Molecular Vision 2016; 22:224-233
Received 01 September 2015 | Accepted 02 March 2016 | Published 04 March 2016
1Department of Ophthalmology, Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis, TN; 2Department of Ophthalmology, Nantong Eye Institute, Affiliated Hospital of Nantong University, Nantong, China; 3Department of Genetics, Genomics and Informatics, University of Tennessee Health Science Center, Memphis, TN; 4Jiangsu Key Laboratory of Neuroregeneration, Nantong University, Nantong, China
Correspondence to: Monica M. Jablonski, Department of Ophthalmology, Hamilton Eye Institute, The University of Tennessee Health Science Center, 930 Madison Avenue, Suite 731, Memphis, TN 38163; Phone: (901) 448-7572; FAX: (901) 448-5028; email: firstname.lastname@example.org
Purpose: Intraocular pressure (IOP) is currently the only treatable phenotype associated with primary open angle glaucoma (POAG). Our group has developed the BXD murine panel for identifying genetic modulators of the various endophenotypes of glaucoma, including pigment dispersion, IOP, and retinal ganglion cell (RGC) death. The BXD family consists of the inbred progeny of crosses between the C57BL/6J (B6) strain and the glaucoma-prone DBA/2J (D2) strain that has mutations in Tyrp1 and Gpnmb. The role of these genes in the iris transillumination defect (TID) has been well documented; however, their possible roles in modulating IOP during glaucoma onset and progression are yet not well understood.
Methods: We used the IOP data sets and the Eye M430v2 (Sep08) RMA Database available on GeneNetwork to determine whether mutations in Tyrp1 and Gpnmb or TIDs have a direct role in the elevation of IOP in the BXD family. We also determined whether TIDs and IOP are coregulated.
Results: As expected, Tyrp1 and Gpnmb expression levels showed a high degree of correlation with TIDs. However, there was no correlation between the expression of these genes and IOP. Moreover, unlike TIDs, IOP did not map to either the Tyrp1 or Gpnmb locus. Although the Tyrp1 and Gpnmb mutations in BXD strains are a prerequisite for the development of TID, they are not required for or associated with elevated IOP.
Conclusions: Genetic modulators of IOP thus may be independently identified using the full array of BXD mice without concern for the presence of TIDs or mutations in Typr1 and/or Gpnmb.
Glaucoma is a complex, multifactorial, polygenetic disease that is the leading cause of irreversible blindness worldwide . Trends indicate that by 2020, as many as 80 million people will have glaucoma worldwide, with as many as 11 million being blinded [2,3]. The various subtypes of glaucoma share the common clinical pathologies of retinal ganglion cell (RGC) damage, optic nerve axonal destruction, and visual field defects . Several risk factors are known for glaucoma [5-7], and elevated intraocular pressure (IOP) is the major risk factor linked to the development and progression of primary open angle glaucoma (POAG) [3,5,8-10]. The elevation in IOP can be traced back to several causative factors, including faulty fluid dynamics of the aqueous humor within the anterior segment ocular structures. Currently, elevated IOP is the only clinical manifestation of glaucoma that can be treated.
Pigment dispersion glaucoma (PG)—a form of secondary open angle glaucoma—is the second most common form of glaucoma in young adults. In this disease, pigment-containing particles slough off the posterior iris and block the drainage of aqueous humor through the trabecular meshwork. In most cases, the resultant IOP increase leads to glaucoma, yet in some cases, the IOP increase does not, indicating that additional factors, including differentially expressed genes and/or genetic heterogeneity, may influence disease progression . DBA/2J (D2) mice have served as the leading model for PG for more than two decades [12-16]. It has been well documented that the pigmentary dispersion syndrome in D2 mice is due to recessive mutations in the Gpnmb and Tyrp1b genes [12,16-22] with other pigmentation genes modulating the phenotype . In addition to iris stromal atrophy and pigment dispersion, D2 mice develop elevated IOP, RGC loss, optic nerve damage, and optic disc cup excavation that is age-related and progressive, yet highly variable in severity with some mice having relatively normal pressure and optic nerves [16,18,20,24].
Recombinant inbred (RI) strains of mice are a valuable resource for identifying genetic sources of variation in disease risk and progression, in this case, the various molecular and clinical phenotypes associated with glaucoma onset and severity [21,22]. The largest panel of these strains—the BXD family—consists of approximately 150 inbred strains generated from crosses between the wild-type normotensive B6 strain and the PG-prone D2s train. The BXD strains have been used extensively over the past two decades in genetic and genomic studies of the eye and the primary visual system [21,22,25-28].
In the present study, we determine whether an increase in the severity of iris transillumination defects (TIDs) or mutations in Tyrp1 and Gpnmb modulate IOP levels within the BXD family. The current study was motivated by initial observations that several BXD strains carrying wild-type alleles of both Tyrp1 and Gpnmb (WT/WT) had elevated IOP, while others had low IOP. This range of variation in IOP values suggested that mutations in Tyrp1 and Gpnmb are neither necessary nor sufficient to cause IOP elevation.
Mice were handled in accordance with the Guide for the Care and Use of Laboratory Animals. Studies involving all mice were approved the Animal Care and Use review board of the AALAC-accredited University of Tennessee Health Science Center and followed the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research in addition to the guidelines for laboratory animal experiments (Institute of Laboratory Animal Resources, Public Health Service Policy on Humane Care and Use of Laboratory Animals). Mice were housed as previously reported  and were euthanized by cervical dislocation. The health of all mice was monitored a minimum of twice weekly. Lights were maintained on a 12 h:12 h light-dark lighting cycle with light onset occurring at 6 AM. A total of 3,856 mice were used in this study and were distributed as follows: 3,548 mice from 73 BXD strains (268 for microarray studies and 3280 for phenotyping studies), 226 mice from parental strains (16 for microarray studies and 210 for phenotyping studies), and 82 mice from F1 crosses (eight for microarray studies and 74 for phenotyping studies). The BXD24 strain was excluded from this study because this strain harbors a spontaneous mutation in Cep290 , which causes severe retinal degeneration. The sex was relatively well balanced with 1,965 females/1,599 males used in the phenotyping studies  and 146 females/146 males used in the microarray studies . Given the known time course of glaucoma in the D2 parent [16,20], the BXD strains were classified by age and grouped into five categories: 1–2 months (immature and without disease), 3–5 months (possible early onset preclinical symptoms), 6–9 months (early-stage to mid-stage disease), 10–13 months (advanced glaucoma), and older than 13 months (final disease outcome).
The genotypes that we used have been described previously [23,30,31]. Briefly, the BXD genotype file was created using classical microsatellite marker maps and high-density single nucleotide polymorphism (SNP) genotypes generated using Affymetrix and Mega Mouse Universal Genotyping Arrays (MegaMUGA). The final genotype file consists of approximately 3,795 markers. This genotype file includes all markers, both SNPs and microsatellites, with unique strain distribution patterns (SDPs), as well as pairs of markers for the SDPs represented by two or more markers. The latest smoothed BXD genotype data file can be downloaded by ftp from GeneNetwork .
The IOP of both eyes of all mice were measured using an induction-impact tonometer (Tonolab, Colonial Medical Supply, Franconia, NH) between 9:00 am and 6:00 pm during the light cycle. Mice were lightly anesthetized with ketamine and xylazine (25 mg/kg and 5 mg/kg; Butler Schein, Dublin, OH) and IOP measurements were taken as previously described . To determine whether IOP has a diurnal rhythm, IOP was measured in both eyes of the B6 mice every 2 h from 8 AM until 6 pm (i.e., 8 am, 10 am, 12 pm, 2 pm, 4 pm and 6 pm) for five consecutive days (n=5 mice). These data are presented as mean±SEM and were analyzed using one-way ANOVAs followed by Tukey’s HSD test for differences between means (AnalystSoftStatPlus:mac software, Version 188.8.131.52; Walnut, CA). p<0.05 was considered significant.
To determine whether IOP was influenced by sidedness, we measured and recorded individually the IOP values of the left and right eyes of all mice. Previous reports have shown sex differences in measurements of IOP in various mice strains [19,20]. To assess the possibility of such differences in the BXD mice, we analyzed the IOP of each sex separately within each age group. To determine whether the IOP values of the left and right eyes of the mice differed among mice of each age group or if IOP was influenced by sex of the mouse, two-tailed Student’s t-tests were performed on data within each age group (AnalystSoftStatPlus:mac software, Version 184.108.40.206; Walnut, CA). p<0.05 was considered significant.
The grading of the TID phenotype is described in detail in our previously published paper . Briefly, the iris phenotype of each mouse was photodocumented using a slit-lamp biomicroscope using narrow and wide beam illumination. A grade from 0 (lowest) to 4 (highest) was assigned to each mouse based upon the degree of iris transillumination. The specifics of the grading system are presented in the Results section of .
The IOP values (mmHg) and the TID grades were plotted in separate panels along with their respective heritability values across the five age groups. Heritability of both the IOP and the TID phenotypes were calculated using the formula: h2 = 0.5Vg/(0.5Vg + Ve) , which accounts for genetic and environmental variance. The factor of 0.5 was included to adjust for the twofold increase in additive genetic variance among the inbred strains relative to the outbred populations [21,22].
Because the mean IOP was highest in the 6- to 9-month-old cohort, in subsequent analyses we focused our attention on this age group. To determine the effect of the mutations in Tyrp1 and Gpnmb on the IOP values and TID scores, we stratified the BXD strains based on their genotype. Using GeneNetwork, we plotted a bar graph (by rank) for the IOP and organized the TID graph to match the strain order of the IOP graph to enable comparisons. The strains were further represented using different colors based on their genotypes at Tyrp1/Gpnmb (WT/WT = green, WT/MUT = orange, MUT/WT = blue, MUT/MUT = red, and the parents = black). We also plotted the IOP and TID values for the 6- to 9-month-old cohort and evaluated whether the IOP and TID phenotypes segregate based on the BXD genotypes for the genes Tyrp1 and Gpnmb.
Simple interval mapping using 5,000 permutation tests was performed [21-23,30] to identify quantitative trait loci (QTLs) that modulate IOP (Record ID 16339, n=71 strains) and TID (Record ID 12324, n=73 strains) in mice aged 6-9 months. Logarithm of odds (LOD) values can be obtained by dividing the likelihood ratio statistic (LRS) by 4.61. The IOP simple interval map was examined for the presence of significant or suggestive expression QTLs (eQTLs) at the locations of Tyrp1 (Chr4 at ~80.5 Mb) and Gpnmb (Chr6 at ~49 Mb), as well as any other eQTLs.
To determine whether the time of the day has any influence on IOP measurements, we selected B6 mice as the representative strain and measured IOP at six different time points during the light cycle. The IOP values of the B6 mice ranged between 15.1±0.3 and 15.5±0.2 mmHg in each age group and did not differ significantly throughout the day (Figure 1A, p>0.05). Other groups have shown a distinct circadian fluctuation of IOP over 24 h that included a dark period [34,35]; however, the present study measured IOP only during normal working hours (8 AM to 6 PM). During that time interval, we detected no statistically significant change in IOP, although there was a trend toward a reduction in IOP during the middle to the latter part of the light cycle, in agreement with published reports [34,35]. It is also possible that the use of anesthesia blunted larger IOP differences that may have been present, as has been described previously . Nonetheless, the study measurements detected no statistically significant IOP variation from 8 AM to 6 PM, and therefore, we pooled the IOP data from the different age groups in each BXD strain into a single data set that was stratified only by age.
Within each age cohort, no significant difference was observed between the right and left eyes in each age group (Figure 1B, p>0.05). Likewise, no significant differences were observed between females and males of both eyes within each age group (Figure 1C, p>0.05). We have also shown in our previous work that the TID phenotype showed no significant differences between females and males or between right and left eyes . Although there may be individual strains of BXD mice in which the IOP segregates with the genotypes at Tyrp1 and/or Gpnmb, on average, there is no association in this genetic reference panel. Although some investigations using D2 mice have demonstrated that there may be sex differences in basal IOP , other studies from the same group have illustrated that the data to support a universal discrepancy in IOP based upon sex is inconsistent, especially when working with genetically diverse mice . Consistent with this conclusion, we did not observe a disparity between sexes regarding IOP or TID values in the BXD mice, thus allowing us to average the phenotypic data for each age group.
If IOP and TID are linked by shared genetic determinants, we would expect a similar age of peak expression in both phenotypes. To test this hypothesis, we plotted the IOP and the TID across the five age cohorts in separate panels along with the respective heritability values. The mean IOP values ranged between 14.31±0.36 (the >13-month-old cohort) and 16.456±0.28 mmHg (the 6- to 9-month-old cohort) across the BXD mice (Figure 2A). IOP increased progressively with age until 6–9 months, followed by a reduction in IOP with age (Figure 2A), which is likely due to ciliary body atrophy, as well as the changes in the plasticity and viscoelastic properties of the mouse eye. These findings are similar to those of John and colleagues .
In previously published work , we demonstrated that the TID phenotype develops in a progressive fashion within this BXD family. We measured a progressive increase in the TID among the five age cohorts, in which the average TID grade within the BXD mice ranged from 0.71±0.10 (the 1- to 2-month-old cohort) to 1.29±0.15 (the >13-month-old cohort; Figure 2B). The TID average grade of the D2 and B6 parents was significantly different at all ages. The B6 parents from all cohorts presented a grade of 0. In contrast, the D2 parents had defects that averaged a grade of 2.02±0.21 as early as 1–2 months of age and increased to a maximum of 3.45±0.13 in the mice older than 13 months of age .
Figure 2 also highlights the heritability of both phenotypes. As seen in Figure 2A, heritability of the IOP phenotype ranged between 28.07% and 39.87%, with the highest values obtained in the oldest cohort. The TID phenotype, however (Figure 2B), ranged between 88.59% and 97.22%, with the highest values obtained in the 10- to 13-month-old cohort. The lower heritability values of the IOP phenotype compared to the TID phenotype also likely explain the more complex polygenetic nature of IOP as a phenotype compared to the TID phenotype. The lower values also indicate the extent of the influence of genetic and environmental factors on the phenotypic variations in IOP and TID across the BXD mice population used in these studies.
Interestingly, in the BXD mice, the TID grade increased with age similar to what has been observed by various groups for the D2 iris disease [14,16,18,19,38], highlighting the importance of the mutations in Tyrp1 and Gpnmb for the existence of iris disease in the BXD family. It is expected that the mutations would affect the function of the gene product. We have previously demonstrated that mutations in Tyrp1 and Gpnmb alter the functional categories of the transcripts with which the mutations are correlated. Specifically, the wild-type alleles of both genes are correlated with melanin synthesis. In contrast, the mutant alleles of both genes lose many of those associations and correlate with transcripts that have little or no functional relationship to pigmentation, including glycoprotein metabolism and amino acid phosphorylation [21,22]. These functional categories have no apparent influence on IOP, and thus, it can be postulated that the genetic regulatory networks of IOP and TIDs are composed of distinct groups of gene products that are active in functions within the eye.
To test for possible genetic correlations between the IOP and TID phenotypes, we examined the influence of mutations in Tyrp1 and Gpnmb on the IOP values and TID grades in the 6- to 9-month-old cohort. After the IOP and TID bar graphs were stratified and color-coded based on the genotypes at Tyrp1 or Gpnmb, important differences were observed (Figure 3A,B). The BXD strains carrying wild-type alleles of Tyrp1 and Gpnmb (WT/WT) had IOPs that varied greatly with some as high as 22.5±2.7 mmHg in some strains (e.g., BXD66), while others had IOP values as low as 12.0±1.1 mmHg (e.g., BXD42). If IOP were influenced only by the Tyrp1 and Gpnmb genotype, we would expect to see higher IOP values in strains that have mutations in both Tyrp1 and Gpnmb (Mut/Mut). However, the IOP of the BXD strains that are Mut/Mut did not show such a trend. Specifically, the BXD98 mice had IOP of 12.17±0.55 mmHg, while the BXD95 mice had higher IOP of 19.94±1.4 mmHg. The lack of association between IOP elevation and increased TID is also evident in the low correlation values noted between these two traits (r=0.173 at 6-9 months).
In contrast, as we reported previously , TIDs are dependent upon mutations in Tyrp1 and, to a more limited degree, Gpnmb. High TID values were observed consistently in the BXD strains carrying mutant alleles of both Tyrp1 and Gpnmb (MUT/MUT), as opposed to what was seen in the IOP values of these strains (contrast Figure 3A,B). Similarly, we observed high TID values for many BXD strains carrying mutant versions of Tyrp1 and wild-type versions of Gpnmb (MUT/WT) in the 6- to 9-month-old mice, yet the IOP values did not follow a similar correlation. For example, the BXD21 mice had a high TID value of 2.00, yet the IOP was 13.50 mmHg. Based on these findings, we conclude that the genetic modulators of these two phenotypes are likely separate and distinct. These findings also lend strong support to our hypotheses that neither TID nor Tyrp1/Gpnmb correlate with IOP. Moreover, this finding also suggests that other genetic modulators or factors may could be responsible for the variation in IOP across all BXD strains that may not have a direct role in modulation of TID.
To further understand the relationship between IOP and TIDs, we plotted IOP versus TIDs for each strain in the 6- to 9-month-old cohort and color-coded the strains by genotype (Figure 4). Some strains that are wild-type at Tyrp1 and Gpnmb developed high IOP (about 20 mmHg) but showed negligible TIDs. In contrast, some strains that are mutant at Tyrp1 and Gpnmb had low IOP values (about 12 mmHg) and high TID grades. However, consistently elevated TID grades were observed only in the BXD strains that harbored the mutant alleles of Tyrp1 and Gpnmb. Moreover, in strains that are MUT/WT, we observed an inverse relationship, in which higher TID values were present in the strains that had lower IOP values. These results suggest that TIDs do not influence IOP directly, and likely the main genetic modulators Tyrp1 and Gpnmb have no direct roles in modulating IOP in the BXD strains.
To further assess the possible relationship of IOP with TIDs, we performed simple interval mapping for IOP and TID for all BXD mice in the 6- to 9-month-old cohort. The interval maps for TIDs and IOP were distinct, and each contained unique peaks. Importantly, the IOP map does not show a statistically suggestive or statistically significant peak at the chromosomal locations of Tyrp1 (Figure 5, left vertical box) or Gpnmb (Figure 5, right vertical box), suggesting that these genes do not directly modulate IOP in BXD mice (Figure 5A). In contrast, the TIDs had a large QTL at the location of Tyrp1 in the 6- to 9-month-old BXD strains (Figure 5B). We had previously reported that TIDs also map to the location of Gpnmb in the older than 13-month-old cohort of BXD mice. These data demonstrate that neither TIDs nor these two genes modulate IOP. Moreover, we have demonstrated conclusively that Tyrp1 and Gpnmb influence the TID phenotype in a significant manner .
The role of Tyrp1 and Gpnmb in TIDs is well established in the D2 and BXD strains of mice [13,16,18,23]. Based on the premise that mutations in Tyrp1 and Gpnmb that are present in D2 mice are responsible for the development of glaucoma, Anderson and colleagues introduced the D2-derived Tyrp1b and GpnmbR150X mutations on the widely used B6 background to generate several lines of B6 double-congenic mice . These strains were used in genetic epistasis experiments and compared with D2 regarding clinical indices of iris disease, IOP elevation, and optic nerve damage. The researchers discovered that similar to D2 mice, B6 double-congenic mice develop a severe depigmentation iris disease leading to massive pigment dispersion. To their surprise, in comparison to D2, the B6 double-congenic mice were much less likely to develop increased IOP in response to this pigment dispersing disease. These results indicated that initiation (iris disease) and progression (high IOP) of glaucomatous phenotypes in D2 mice are genetically separable and that additional genetic factors relevant to glaucoma remain to be characterized. These data also suggest that additional important allelic variants specific to the B6 strain may mitigate elevations in IOP. The identification of susceptibility and resistance loci and alleles in the mouse has tremendous potential to enhance our understanding of glaucoma and may help define corresponding loci and genes in human populations.
We evaluated the relationship of TIDs and IOP and further studied the influence of Tyrp1 and Gpnmb on these traits in the BXD murine panel. We conclude that the elevated IOP phenotype in BXD mice is independent of sidedness and sex. We also observed that high IOP and the most severe TID phenotypes differed in the age of peak expression. The Tyrp1 and Gpnmb gene expression levels correlated with the TID phenotype but not with IOP. Remarkably, the severity of TIDs did not correlate with IOP in any age group. We conclude that the presence of mutations in Tyrp1 and Gpnmb are a prerequisite for TIDs but not for elevated IOP in the BXD family of mice.
The research was funded by following NIH Grants: R01EY021200; R01AA014425, R01AA017590; R01DA021131; and P30EY013080. Additional funds were provided by: the Natural Science Foundation of Jiangsu China Grant BK2008186; Science Foundation of Nantong China Grant HS2011005; HS2014005; UT-ORNL Governor's Chair in Computational Genomics; and an Unrestricted Grant from Research to Prevent Blindness, New York, NY. Robert W. Williams thanks Research to Prevent Blindness for aJules Stein Innovation Award. The authors are grateful to William E. Orr for his assistance in data organization and statistical analyses. They are also thankful to Shankar Swaminathan for his helpful discussions, assistance with preparation of some of the figures and for drafting of the manuscript.