Usher syndrome is the most common cause of sensory impairment in which deafness and blindness occur together. Affected persons are born with hearing loss and have progressive pigmentary retinopathy leading to blindness that develops in the second through fourth decades of life.
3 This progressive retinal degeneration is apparent by fundus examination and dramatic reductions in ERG a- and b-waves over the course of the disorder.
25 32 Clinically subdivided into types 1 to 3 based on the degree of deafness and the presence of vestibular dysfunction, USH1 is the most severe. Affected persons are born with profound deafness and have visual problems that develop in late childhood. Approximately 70% of USH1 is caused by mutations in myosin 7A (USH1B), with the second largest contribution to the USH1 genetic load at the USH1D-USH1F region on chromosome 10.
33 A recent study showed that patients with USH1F carry a mutation in the human homologue of
Pcdh15,
16 17 a novel protocadherin gene associated with the Ames waltzer mutation in mice.
19 Furthermore, expression of
PCDH15 and
Pcdh15 in the human and mouse retina, respectively, suggests a potential role for
PCDH15/
Pcdh15 in the eye. Because Ames waltzer mice have an orthologous mutation and marked evidence of auditory dysfunction,
19 24 34 these mice were evaluated as a potential animal model for USH1F.
We have shown by electroretinography and light microscopy that retinal abnormalities associated with USH1F are not present in Ames waltzer mutant mice with orthologous mutations. Although hearing loss and vestibular dysfunction due to hair cell degeneration have been well established in these mice,
24 34 no retinal abnormalities were detected. The possibility that retinal involvement might occur at a late onset was evaluated in 8- to 14-month-old mice. However, retinal morphology and ERG waveforms were comparable between homozygous and heterozygous littermates for all four alleles of Ames waltzer at all ages tested. In the
Pcdh15 av-TgN2742Rpw line of mice, the peak amplitude of light-adapted ERG waveform at the highest-intensity flash for the mutant was actually larger than the heterozygous control
(Figs. 5A 5E) . However, this difference was not consistent throughout all flash intensities and was only present at the highest intensity where, in general, the greatest level of intersubject variability exists.
26 Furthermore, the smaller response in both of these mice compared with the other three lines is most likely attributable to the advanced age of 14 months at the time of ERG.
35
Differences in the pattern of expression and function of
Pcdh15 in mice and humans may explain the absence of defect in the mutant mice. Although detailed characterization of the temporal and spatial expression pattern of human and mouse protocadherin 15 is needed to evaluate this possibility, results of previous work on another mouse are similar.
36 Shaker-1 mice possess a mutation in the orthologous mouse myosin VIIa gene, responsible for USH1B in humans, but do not have the normally associated retinal defect. El-Amraoui et al.
36 explained this by showing that myosin VIIa was not expressed in adult mouse photoreceptors but was expressed in human photoreceptors.
Protocadherins, a subclass of the cadherin superfamily, are expressed in neuronal tissues where they are thought to be involved in cell adhesion.
37 38 However, details regarding their seemingly diverse functions remain unclear in both human and mouse. In the central nervous system, they are probably involved in synapse formation and maintenance, as they are spatiotemporally regulated during morphogenesis and have been shown to be localized at synaptic sites (reviewed in Refs.
39 40 ). In mice with mutations in
Pcdh15, hair cell stereocilia develop with orientation abnormalities, suggesting a role for
Pcdh15 in structural polarity.
19 24 34 Because the retina is also a highly polarized structure similar defects might be expected in the retina of the Ames waltzer mutant mice. Detailed ultrastructural analysis (electron microscopy) may be required to identify these defects.
It is possible that differences may exist in terms of how the gene is mutated.
41 A protocadherin includes up to seven extracellular calcium-binding domains, one transmembrane domain, and a unique intracellular domain.
38 The intracellular domain contains two well-conserved proline rich regions and thus probably represents the functional element. Two of the four mutants examined,
Pcdh15 av-TgN2742Rpw and
Pcdh15 av-3J , introduce stop codons near the extracellular portion of the transmembrane domain of
Pcdh15. This results in a truncation at the transmembrane domain, making these mice functional nulls. However, the retinal phenotype of these animals did not differ from the
Pcdh15 av-J and
Pcdh15 av-2J , both of which are in-frame deletions. There is no report of a dominant–negative mutation in the mouse
Pcdh15 gene in the literature. It remains to be seen whether a dominant-negative mutation in
Pcdh15 affects retinal function in mice.
Although the human USH1F mutation is 94% and 53% identical with the mouse sequence
Pcdh15 DNA sequence in the extracellular and intracellular domains, respectively,
15 19 differences in retinal phenotype may reflect underlying differences in the role of this protein in humans and mice. Mutations in the gene encoding myosin VIIa cause deafness and retinitis pigmentosa in humans (USH1B) and deafness and vestibular dysfunction in mice (shaker-1). In the mouse retina, myosin VIIa protein has been detected in retinal pigment epithelial cells but not in photoreceptors.
36 In the adult human retina, myosin VIIa protein was present in both RPE and photoreceptors.
36 Although several mutations linked to the shaker-1 locus have been identified to date,
42 there is no report of retinal degeneration in any of the shaker-1 lines. A report was made showing minor deficits in retinal function in five of the nine alleles of shaker-1, appearing as a reduction in ERG amplitudes, not threshold, under mesopic conditions.
43 However, these reductions do not resemble results obtained in mouse models of RP.
2 Based on the protocol described by Libby and Steel,
43 the defect described in these mice may reflect a slowing of recovery after the presentation of stimuli at high light levels. Thus, we tested the ability of the Ames waltzer mice to recover after a high-intensity flash by using ERG but found no differences between homozygous and heterozygous littermates for all four lines of mice (data not shown). It is possible that the retinal disorder does not progress to detectable levels due to the short life span of the mouse compared with humans.
Finally, the phenotypic outcome of a particular “disease gene” in mice has been shown to vary according to the genetic background on which it resides due to the presence of modifier genes.
44 45 46 47 All the Ames waltzer alleles described here were maintained in the C57BL/6J background. Whether a retinal phenotype may be observed when the Ames waltzer mutation is expressed in a different genetic background remains to be seen. If indeed a modifier gene is involved in the retinal phenotype rescue, these mice could be valuable in our attempt to understand the pathologic course of the disease in Usher syndrome 1F.
The authors thank Neal Peachey for critically reviewing the manuscript and Darrell Pitts for technical assistance.