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How Do Errors in Cell Interactions and Differentiation Contribute to Ocular Disease? Development of complex organs such as the eye depends upon highly orchestrated regulatory processes that control the interaction of cells with each other and with their environment. These processes assure the proper development of cells in the embryo as well as their continued normal function in adults. The onset of ocular diseases that can compromise normal visual function may be due in part to malfunctions of these important regulatory pathways. Our research is thus directed at understanding the role of cadherin cell adhesion molecules and related signaling pathways in the normal development and function of the retinal pigment epithelium (RPE) cells of the eye. These cells are critical for maintaining normal visual function, but in some diseases phenotypic transformation of RPE cells contributes to the onset and progression of ocular proliferative disorders such as proliferative vitreoretinopathy (PVR). The formation of epiretinal membranes in PVR which impair normal ocular function may involve an epithelial-mesenchymal transformation (EMT) of RPE cells as part of an aberrant wound healing response. While the underlying mechanism remains unclear, this includes changes in RPE cell gene expression under the control of specific transcription factors and alterations of normal cell-cell interactions. Currently our studies are directed at identification of the mechanisms that regulate EMT in RPE cells. To accomplish this we utilize in vitro model systems and the tools of modern cell, molecular and computational biology to identify biologically relevant transcription factors and their associated signaling pathways that are likely to regulate RPE cell phenotype and whose malfunctions may produce pathological changes in RPE cells in response to diseases or trauma such as retinal detachment. These molecules and pathways may provide potential therapeutic targets for the prevention and treatment of ocular proliferative disorders such as PVR. |
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