Altered expression of specific ECM genes has long been known to be an adaptive response of various cell types to mechanical stress.
28 29 Two ECM molecules known to be upregulated in response to mechanical load are TnC and collagen type XII.
28 29 30 This response has been shown in stretched fibroblasts in cell culture in vitro, as well as in mechanical load studies of rat ulnae (TnC) and in tooth-movement studies of the periodontal ligament of rats (collagen XII).
31 32 33 Cell culture studies indicate a rapid but reversible change in expression of both molecules, suggesting that this is a direct rather than secondary effect of mechanical stress.
29 31 Consistent with these observations, we show an increase in mRNA expression of both tenascin C and collagen type XII when TM cells were subjected to mechanical stretching
(Figs. 2 3) .
7
In addition, we found that mechanical stretching caused a significant increase in the amount of domain FnIII D incorporated into TnC mRNA transcripts
(Fig. 2A) . These results are similar to those of a previous study, in which an increase in FnIII D was observed when neonatal rat ventricular myocytes were subject to mechanical strain.
34 Although the function of domain FnIII D is unknown, several recent studies have elucidated both its molecular roles and a correlation with disease. The amino acid sequence VFDNFVLK from human FnIII D was found to promote neurite outgrowth from cerebellar granule neurons in culture via interactions with α7β1 integrin.
35 36 Also, the FnIII B-D isoform, but not FnIII D-6, promoted neuronal outgrowth via the F3/contactin cell adhesion molecule.
37 We detected low levels of the B-D isoform in pig TM cells
(Fig. 1C) . Thus, inclusion of domain FnIII D most likely affects TM cell adhesion, potentially via α7β1 integrin and/or F3/contactin. Mutations in domain FnIII D have been found to cause disease.
38 A coding single nucleotide polymorphism (SNP; 44,513 A/T in exon 17; Leu1677Ile) from domain FnIII D was found to associate strongly with adult bronchial asthma in a Japanese population. However, the role of the FnIII D domain in TM cells has not been determined.
The short NC3 and NC1 domains of collagen type XII predominate in normal porcine TM cells
(Figs. 4B 4D) . The short NC3 domain is the principal isoform expressed by adult tissues, whereas the long NC3 species is primarily expressed in embryonic tissues.
21 In response to stretching, it was found that the long NC3 isoform increased in TM cells
(Fig. 4C) , whereas the short form was initially decreased. The increase of the long NC3 isoform provides additional binding sites for collagen type XII to heparin and chondroitin sulfate that are not found in the short form, which suggests that ECM remodeling by TM cells in response to stretching not only results in expression of an isoform usually reserved for embryonic development, but provides additional binding sites for extracellular ligands.
Concurrent with an increase in the long NC3 domain, a novel alternative spliced form of collagen type XII was observed
(Fig. 5) . It results in a premature stop codon located in the region that encodes the C-terminal vWFA domain. Of note, this isoform was only detected in stretched TM cells and levels increased over time. This splicing leads to the loss of a hyaluronan binding site (-B-X
7-B-) in the vWFA domain, a thrombospondin type I domain and the C-terminal collagenous region. The latter region contains a cell-binding RGD site and a site that interacts with two small leucine-rich proteoglycans: decorin and fibromodulin.
39 Deletion of the collagenous region eliminates assembly of this truncated molecule into a collagen XII trimer and also abrogates the site responsible for interaction with collagen type I fibrils.
40 It is thought that collagen XII is bound to a fibril via its collagenous domain, whereas the NC3 domains project into the extracellular milieu and mediate interactions between adjacent collagen fibrils, promoting their lateral alignment or stabilizing such an organization.
41 Because this isoform lacks the region necessary to anchor it to a fibril, it is conceivable that truncated NC3 domains may disrupt fibril bundle organization and promote ECM disarray. Also, because it is not anchored to a fibril, the shortened collagen XII chain may be degraded or transported via Schlemm’s canal. This could also lead to the removal of other molecules that bind the motifs in the NC3 domain.
Versican binds many other ECM components including hyaluronan, link protein, tenascin C, and fibronectin.
23 It is also the main CS-bearing proteoglycan of TM; and, overall, this type of GAG chain contributes approximately 35% of total TM GAGs.
4 42 CS chains have a high level of negative charge and, in addition to their structural role, are capable of binding water, CD44, chemokines, cytokines, and growth factors.
23 43 In agreement with a previous report, the V1 isoform of versican was found to be the most abundant splice variant expressed by cultured TM cells.
24 The low abundance of the V2 isoform and nondetectable V3 isoform may be artificially low due to a downregulation of these isoforms by TM cells in culture.
24 Total versican mRNA levels decreased
(Fig. 6B) , and the proportion of the V1 isoform increased over time with mechanical stretching
(Fig. 6C) , thereby reducing the total amount of CS chain attachment sites. The reduction of versican and CS chain attachment sites when TM cells are stretched would affect interactions with other ECM components, thereby compromising ECM structural organization and potentially leading to dysregulation of signaling systems in the TM.
Although the consequences of versican splicing in TM are not known, recent studies have revealed the importance of its splicing in vitreous humor. Mutations within the acceptor site preceding exon 8, which encodes the βGAG domain, have been found to cause Wagner syndrome, a hereditary vitreoretinopathy.
44 45 The intronic mutations cause skipping of the V1 exon and a concomitant increase in the ratio of the V2 and V3 isoforms.
46 This imbalance of isoform ratios causes ultrastructural disorganization within the vitreous and the classic “empty” vitreous cavity.
47
Previous analysis of CD44 splice variants in human TM cells detected the presence of variable exons v3, v8, v9, and v10.
27 Our results detected exons v3, v7, and v8 in porcine TM cells. We did not detect exons v9 or v10 in porcine cells, which is most likely a species difference but may also be due to the routine FGF treatment of TM cells that was used in their study.
27 Mechanical stretching was found to increase exons v7 and v8 when TM cells were stretched
(Fig. 7C) . The inclusion of variant exon v7 into CD44 expands the repertoire of GAGs that are potentially bound, as the v7 domain binds heparin and chondroitin sulfate.
48 In addition, it has been suggested that glycosylation of included variable exons modifies CD44 binding to hyaluronan, which may in turn affect CD44 receptor clustering on the cell surface.
25 49 Because CD44 is intricately involved in many aspects of cell function, including growth, survival, and differentiation, it is easy to visualize how the inclusion of variable exons v7 and v8 may modify TM cellular behavior.
The overall physiologic relevance of these changes in mRNA levels and splice variants has not been clearly established. However, it seems relatively clear that the TM and/or Schlemm’s lining cells can sense elevations in IOP and make homeostatic corrections in the outflow resistance.
9 50 51 Furthermore, stretching produces responses similar to those produced by IOP elevation.
7 9 50 51 Mechanical stretching of TM cells triggers a complex program of ECM remodeling.
7 9 14 However, it should be noted that a direct relationship between ECM and outflow resistance has not been demonstrated. The hypothesis that TM cells sense and respond to elevated IOP by remodeling their ECMs to restore outflow resistance is compatible with the observations reported herein. Each of the four molecules that we studied and fibronectin,
7 showed changes in alternative splice patterns when TM cells were stretched. The newly expressed variants displayed differences in binding motifs (e.g., the addition/removal of GAG chains and integrin binding sites). Alternative splicing of ECM transcripts is one mechanism by which TM cells can modulate ECM organization and cell–ECM interactions. This could be involved in adjusting the outflow resistance in response to variations in IOP.
The authors thank Genevieve Long for editorial assistance.