1. The Sichuan Provincial Key Laboratory for Human Disease Gene Study, Center for Medical Genetics, Department of Laboratory Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China,Sichuan,Chengdu,China,610072
2. Research Unit for Blindness Prevention of the Chinese Academy of Medical Sciences (2019RU026), Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital,Sichuan,Chengdu,China,610072
3. Department of Ophthalmology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai,China,200092
4. Key Laboratory of Tibetan Medicine Research, Chinese Academy of Sciences and Qinghai Provincial Key Laboratory of Tibetan Medicine Research, Northwest Institute of Plateau Biology,Qinghai,Xining,China,810008
Published:2023,
Published Online:1 November 2023,
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Shujin Li, Mu Yang, Rulian Zhao, et al. Defective EMC1 drives abnormal retinal angiogenesis via Wnt/β-catenin signaling and may be associated with the pathogenesis of familial exudative vitreoretinopathy. [J]. Genes & Diseases 1(6):2572-2585(2023)
Shujin Li, Mu Yang, Rulian Zhao, et al. Defective EMC1 drives abnormal retinal angiogenesis via Wnt/β-catenin signaling and may be associated with the pathogenesis of familial exudative vitreoretinopathy. [J]. Genes & Diseases 1(6):2572-2585(2023) DOI: 10.1016/j.gendis.2022.10.003.
Endoplasmic reticulum (ER) membrane protein complex (EMC) is required for the co-translational insertion of newly synthesized multi-transmembrane proteins. Compromised EMC function in different cell types has been implicated in multiple diseases. Using inducible genetic mouse models
we revealed defects in retinal vascularization upon endothelial cell (EC) specific deletion of
Emc1
the largest subunit of EMC. Loss of
Emc1
in ECs led to reduced vascular progression and vascular density
diminished tip cell sprouts
and vascular leakage. We then performed an unbiased transcriptomic analysis on human retinal microvascular endothelial cells (HRECs) and revealed a pivotal role of EMC1 in the β-catenin signaling pathway. Further
in-vitro
and
in-vivo
experiments proved that loss of EMC1 led to compromised β-catenin signaling activity through reduced expression of Wnt receptor FZD4
which could be restored by lithium chloride (LiCl) treatment. Driven by these findings
we screened genomic DNA samples from familial exudative vitreoretinopathy (FEVR) patients and identified one heterozygous variant in
EMC1
that co-segregated with FEVR phenotype in the family.
In-vitro
expression experiments revealed that this variant allele failed to facilitate the expression of FZD4 on the plasma membrane and activate the β-catenin signaling pathway
which might be a main cause of FEVR. In conclusion
our findings reveal that variants in
EMC1
gene cause compromised β-catenin signaling activity
which may be associated with the pathogenesis of FEVR.
Angiogenesisβ-catenin signalingEMC1Familial exudative vitreoretinopathyLiCl
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