Abstract
purpose. To evaluate MYOC (myocilin) gene expression at the RNA
level in normal intact human eyes and optic nerve using in situ
hybridization.
methods. Normal human eyes and optic nerves from donors 62 to 83 years of age
with no history of glaucoma were fixed, embedded in paraffin, and
sectioned. Sections were hybridized with 35S-labeled sense
and antisense riboprobes derived from a full-length MYOC cDNA.
results. High levels of MYOC expression were observed throughout
the trabecular meshwork as well as in the most anterior nonfiltering
meshwork (Schwalbe’s line), in the scleral spur, and in the
endothelial lining of Schlemm’s canal. MYOC transcripts
were also detected in the anterior corneal stroma, in the ciliary
muscle, beneath the anterior border of the iris, in the iris stroma,
and in the sclera. Expression in the retrolaminar region of the optic
nerve was present in the pial septa that divide the nerve fiber
bundles, in the perivascular connective tissue surrounding the central
retinal vessels, and in the dura mater, arachnoid, and pia mater of the
meningeal sheath surrounding the optic nerve.
conclusions. MYOC gene expression in the trabecular meshwork,
Schlemm’s canal, scleral spur, and ciliary muscle indicates a
structural or functional role for myocilin in the regulation of aqueous
humor outflow that may influence intraocular pressure. MYOC expression in the optic nerve suggests that changes
in the structural, metabolic, or neurotropic support of the optic nerve may influence its susceptibility to glaucomatous
damage.
Primary open-angle glaucoma (POAG) is the most common form of
glaucoma in the United States, affecting 1% to 2% of the population
more than 40 years of age, and is the second leading cause of
blindness.
1 POAG is a slowly progressive optic neuropathy
that results in irreversible damage to the ganglion cell layer and
nerve fiber layer of the retina, death of optic nerve axons, and
collapse of the lamina cribrosa, leading to excavation of the optic
nerve head and visual field loss. Elevated intraocular pressure caused
by an increase in aqueous humor outflow resistance through the
trabecular meshwork is frequently associated with POAG. Ocular
hypertension is a major risk factor for the disease, and modulation of
intraocular pressure continues to be the mainstay of glaucoma therapy.
After the identification of the myocilin gene (
MYOC) and its
association with juvenile-onset open-angle glaucoma (JOAG) and typical
late-onset POAG,
2 3 4 much effort has been focused on
understanding the normal role of myocilin in the eye, the effects of
alterations in myocilin protein levels, and the contribution of
dysfunctional forms of myocilin to the pathophysiology of POAG.
Myocilin is a novel 57-kDa olfactomedin-related protein of yet
undetermined function. Although the role of the olfactomedin-like
domain in the pathophysiology of POAG is unknown, the evolutionary
conservation of olfactomedin
5 and the frequency of
pathogenic mutations observed in the related myocilin
domain
6 7 and the influence of this domain on myocilin
subunit interaction,
8 9 possible
phosphorylation,
10 Triton solubility,
11 and
translational processing,
12 imply that it plays an
important role in the correct structure or function of the protein.
Myocilin is found in multiple forms, both cellularly and
extracellularly,
8 9 13 14 15 16 17 18 19 as well as in cultured cells
derived from human trabecular meshwork and Schlemm’s
canal.
8 13 15 16 18 It has been immunolocalized throughout
the human eye,
19 in the trabecular meshwork of normal and
glaucomatous human eyes,
13 14 and in the connecting cilium
of mouse photoreceptor cells.
20
One hypothesis is that altered myocilin expression or an altered form
of the polypeptide may obstruct aqueous humor outflow through the
trabecular meshwork and into Schlemm’s canal, leading to ocular
hypertension.
8 13 A recent report of myocilin
immunolocalization in the optic nerve suggests that it also may be a
target of glaucomatous damage in
MYOC-linked
POAG.
19
The
MYOC gene is widely expressed at the mRNA level, as
assessed by Northern blot analysis and reverse
transcription–polymerase chain reaction (RT-PCR) analysis of numerous
adult human and mouse tissues.
8 20 21 22 23 24 25 26 In contrast, the
level of expression in developing mouse embryos, embryonic mouse eyes,
and human fetal and newborn tissue is relatively
low.
21 25 27 Examination of dissected human ocular
tissues or derived cell lines by Northern blot analysis and RT-PCR, as
well as in situ hybridization analysis of mouse eyes and human
trabecular meshwork, has demonstrated widespread
MYOC expression in a number of structures, including the ciliary body,
trabecular meshwork, iris, sclera, choroid, and
retina.
13 20 21 22 26 27 28 29
To date, there has been no comprehensive analysis of MYOC gene expression at the mRNA level in the intact human eye. To carefully
evaluate expression in normal human eyes, we used in situ hybridization
to localize MYOC transcripts in ocular tissues and expanded
the study to include the optic nerve, which is the primary site of
glaucomatous optic neuropathy. The widespread MYOC gene
expression observed in this study suggests an important role for
myocilin in the structure and function of the eye.
Serial 7-μm sections were mounted onto slides (Superfrost Plus;
Fisher Scientific, Fairlawn, NJ) and were hybridized with
35S-labeled sense and antisense
MYOC riboprobes generated from a full-length
MYOC cDNA
23 that was subcloned into pBluescript II SK
(Stratagene, La Jolla, CA), linearized, and transcribed in
vitro using T3 and T7 RNA polymerases. Hybridization with labeled sense
RNA riboprobes served as controls for nonspecific hybridization, and in
all cases, no specific hybridization was observed. In situ
hybridization was performed as described previously.
25 Briefly, tissue sections mounted on slides were hybridized overnight at
50°C in 50% formamide, 1× STE (0.3 M NaCl, 20 mM Tris [pH 8.0],
and 1 mM EDTA), 80 μg/ml denatured salmon sperm DNA, 1× Denhardt’s
solution, 10% dextran sulfate, 500 μg/ml yeast tRNA, and 0.1 M
dithiothreitol (DTT). After hybridization, slides were washed twice in
5× SSC-0.01 M DTT at 50°C for 30 minutes each, and once in 2×
SSC-50% formamide at 60°C for 30 minutes After treatment with RNAses
A and T1, slides were further washed in 2× SSC at 37°C, 0.1× SSC at
50°C, and 0.1× SSC at room temperature for 15 minutes each. After
dehydration, slides were dipped in photographic emulsion (NT2-B;
Eastman Kodak; Rochester, NY) and exposed for 1 to 2 weeks at 4°C.
Slides were developed and counterstained with hematoxylin and
photographed with bright-field and dark-field microscopy. Images were
collected digitally on a light microscope (Diaplan; Leitz, Rockleigh,
NJ) with a cooled CCD camera (model DEI-750; Optronix, Goletta, GA).
Images were converted to gray scale and sharpened, with brightness
adjusted by computer (Photoshop; Adobe, San Jose, CA). The montages
were laid out (IRIS Showcase; Silicon Graphics, Mountain View,
CA) on a work station (Indy; Silicon Graphics).