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	<ui>1471-2156-13-76</ui>
	<ji>1471-2156</ji>
	<fm>
		<dochead>Research article</dochead>
		<bibl>
			<title>
				<p>Waved with open eyelids 2 (<it>woe2</it>) is a novel spontaneous mouse mutation in the protein phosphatase 1, regulatory (inhibitor) subunit 13 like (<it>Ppp1r13l)</it> gene</p>
			</title>
			<aug>
				<au id="A1"><snm>Toonen</snm><fnm>Joseph</fnm><insr iid="I1"/><email>jtoonen@mcw.edu</email></au>
				<au id="A2"><snm>Liang</snm><fnm>Lina</fnm><insr iid="I1"/><email>lianglina2001@gmail.com</email></au>
				<au id="A3" ca="yes"><snm>Sidjanin</snm><mi>J</mi><fnm>Duska</fnm><insr iid="I1"/><insr iid="I2"/><email>djsidjani@mcw.edu</email></au>
			</aug>
			<insg>
				<ins id="I1"><p>Department of Cell Biology, Neurobiology and Anatomy, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI, 53226, USA</p></ins>
				<ins id="I2"><p>Human and Molecular Genetics Center, Medical College of Wisconsin, Milwaukee, WI, USA</p></ins>
			</insg>
			<source>BMC Genetics</source>
			<section><title><p>Functional genetics</p></title></section><issn>1471-2156</issn>
			<pubdate>2012</pubdate>
			<volume>13</volume>
			<issue>1</issue>
			<fpage>76</fpage>
			<url>http://www.biomedcentral.com/1471-2156/13/76</url>
			<xrefbib><pubidlist><pubid idtype="doi">10.1186/1471-2156-13-76</pubid><pubid idtype="pmpid">22928477</pubid></pubidlist></xrefbib>
		</bibl>
		<history><rec><date><day>7</day><month>6</month><year>2012</year></date></rec><acc><date><day>24</day><month>7</month><year>2012</year></date></acc><pub><date><day>28</day><month>8</month><year>2012</year></date></pub></history>
		<cpyrt><year>2012</year><collab>Toonen et al.; licensee BioMed Central Ltd.</collab><note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note></cpyrt>
		<kwdg>
			<kwd>EOB</kwd>
			<kwd>Eyelid</kwd>
			<kwd>Embryonic</kwd>
			<kwd>Meibomian</kwd>
			<kwd>Mapping</kwd>
			<kwd>Microsatellite</kwd>
			<kwd>Locus</kwd>
			<kwd>Mutation</kwd>
			<kwd>Deletion</kwd>
		</kwdg>
		<abs>
			<sec>
				<st>
					<p>Abstract</p>
				</st>
				<sec>
					<st>
						<p>Background</p>
					</st><p>Waved with open eyelids 2 (<it>woe2</it>) is a novel autosomal recessive mouse mutation that arose spontaneously in our animal facility. Upon initial evaluation, mutant mice exhibited eyelids open at birth (EOB) and wavy fur phenotypes. The goals of this study were to phenotypically characterize the <it>woe2</it> mice and to identify the gene harboring the mutation responsible for the <it>woe2</it> phenotype.</p>
				</sec>
				<sec>
					<st>
						<p>Results</p>
					</st><p>Histological analysis of <it>woe2</it> embryos identified the failure of embryonic eyelid closure. Clinical and histological analysis of <it>woe2</it> adult eyes identified severe corneal opacities, abnormalities of the anterior segment of the eye, and the absence of meibomian glands. Abnormalities in the fur texture and the absence of meibomian glands prompted us to evaluate other epidermal appendages<it>:</it> skin, teeth, and nails--as well as lacrimal, mammary, salivary, sebaceous and sweat glands. No obvious morphological differences between WT and <it>woe2</it> mice were identified in these tissues. However, the analysis of <it>woe2</it> identified cardiac abnormalities. Positional cloning of the <it>woe2</it> locus identified a 1308&#8201;bp deletion in the <it>Ppp1r13l</it> gene. The deletion resulted in an aberrant <it>Ppp1r13l</it>
						<sup>
							<it>&#916;exon9-11</it>
						</sup> transcript that lacks exons 9, 10 and 11 resulting in a premature stop and a loss of 223 amino acids from the C-terminal end of the putative mutant PPP1R13L protein. Immunohistological analysis during eye development identified expression of PPP1R13L in the palpebral epidermis, palpebral and bulbar conjunctiva, corneal epithelium and meibomian glands.</p>
				</sec>
				<sec>
					<st>
						<p>Conclusions</p>
					</st><p>The <it>woe2</it> mouse harbors a novel deletion within the <it>Ppp1r13l</it> gene, likely resulting in a complete loss of PPP1R13L function. Results from this study provide evidence that PPP1R13L has an essential role in embryonic eyelid closure as well in development of meibomian glands and the anterior segment of the eye. The <it>woe2</it> mice are a useful model for investigation of the role of PPP1R13L, especially during ocular and eyelid development.</p>
				</sec>
			</sec>
		</abs>
	</fm>
	<bdy>
		<sec>
			<st>
				<p>Background</p>
			</st><p>As a part of mammalian ocular development the eyelids form, grow over the cornea, meet, and temporarily fuse <abbrgrp>
					<abbr bid="B1">1</abbr>
				</abbrgrp>. The closed eyelids serve as a protective barrier preventing premature exposure of developing ocular structures to the environment. Once conjunctival and corneal epithelia reach their maturity, the eyelid junction begins to break down and the eyelids reopen <abbrgrp>
					<abbr bid="B2">2</abbr>
				</abbrgrp>. Whether different mammalian species are born with the eyelids open or closed is determined by the stage of the ocular development specific for the species at the time of birth <abbrgrp>
					<abbr bid="B1">1</abbr>
				</abbrgrp>. In mice, eyelid formation is initiated at embryonic day 11.5 (E11.5) by invagination of the dorsal and ventral periocular ectoderm resulting in the formation of the primitive eyelid <abbrgrp>
					<abbr bid="B1">1</abbr>
					<abbr bid="B3">3</abbr>
				</abbrgrp>. By E15.5, the leading edges of the eyelid form at the tip of the primitive eyelids and start to migrate towards each other. By E16.5, the eyelids meet and form a junction and by E17 embryonic eyelid closure is fully completed <abbrgrp>
					<abbr bid="B1">1</abbr>
					<abbr bid="B3">3</abbr>
				</abbrgrp>. Mice are born with their eyelids closed and they remain closed until postnatal days 10 to 12 (P10-12) at which time they reopen <abbrgrp>
					<abbr bid="B2">2</abbr>
				</abbrgrp>. When eyelids fail to close properly before birth, the result is often severe corneal inflammation, defects in the anterior segment and blindness <abbrgrp>
					<abbr bid="B3">3</abbr>
					<abbr bid="B4">4</abbr>
				</abbrgrp>. Forward and reverse genetic approaches have identified genes essential for embryonic eyelid closure that, when mutated, lead to the &#8220;eyelids-open-at-birth&#8221; (EOB) phenotype. Given that mice are born with their eyelids closed, the EOB phenotype is easily identified by observation of the eyelids of newborn pups. EOB phenotypes have been identified to be associated with many genotypes; in fact, Mouse Genome Informatics (MGI) (<url>http://www.informatics.jax.org/</url>) lists 138 genotypes associated with the EOB phenotype indicating numerous genes and molecular pathways associated with this process.</p><p>A subgroup of mutant mice with the EOB phenotype also exhibit wavy fur. Molecular and genetic analyses showed that the majority of the mice with EOB and wavy fur phenotypes have defects in epidermal growth factor receptor (EGFR) signaling. Specifically, mice with mutations in the transforming growth factor alpha (<it>Tgfa</it>) <abbrgrp>
					<abbr bid="B5">5</abbr>
					<abbr bid="B6">6</abbr>
				</abbrgrp>, a disintegrin and metallopeptidase domain 17 (<it>Adam17) </it>
				<abbrgrp>
					<abbr bid="B7">7</abbr>
					<abbr bid="B8">8</abbr>
					<abbr bid="B9">9</abbr>
				</abbrgrp> and <it>Egfr</it> which encodes the EGFR receptor <abbrgrp>
					<abbr bid="B10">10</abbr>
					<abbr bid="B11">11</abbr>
					<abbr bid="B12">12</abbr>
					<abbr bid="B13">13</abbr>
					<abbr bid="B14">14</abbr>
				</abbrgrp> all exhibit EOB and wavy fur phenotypes. EGFR signaling plays an essential role in regulating the eyelid leading edge migration through activation of the EGFR-ERK signaling cascade <abbrgrp>
					<abbr bid="B15">15</abbr>
				</abbrgrp>. Interestingly, another mouse mutant termed <it>waved 3</it> (<it>wa3</it>) also exhibits the EOB and wavy fur phenotypes similar to those observed in mice with EGFR signaling defects <abbrgrp>
					<abbr bid="B16">16</abbr>
				</abbrgrp>. The <it>wa3</it> mice have a mutation in <it>Ppp1r13l </it>
				<abbrgrp>
					<abbr bid="B16">16</abbr>
				</abbrgrp>
				<it>,</it> a gene that belongs to the Apoptosis Stimulating Proteins of p53 (ASPP) family of proteins. Although PPP1R13L is a highly conserved protein from <it>C. elegans</it> to human <abbrgrp>
					<abbr bid="B17">17</abbr>
				</abbrgrp> the role of PPP1R13L remains poorly understood. It has been shown that PPP1R13L acts as a regulator of p53-mediated apoptosis <abbrgrp>
					<abbr bid="B17">17</abbr>
				</abbrgrp> and as a regulator of the NF-&#1082;B subunit p65-RelA gene expression <abbrgrp>
					<abbr bid="B18">18</abbr>
				</abbrgrp>. Recently, it was also shown that PPP1R13L, via its regulation of p63, is a key regulator of epithelial homeostasis <abbrgrp>
					<abbr bid="B19">19</abbr>
				</abbrgrp> and epithelial stratification <abbrgrp>
					<abbr bid="B20">20</abbr>
				</abbrgrp>.</p><p>Here we report a novel autosomal recessive mouse mutation that arose spontaneously in our mouse colony. Initial observations showed that the mutant mice exhibit EOB and wavy fur phenotypes. The identified phenotypes observed in the mutant mice resemble those in <it>waved with open eyelids (woe</it>) mice carrying a hypermorphic mutation in <it>Adam17,</it> previously studied in our lab <abbrgrp>
					<abbr bid="B8">8</abbr>
				</abbrgrp>. Thus, we termed the newly identified mutant mice <it>waved with open eyelids 2</it> (<it>woe2</it>). A detailed examination of <it>woe2</it> phenotypes revealed that a defect in embryonic eyelid closure is responsible for the <it>woe2</it> EOB phenotype observed at birth. Additional ocular phenotypes in <it>woe2</it> mice include severe corneal opacities, defects in the structures of the anterior segment of the eye, and the absence of the meibomian glands. In addition to ocular and wavy fur phenotypes, <it>woe2</it> mice also exhibited severe cardiac defects. Genetic analysis showed that the <it>woe2</it> phenotypes are due to a 1308&#8201;bp deletion in the <it>Pppr13l</it> gene. The identified deletion results in aberrantly spliced <it>Ppp1r13l</it> transcript and a putative truncated PPP1R13L protein lacking C-terminal functional domains. These findings uncover previously unidentified roles for PPP1R13L during eyelid and ocular development.</p>
		</sec>
		<sec>
			<st>
				<p>Methods</p>
			</st>
			<sec>
				<st>
					<p>Mice</p>
				</st><p>The <it>woe2</it> mutation arose spontaneously on a mixed C57BL/6X129/SvJ background. The <it>woe2</it> locus was maintained by brother-sister breedings. The C3A.BLiA-<it>Pde6b+</it>/J strain, which is a <it>Pde6b(+)</it> strain of C3H/HeJ (<url>http://jaxmice.jax.org/strain/001912.html</url>), and C57BL/6J were obtained from the Jackson Laboratory (Bar Harbor, ME). All strains exhibited normal breeding patterns and litter sizes. The treatment and use of all animals in this study was compliant with all protocols and provisions approved by the Institutional Animal Care and Use Committee (IACUC) at the Medical College of Wisconsin.</p>
			</sec>
			<sec>
				<st>
					<p>Clinical evaluation, histology and electron microscopy</p>
				</st><p>For clinical analysis, mouse eyes were examined with a Topcon SL-D8Z slit lamp biomicroscope, following mydriasis with 1% Atropine Sulfate (Bausch &amp; Lomb). The eyes were imaged with a Nikon SLR-based Photo Slit Lamp imaging system as previously described <abbrgrp>
						<abbr bid="B21">21</abbr>
					</abbrgrp>. For tissue analysis, E0.5 was defined as the morning of the day that a vaginal plug was first observed in a female. Embryonic and postnatal tissues were collected and fixed in either Zinc-formalin, Davidson&#8217;s solution, or 4% paraformaldehyde, then embedded in paraffin and sectioned to 4&#8201;&#956;m thickness and stained with H&amp;E using standard procedures as previously described <abbrgrp>
						<abbr bid="B8">8</abbr>
					</abbrgrp>. For scanning electron microscopy (SEM), E15.5 and E16.5 wild-type and <it>woe2</it> embryo heads were collected, fixed in 2% glutaraldehyde in 0.1&#8201;M sodium cacodylate buffer, rinsed in buffer and dehydrated in ethanol. The samples were then critical-point dried in a Bal-tec CPD050, gold sputter coated in a Denton Desk II and viewed in a FEI XL30 SEM.</p>
			</sec>
			<sec>
				<st>
					<p>Immunohistochemistry</p>
				</st><p>Antigen retrieval was performed in 1x citrate Buffer (Invitrogen) warmed to 95&#176;C for 20&#8201;minutes. Sections were allowed to cool to room temperature and subsequently blocked in 10% normal goat serum with 1% bovine serum albumin in PBS for one hour. Slides were incubated at 4&#176;C for one hour with monoclonal anti- PPP1R13L primary antibody (Sigma-Aldrich) at 1:200. Slides were then washed 3x in PBST and incubated for 20&#8201;minutes with goat&#945;mouse Alexa633 (Invitrogen) secondary antibody at 1:1000. Slides were washed 3x in PBST and mounted with Vectashield mounting medium containing DAPI (Vector Labs).</p>
			</sec>
			<sec>
				<st>
					<p>Linkage mapping</p>
				</st><p>The <it>woe2</it> homozygote mice were outcrossed to C3A.BliA-<it>Pde6&#946;</it>+/J; the resulting F1 progeny were backcrossed which generated 164&#8201;F2 progeny. These progeny were evaluated at three weeks of age for the presence of the wavy fur and were clinically evaluated for ocular abnormalities. Following phenotyping, the F2 progeny were euthanized and tissues were collected. Genomic DNA was purified from collected tissues as previously described <abbrgrp>
						<abbr bid="B22">22</abbr>
					</abbrgrp>. Initially, 25&#8201;F2 progeny were genotyped as previously described <abbrgrp>
						<abbr bid="B22">22</abbr>
					</abbrgrp> with polymorphic microsatellites from Chr. 6: <it>D6Mit188, D6Mit320, D6Mit323;</it> Chr. 7: <it>D7Mit340, D7Mit160, D7Mit148;</it> Chr. 11: <it>D11Mit19, D11Mit229, D11Mit294</it>; Chr. 12: <it>D12Mit12, D12Mit147, D12Mit52.</it> For fine mapping on chromosome 7 all 164 progeny were genotyped with <it>D7Mit1, D7Mit22, D7Mit224, D7Mit340, D7Mit160,</it> and <it>D7Mit148.</it> Linkage was determined using Map Manager QTX software (<url>http://www.mapmanager.org</url>).</p>
			</sec>
			<sec>
				<st>
					<p>Sequence analysis of <it>Ppp1r13l</it>
					</p>
				</st><p>For exonic and intron/exon junction genomic sequence analysis, primers were designed to anneal 50&#8201;bp upstream and downstream from intron/exon junctions. PCR products were amplified and sequenced as previously described <abbrgrp>
						<abbr bid="B22">22</abbr>
					</abbrgrp>. For cDNA analysis, RT-PCR was performed using total RNA from wild-type, <it>woe2/+</it>, and <it>woe2/woe2</it> tissues, utilizing hearts, spleens, or eyes as previously described <abbrgrp>
						<abbr bid="B22">22</abbr>
					</abbrgrp>. The list of primer sequences is summarized in Additional file <supplr sid="S1">1</supplr>: Table S1. Long range PCR was conducted using the GeneAmp XL PCR kit (Roche, Branchburg, NJ) with primers (5&#8217; CTGTCCACAATTACAGAGGGATCTGAA G3&#8217;) and (5&#8217; CGGAAAGACAGCTCATCCCCAAACTCT 3&#8217;) as previously described <abbrgrp>
						<abbr bid="B22">22</abbr>
					</abbrgrp>. DNAStar software was utilized for comparative analysis of the sequences.</p>
				<suppl id="S1">
					<title>
						<p>Additional file 1</p>
					</title>
					<text>
						<p>
							<b>Sequences of PCR primers used in this study.</b>
						</p>
					</text>
					<file name="1471-2156-13-76-S1.xlsx">
   <p>Click here for file</p>
</file>
				</suppl>
			</sec>
		</sec>
		<sec>
			<st>
				<p>Results</p>
			</st>
			<sec>
				<st>
					<p>The <it>woe2</it> phenotypes</p>
				</st><p>At birth, <it>woe2</it> pups exhibit the fully penetrant, bilateral EOB phenotype (Figure <figr fid="F1">1</figr>B). Histological analysis of <it>woe2</it> eyes at P0.5 confirmed open eyelids at birth and also identified hyperkeratosis of the eyelids (Figure <figr fid="F1">1</figr>D). In addition to the eyelid defects, stromal keratitis, the absence of the conjunctival sacs, anterior synechiae, and hyperplastic corneas were also noted (Figure <figr fid="F1">1</figr>D). To determine if the EOB phenotype in <it>woe2</it> newborn pups was due to a defect in embryonic eyelid closure or due to premature eyelid opening at birth, we histologically evaluated E18.5 embryonic WT and <it>woe2</it> eyes. In WT mice, eyelid closure was completed between the two eyelids (Figure <figr fid="F1">1</figr>E), while in contrast, <it>woe2</it> mice exhibited open eyelids and exposed corneas (Figure <figr fid="F1">1</figr>F). This finding indicated that the EOB observed in the <it>woe2</it> newborn pups was due to the failure of embryonic eyelid closure.</p>
				<fig id="F1"><title><p>Figure 1</p></title><caption><p>The EOB phenotype in <it>woe2 </it>mice</p></caption><text>
   <p><b>The EOB phenotype in </b><b><it>woe2 </it></b><b>mice. </b>All <it>woe2 </it>neonates were born with bilateral open eyelids (<b>B</b>) in contrast to the WT neonates that have closed eyelids (<b>A</b>). Histological analysis of P0.5 <it>woe2 </it>mice confirmed the open eyelid phenotype and also revealed hyperkeratosis of the eyelids, stromal keratitis, absence of the conjunctival sacs, anterior synechiae, and hyperplastic corneas (<b>D</b>) features that were absent in the WT age matched controls (<b>C</b>). Further histological analysis of <it>woe2 </it>mice at E18.5 (<b>F</b>) showed failure of the embryonic eyelid closure (arrows) whereas WT controls exhibited embryonic eyelid closure (<b>E</b>).</p>
</text><graphic file="1471-2156-13-76-1"/></fig><p>As <it>woe2</it> mice progressed through development, their eyes appeared smaller in size when compared to WT controls. To further investigate the <it>woe2</it> eye phenotype, we clinically evaluated P28 eyes. The analysis revealed opaque and vascularized corneas (Figure <figr fid="F2">2</figr>B) which precluded further clinical investigation. Clinical eye evaluation also identified that in about 25% of P28 <it>woe2</it> mice, unilateral or bilateral eyelid closure was present (Figure <figr fid="F2">2</figr>C). Histological analysis of P28 <it>woe2</it> eyes confirmed severely disrupted corneas and further identified anterior segment dysgenesis with extensive anterior synechiae, (Figure <figr fid="F2">2</figr>E) while no obvious morphological abnormalities of the lens and the retina were noted (not shown). Histological analysis of the <it>woe2</it> eyes which appeared closed (Figure <figr fid="F2">2</figr>C) revealed severely microphthalmic eyes as a result of aphakia (Figure <figr fid="F2">2</figr>F). In addition, highly disorganized corneal, iris and retinal structures were observed (Figure <figr fid="F2">2</figr>F). Histological analysis of P28 eye globes also revealed the absence of meibomian glands in the P28 <it>woe2</it> eyelids (Figure <figr fid="F2">2</figr>H).</p>
				<fig id="F2"><title><p>Figure 2</p></title><caption><p>The <it>woe2 </it>eye phenotype at P28</p></caption><text>
   <p><b>The </b><b><it>woe2 </it></b><b>eye phenotype at P28. </b>Clinical evaluation of <it>woe2 </it>eyes identified microphthalmia with corneal opacities and neovascularization (<b>B) </b>when compared with WT mice (<b>A</b>). In about 25% of <it>woe2 </it>animals, unilateral or bilateral eyelid closure was noted (<b>C</b>). Histological analysis of <it>woe2 </it>eyes (<b>E</b>) identified anterior segment abnormalities with extensive anterior synechia (arrow), corneal hypertrophy (arrowhead) and stromal vascularization. Histological analysis of closed <it>woe2 </it>eyes (<b>C</b>) revealed aphakia with highly disorganized cornea, iris and retina (<b>F</b>). Histological analysis of adult <it>woe2 </it>eyelids (<b>H</b>) identified absence of meibomian glands (arrow<it>) </it>whereas meibomian glands were present in age-matched WT eyelids (<b>G</b>) (asterisk). Scale bar in D-H&#8201;=&#8201;100&#8201;&#956;m.</p>
</text><graphic file="1471-2156-13-76-2"/></fig><p>In addition to the ocular phenotypes, <it>woe2</it> mice start to exhibit wavy fur around P14 that remains wavy in texture throughout the life of the animal (Figure <figr fid="F3">3</figr>A). Abnormalities in the fur texture and the absence of meibomian glands identified in <it>woe2</it> eyelids (Figure <figr fid="F2">2</figr>H) prompted us to evaluate other epidermal appendages in <it>woe2.</it> Clinical and histological analysis of the skin, teeth, and nails as well as the lacrimal, mammary, salivary, sebaceous and sweat glands did not identify any obvious morphological differences between WT and <it>woe2</it> mice (not shown). However, the adult <it>woe2</it> mice exhibited cardiac abnormalities characterized with opaque white plaques covering approximately 2-15% of the exposed surface (Figure <figr fid="F3">3</figr>B). The mineralized foci tended to occur in the myocardium adjacent to the epicardium, although similar lesions occurred in the interventricular septum as well (not shown). On average, <it>woe2</it> mice lived until around 9&#8201;months of age indicating shortened life spans when compared to age-matched C57BL/6&#8201;J mice. The initial breeding pattern revealed that the <it>woe2</it> phenotypes were inherited as a fully penetrant single autosomal recessive locus.</p>
				<fig id="F3"><title><p>Figure 3</p></title><caption><p>Non-ocular <it>woe2 </it>phenotypes at P28</p></caption><text>
   <p><b>Non-ocular </b><b><it>woe2 </it></b><b>phenotypes at P28. </b>The fur (<b>A</b>) in <it>woe2 </it>mice (right) showed waviness when compared to the smooth coat in WT mice (left). Hearts (<b>B</b>) of <it>woe2 </it>mice showed mineralized foci and opaque white plaques (right) that were absent in age-matched wild-type controls (left).</p>
</text><graphic file="1471-2156-13-76-3"/></fig>
			</sec>
			<sec>
				<st>
					<p>Positional cloning of <it>woe2</it>
					</p>
				</st><p>The observed phenotypes of <it>woe2</it> mice resembled phenotypes of mice with mutations in <it>Tgfa, Egfr, Adam17</it> and <it>Ppp1r13l</it> genes <abbrgrp>
						<abbr bid="B5">5</abbr>
						<abbr bid="B6">6</abbr>
						<abbr bid="B7">7</abbr>
						<abbr bid="B8">8</abbr>
						<abbr bid="B9">9</abbr>
						<abbr bid="B10">10</abbr>
						<abbr bid="B11">11</abbr>
						<abbr bid="B14">14</abbr>
						<abbr bid="B16">16</abbr>
					</abbrgrp>. Therefore, we hypothesized that <it>woe2</it> may be a new mutant allele in one of these four genes. To test that hypothesis, we utilized a genetic approach. <it>Tgfa, Ppp1r13l, Egfr,</it> and <it>Adam17</it> genes map to chromosomes 6, 7, 11 and 12 respectively (<url>http://www.informatics.jax.org/</url>). Therefore, we selected microsatellite markers from chromosomes 6, 7, 11 and 12 and tested segregation of the <it>woe2</it> locus with these microsatellites. No linkage was observed between the <it>woe2</it> locus and microsatellite markers on chromosomes 6, 11 and 12, but linkage of the <it>woe2</it> locus to chromosome 7 was established with LOD&#8201;&gt;&#8201;10. To refine the genetic position of the <it>woe2</it> locus we selected additional microsatellite markers from chromosome 7. The analysis mapped the <it>woe2</it> locus to a 6.8&#8201;cM region between <it>D7Mit340</it> and <it>D7Mit1</it> (Figure <figr fid="F4">4</figr>A). The established <it>woe2</it> critical region contained the <it>Ppp1r13l</it> gene. Therefore, we proceeded to evaluate <it>Ppp1r13l</it> as a candidate gene.</p>
				<fig id="F4"><title><p>Figure 4</p></title><caption><p>The genetic analysis of the <it>woe2 </it>locus</p></caption><text>
   <p><b>The genetic analysis of the </b><b><it>woe2 </it></b><b>locus. </b>The <it>woe2 </it>locus was mapped to mouse chromosome 7 (<b>A</b>) between <it>D7Mit340 </it>and <it>D7Mit1 </it>establishing <it>Ppp1r13l </it>as a candidate gene. Each column represents the haplotype found in progeny of <it>woe2 </it>mutants (C57BLX129/SvJ background) when backcrossed to the C3A.BliAPde6+/J strain. Black boxes represent the C3ABliA-Pde6+/J allele and white boxes represent the C57BL6X129/SvJ allele. The number of offspring inheriting each haplotype is listed at the bottom of each column. Sequence analysis of genomic DNA from <it>woe2 </it>tissues (<b>B</b>) identified a 1308&#8201;bp deletion encompassing the genomic region from <it>Ppp1r13l </it>intron 8 to intron 11. RT-PCR analysis from WT tissues (<b>C</b>) identified a single <it>Ppp1r13l  </it>transcript that matched the <it>Ppp1r13l </it>reference sequence (NM_001010836). RT-PCR analysis from <it>woe2 </it>tissues (<b>D</b>) identified a single aberrantly spliced <it>Ppp1r13l </it>transcript with missing exons 9, 10 and 11. (<b>E</b>) depicts a schematic of wild type PPP1R13L protein (NP_001010836) (top) conserved domains: Pro-rich domain (54&#8211;598), ANK1 domain (655&#8211;684), ANK2 (688&#8211;717), and SH3 (754&#8211;816) domain. The <it>woe2 </it>putative PPP1R13L<sup>p.E602TX7</sup> protein (bottom figure) shows, following Met601, an addition of 7 novel amino acids (TWNKAWD) depicted by a gray box, a premature stop and a loss of 223 amino acids from the C-terminus encompassing ANK1, ANK2 and SH3 domains. Numbers on the top of each figure in (E) represent the amino acid residues.</p>
</text><graphic file="1471-2156-13-76-4"/></fig><p>Genomic sequence analysis of <it>Ppp1r13l</it> exons 1&#8211;8 and exon 12 including intron/exon junctions did not identify any difference between the <it>Ppp1r13l</it> reference sequence (NC_000073.5) and sequences from <it>woe2</it>. Although conventional PCR produced PCR products for exons 9, 10, and 11 when using genomic DNA from WT animals, it did not produce any PCR products when using genomic DNA from <it>woe2</it> animals. This suggested a possible genomic rearrangement across the <it>Ppp1r13l</it> exon 9-11 region in the <it>woe2</it> animals. Long range-PCR from exon 8 to exon 12 and subsequent sequencing revealed a 1308&#8201;bp deletion in <it>woe2</it> (Figure <figr fid="F4">4</figr>B). The deletion break points were identified in <it>Ppp1r13l</it> intron 8 at &#8722;271&#8201;bp upstream from the 5' end of exon 9 and in intron 11 at &#8722;1203&#8201;bp upstream from the 5' end of exon 12 (Figure <figr fid="F4">4</figr>B).</p><p>To determine the molecular consequences of the 1308&#8201;bp deletion on the splicing of the <it>Ppp1r13l</it> transcript in the <it>woe2</it> tissues, we proceeded to evaluate <it>Ppp1r13l</it> cDNA. RT-PCR analysis from <it>woe2</it> tissues identified a single <it>Ppp1r13l</it> transcript that exhibited aberrant splicing from exon 8 to exon 12 with exons 9, 10 and 11 missing (Figure <figr fid="F4">4</figr>D). RT-PCR analysis of <it>Ppp1r13l</it> from WT tissues identified a transcript that matched the <it>Ppp1r13l</it> reference sequence (NM_001010836.3) (Figure <figr fid="F4">4</figr>C). The aberrant <it>Ppp1r13l</it>
					<sup>
						<it>&#916;exon9-11</it>
					</sup> transcript identified in <it>woe2</it> encodes a putative PPP1R13L mutant protein with a frame shift following M601, an addition of 7 amino acids (TWNKAWD), and a premature stop. The putative mutant PPP1R13L lacks 223 amino acids from the C-terminal end (Figure <figr fid="F4">4</figr>E).</p>
			</sec>
			<sec>
				<st>
					<p>The <it>woe2</it> EOB phenotype</p>
				</st><p>To further investigate the embryonic eyelid closure defect that lead to the EOB phenotype in the <it>woe2</it> mice, we evaluated the embryonic eyelids with scanning electron microscopy (SEM) just prior to the embryonic eyelid closure. At E15.5, the leading edges were present in both WT and <it>woe2</it> upper (Figures <figr fid="F5">5</figr>A) and lower eyelids (Figure <figr fid="F5">5</figr>B). Higher magnification views showed presence of rounded periderm cells in both the WT and <it>woe2</it> eyelid margins (Figures <figr fid="F5">5</figr>A', <figr fid="F5">5</figr>A", <figr fid="F5">5</figr>B' and <figr fid="F5">5</figr>B"). At E16.5, in WT mice, the eyelid closure was completed (Figure <figr fid="F5">5</figr>C) and flattened cells were present at the eyelid junction (Figures <figr fid="F5">5</figr>C' and <figr fid="F5">5</figr>C"). By contrast, the <it>woe2</it> eyelids, at E16.5, remained wide open (Figure <figr fid="F5">5</figr>D). Rounded peridemal cells were infrequently seen at this stage at the leading edge of <it>woe2</it> (Figure <figr fid="F5">5</figr>D' and <figr fid="F5">5</figr>D").</p>
				<fig id="F5"><title><p>Figure 5</p></title><caption><p>Scanning electron micrographs showing impaired embryonic eyelid closure in <it>woe2 </it>embryos</p></caption><text>
   <p><b>Scanning electron micrographs showing impaired embryonic eyelid closure in </b><b><it>woe2 </it></b><b>embryos. </b>At E15.5 WT (<b>A, A', A"</b>) and <it>woe2 </it><b>(B, B', B") </b>embryos manifested open eyes of similar shape and with no distinct morphological difference. The accumulation of rounded peridermal cells at the leading edge of both WT (<b>A', A"</b>) and <it>woe2 </it>(<b>B', B"</b>) eyelids was evident (arrowhead). Differences between the WT and <it>woe2 </it>eyelids were evident at E16.5. The eyelids of WT embryos were completely fused (<b>C, C', C"</b>) at the midline with flattened cells at the junction margins (<b>C&#8221; </b>arrow). In contrast, failure of eyelid closure was apparent in the eyes of <it>woe2 </it>mice at this time (<b>D, D', D"</b>). At this time point, very few peridermal cells were evident at the eyelid margin of <it>woe2 </it>eyelids (<b>D&#8221; </b>arrow).</p>
</text><graphic file="1471-2156-13-76-5"/></fig>
			</sec>
			<sec>
				<st>
					<p>PPP1R13L expression in the developing eyelids</p>
				</st><p>Expression of PPP1R13L in mouse skin has been previously reported <abbrgrp>
						<abbr bid="B16">16</abbr>
						<abbr bid="B19">19</abbr>
						<abbr bid="B20">20</abbr>
					</abbrgrp>, although expression of PPP1R13L in the eyelids and anterior segment has never been investigated. In order to better understand the role of PPP1R13L during embryonic eyelid closure, the expression pattern of PPP1R13L during mouse eyelid closure was pursued. Immunohistological analysis showed PPP1R13L is expressed in the cells of the epithelial sheet of the developing eyelid including palpebral epidermis, palpebral and bulbar conjunctiva (Figure <figr fid="F6">6</figr>A and <figr fid="F6">6</figr>C). Following eyelid closure, PPP1R13L remained expressed in the cells of the eyelid junction (Figure <figr fid="F6">6</figr>E). In P0.5 eyelids, PPP1R13L was also identified as expressed in the developing hair follicle and in the cells of the developing meibomian glad (Figure <figr fid="F6">6</figr>G). In addition to the eyelid, immunohistological analysis identified expression of PPP1R13L in the corneal epithelium (Figure <figr fid="F6">6</figr>A and <figr fid="F6">6</figr>C), lens epithelium and the retina (not shown).</p>
				<fig id="F6"><title><p>Figure 6</p></title><caption><p>PPP1R13L expression in the developing eyelid</p></caption><text>
   <p><b>PPP1R13L expression in the developing eyelid. </b>Immunostaining for PPP1R13L (green) showed expression of PPP1R13L at E14.5-P0.5 (<b>A, C, E, G</b>) in the palpebral epidermis, palpebral conjunctiva, bulbar conjunctiva, corneal epithelium, lens epithelium and retina. DAPI (blue) was used as a nuclear stain. As eyelid closure begins, at E15.5 (<b>C</b>) PPP1R13L is also expressed in the leading edge of the migrating eyelid. As eyelid closure reaches completion at E16.5 (<b>E</b>), expression is maintained in the eyelid junction. At P0.5 (<b>G</b>), PPP1R13L is expressed in the developing meibomian gland (<b>G</b> arrow) and hair follicle (<b>G</b> arrowhead). Scale bars&#8201;=&#8201;50&#8201;&#956;m.</p>
</text><graphic file="1471-2156-13-76-6"/></fig>
			</sec>
		</sec>
		<sec>
			<st>
				<p>Discussion</p>
			</st><p>In this study we characterized <it>woe2</it>, a novel mouse mutation which arose spontaneously. Genetic analysis of the <it>woe2</it> locus identified a 1308&#8201;bp deletion in the <it>Ppp1r13l</it> gene encompassing exons 9 through 11 resulting in an aberrant <it>Ppp1r13l</it>
				<sup>
					<it>&#916;exon9-11</it>
				</sup> transcript. The putative <it>woe2</it> PPP1R13L protein encoded by the <it>Ppp1r13l</it>
				<sup>
					<it>&#916;exon9-11</it>
				</sup> transcript lacks 223 amino acids from the C-terminal end. PPP1R13L, at the C-terminal end, is characterized with ankyrin (AKN) repeats, and a SRC homology (SH3) domain <abbrgrp>
					<abbr bid="B23">23</abbr>
				</abbrgrp>. The biochemical analyses of PPP1R13L have established that the ANK repeats and the SH3 domain are essential for the PPP1R13L binding with its partners: p53 <abbrgrp>
					<abbr bid="B17">17</abbr>
				</abbrgrp>, p65RelA <abbrgrp>
					<abbr bid="B18">18</abbr>
				</abbrgrp>, and p63 <abbrgrp>
					<abbr bid="B24">24</abbr>
				</abbrgrp>. The 223 amino acids missing from the mutant PPP1R13L from <it>woe2</it> encompass both the ANK repeats and the SH3 domain. Although we did not functionally evaluate the truncated <it>woe2</it> PPP1R13L protein, we expect that a loss of 223 amino acids may compromise the stability of the mutant <it>woe2</it> PPP1R13L protein. Even if the mutant <it>woe2</it> PPP1R13L protein remains s, the loss of the ANK repeats and the SH3 domain most likely would result in a complete loss of PPP1R13L function. This is consistent with the findings previously reported for <it>wa3</it> mice that carry a 14-bp deletion in <it>Ppp1r13l</it> resulting in a loss of the SH3-domain from the C-terminal end <abbrgrp>
					<abbr bid="B14">14</abbr>
				</abbrgrp>. The mutant PPP1R13L protein from <it>wa3</it> mice exhibited a loss of binding to the p65RelA subunit of NF-&#1082;B <abbrgrp>
					<abbr bid="B14">14</abbr>
				</abbrgrp>, a previously established PPP1R13L binding partner <abbrgrp>
					<abbr bid="B16">16</abbr>
				</abbrgrp>. As such, <it>wa3</it> was established as a <it>Ppp1r13l</it> loss-of-function mutation <abbrgrp>
					<abbr bid="B14">14</abbr>
				</abbrgrp>. These findings collectively suggest that <it>woe2</it> is a novel <it>Ppp1r13l</it> loss-of-function mutation.</p><p>The wavy fur and cardiac phenotypes identified in <it>woe2</it> resemble the cardiac and wavy fur phenotypes previously characterized in the <it>wa3</it> mice <abbrgrp>
					<abbr bid="B14">14</abbr>
				</abbrgrp>. Abnormalities in the fur and heart were also reported for cattle affected with cardiomyopathy and wooly hair coats (CWH) syndrome that carry a frame-shift mutation in the bovine ortholog of the <it>Ppp1r13l</it> gene <abbrgrp>
					<abbr bid="B25">25</abbr>
				</abbrgrp>. Although the EOB phenotype was also reported for <it>wa3</it> mice, it was not further investigated <abbrgrp>
					<abbr bid="B14">14</abbr>
				</abbrgrp>. As a part of this study we established that in <it>woe2</it> the EOB phenotype is due to a defect in embryonic eyelid closure. Even though the morphological analysis of <it>woe2</it> embryonic eyelids did not identify any obvious abnormalities in the formation of the primitive eyelid, the formation of the leading edge or accumulation of peridermal cells at the leading edge, the <it>woe2</it> embryonic eyelids failed to close. Immunohistochemical analysis showed that PPP1R13L was expressed in the eyelid epithelial sheet including epidermis, palpebral and bulbar conjunctiva, as well as in the cells of the leading edge. It has been shown before that the embryonic eyelid closure process depends on the movements of the epithelial sheet of the developing eyelids in a morphogenic process similar to dorsal closure in <it>Drosophila </it>
				<abbrgrp>
					<abbr bid="B25">25</abbr>
				</abbrgrp>. In the developing epidermis of the skin, via its interaction with p63, PPP1R13L regulates the expression of genes that play an essential role in cell-matrix adhesion, as well as in epithelial cell junctions <abbrgrp>
					<abbr bid="B17">17</abbr>
				</abbrgrp>. In addition, PPP1R13L was identified to regulate cell senescence and is required for epithelial stratification <abbrgrp>
					<abbr bid="B20">20</abbr>
				</abbrgrp>. Given that the role of PPP1R13L during embryonic eyelid closure has never been investigated, our current hypothesis is that PPP1R13L interacts with p63 in a similar way as it does in the developing epidermis of the skin and regulates the expression of the adhesion genes and/or genes involved in the differentiation of the cells of the leading edge. Our hypothesis is further supported by the observation that <it>p63</it>
				<sup>
					<it>&#8722;/&#8722;</it>
				</sup> mice also exhibit the EOB phenotype even though the development of the eyelids proceeds normally prior to the embryonic eyelid closure <abbrgrp>
					<abbr bid="B26">26</abbr>
				</abbrgrp>. Although our current hypothesis implicates a role of PPP1R13L via interactions with p63, we cannot exclude the possibility that PPP1R13L may also be involved in molecular processes via interactions with the two other partners p65RelA and/or p53. Therefore, the role of PPP1R13L, as well as which molecular pathways are affected during embryonic eyelid closure requires further investigation.</p><p>Results from this study also identified the absence of meibomian glands in the <it>woe2</it> eyelids. Meibomian glands along with hair, teeth, nails and exocrine glands are epidermal appendages formed from an ectodermal placode <abbrgrp>
					<abbr bid="B27">27</abbr>
				</abbrgrp>. Ectodermal dysplasia syndromes comprise a group of greater than 175 highly diverse disorders characterized by abnormalities of at least two ectodermal tissues where at least one involves hair, teeth, nails or sweat glands. In ectodermal dysplasia patients, other structures exhibiting abnormalities may include the mammary glands, thyroid gland, thymus, anterior pituitary, adrenal medulla, central nervous system, external ear, melanocytes, cornea, conjunctiva, lacrimal gland and lacrimal duct and meibomian glands <abbrgrp>
					<abbr bid="B28">28</abbr>
				</abbrgrp>. Interestingly, alterations of or the absence of meibomian glands was identified as one of the most reliable clinical ocular indications in ectodermal dysplasia patients <abbrgrp>
					<abbr bid="B29">29</abbr>
				</abbrgrp>. In addition to the absence of meibomian glands, evaluation of <it>woe2</it> eyes revealed abnormalities of the cornea and the anterior structures. The corneal epithelium is a tissue also originating from the surface ectoderm <abbrgrp>
					<abbr bid="B30">30</abbr>
				</abbrgrp>; proper maturation of the corneal epithelium plays an essential role in ocular development, especially for the development of the anterior segment <abbrgrp>
					<abbr bid="B30">30</abbr>
				</abbrgrp>. Taken together, these findings, along with the structural hair abnormalities previously identified as responsible for the wavy fur in <it>wa3</it> mice <abbrgrp>
					<abbr bid="B14">14</abbr>
				</abbrgrp>, prompted us to morphologically evaluate other epidermal appendages in <it>woe2</it> mice. However, our analysis did not identify any obvious defects in teeth, nails, lacrimal, salivary, mammary, sebaceous and sweat glands in <it>woe2</it> mice. Our results suggest that PPP1R13L may have unique roles in the development of meibomian glands, cornea and hair follicles although PPP1R13L may have overlapping roles in the development of other ectodermal appendages.</p><p>It should be noted that the abnormalities in the cornea and anterior segment structures identified in <it>woe2</it> mice may be solely related to the premature exposure to the environment consequent to the failure of the embryonic eyelid closure. Furthermore, the absence of meibomian glands may be further contributing to the abnormalities of the cornea--especially the corneal epithelium. Meibomian glands produce a lipid-rich secretion called meibum that is released from the orifices of the glands; the meibum is spread across the ocular surface and mix with tears produced by lacrimal glands to produce tear film that covers the entire ocular surface and has a protective, lubricatory, nutritional, and antimicrobial roles <abbrgrp>
					<abbr bid="B31">31</abbr>
				</abbrgrp>. A dysfunction of meibomian glands results in abnormalities of the tear film and consequently ocular irritation, inflammation and ocular surface disease <abbrgrp>
					<abbr bid="B32">32</abbr>
				</abbrgrp>. At this point, the molecular etiology of the anterior segment defects in <it>woe2</it> remains unclear. It should be also noted that <it>woe2</it> EOB and ocular phenotypes reported in this study are very similar to phenotypes reported for mice with defects in EGFR signaling pathway <abbrgrp>
					<abbr bid="B5">5</abbr>
					<abbr bid="B6">6</abbr>
					<abbr bid="B7">7</abbr>
					<abbr bid="B8">8</abbr>
					<abbr bid="B9">9</abbr>
					<abbr bid="B10">10</abbr>
					<abbr bid="B11">11</abbr>
					<abbr bid="B12">12</abbr>
					<abbr bid="B13">13</abbr>
					<abbr bid="B14">14</abbr>
				</abbrgrp>. While no functional relationship between PPP1R13L and EGFR signaling has been reported, the similarities in the eyelid and ocular phenotypes as well as hair phenotypes identified in <it>woe2</it> and mice with EGFR signaling defects suggest a common molecular pathway. Taken together, <it>woe2</it> mice provide an excellent resource for determining the role of PPP1R13L especially during development as well as for elucidating the molecular mechanisms associated with PPP1R13L function.</p>
		</sec>
		<sec>
			<st>
				<p>Conclusions</p>
			</st><p>The <it>woe2</it> mouse is a novel spontaneous autosomal recessive mutation exhibiting EOB and wavy fur phenotypes. Genetic analysis identified a deletion in the <it>Ppp1r13l</it> gene. A detailed morphological evaluation showed that EOB in <it>woe2</it> mice is due to a defect in embryonic eyelid closure. In addition to EOB, <it>woe2</it> mice exhibited defects in the eye anterior segment development and the absence of meibomian glands. The precise role of PPP1R13L during the embryonic eyelid closure, development of meibomian glands and anterior segment structures requires further investigation. We anticipate that <it>woe2</it> mice will provide a useful model in elucidating the etiology and underlying mechanisms of PPP1R13L function.</p>
		</sec>
		<sec>
			<st>
				<p>Competing interests</p>
			</st><p>The authors of this manuscript declare that they have no competing interests.</p>
		</sec>
		<sec>
			<st>
				<p>Authors&#8217; contributions</p>
			</st><p>Design of the study, data analysis and critical revision of the manuscript was conducted by DJS and JAT. The original draft of the manuscript and experimentation was conducted by JAT. LL contributed to experimentation, analysis and interpretation of the data. This manuscript has been read and approved by all authors.</p>
		</sec>
	</bdy>
	<bm>
		<ack>
			<sec>
				<st>
					<p>Acknowledgments</p>
				</st><p>We thank Dr. Joseph Besharse at the Medical College of Wisconsin for generously providing us with <it>woe2</it> mice used in this study. We also thank Mr. Joseph Fogerty at the Medical College of Wisconsin for his help in preliminary studies. We would like to thank Mr. Doug Holmyard at the Mount Sinai Hospital, Toronto, Canada for his assistance with scanning electron microscopy. This work was supported in part by the National Institutes of Health grants EY18872 (D.J.S) and EY02414 (J.C.B.).</p>
			</sec>
		</ack>
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