2021 U-M Kellogg Eye Center Annual Report

Page 19

MY HOPE IS THAT A BETTER

UNDERSTANDING THE GENETIC AND

MOLECULAR MECHANISMS OF SMALL EYES AND HYPEROPIA WILL POINT TO NEW

Lev Prasov, M.D., Ph.D., and Erika Ward, B.S., review a pedigree of a large family with nanophthalmos

THERAPEUTIC TARGETS FOR THESE DISEASES. — Lev Prasov, M.D., Ph.D.

Mapping the Genetic Landscape of Nanophthalmos Nanophthalmos is characterized by a small eye and severe

This grant will be used to catalog the genetic determinants

farsightedness (high hyperopia). The condition can lead to a

of nanophthalmos and high hyperopia, including describing

range of complications, from angle closure glaucoma to retinal

the mechanism by which MYRF disrupts RPE structure and

and choroidal detachments.

function.

How nanophthalmos develops is not completely under-

A team of mentors and collaborators led by Dr. Sally

stood. But an important piece of the puzzle was revealed in

Camper will support Dr. Prasov, providing instruction and

2019, when Kellogg physician-scientist Lev Prasov, M.D., Ph.D.

supervision in developmental and medical genetics, RPE biology,

first linked the gene myelin regulatory factor (MYRF) to familial

genomics and bioinformatics.

nanophthalmos. Using animal models, he also uncovered a role

“My hope is that a better understanding the genetic and

for MYRF in retinal pigment epithelial (RPE) development, find-

molecular mechanisms of small eyes and hyperopia will point

ing that its disruption led to retinal degeneration in mice.

to new therapeutic targets for these diseases,” he says. “The

Dr. Prasov has been awarded a Mentored Clinical Scientist Research Career Development (K-08) award from the National

findings may also shed useful light on the other end of the spectrum, namely, myopia that results from too large an eye.”

Institutes of Health to build on that work. “In a study of families with nanophthalmos, we found that known genes, including MYRF, were implicated in only

Dr. Prasov’s K-08 Mentor and Advisor Team:

20 percent of cases,” says Dr. Prasov. “But we hypothesize that

Sally Camper, Ph.D., Professor of Internal Medicine

the other 80 percent of cases may be explained by other, yet

Jun Li, Ph.D., Professor of Human Genetics

to be identified genes, that may be targets or interacting partners

David Zacks, M.D., Ph.D., Professor of Ophthalmology

of MYRF, whose primary function is to control expression of

and Visual Sciences

other genes.”

Robert B. Hufnagel, M.D., Ph.D., Director, Ophthalmic

Genomics Laboratory

K08 Award

17


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