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A human-like model of aniridia-associated keratopathy for mechanistic and therapeutic studies
Dina Javidjam, … , Yedizza Rautavaara, Neil Lagali
Dina Javidjam, … , Yedizza Rautavaara, Neil Lagali
Published December 3, 2024
Citation Information: JCI Insight. 2025;10(2):e183965. https://doi.org/10.1172/jci.insight.183965.
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Research Article Ophthalmology Stem cells

A human-like model of aniridia-associated keratopathy for mechanistic and therapeutic studies

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Abstract

Aniridia is a rare congenital condition of abnormal eye development arising principally from heterozygous mutation of the PAX6 gene. Among the multiple complications arising in the eye, aniridia-associated keratopathy (AAK) is a severe vision-impairing condition of the cornea associated with a progressive limbal stem cell deficiency that lacks suitable treatment options. Current mouse models of aniridia do not accurately represent the onset and progression dynamics of human AAK, hindering therapy development. Here, we performed deep phenotyping of a haploinsufficient Pax6+/– small-eye (Sey) mouse model on the 129S1/SvImJ background, which exhibits key features of mild presentation at birth and progressive AAK with aging, mimicking human disease. The model exhibits a slowly progressing AAK phenotype and provides insights into the disease, including disturbed basal epithelial cell organization, function, and marker expression; persistent postnatal lymphangiogenesis; disrupted corneal innervation patterns; and persisting yet altered limbal stem cell marker expression with age. The model recapitulates many of the known features of human disease, enabling investigation of underlying disease mechanisms and, importantly, access to a well-defined temporal window for evaluating future therapeutics.

Authors

Dina Javidjam, Petros Moustardas, Mojdeh Abbasi, Ava Dashti, Yedizza Rautavaara, Neil Lagali

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Figure 3

Corneal and epithelial structural abnormalities in Het mice.

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Corneal and epithelial structural abnormalities in Het mice.
(A) OCT ima...
(A) OCT images of WT and Het mouse eyes indicating thinner corneas and shallower anterior chamber depth in Het mice. (B) Anterior chamber depth is reduced by half in Het mice; n > 25. (C) Central corneal thickness measured in vivo with OCT indicated significantly thinner corneas in Het mice not changing with age; n > 25. (D) Representative H&E images of corneas from Het and WT mice revealing thinner epithelium (marked) in Het mice. (E) COL4 DAB staining revealed absence of COL4 production in basal epithelial cells and absent epithelial basement membrane in Het mice (inset, white arrows), and dot-like expression of COL4 in the stroma representing basement membrane surrounding corneal nerves (black arrows) (original magnification, 20×; inset magnification, 28×). (F) Fluorescein staining indicated compromised epithelial barrier function with stromal uptake of the dye in vivo. (G–K) Comparative analysis from H&E images from Het (n = 16) and WT mice (n > 10). (G) Epithelial thickness, n > 10. (H) Number of epithelial layers, n > 17. (I) Basal layer thickness, n > 10. (J) Number of basal cells per 100 μm linear distance, n > 13. (K) Nuclear area/basal layer area ratio in basal cells, n > 11. In all panels **** indicates P < 0.0001 (2-tailed t test in 2-group panels or ANOVA multiple pairwise comparison).

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