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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 5

Longitudinal in vivo examination of corneal microstructure with IVCM.

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Longitudinal in vivo examination of corneal microstructure with IVCM.
(F...
(First row) Normal corneal cellular layers in WT mice. (A) Polygonal flat (arrow) superficial epithelial cells. (B) Wing cell layer with bright borders and dark cytoplasm (arrow). (C) Basal cell layer with bright borders and densely packed cells (arrow). (D) Network of subbasal nerves within a dense nerve plexus (black arrows). (E) Branching stromal nerve fiber trunk (arrow). (F) Hexagonal monolayer of endothelial cells. (Second row) Cornea layers in grade 1 AAK. (G) Superficial cells are small, nonpolygonal, and with dark nuclei (arrow). (H) Loss of distinct mosaic pattern and loss of dark cytoplasm of wing cells. (I) The parallel and regular pattern of subbasal nerves is disrupted (black arrow). (J) Vascular structure in the stroma. (K) Visible endothelial cells (arrow). (Third row) Cornea layers in grade 2 AAK. (L) Indistinct superficial epithelial cells (arrow). (M) Dark vacuole-like structure (arrow) and loss of cellular mosaic. (N) Loss of distinct cellular structure, with neuroma visible that approaches the basal layer (arrow). (O) Large hyperreflective neuromas (arrow) in stroma. (P) Indistinct hexagonal endothelial cell (arrow). (Fourth row) Cornea layers in grade 4 AAK. (Q) Very small superficial cells (arrow). (R) Fibrous tissue replacing the wing cell layer. (S) Shadows of stromal vessels (arrow) at the level of the basal layer. (T) Coappearance of vessels and neuromas in stroma (arrows). (U) Faintly detectable nuclei (arrow) of endothelial cells. Scale bars = 50 μm.

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