Abstract
Background:
A disintegrin and metalloproteinase with thrombospondin motifs (ADAMTS) is a superfamily of extracellular proteinases found in both mammals and invertebrates. Although there is some evidence about the role of ADAMTSs in ocular diseases such as glaucoma and ectopia lentis, but there is little information about the expression patterns of ADAMTS-1–20 and ADAMTS-like (ADAMTSL-1–6 and PAPLN) genes in human ocular tissues. This study aimed to evaluate the expression profiling of ADAMTS(L) superfamily of genes in different ocular tissues based on age.
Methods:
In 2019, nine human donated eye globes were provided from the Central Eye Bank of Iran, and were divided into three different groups based on age (under 3 yr old, between 20 to 50 and upper 50 yr old). To assess expression patterns of ADAMTS(L) genes in different ocular tissues including trabecular meshwork, lens, retinal pigment epithelium, macula, and optic nerve in the three age groups, total RNA was extracted from the tissues and reverse transcription polymerase chain reaction followed by Real-time PCR was performed.
Results:
We demonstrated not only each member of ADAMTS(L) superfamily shows different expression pattern between the five investigated ocular tissues, but also some members have differential expressions among the investigated age groups in same tissues.
Conclusion:
Differential expression of ADAMTS(L) genes in ocular tissues from different age groups could explain some functional aspects of the tissues and also may be used as prognostic and diagnostic biomarkers for ocular diseases and pathologies. Further studies are required to explore their functional roles associated with ocular pathologies.
Keywords: ADAMTS Proteins, Gene expression, Eye
Introduction
Extracellular matrix (ECM) proteins are crucial for normal development and function of the tissues (1). Connective tissue disorders include various multisystem diseases that ordinarily have well-known ocular manifestations (2). Mutations in multiple ECM proteins or proteins involved in ECM homeostasis and function including some of the collagens, fibrillin-1 (FBN1), fibullin-5 (FBLN5), laminin and some of the A disintegrin and metalloproteinase with thrombospondin motifs (ADAMTS(L)) superfamily proteins have been reported in human diseases with ocular associations (1, 3). ADAMTS (L) as one of the ECM superfamilies contains 26 secreted molecules in humans dividing into two related families, 19 ADAMTS proteinases and at least seven ADAMTS-like (ADAMTSL) proteins without enzymatic activity (4–6). The ADAMTSs are zinc metalloproteinases consist of an N-terminal catalytic and disintegrin-like domain and C-terminal region containing thrombospondin repeats that can interact with the ECM components (5–7). In contrast, ADAMTSL proteins lack a metalloproteinase domain, reside in the ECM and have regulatory roles in ECM assembly and ADAMTS activity (3).
In the ADAMTS nomenclature, ADAMTS-1 to ADAMTS-20 was considered, but ADAMTS-5 and ADAMTS-11 are names of a same gene encoding a defined enzyme, and ADAMTS-11 is no longer used (3). Human ADAMTSL subfamily also comprises seven genes including ADAMTSL-1 to -6 and PAPLN.
The ADAMTS (L) superfamily is participated in many biological functions associated with tissue development and homeostasis (3, 6). Although loss of function in some ADAMTS (L) members causes Mendelian inherited disorders, anomalous expression or function of the other members is associated with pathologies including arthritis, cardiovascular diseases and cancer (3, 4, 8).
There is some evidence about the role of ADAMTS (L) superfamily in ocular diseases such as glaucoma and ectopia lentis (9); however, expression patterns of ADAMTS (L) genes in ocular tissues were not well understood and there is no comprehensive study focusing on the expression patterns of ADAMTS (L) genes in ocular tissues and in different ages to determine the main subset of the ADAMTS (L) genes in different eye tissues and in different age stages. In this study, we investigated relative gene expression pattern of ADAMTS(L) superfamily in five ocular tissues including trabecular meshwork (TM), lens, retinal pigment epithelium (RPE), macula, and optic nerve in three different age groups.
Materials and Methods
Human eye samples and grouping
The study was approved by the Institutional Review Board of the Central Eye Bank of Iran and the ethics committee of Research Institute for Ophthalmology and Vision Science of Shahid Beheshti University of Medical Sciences, Tehran, Iran (IRB no: IR.SBMU.ORC.REC.1391.008). Legal guardians of donors have given their written informed consent.
In 2019, nine normal human eye globes that were allocated for research purposes, were obtained from the Central Eye Bank of Iran (Tehran, Iran) and divided into three groups based on age: infants (<3 yr old), adults (20–50 yr old) and elderly (>50 yr old). None of the donors had past ocular or family history of inherited or familial ocular disorders. The RPE layer, optic nerve, lens, macula, and TM tissues were removed by an ophthalmic pathologist (MRK) and preserved in RNA later stabilization solution (#AM7020, Thermo Fisher Scientific, Waltham, MA, USA) for following experimental use.
RNA purification and quantitative Real-time PCR
Total RNA was extracted from the tissues by using QIAzol Lysis Reagent according to the manufacturer’s instructions (#79306, Qiagen, Germany). NanoDrop (Thermo Fisher Scientific, Waltham, MA, USA) and agarose gel electrophoresis were used to determine the concentration/purity and the integrity of the isolated RNAs, respectively. Reverse transcription was performed using Random hexamers and avian myeloblastosis virus reverse transcriptase (Cinnagen, Tehran, Iran) according to the instructions. Primers were designed for all 26 human ADAMTS(L) genes superfamily and quantitative real-time PCR was then performed using the QuantiFast SYBR Green PCR Kit (#204054, Qiagen, Germany) and Corbett 65H0 instrument (Corbett Research, Sidney, Australia). The real-time PCR parameters were an initial denaturation (one cycle at 95 °C for 15 min); denaturation, annealing and extension at 95 °C for 15 sec, 55 °C for 25 sec and 72 °C for 25 sec, respectively, for 40 cycles; and a melting curve, 72 °C, with the temperature gradually increasing (0.5 °C) to 95 °C. All defined real-time PCR reactions were repeated four times. GAPDH was used as a normalizer gene. Analyses of expression levels for gene transcripts were performed by evaluating threshold cycle (Ct) values using RotorGene 6000 software of the instrument (Corbett Industries, Sydney, Australia). All the expression curves were confirmed by comparing the melting temperatures of the amplicons to omit any misinterpretation of the data, especially in the low level expressed genes (Ct more than 35).
Statistical analysis
Ct values were exported from the RotorGene 6000 software into Excel and analyzed. Normalized data against the control gene were used for comparisons between groups by using SAS6.12 software (SAS institute Inc., Cary, NC, USA). Comparisons of the means of normalized Ct values for each gene between age groups and between ocular tissues were done using Duncan’s new multiple range test (MRT). The values were presented as mean ± standard error of the mean (SEM) and P< 0.01 was considered statistically significant.
Results
We had the results of more than 4000 real-time PCR reactions for analysis (26 genes × 5 tissues × 9 samples × 4 repeats= 4680 reactions). Two kinds of comparisons were done: a) assessment of expression level for each gene in each age group with comparison between all the five different ocular tissues (Table 1) and b) assessment of expression level for all ADAMTS(L) genes superfamily in each investigated tissue with comparison between all the age groups (Table 2, Figs. 1–5). All the significant P-values are shown in the Table 1 and 2. Generally, in each age group, and each investigated ocular tissue, some of the ADAMTS(L) genes showed relative high expression levels compared with the other family members.
Table 1:
Significant difference in the expression of each ADAMTS (L) member between different ocular tissues in each age group
Gene | Age groups | TM vs. LENS | TM vs. RPE | TM vs. MAC | TM vs. ON | LENS vs. RPE | LENS vs. MAC | LENS vs. ON | RPE vs. MAC | RPE vs. ON | MAC vs. ON |
---|---|---|---|---|---|---|---|---|---|---|---|
ADAMT S-1 | Infant | ||||||||||
Adult | * | * | * | ||||||||
Elderly | * | * | * | * | |||||||
ADAMT S-2 | Infant | * | |||||||||
Adult | * | * | * | ||||||||
Elderly | * | * | * | * | * | * | |||||
ADAMT S-3 | Infant | * | * | * | * | * | * | ||||
Adult | |||||||||||
Elderly | * | * | * | * | * | * | * | * | |||
ADAMT S-4 | Infant | ||||||||||
Adult | * | * | * | * | * | * | |||||
Elderly | * | * | * | * | * | * | * | * | |||
ADAMT S-5 | Infant | * | |||||||||
Adult | |||||||||||
Elderly | * | * | * | * | * | ||||||
ADAMT S-6 | Infant | * | * | * | * | ||||||
Adult | * | * | * | * | * | * | |||||
Elderly | * | * | * | * | * | * | * | ||||
ADAMT S-7 | Infant | * | * | * | |||||||
Adult | |||||||||||
Elderly | |||||||||||
ADAMT S-8 | Infant | * | |||||||||
Adult | |||||||||||
Elderly | * | * | |||||||||
ADAMT S-9 | Infant | ||||||||||
Adult | * | * | |||||||||
Elderly | * | * | * | * | * | * | * | * | * | ||
ADAMT S-10 | Infant | ||||||||||
Adult | * | ||||||||||
Elderly | * | * | * | * | * | * | * | * | |||
ADAMT S-12 | Infant | * | * | * | * | * | * | ||||
Adult | * | ||||||||||
Elderly | * | * | * | * | * | * | |||||
ADAMT S-13 | Infant | * | * | * | * | * | * | ||||
Adult | * | * | * | ||||||||
Elderly | * | * | * | ||||||||
ADAMT S-14 | Infant | * | * | * | * | * | * | ||||
Adult | * | * | * | ||||||||
Elderly | * | * | * | * | * | * | * | ||||
ADAMT S-15 | Infant | * | * | * | * | ||||||
Adult | * | ||||||||||
Elderly | * | * | * | * | * | * | * | ||||
ADAMT S-16 | Infant | * | * | ||||||||
Adult | * | * | * | * | * | ||||||
Elderly | * | * | * | * | * | ||||||
ADAMT S-17 | Infant | * | * | * | * | ||||||
Adult | * | * | * | ||||||||
Elderly | * | * | * | * | * | * | * | ||||
ADAMT S-18 | Infant | * | * | * | * | ||||||
Adult | |||||||||||
Elderly | |||||||||||
ADAMT S-19 | Infant | * | * | * | * | * | |||||
Adult | * | * | |||||||||
Elderly | * | * | * | ||||||||
ADAMT S-20 | Infant | * | * | * | |||||||
Adult | * | * | * | * | |||||||
Elderly | * | * | * | * | |||||||
ADAMT SL-1 | Infant | * | * | * | * | * | |||||
Adult | * | ||||||||||
Elderly | * | * | * | ||||||||
ADAMT SL-2 | Infant | * | * | * | * | * | |||||
Adult | |||||||||||
Elderly | |||||||||||
ADAMT SL-3 | Infant | * | * | ||||||||
Adult | * | * | * | * | * | * | * | ||||
Elderly | * | * | * | * | * | * | * | * | |||
ADAMT SL-4 | Infant | * | |||||||||
Adult | * | * | |||||||||
Elderly | |||||||||||
ADAMT SL-5 | Infant | * | * | * | * | ||||||
Adult | |||||||||||
Elderly | |||||||||||
ADAMT SL-6 | Infant | ||||||||||
Adult | |||||||||||
Elderly | |||||||||||
PAPLN | Infant | ||||||||||
Adult | |||||||||||
Elderly |
TM; Trabecular Meshwork, RPE; Retinal Pigment Epithelium, MAC; Macula, ON; Optic Nerve.
*; P < 0.01 and it was considered statistically significant.
Table 2:
Significant difference in the expression of each ADAMTS (L) member between different age groups in each ocular tissue
Gene | Ocular Tissue | Infants vs. Adults | Infants vs. Elderly | Adults vs. Elderly |
---|---|---|---|---|
ADAMTS-1 | TM | |||
LENS | ||||
RPE | ||||
MAC | ||||
ON | * | * | ||
ADAMTS-2 | TM | |||
LENS | ||||
RPE | ||||
MAC | ||||
ON | * | |||
ADAMTS-3 | TM | * | ||
LENS | ||||
RPE | * | * | ||
MAC | * | * | ||
ON | ||||
ADAMTS-4 | TM | * | * | |
LENS | * | * | ||
RPE | * | * | ||
MAC | * | * | ||
ON | * | * | ||
ADAMTS-5 | TM | |||
LENS | * | * | ||
RPE | ||||
MAC | ||||
ON | ||||
ADAMTS-6 | TM | * | * | |
LENS | ||||
RPE | * | * | ||
MAC | * | * | ||
ON | * | |||
ADAMTS-7 | TM | * | * | |
LENS | * | * | ||
RPE | ||||
MAC | ||||
ON | ||||
ADAMTS-8 | TM | * | * | |
LENS | ||||
RPE | ||||
MAC | ||||
ON | * | |||
ADAMTS-9 | TM | |||
LENS | ||||
RPE | ||||
MAC | ||||
ON | ||||
ADAMTS-10 | TM | * | ||
LENS | ||||
RPE | ||||
MAC | ||||
ON | ||||
ADAMTS-12 | TM | * | * | |
LENS | ||||
RPE | ||||
MAC | ||||
ON | * | * | ||
ADAMTS-13 | TM | |||
LENS | ||||
RPE | ||||
MAC | ||||
ON | * | |||
ADAMTS-14 | TM | * | * | |
LENS | ||||
RPE | * | * | ||
MAC | ||||
ON | * | * | * | |
ADAMTS-15 | TM | |||
LENS | ||||
RPE | * | * | ||
MAC | ||||
ON | * | * | * | |
ADAMTS-16 | TM | * | * | |
LENS | * | * | * | |
RPE | * | * | * | |
MAC | * | * | ||
ON | * | * | ||
ADAMTS-17 | TM | * | * | |
LENS | * | * | ||
RPE | * | * | ||
MAC | * | * | ||
ON | * | |||
ADAMTS-18 | TM | * | ||
LENS | ||||
RPE | * | * | ||
MAC | ||||
ON | ||||
ADAMTS-19 | TM | |||
LENS | * | |||
RPE | * | * | ||
MAC | ||||
ON | * | * | ||
ADAMTS-20 | TM | |||
LENS | ||||
RPE | * | * | * | |
MAC | * | |||
ON | ||||
ADAMTSL-1 | TM | * | * | |
LENS | * | |||
RPE | * | * | * | |
MAC | ||||
ON | ||||
ADAMTSL-2 | TM | |||
LENS | ||||
RPE | * | * | ||
MAC | * | |||
ON | ||||
ADAMTSL-3 | TM | |||
LENS | * | * | ||
RPE | * | * | * | |
MAC | * | * | ||
ON | * | * | ||
ADAMTSL-4 | TM | * | * | |
LENS | * | * | ||
RPE | ||||
MAC | ||||
ON | * | * | ||
ADAMTSL-5 | TM | * | * | |
LENS | * | |||
RPE | * | * | ||
MAC | * | * | ||
ON | ||||
ADAMTSL-6 | TM | |||
LENS | ||||
RPE | ||||
MAC | ||||
ON | ||||
PAPLN | TM | |||
LENS | ||||
RPE | ||||
MAC | * | * | ||
ON | * | * | * |
TM; Trabecular Meshwork, RPE; Retinal Pigment Epithelium, MAC; Macula, ON; Optic Nerve.
*; P<0.01 and it was considered statistically significant.
Fig. 1:
Differential expression of each ADAMTS(L) member among three different age groups in lens tissue
Fig. 5:
Differential expression of each ADAMTS(L) member among three different age groups in trabecular mesh-work tissue
Fig. 2:
Differential expression of each ADAMTS(L) member among three different age groups in macular tissue
Fig. 3:
Differential expression of each ADAMTS(L) member among three different age groups in optic nerve tissue
Fig. 4:
Differential expression of each ADAMTS(L) member among three different age groups in retinal pigment epithelium tissue
Relative expression of ADAMTS(L) members in the ocular tissues of infants
Regarding relative expression analysis between age groups, ADAMTSL-1 in TM tissue, ADAMTS-4 and ADAMTSL-3 in lens tissue, ADAMTS-3, -14, -15, -16, -17, -18 and ADAMTSL-1 in RPE tissue, ADAMTS-3, -4, -17 and ADAMTSL-3 in macular tissue and ADAMTS-12 in optic nerve tissue received from infant subjects had significantly high expression level in comparison with other age groups. Moreover, ADAMTS-4 in TM tissue, ADAMTS-17 in optic nerve and lens tissue from infant donors had significantly higher expression than elderlies. Moreover, ADAMTS-18 in TM tissue, ADAMTSL-2 in RPE and macular tissue, ADAMTSL-5 in lens, RPE and macular tissue, ADAMTS-16 and PAPLN in macula and optic nerve tissue and ADAMTS-14 in optic nerve donated from infant subjects had significantly higher expression than adults (Table 2).
Relative expression of ADAMTS(L) members in the ocular tissues of adults
Only ADAMTS-8 had high expression level in RPE tissue received from adult group in comparison with the RPE tissue extracted from other age groups. ADAMTS-6, -7, -8 in TM tissue, ADAMTS-5, -7 in lens tissue, ADAMTS-4 in RPE and optic nerve tissues, ADAMTS-1, -15 in optic nerve tissue from adult subjects had higher expression levels compared with the tissues of infants. Moreover, ADAMTS-12 in TM tissue, ADAMTS-17 in lens tissue, and ADAMTS-13 in optic nerve tissue from adult subjects showed higher expression levels in comparison with elderlies (Table 2).
Relative expression of ADAMTS(L) members in the ocular tissues of elderlies
ADAMTS-14, -17 in TM tissue, ADAMTS-16 and ADAMTSL-4 in lens tissue, ADAMTS-6, -20 and ADAMTSL-3 in RPE tissue, ADAMTS-6 in macular tissue and ADAMTS-14, -15, -19 and ADAMTSL-3, -4, and PAPLN in optic nerve tissue from elderlies had higher expression levels in comparison with other age groups. Moreover, ADAMTS-3, -6, -7, -8, -10 in TM tissue, ADAMTS-5, -7 in lens tissue, ADAMTS-4 in RPE tissue, and ADAMTS-1, -2, -4, -6, -8 in optic nerve tissue of elderlies had higher expression levels compared with infants. Moreover, ADAMTS-4, -16 and ADAMTSL-5 in TM tissue, ADAMTS-19 and ADAMTSL-1 in lens tissue, ADAMTS-16, -19 and ADAMTSL-1, -2, -5 in RPE tissue, ADAMTS-16, -20 and ADAMTSL-5, and PAPLN in macular tissue, and ADAMTS-16 in optic nerve tissue had higher expressions in elderly subjects in comparison with adults (Table 2).
Discussion
Expression profiling of ADAMTS(L) genes in human ocular tissues of three different age groups have been shown in this study. Differential expression of these genes may be associated with some ocular phenotypic features and functional roles reported for the ADAMTS(L) genes. Among ADAMTS(L) proteins, ADAMTS-2, -3 and -14 have procollagen N-propeptidases activity (10–12). Mutations in the ADAMTS-2 gene is associated with Ehlers-Danlos syndrome type 7C, a connective tissue disorder (13). Our results showed that ADAMTS-2, -3, and -14, has more expression levels in ocular tissues obtained from elderlies. The pathogenesis process of some of the late onset ocular diseases may be associated with disruption in expression or function of these ADAMTSs, as some ocular diseases like age-related macular degeneration (AMD) and retinopathies are emerged in elderly ages (14).
ADAMTS-4 and -5 have aggrecan degradation property (15, 16). ADAMTS-4 expression level is increased in response to elevation of intraocular pressure in normal and glaucomatous eyes. “Also, in human TM cells, ADAMTS-4 colocalized with cortactinin podosome- or invadopodia-like structures and therefore can increase outflow facility. ADAMTS-4 is expressed in the juxtacanalicular region of the TM in increased pressure situation of anterior segments. Moreover, cytokine treatment of TM cells increases mRNA expression of ADAMTS-1, -4, and -5″ (17). In this study, observed high expression of ADAMTS-4 in TMs of both infants and elderly subjects may be related to the supposed role of ADAMTS-4 for outflow facility which its disruption is the major glaucomatous feature.
ADAMTS-1 has anti-tumor and anti-angiogenesis activities based on VEGF inhibition (18, -19). We observed a high expression level of ADAMTS-1 in optic nerve tissues from adult and elderly subjects, related to its inhibitory role for the angiogenesis process.
Similarly, ADAMTS-8 (20) and -9 (21) have anti-angiogenesis activity. Tumor necrosis factor-α (TNFα) plays a role in the development of retinal neovascularization (22) and RPE cell migration (23), which are features of AMD and other retinal disorders. The expression of ADAMTS-1, -6 and -9 was upregulated in the treatment of ARPE-19 cells, a human retinal pigment epithelial cell line, with TNFα (24), indicating that these ADAMTSs may have a role in inflammatory eye diseases (24). Our results showed that these ADAMTSs are expressed in ocular tissues with adult and elderly ages, specifically in RPE, TM and optic nerve tissues, associated with anti-angiogenesis activity in the tissues.
ADAMTS-18 is required for proper photoreceptor cell function and pathogenic role of mutated ADAMTS-18 gene in inherited retinal dystrophies has been indicated (25, 26). In addition, ADAMTS-18 gene is associated with Knobloch syndrome (27). In this study, high levels of ADAMTS-18 were expressed in the TM and RPE tissues of infants, as previously revealed the expression of ADAMTS-18 in lens and retinal tissues in the developing murine eyes (27).
Similarly, ADAMTS-16 controls optic fissure closure through the basement membrane degradation at the closing optic fissure edges and promoting cell proliferation (28). We demonstrated high expression of ADAMTS-16 in RPE, macula and optic nerve tissues received from infant subjects. In contrast, its high expression level was observed in TM and lens tissues of elderlies.
ADAMTS-10 is a regulator of fibrillin microfibril assembly (29), by binding to fbn1 (7). Moreover, this ADAMTS binds heparan sulphate (HS) and supports epithelial cell–cell junction and focal adhesion formation (30). Mutations in ADAMTS-10 are associated with Weill–Marchesani Syndrome (WMS) (9, 31) and primary Norwegian Elkhound primary glaucoma (32). Our results identified high expression level of ADAMTS-10 in TM tissue of elderly subjects.
Similarly, ADAMTS-6 as an active homologue of ADAMTS-10 (33), can bind to HS and cleave Fbn1 and syndecan-4 (30). ADAMTS-10 has essential role in ZO-1-rich tight junction integrity in epithelial cells. In contrast, ADAMTS-6 depletion enhances tight junctions and ADAMTS-10 negatively regulates ADAMTS-6 expression (30). We demonstrated that ADAMTS-6 has a high expression level in TM tissues from adults. Additionally, ADAMTS-6 showed high expression levels in TM, RPE, macula and optic nerve tissues from elderly group, in which the ZO-1-rich tight junction integrity in the corresponding ocular tissues may be weak.
ADAMTS-17 plays pivotal role in crystalline lens zonules and connective tissue formation, and mutations in ADAMTS-17 cause WMS-like syndrome (9, 34, 35). In this study, this ADAMTS showed a high expression only in lens tissue of adults. Besides, high expressions of ADAMTS-17 were observed in RPE, macula, optic nerve and lens tissues from infants. Moreover, a high expression level of ADAMTS-17 was detected in TM tissue of elderly subjects.
Conclusion
To the best of our knowledge, this is a comprehensive study focusing on the expression pattern of ADAMTS(L) superfamily of genes in various ocular tissues at different age groups. We demonstrated that the members of ADAMTS(L) superfamily have often different expression in different ocular tissues. In addition, the expression of the most members was different between age groups in the same tissues. This knowledge gives the researches a better chance of selection of the ADAMTS(L) superfamily members to identify diagnostic and prognostic markers. Further studies are required to explore the other ocular tissues not included in this study and also determine their protein expression levels.
Journalism Ethics considerations
Ethical issues (Including plagiarism, informed consent, misconduct, data fabrication and/or falsification, double publication and/or submission, redundancy, etc.) have been completely observed by the authors.
Acknowledgements
We acknowledge Research Institute for Ophthalmology and Vision Science of Shahid Beheshti University of Medical Sciences for funding this research and the Central Eye Bank of Iran for providing eye tissues.
Footnotes
Conflict of Interest
All the authors declare that they have no competing interests.
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