammatory activity.