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Reduced human and murine corneal thickness in an Axenfeld-Rieger syndrome subtype.

Reduced human and murine corneal thickness in an Axenfeld-Rieger syndrome subtype. Research Abstract Details 

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  • Reduced human and murine corneal thickness in an Axenfeld-Rieger syndrome subtype. Abstract Text:

    mika asai-coakwellMika Asai-Coakwell,christopher backhouseChristopher Backhouse,ronald j caseyRonald J Casey,philip j gagePhilip J Gage,ordan j lehmannOrdan J Lehmann,

    PURPOSE: Axenfeld-Rieger malformations of the anterior segment are clinically heterogeneous, and up to 50% of cases are attributable to PITX2 or FOXC1 mutation. In view of PITX2's contribution to corneal development and the altered CCT in some FOXC1-related cases, this study was undertaken to investigate whether a related phenotype is associated with the PITX2/Pitx2 mutation. METHODS: Central corneal thickness (CCT) was measured in patients and mice with PITX2/Pitx2 mutations. CCT in affected individuals and unaffected first-degree relatives from a large PITX2 mutation pedigree was measured with ultrasonic pachymetry. For murine measurements, the optical coherence tomogram (OCT) was calibrated against plastic films whose thickness had been determined with scanning electron microscopy (SEM). Subsequently, CCT was measured in ex vivo eyes from Pitx2(+/-) and wild-type murine littermates by using OCT. RESULTS: CCT in individuals with the PITX2 mutation (mean 484 microm; range, 425-519; n = 8) was significantly lower than in their unaffected first-degree relatives (mean 582 microm; range, 550-590; n = 5; P = 0.0002, t-test). Scanning electron microscopy (SEM) and OCT measurements of reference films correlated closely (r = 0.9995) and subsequent OCT analysis of murine eyes revealed a significant reduction in CCT in Pitx2(+/-) compared with wild-type littermates (Pitx2(+/-): mean, 72 microm; range, 57-87, n = 6; wt: mean, 88 microm; range, 63-100; n = 6, P = 0.035, t-test). CONCLUSIONS: The results show that PITX2/Pitx2 mutation results in reduced corneal thickness and provides the first example of reduced CCT in a genetic subtype of glaucoma. These data will facilitate management of developmental glaucoma and offer potential for guiding molecular genetic testing in patients with Axenfeld-Rieger. The similar CCT reduction observed in patients and mice with comparable mutations emphasizes the utility of this murine model. The technical advance of optical murine CCT measurement also provides scope for serial in vivo imaging of the developing anterior segment and determining the effects of altered CCT on measured IOP.

    Reduced human and murine corneal thickness in an Axenfeld-Rieger syndrome subtype. Publishing Authors By Initials

    m asai-coakwellM Asai-Coakwell,c backhouseC Backhouse,rj caseyRJ Casey,pj gagePJ Gage,oj lehmannOJ Lehmann,

    For similar proteins: transcription factors research abstracts see: proteins: transcription factors research

    PUBMED ID PMID:

    MEDLINE DATE:

    Reduced human and murine corneal thickness in an Axenfeld-Rieger syndrome subtype. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Investigative ophthalmology & visual science

    VOLUME: 47

    Page Numbers: 4905-9

    Journal Abbreviation: Invest. Ophthalmol. Vis. Sci.

    ISSN: 0146-0404

    DAY: 3

    MONTH: Nov

    YEAR: 2006

    Reduced human and murine corneal thickness in an Axenfeld-Rieger syndrome subtype. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7703701

    Reduced human and murine corneal thickness in an Axenfeld-Rieger syndrome subtype. Keywords Mesh Terms:

    KEYWORDS: Transcription Factors

    MESH TERMS: genetics

    Chemical & Substance for Abstract: Reduced human and murine corneal thickness in an Axenfeld-Rieger syndrome subtype. Information

    Substance Name: homeobox protein PITX2

    Registry Number: 184787-43-7

    Grant and Affiliation Information for Reduced human and murine corneal thickness in an Axenfeld-Rieger syndrome subtype.

    AFFILIATION: Department of Ophthalmology, University of Alberta, 829 Medical Sciences Building, Edmonton T6G 2H7, Alberta, Canada.

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NEI

    GRANT: EY 07003

    ACRONYM: EY

    MEDLINETA: Invest Ophthalmol Vis Sci

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