Abstract
Primary Open Angle Glaucoma (POAG) is an irreversible, vision-threatening disease that affects millions worldwide. The principal risk factor of POAG is increased intraocular pressure (IOP) due to pathological changes in the trabecular meshwork (TM). The TGFβ signaling pathway activator TGFβ2 and the Wnt signaling pathway inhibitor secreted frizzled-related protein 1 (SFRP1) are elevated in the POAG TM. In this study, we determined whether there is a crosstalk between the TGFβ/Smad pathway and the canonical Wnt pathway using luciferase reporter assays. Lentiviral luciferase reporter vectors for studying the TGFβ/Smad pathway or the canonical Wnt pathway were transduced into primary human non-glaucomatous TM (NTM) cells. Cells were treated with or without a combination of 5μg/ml TGFβ2 and/or 100ng/ml Wnt3a recombinant proteins, and luciferase levels were measured using a plate reader. We found that TGFβ2 inhibited Wnt3a-induced canonical Wnt pathway activation, while Wnt3a inhibited TGFβ2-induced TGFβ/Smad pathway activation (n=6, p<0.05) in 3 NTM cell strains. We also found that knocking down of Smad4 or β-catenin using siRNA in HTM5 cells transfected with similar luciferase reporter plasmids abolished the inhibitory effect of TGFβ2 and/or Wnt3a on the other pathway (n=6). Our results suggest the existence of a cross-inhibition between the TGFβ/Smad and canonical Wnt pathways in the TM, and this cross-inhibition may be mediated by Smad4 and β-catenin.
Keywords: Glaucoma, Trabecular meshwork, TGFβ signaling, Smad4, Wnt signaling, β-catenin, Crosstalk
Primary open angle glaucoma (POAG) is a leading cause of blindness worldwide characterized by progressive loss of retinal ganglion cells. The primary causative risk factor for the development and progression of POAG is elevated intraocular pressure (IOP) due to increased aqueous humor (AH) outflow resistance at the trabecular meshwork (TM) and the adjacent Schlemm’s canal, where the majority of AH drains out of the eye (2000; Heijl et al., 2002; Kass et al., 2002; Lichter et al., 2001). At molecular level, excessive extracellular matrix (ECM) deposition and formation of cross-linked actin networks (CLANs) in the TM are associated with POAG (Braunger et al., 2015; Clark et al., 1995; Hoare et al., 2009). Excessive ECM deposition “clogs” the TM outflow pathway while excessive CLAN formation in TM cells may increase the stiffness of TM cells, both of which have been recognized as contributing factors to increased outflow resistance and IOP (Braunger et al., 2015; Last et al., 2011).
Recently, studies have shown that abnormal levels of growth factors and associated cell signaling pathway activities can cause these glaucomatous changes in the TM (Fleenor et al., 2006; Wang et al., 2008). Two important POAG-associated growth factors are transforming growth factor beta-2 (TGFβ2), an activator of the TGFβ pathway (Tripathi et al., 1994), and secreted frizzled-related protein 1 (sFRP1), an inhibitor of the Wnt signaling pathway (Wang et al., 2008).
TGFβ2 activates the Smad-dependent TGFβ (Smad/TGFβ) pathway by binding to the type II receptor (TGFβRII). This binding phosphorylates and activates the type I receptor (TGFβRI), which phosphorylates the intracellular receptor Smad (R-Smad) proteins Smad2 and/or Smad3. Phospho-Smad2/3 (p-Smad2/3) associates with the common mediator Smad (co-Smad) protein Smad4, and translocates into the nucleus. The complex binds to the Smad binding element (SBE) and changes gene expression. The TGFβ superfamily has long been implicated in several types of glaucoma (Fleenor et al., 2006; Fuchshofer and Tamm, 2012; Lutjen-Drecoll, 2005; Picht et al., 2001). Many studies showed that TGFβ2 is increased in the TM and AH of POAG patients (Ozcan et al., 2004; Tovar-Vidales et al., 2011; Tripathi et al., 1994). TGFβ2 induces excessive ECM deposition of proteins such as fibronectin, inhibitors of extracellular matrix degradation such as PAI-1, cross-linking proteins such as lysl oxidase (LOX), LOX-like enzymes, and transglutaminase-2 (Fuchshofer et al., 2007; Medina-Ortiz et al., 2013; Sethi et al., 2011; Tovar-Vidales et al., 2011). Besides ECM and related proteins, TGFβ2 also increases CLANs in bovine and human TM cells (Clark et al., 1995; Hoare et al., 2009; Wade et al., 2009) and elevates IOP in human, porcine, and mouse eyes (Bachmann et al., 2006; Fleenor et al., 2006; Gottanka et al., 2004; Shepard et al., 2010).
SFRP1 inhibits the Wnt signaling pathway by binding and sequestering Wnt ligands in the extracellular space, prohibiting their binding with the receptor (Finch et al., 1997; Rattner et al., 1997). When Wnt proteins are uninhibited, they can bind to their transmembrane receptor, Frizzled and the co-receptor, lipoprotein receptor-related protein 5/6 (LRP5/6). With the assistance of Disheveled, the cytosolic β-catenin degradation complex that consists of Axin2, APC, CK1 and GSK3β is disassembled via phosphorylation. Without this degradation complex, cytosolic β-catenin is no longer phosphorylated for proteasome degradation, and therefore can accumulate. Some cytosolic β-catenin will translocate into the nucleus, where they associate with the T-cell factors 1, 3, 4 (TCF1/3/4) or lymphoid enhancer-binding factor 1 (LEF-1), bind to the TCF/LEF binding element, and change gene expression. This is the β-catenin-dependent/canonical Wnt signaling pathway (Miller et al., 1999; Nusse and Varmus, 1992). Our previous studies showed that there is a functional canonical Wnt pathway in the human TM (HTM) (Mao et al., 2012a). In the human glaucomatous TM (GTM), we found increased mRNA and protein levels of sFRP1 as well as decreased β-catenin, the latter of which is the key mediator of the canonical Wnt pathway as described previously (Mao et al., 2012b; Wang et al., 2008). We showed that the inhibition of the canonical Wnt signaling activity by SFRP1 or Dickkopf1 (Dkk1, an inhibitor that specifically inhibits the canonical Wnt pathway via the inhibition of LRP 5/6) elevates IOP in mouse eyes and perfusion cultured human eyes (Mao et al., 2012a; Wang et al., 2008). This IOP elevation can be blocked by co-treatment with a small molecule that activates the downstream canonical Wnt pathway (Wang et al., 2008). Exactly how canonical Wnt signaling maintains IOP, however, is still under investigation.
Since both the TGFβ and Wnt pathways play important roles in the homeostasis of TM and regulation of IOP, it is very important to determine whether the two pathways crosstalk in the TM. Such crosstalk has been found in various non-TM cells, and more importantly, in fibrotic diseases. In renal fibrosis, the canonical Wnt pathway antagonizes the TGFβ/Smad pathway and protects the tissues from fibrotic damage (Ho et al., 2012). Due to the fact that GTM alterations are very similar to those in fibrotic diseases (loss of resident functional cells and excessive ECM deposition), a similar crosstalk likely exists in the TM.
To determine whether a crosstalk exists in the TM, we used luciferase transcription reporter assays (also called luciferase assays) to measure whether the activation of one pathway by recombinant protein is able to affect the other pathway’s activity. We transduced human primary non-glaucomatous TM (NTM) cells with lentiviral firefly luciferase reporter vectors containing the SBE for studying the TGFβ/Smad pathway (SBE virus, Qiagen, Valencia, CA) or vectors containing the TCF/LEF binding element for studying the canonical Wnt pathway (TCF/LEF virus, Qiagen). TM cells were also co-transduced with the lentiviral renilla luciferase reporter vector containing a minimal CMV (mCMV) promoter as an internal control (renilla control virus, Qiagen). Because the transcriptional activity of the minimal CMV promoter is not affected by any signaling pathways, the amount of renilla luciferase can be used to normalize firefly luciferase for the difference in cell numbers and transduction efficiency. On day 1, 3×104 NTM cells were seeded into individual wells of 96 well white opaque plates in DMEM-low glucose medium supplemented with 10% fetal bovine serum, 1% glutamine, and 1% penicillin and streptomycin (Thermofisher, Waltham, MA). On day 2, when cells reached 50% confluence, SBE or TCF/LEF lentivirus together with renilla control virus were mixed in serum-free and antibiotics-free medium containing a transduction reagent (SureEntry, 1:4000, Qiagen) and added to individual wells. The multiplicity of infection (MOI) was 75 for SBE or TCF/LEF lentivirus, and 50 for renilla control lentivirus. On day 3, medium was changed to serum-free medium. On day 4, cells were treated with the TGFβ pathway activator TGFβ2 (5ng/ml, R&D Systems, Minneapolis, MN) and/or the Wnt pathway activator Wnt3a (100ng/ml, R&D Systems) in serum-free medium. On day 5, firefly and renilla luciferase levels were measured using the DualGlo kit (Promega, Madison, MI) and a plate reader (Infinite M200, Tecan, San Jose, CA). Experiments were performed in replicates (n=6) and luciferase luminescent signals were read three times per well and averaged. Statistical analysis was performed using Prism Graphpad (GraphPad Software, La Jolla, CA) using one-way ANOVA. Multiple-comparison post-hoc tests were applied. Three primary NTM strains were studied and representative data were shown. The TM cell strains were previously characterized by a combination of TM cell markers including collagen IV, laminin, α-smooth muscle actin, as well as dexamethasone-induced myocilin expression and formation of cross-linked actin networks at Alcon (Fort Worth, TX) and were a kind gift. Cell strain information: NTM340-07 male donor at age 80; NTM210-05 female donor with age unknown; NTM176-04 male donor at age 72.
The TGFβ or Wnt signaling pathway activity was expressed as relative luciferase units (RLU), which represent firefly luciferase levels normalized by renilla luciferase levels. We found that TGFβ2 and Wnt3a were able to activate their respective pathways (n=6, p<0.05) (Figure 1). However, co-treatment with TGFβ2 and Wnt3a significantly inhibited TGFβ2-induced TGFβ signaling activation as well as Wnt3a-induced Wnt signaling activation (n=6, p<0.05) (Figure 1). These data showed a cross-inhibition between these two pathways. In contrast, TGFβ2 or Wnt3a treatment alone had no effect on the basal activity of the other pathway except in NTM1022-05 cells in which Wnt3a inhibited basal TGFβ signaling (Figure 1C), suggesting that a concurrent activation of both pathways is required for this cross-inhibition.
Figure 1.
TGFβ and Wnt pathways inhibit each other’s activity in primary NTM cells.
Primary NTM cells were transduced with the SBE (A, C and E) or TCF/LEF (B, D and F) lentiviral luciferase reporter vectors to study the TGF pathway (A, C, and E) and Wnt pathway (B, D, and F) activities, respectively. Cells were treated with or without 5ng/ml TGFβ2, 100ng/ml Wnt3a, or both (TGFβ2+Wnt3a) for 24 hours. Columns and bars: means and standard deviations of measured RLU, which represent individual pathway activity. *, ***, ****: p<0.05, 0.001, or 0.0001, compared to Control (A–F); #, ###: p<0.05 or 0.001, compared to TGFβ2 (A, C and E); ##, ####: p<0.01 or 0.0001 compared to Wnt3a (B, D, and F). N=6.
Since both TGFβ and Wnt pathways have multiple subpathways (Smad-dependent and independent TGFβ pathways; canonical and non-canonical Wnt pathways), we used siRNA to knock down Smad4 or β-catenin, the key mediators of TGFβ/Smad pathway and canonical Wnt pathway, respectively, and performed similar luciferase assays. Smad4 is the common Smad required for the Smad signaling. Smad2 or Smad3 is able to activate the TGFβ/Smad signaling but only in the presence of Smad4. The role of Smad4 in the TGFβ pathway is somehow equivalent to β-Catenin in the Wnt pathway since there is no alternative for them, and therefore we call it the “key mediator”. Our rationale is that without Smad4 or β-catenin, the non-Smad pathway or non-canonical Wnt pathway remains functional, respectively. However, the TGFβ/Smad or the canonical Wnt pathway will be disabled. This approach enabled us to dissect the subpathways involved in this cross-inhibition.
We performed luciferase assays using the transformed human NTM cell line HTM5 because it was technically challenging to conduct lentiviral transduction together with siRNA knockdown in primary TM cells. For these experiments, 3×104 HTM5 cells were plated in 96 well opaque plates in Opti-MEM medium (Invitrogen, Grand Island, NY) without antibiotics but with 5% FBS and 1% glutamine. Right after cells were seeded, they were transfected with 50μl transfection mixture containing 100ng TCF/LEF or SBE luciferase reporter plasmids (Cignaling Reporter, Qiagen), 30 nM siRNA against β-catenin, Smad4 or non-targeting siRNA (OnTarget siRNA, GE Dharmacon, Lafayette, CO), and 0.6μl transfection reagent (Attractene, Qiagen). Different from lentiviral luciferase vectors, the luciferase plasmids are premixed with the TCF/LEF or SBE firefly luciferase reporter vector and mCMV renilla luciferase reporter vector according to manufacturer instructions. On day 2, medium was changed to serum-free Opti-MEM. On day 3, cells were treated with 100ng/ml Wnt3a, 5μg/ml TGFβ2, or both. On day 4, luciferase levels were measured as previously described. Experiments were performed in replicates (n=6), and data were analyzed as described previously.
Besides, to validate siRNA-mediated knockdown of target genes, we seeded 2×105 HTM5 cells into a 12-well plate. Right after seeding, cells were transfected with a mixture (200 μl) with or without 30nM siRNA and/or 6.4 μl Attractene (Qiagen). Three day post-transfection, whole cell lysate was extracted using the M-PER Mammalian Extraction Reagent (Thermofisher) with 1:100 protease inhibitors. Proteins were separated using SDS-PAGE, transferred onto an Immobilon-P transfer membrane, blocked with 5% dry milk, and immunoblotted with anti-Smad4, anti-β-catenin (Cell Signaling, 1:500), and anti-GAPDH antibodies (Cell Signaling, 1:10,000) followed by HRP-linked anti-rabbit or anti-mouse IgG secondary antibody. Signal was developed using the Clarity Western ECL Blotting substrate (Bio-Rad, Hercules, CA). Images were taken using the FluroChem imaging system (Cell Biosciences, Santa Clara, CA) or the Bio-Rad ChemiDoc imaging system (Bio-Rad). Densitometry was performed and the level of the protein of interest was normalized to GAPDH. The level of non-targeting siRNA treated samples was set at 1. One-way ANOVA plus post-hoc tests were used to compare protein levels.
We found that HTM5 cells had similar responses to Wnt3a and/or TGFβ2 (Figure 2A and D) as in primary NTM cells (i.e. Wnt3a inhibited TGFβ2-induced TGFβ signaling and TGFβ2 inhibited Wnt3a-induced Wnt signaling). Knocking down Smad4 or β-catenin resulted in complete inhibition of TGFβ or Wnt pathway activation, respectively (Figures 2B and 2F), confirming the effectiveness of our siRNA in luciferase assays. β-catenin knockdown did not affect TGFβ2-induced TGFβ pathway activation (Figure 2C) and Smad4 knockdown did not affect Wnt3a-induced Wnt pathway activation (Figure 2E), demonstrating the specificity of our siRNA. With the knockdown of either Smad4 or β-catenin, TGFβ2 and Wnt3a co-treatment were unable to inhibit TGFβ2-induced TGFβ signaling (Figures 2B and 2C) or Wnt3a-induced Wnt signaling (Figures 2E and 2F), suggesting these pathway mediators are necessary for cross-inhibition to occur. Our Western immunoblotting and densitometry results showed that there was about 70% decrease in Smad4 and β-catenin proteins (p<0.01, n=3), confirming the effectiveness of our siRNAs (Figure 2G and H).
Figure 2.
Smad4 and β-catenin are required for the cross-inhibition between TGFβ and Wnt pathways.
Smad4 (B and E) or β-catenin (C and F) was knocked down in HTM5 cells using siRNA. Non-targeting siRNA (NT) was used as a control (A). Cells were treated with or without 5ng/ml TGFβ2, 100ng/ml Wnt3a, or both (TGFβ2+Wnt3a) for 24 hours. TGFβ (A–C) and Wnt (D–F) pathway activities were measured using SBE or TCF/LEF plasmid-based luciferase assays, respectively. Columns and bars: means and standard deviations of measured RLU, which represent individual pathway activity. *, **, or ****: p<0.05, 0.01 or 0.0001, compared to Control; ##: p<0.001, compared to TGFβ2 (A); ###: p<0.001 compared to Wnt3a (D); NS: not significant (p>0.05). N=6. Also, Western immunoblotting was used to confirm protein knockdown in siRNA transfected HTM cells (G). Densitometry and one-way ANOVA plus post-hoc tests were used to compare relative protein levels (H); columns and bars: means and standard deviations; **: p<0.01, compared to the non-targeting siRNA group; n=3.
In summary, our studies showed that there exists a cross-inhibition between the TGFβ/Smad pathway and the canonical Wnt pathway in the HTM. This inhibition requires both pathways’ key mediators Smad4 and β-catenin.
Very few studies on such crosstalk in the TM have been reported. Villareal and colleagues showed that LiCl, a non-specific Wnt pathway activator, inhibits TGFβ2-induced expression of a subset of ECM and matricellular proteins (Villarreal et al., 2014). However, the same study suggested that this inhibition is mediated by canonical Wnt signaling as well as miR-29b, and the latter may be due to the non-specific effect of LiCl. Also, whether there is a direct inhibition of the TGFβ signaling by the Wnt pathway or vice versa was not reported.
In non-TM cells and tissues, the crosstalk between the TGFβ and Wnt pathways has been well studied. However, it has different mechanisms and also shows various effects in different cells and tissues. Jian and colleagues found that in bone marrow-derived adult human mesenchymal stem cells, Smad3 and β-catenin form a complex to facilitate their translocation (Jian et al., 2006). In chondrocytes, Zhang and colleagues reported that both Smad2 and Smad3 are required for the interaction with β-catenin, and they protect β-catenin from being degraded (Zhang et al., 2010). Nawshad and colleagues found that the p-Smad2-Smad4-LEF1 complex inhibits TGFβ3-induced E-Cadherin expression in mouse palate medial edge epithelial cells (Nawshad et al., 2007). Nishita and colleagues showed that Smad4 is able to complex with β-catenin during Xenopus development (Nishita et al., 2000). In cancer cells, Smad4 and β-catenin can form a complex to regulate each other’s activity (Hussein et al., 2003; Romero et al., 2008). The impaired crosstalk between the two pathways is also associated with cancer development and epithelial to mesenchymal transition in metastasis (Voorneveld et al., 2015; Xing et al., 2015). Because the interaction between the two pathways is highly cell/tissue specific, elucidating the exact mechanism that mediates the cross-inhibition between Smad/TGFβ and canonical Wnt pathways in the TM is very important. Based on published studies and our findings that both Smad4 and β-catenin are required for this cross-inhibition, it is our hypothesis that the two transcription factors form a complex, and this complex represses both pathways’ activity due to conformational changes and/or blockage of protein binding sites.
In this study, we used luciferase assays, a well-established approach to study pathway crosstalk. Although the luciferase assay offers specific and quantitative measurement of pathway activities, this artificial promoter-based reporter assay does not reflect the complexity of the cis-element involved in transcription including silencers, enhancers, and epigenetic factors that may fine regulate the crosstalk between TGFβ2 and Wnt pathways. Therefore, more research including ex vivo and in vivo studies is needed to elucidate this cross-inhibition in the TM.
In the healthy TM, Wnt signaling may function as a negative regulatory mechanism by which the effects of TGFβ2/overactivated TGFβ/Smad signaling on ECM, CLANs, and other cellular changes are alleviated. Since elevated TGFβ2 and SFRP1 are found in the AH and TM of many POAG patients, it is very likely that they co-exist in a number of POAG eyes. Under this situation, the inhibition of Wnt signaling by SFRP1 very likely disables the potential Wnt negative regulatory mechanism. Therefore, TGFβ2 and SFRP1 may contribute to POAG in a synergistic manner. Again, further studies are required to determine the molecular mechanism of this cross-inhibition and the exact molecules involved. This information may help us to identify novel therapeutic targets to provide new disease-modifying treatments for POAG.
Highlights.
Overactivation of the TGFβ/Smad and inhibition of the canonical Wnt signaling pathway have been implicated in the pathology of primary open angle glaucoma.
TGFβ/Smad signaling and canonical Wnt signaling cross-inhibit each other in human trabecular meshwork cells.
The cross-inhibition of the TGFβ/Smad and canonical Wnt signaling pathways is dependent on the transcription factors Smad4 and β-catenin.
Acknowledgments
This research was supported by the Thomas R. Lee award for National Glaucoma Research, a program of the Bright Focus Foundation (W.M.), National Eye Institute 5R21EY023048 (W.M.), the UNTHSC Faculty Pilot Grant (W.M.), and NIH training grant T32 AG 020494 (H.W.).
Abbreviations
- AH
Aqueous humor
- CLANs
Cross-linked actin networks
- Co-Smad
common mediator Smad
- Dkk1
Dickkopf1
- ECM
Extracellular matrix
- GTM
Glaucomatous trabecular meshwork
- IOP
Intraocular pressure
- LRP5/6
lipoprotein receptor-related protein 5/6
- MOI
Multiplicity of infection
- NTM
Non-glaucomatous trabecular meshwork
- POAG
Primary open angle glaucoma
- p-Smad
Phospho-Smad
- RLU
Relative luciferase unit
- R-Smad
receptor Smad
- SBE
Smad binding element
- SFRP1
Secreted frizzled related protein-1
- TCF/LEF
T-cell factor/lymphoid enhancer factor
- TGFβ2
Transforming growth factor beta-2
- TGFβR
Transforming growth factor beta receptor
- TM
Trabecular meshwork
Footnotes
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References
- The Advanced Glaucoma Intervention Study (AGIS): 7. The relationship between control of intraocular pressure and visual field deterioration. The AGIS Investigators. American journal of ophthalmology. 2000;130:429–440. doi: 10.1016/s0002-9394(00)00538-9. [DOI] [PubMed] [Google Scholar]
- Bachmann B, Birke M, Kook D, Eichhorn M, Lutjen-Drecoll E. Ultrastructural and biochemical evaluation of the porcine anterior chamber perfusion model. Invest Ophthalmol Vis Sci. 2006;47:2011–2020. doi: 10.1167/iovs.05-1393. [DOI] [PubMed] [Google Scholar]
- Braunger BM, Fuchshofer R, Tamm ER. The aqueous humor outflow pathways in glaucoma: A unifying concept of disease mechanisms and causative treatment. European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V. 2015;95:173–181. doi: 10.1016/j.ejpb.2015.04.029. [DOI] [PubMed] [Google Scholar]
- Clark AF, Miggans ST, Wilson K, Browder S, McCartney MD. Cytoskeletal changes in cultured human glaucoma trabecular meshwork cells. J Glaucoma. 1995;4:183–188. [PubMed] [Google Scholar]
- Finch PW, He X, Kelley MJ, Uren A, Schaudies RP, Popescu NC, Rudikoff S, Aaronson SA, Varmus HE, Rubin JS. Purification and molecular cloning of a secreted, Frizzled-related antagonist of Wnt action. Proc Natl Acad Sci U S A. 1997;94:6770–6775. doi: 10.1073/pnas.94.13.6770. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fleenor DL, Shepard AR, Hellberg PE, Jacobson N, Pang IH, Clark AF. TGFbeta2-induced changes in human trabecular meshwork: implications for intraocular pressure. Invest Ophthalmol Vis Sci. 2006;47:226–234. doi: 10.1167/iovs.05-1060. [DOI] [PubMed] [Google Scholar]
- Fuchshofer R, Tamm ER. The role of TGF-beta in the pathogenesis of primary open-angle glaucoma. Cell Tissue Res. 2012;347:279–290. doi: 10.1007/s00441-011-1274-7. [DOI] [PubMed] [Google Scholar]
- Fuchshofer R, Yu AH, Welge-Lussen U, Tamm ER. Bone morphogenetic protein-7 is an antagonist of transforming growth factor-beta2 in human trabecular meshwork cells. Invest Ophthalmol Vis Sci. 2007;48:715–726. doi: 10.1167/iovs.06-0226. [DOI] [PubMed] [Google Scholar]
- Gottanka J, Chan D, Eichhorn M, Lutjen-Drecoll E, Ethier CR. Effects of TGF-beta2 in perfused human eyes. Invest Ophthalmol Vis Sci. 2004;45:153–158. doi: 10.1167/iovs.03-0796. [DOI] [PubMed] [Google Scholar]
- Heijl A, Leske MC, Bengtsson B, Hyman L, Bengtsson B, Hussein M, Early Manifest Glaucoma Trial G Reduction of intraocular pressure and glaucoma progression: results from the Early Manifest Glaucoma Trial. Archives of ophthalmology. 2002;120:1268–1279. doi: 10.1001/archopht.120.10.1268. [DOI] [PubMed] [Google Scholar]
- Ho C, Lee PH, Hsu YC, Wang FS, Huang YT, Lin CL. Sustained Wnt/beta-catenin signaling rescues high glucose induction of transforming growth factor-beta1-mediated renal fibrosis. Am J Med Sci. 2012;344:374–382. doi: 10.1097/MAJ.0b013e31824369c5. [DOI] [PubMed] [Google Scholar]
- Hoare MJ, Grierson I, Brotchie D, Pollock N, Cracknell K, Clark AF. Cross-linked actin networks (CLANs) in the trabecular meshwork of the normal and glaucomatous human eye in situ. Invest Ophthalmol Vis Sci. 2009;50:1255–1263. doi: 10.1167/iovs.08-2706. [DOI] [PubMed] [Google Scholar]
- Hussein SM, Duff EK, Sirard C. Smad4 and beta-catenin co-activators functionally interact with lymphoid-enhancing factor to regulate graded expression of Msx2. J Biol Chem. 2003;278:48805–48814. doi: 10.1074/jbc.M305472200. [DOI] [PubMed] [Google Scholar]
- Jian H, Shen X, Liu I, Semenov M, He X, Wang XF. Smad3-dependent nuclear translocation of beta-catenin is required for TGF-beta1-induced proliferation of bone marrow-derived adult human mesenchymal stem cells. Genes Dev. 2006;20:666–674. doi: 10.1101/gad.1388806. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kass MA, Heuer DK, Higginbotham EJ, Johnson CA, Keltner JL, Miller JP, Parrish RK, 2nd, Wilson MR, Gordon MO. The Ocular Hypertension Treatment Study: a randomized trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open-angle glaucoma. Archives of ophthalmology. 2002;120:701–713. doi: 10.1001/archopht.120.6.701. discussion 829–730. [DOI] [PubMed] [Google Scholar]
- Last JA, Pan T, Ding Y, Reilly CM, Keller K, Acott TS, Fautsch MP, Murphy CJ, Russell P. Elastic modulus determination of normal and glaucomatous human trabecular meshwork. Invest Ophthalmol Vis Sci. 2011;52:2147–2152. doi: 10.1167/iovs.10-6342. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lichter PR, Musch DC, Gillespie BW, Guire KE, Janz NK, Wren PA, Mills RP, Group CS Interim clinical outcomes in the Collaborative Initial Glaucoma Treatment Study comparing initial treatment randomized to medications or surgery. Ophthalmology. 2001;108:1943–1953. doi: 10.1016/s0161-6420(01)00873-9. [DOI] [PubMed] [Google Scholar]
- Lutjen-Drecoll E. Morphological changes in glaucomatous eyes and the role of TGFbeta2 for the pathogenesis of the disease. Exp Eye Res. 2005;81:1–4. doi: 10.1016/j.exer.2005.02.008. [DOI] [PubMed] [Google Scholar]
- Mao W, Millar JC, Wang WH, Silverman SM, Liu Y, Wordinger RJ, Rubin JS, Pang IH, Clark AF. Existence of the canonical Wnt signaling pathway in the human trabecular meshwork. Invest Ophthalmol Vis Sci. 2012a;53:7043–7051. doi: 10.1167/iovs.12-9664. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mao W, Rubin JS, Anoruo N, Wordinger RJ, Clark AF. SFRP1 promoter methylation and expression in human trabecular meshwork cells. Exp Eye Res. 2012b;97:130–136. doi: 10.1016/j.exer.2012.01.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Medina-Ortiz WE, Belmares R, Neubauer S, Wordinger RJ, Clark AF. Cellular fibronectin expression in human trabecular meshwork and induction by transforming growth factor-beta2. Invest Ophthalmol Vis Sci. 2013;54:6779–6788. doi: 10.1167/iovs.13-12298. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miller JR, Hocking AM, Brown JD, Moon RT. Mechanism and function of signal transduction by the Wnt/beta-catenin and Wnt/Ca2+ pathways. Oncogene. 1999;18:7860–7872. doi: 10.1038/sj.onc.1203245. [DOI] [PubMed] [Google Scholar]
- Nawshad A, Medici D, Liu CC, Hay ED. TGFbeta3 inhibits E-cadherin gene expression in palate medial-edge epithelial cells through a Smad2-Smad4-LEF1 transcription complex. J Cell Sci. 2007;120:1646–1653. doi: 10.1242/jcs.003129. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nishita M, Hashimoto MK, Ogata S, Laurent MN, Ueno N, Shibuya H, Cho KW. Interaction between Wnt and TGF-beta signalling pathways during formation of Spemann’s organizer. Nature. 2000;403:781–785. doi: 10.1038/35001602. [DOI] [PubMed] [Google Scholar]
- Nusse R, Varmus HE. Wnt genes. Cell. 1992;69:1073–1087. doi: 10.1016/0092-8674(92)90630-u. [DOI] [PubMed] [Google Scholar]
- Ozcan AA, Ozdemir N, Canataroglu A. The aqueous levels of TGF-beta2 in patients with glaucoma. Int Ophthalmol. 2004;25:19–22. doi: 10.1023/b:inte.0000018524.48581.79. [DOI] [PubMed] [Google Scholar]
- Picht G, Welge-Luessen U, Grehn F, Lutjen-Drecoll E. Transforming growth factor beta 2 levels in the aqueous humor in different types of glaucoma and the relation to filtering bleb development. Graefes Arch Clin Exp Ophthalmol. 2001;239:199–207. doi: 10.1007/s004170000252. [DOI] [PubMed] [Google Scholar]
- Rattner A, Hsieh JC, Smallwood PM, Gilbert DJ, Copeland NG, Jenkins NA, Nathans J. A family of secreted proteins contains homology to the cysteine-rich ligand-binding domain of frizzled receptors. Proc Natl Acad Sci U S A. 1997;94:2859–2863. doi: 10.1073/pnas.94.7.2859. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Romero D, Iglesias M, Vary CP, Quintanilla M. Functional blockade of Smad4 leads to a decrease in beta-catenin levels and signaling activity in human pancreatic carcinoma cells. Carcinogenesis. 2008;29:1070–1076. doi: 10.1093/carcin/bgn054. [DOI] [PubMed] [Google Scholar]
- Sethi A, Mao W, Wordinger RJ, Clark AF. Transforming growth factor-beta induces extracellular matrix protein cross-linking lysyl oxidase (LOX) genes in human trabecular meshwork cells. Invest Ophthalmol Vis Sci. 2011;52:5240–5250. doi: 10.1167/iovs.11-7287. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shepard AR, Millar JC, Pang IH, Jacobson N, Wang WH, Clark AF. Adenoviral gene transfer of active human transforming growth factor-{beta}2 elevates intraocular pressure and reduces outflow facility in rodent eyes. Invest Ophthalmol Vis Sci. 2010;51:2067–2076. doi: 10.1167/iovs.09-4567. [DOI] [PubMed] [Google Scholar]
- Tovar-Vidales T, Clark AF, Wordinger RJ. Transforming growth factor-beta2 utilizes the canonical Smad-signaling pathway to regulate tissue transglutaminase expression in human trabecular meshwork cells. Experimental Eye Research. 2011;93:442–451. doi: 10.1016/j.exer.2011.06.011. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tripathi RC, Li J, Chan WF, Tripathi BJ. Aqueous humor in glaucomatous eyes contains an increased level of TGF-beta 2. Exp Eye Res. 1994;59:723–727. doi: 10.1006/exer.1994.1158. [DOI] [PubMed] [Google Scholar]
- Villarreal G, Jr, Chatterjee A, Oh SS, Oh DJ, Kang MH, Rhee DJ. Canonical wnt signaling regulates extracellular matrix expression in the trabecular meshwork. Invest Ophthalmol Vis Sci. 2014;55:7433–7440. doi: 10.1167/iovs.13-12652. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Voorneveld PW, Kodach LL, Jacobs RJ, van Noesel CJ, Peppelenbosch MP, Korkmaz KS, Molendijk I, Dekker E, Morreau H, van Pelt GW, Tollenaar RA, Mesker W, Hawinkels LJ, Paauwe M, Verspaget HW, Geraets DT, Hommes DW, Offerhaus GJ, van den Brink GR, Ten Dijke P, Hardwick JC. The BMP pathway either enhances or inhibits the Wnt pathway depending on the SMAD4 and p53 status in CRC. Br J Cancer. 2015;112:122–130. doi: 10.1038/bjc.2014.560. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wade NC, Grierson I, O’Reilly S, Hoare MJ, Cracknell KP, Paraoan LI, Brotchie D, Clark AF. Cross-linked actin networks (CLANs) in bovine trabecular meshwork cells. Exp Eye Res. 2009;89:648–659. doi: 10.1016/j.exer.2009.06.006. [DOI] [PubMed] [Google Scholar]
- Wang WH, McNatt LG, Pang IH, Millar JC, Hellberg PE, Hellberg MH, Steely HT, Rubin JS, Fingert JH, Sheffield VC, Stone EM, Clark AF. Increased expression of the WNT antagonist sFRP-1 in glaucoma elevates intraocular pressure. J Clin Invest. 2008;118:1056–1064. doi: 10.1172/JCI33871. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Xing C, Zhang R, Cui J, Li Y, Li G, Yang Y, Pang L, Ruan X, Li J. Pathway crosstalk analysis of non-small cell lung cancer based on microarray gene expression profiling. Tumori. 2015;101:111–116. doi: 10.5301/tj.5000225. [DOI] [PubMed] [Google Scholar]
- Zhang M, Wang M, Tan X, Li TF, Zhang YE, Chen D. Smad3 prevents beta-catenin degradation and facilitates beta-catenin nuclear translocation in chondrocytes. J Biol Chem. 2010;285:8703–8710. doi: 10.1074/jbc.M109.093526. [DOI] [PMC free article] [PubMed] [Google Scholar]