Conditional depletion of Twist1 in Tie2-expressing cells suppresses pathological neovessel formation in OIR. (A) Schematic illustration shows generation of Tie2-specific conditional Twist1 knockout mice (Tie2-Twist1cko) created by crossing Tie2-Cre mice with Twist1flox/flox mice exhibiting disruption in the Twist1 gene in Tie2-expressing cell with active Cre recombinase, which deletes floxed Twist1 gene. (B) Retinal vasculature of Tie2-Cre reporter mice crossed with Rosa mT/mG reporter strain, which universally expresses a red-fluorescent protein (mT). When crossed with Tie2-Cre mice, mT (red) is removed in Tie2-expressing cells with Cre recombinase expression, converting to a green fluorescent protein (mGFP), visible in blood vessels, confirming the expression of Tie-2-driven Cre recombinase in retinal vessels (scale bar: 200 μm). (C) RT-qPCR confirms that Twist1 expression was significantly depleted in OIR retinas of Tie2-Twist1cko mice compared with Twist1flox/flox littermate controls at P17 (*P ≤ 0.05). (D) Retinal blood vessel development in Tie2-Twist1cKO mice and Twist1flox/flox littermate controls was analyzed at P5 and P7. Representative P7 retinal images with Isolectin B4 staining (red) are shown for visualization of retinal vasculature (highlighted with yellow dashed line) normalized against total retinal area (white dashed line) (n = 5–11/group at P5, P = 0.59 and n = 8–15/group, P = 0.56, scale bar: 1000 μm). (E) Tie2-Twist1cKO mice and littermate Twist1flox/flox control mice were exposed to OIR to induce retinopathy followed by retinal dissection and staining with Isolectin B4 (red). Tie2-Twist1cKO retinas show significant suppression of pathological neovessels compared with Twist1flox/flox controls at P17 in OIR (n = 10–12/group, scale bar: 1000 μm, **P ≤ 0.01). There is no significant difference in vaso-obliteration between the two groups at P17 (n = 10–12/group, P = 0.236; n.s., not significant).