Key result
Combined deletion of Angpt2 and Angpt4 in adult mice caused detrimental effects on Schlemm's canal morphology and led to glaucomatous changes, demonstrating their cooperative role in Tie2 activation.
Why the study?
While Tie2 activation by Angpt1 is essential for Schlemm canal formation, the roles of Tie2 ligands Angpt2 and Angpt4 have been controversial or uncharacterized.
Angpt2 and Angpt4 cooperate as agonistic Tie2 ligands in maintaining Schlemm's canal integrity, and their combined deletion leads to glaucomatous changes in mice.
Angpt4 agonism may aid SC maintenance in models; leaves open therapeutic translation pending human data.
Purpose: Defects in the iridocorneal angle tissues, including the trabecular meshwork (TM) and Schlemm's canal (SC), impair aqueous humor flow and increase the intraocular pressure (IOP), eventually resulting in glaucoma. Activation of endothelial tyrosine kinase receptor Tie2 by angiopoietin-1 (Angpt1) has been demonstrated to be essential for SC formation, but roles of the other two Tie2 ligands, Angpt2 and Angpt4, have been controversial or not yet characterized, respectively. Methods: Angpt4 expression was investigated using genetic cell fate mapping and reporter mice. Congenital deletion of Angpt2 and Angpt4 and tamoxifen-inducible deletion of Angpt1 in mice were used to study the effects of Angpt4 deletion alone and in combination with the other angiopoietins. SC morphology was examined with immunofluorescent staining. IOP measurements, electron microscopy, and histologic evaluation were used to study glaucomatous changes. Results: Angpt4 was postnatally expressed in the TM. While Angpt4 deletion alone did not affect SC and Angpt4 deletion did not aggravate Angpt1 deletion phenotype, absence of Angpt4 combined with Angpt2 deletion had detrimental effects on SC morphology in adult mice. Consequently, Angpt2-/-;Angpt4-/- mice displayed glaucomatous changes in the eye. Mice with Angpt2 deletion alone showed only moderate SC defects, but Angpt2 was necessary for proper limbal vasculature development. Mechanistically, analysis of Tie2 phosphorylation suggested that Angpt2 and Angpt4 cooperate as agonistic Tie2 ligands in maintaining SC integrity. Conclusions: Our results indicated an additive effect of Angpt4 in SC maintenance and Tie2 activation and a spatiotemporally regulated interplay between the angiopoietins in the mouse iridocorneal angle.
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Kapiainen et al. (2022) studied Glaucoma. Combined deletion of Angpt2 and Angpt4 vs. Wild-type and single deletion mice was evaluated on Schlemm's canal morphology and intraocular pressure. Combined deletion of Angpt2 and Angpt4 in adult mice caused detrimental effects on Schlemm's canal morphology and led to glaucomatous changes, demonstrating their cooperative role in Tie2 activation.
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