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Human Molecular Genetics Advance Access published online on October 21, 2003

Human Molecular Genetics, doi:10.1093/hmg/ddg356
© 2003 by Oxford University Press
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©2003 Oxford University Press

Article

Abnormalities of the vitreoretinal interface caused by dysregulated Hedgehog signaling during retinal development

Graeme C.M. Black 1, Chantal J. Mazerolle 2, Yaping Wang 2, Katrina D. Campsall 2, Dino Petrin 3, Brian C. Leonard 3, Karim F. Damji 3, D. Gareth Evans 4, David McLeod 5, and Valerie A. Wallace 6*

1 Academic Unit of Medical Genetics and Regional Genetic Service St. Mary's Hospital, Hathersage Road, Manchester, M13 OJH, UK; Academic Dept of Ophthalmology, Manchester Royal Eye Hospital, Oxford Road, Manchester, M13 9WH, UK; Centre for Molecular Medicine, Stopford Building, Oxford Road, Manchester, UK
2 Molecular Medicine Program, Ottawa Health Research Institute, 501 Smyth Road, Ottawa, Ontario K1H 8L6
3 University of Ottawa Eye Institute, 501 Smyth Road, Ottawa, Ontario K1H 8L6
4 Academic Unit of Medical Genetics and Regional Genetic Service St. Mary's Hospital, Hathersage Road, Manchester, M13 OJH, UK
5 Academic Dept of Ophthalmology, Manchester Royal Eye Hospital, Oxford Road, Manchester, M13 9WH, UK
6 Molecular Medicine Program, Ottawa Health Research Institute, 501 Smyth Road, Ottawa, Ontario K1H 8L6; University of Ottawa Eye Institute, 501 Smyth Road, Ottawa, Ontario K1H 8L6

* To whom correspondence should be addressed. E-mail: vwallace{at}ohri.ca.


   Abstract

Mutations in Patched (PTCH), encoding the Hh receptor, underlie Basal Cell Naevus Syndrome (BCNS) and, in addition to tumor predisposition, are associated with a wide range of ‘patterning’ defects. The basis for the underlying patterning problems in Hh-dependent tissues in BCNS and their long-term consequences on tissue homeostasis are, however, not known. Hedgehog (Hh) signaling is required for normal growth and organization of the mammalian retina and we show that PtchlacZ+/- mice exhibit vitreoretinal abnormalities resembling those found in BCNS patients. The retinas of PtchlacZ+/- mice exhibit abnormal cell cycle regulation, which culminates in photoreceptor dysplasia and Müller cell-derived gliosis. In BCNS, the intraretinal glial response results in epiretinal membrane (ERM) formation, a proliferative and contractile response on the retinal surface. Epiretinal membranes are a cause of significant visual loss in the general, especially elderly, population. We hypothesise that alteration of Müller cell Hh signaling may play a role in the pathogenesis of such age-related ‘idiopathic’ ERMs.


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