Skip to main content

Genetics of corneal endothelial dystrophies

Abstract

The corneal endothelium maintains the level of hydration in the cornea. Dysfunction of the endothelium results in excess accumulation of water in the corneal stroma, leading to swelling of the stroma and loss of transparency. There are four different corneal endothelial dystrophies that are hereditary, progressive, non-inflammatory disorders involving dysfunction of the corneal endothelium. Each of the endothelial dystrophies is genetically heterogeneous with different modes of transmission and/or different genes involved in each subtype. Genes responsible for disease have been identified for only a subset of corneal endothelial dystrophies. Knowledge of genes involved and their function in the corneal endothelium can aid understanding the pathogenesis of the disorder as well as reveal pathways that are important for normal functioning of the endothelium.

This is a preview of subscription content, access via your institution.

References

  • Afshari N. A., Li Y. J., Pericak-Vance M. A., Gregory S. and Klintworth G. K. 2009 Genome-wide linkage scan in Fuchs’ endothelial corneal dystrophy. Invest. Ophthalmol. Vis. Sci. 50, 1093–1097.

    Article  PubMed  Google Scholar 

  • al Faran M. F. and Tabbara K. F. 1991 Corneal dystrophies among patients undergoing keratoplasty in Saudi Arabia. Cornea 10, 13–16.

    PubMed  Google Scholar 

  • Aldahmesh M., Khan A., Meyer B. and Alkuraya F. 2009 Mutational spectrum of SLC4A11 in autosomal recessive CHED in Saudi Arabia. Invest. Ophthalmol. Vis. Sci. 50, 4142–4145.

    Article  PubMed  Google Scholar 

  • Aldave A. J., Rayner S. A., Salem A. K., Yoo G. L., Kim B. T., Saeedian M. et al. 2006 No pathogenic mutations identified in the COL8A1 and COL8A2 genes in familial Fuchs’ corneal dystrophy. Invest. Ophthalmol. Vis. Sci. 47, 3787–3790.

    Article  PubMed  Google Scholar 

  • Aldave A. J., Yellore V. S., Bourla N., Momi R. S., Khan M. A., Salem A. K. et al. 2007a Autosomal recessive CHED associated with novel compound heterozygous mutations in SLC4A11. Cornea 26, 896–900.

    Article  PubMed  Google Scholar 

  • Aldave A. J., Yellore V. S., Yu F., Bourla N., Sonmez B., Salem A. K. et al. 2007b Posterior polymorphous corneal dystrophy is associated with TCF8 gene mutations and abdominal hernia. Am. J. Med. Genet. A 143A, 2549–2556.

    Article  PubMed  CAS  Google Scholar 

  • Aldave A. J., Yellore V. S., Principe A. H., Abedi G., Merrill K., Chalukya M. et al. 2005 Candidate gene screening for posterior polymorphous dystrophy. Cornea 24, 151–155.

    Article  PubMed  Google Scholar 

  • Aldave A. J., Yellore V. S., Vo R. C., Kamal K. M., Rayner S. A., Plaisier C. L. et al. 2009 Exclusion of positional candidate gene coding region mutations in the common posterior polymorphous corneal dystrophy 1 candidate gene interval. Cornea 28, 801–807.

    Article  PubMed  Google Scholar 

  • Biswas S., Munier F. L., Yardley J., Hart-Holden N., Perveen R., Cousin P. et al. 2001 Missense mutations in COL8A2, the gene encoding the alpha2 chain of type VIII collagen, cause two forms of corneal endothelial dystrophy. Hum. Mol. Genet. 10, 2415–2423.

    Article  PubMed  CAS  Google Scholar 

  • Callaghan M., Hand C. K., Kennedy S. M., FitzSimon J. S., Collum L. M. and Parfrey N. A. 1999 Homozygosity mapping and linkage analysis demonstrate that autosomal recessive congenital hereditary endothelial dystrophy (CHED) and autosomal dominant CHED are genetically distinct. Br. J. Ophthalmol. 83, 115–119.

    Article  PubMed  CAS  Google Scholar 

  • Chen W. L., Hu F. R. and Wang I. J. 2001 Changing indications for penetrating keratoplasty in Taiwan from 1987 to 1999. Cornea 20, 141–144.

    Article  PubMed  CAS  Google Scholar 

  • Cibis G. W., Krachmer J. A., Phelps C. D. and Weingeist T. A. 1977 The clinical spectrum of posterior polymorphous dystrophy. Arch. Ophthalmol. 95, 1529–1537.

    PubMed  CAS  Google Scholar 

  • Damkier H. H., Nielsen S. and Praetorius J. 2007 Molecular expression of SLC4-derived Na+-dependent anion transporters in selected human tissues. Am. J. Physiol. Regul. Integr. Comp. Physiol. 293, R2136–R2146.

    PubMed  CAS  Google Scholar 

  • Desir J., Moya G., Reish O., Van Regemorter N., Deconinck H., David K. L. et al. 2007 Borate transporter SLC4A11 mutations cause both Harboyan syndrome and non-syndromic corneal endothelial dystrophy. J. Med. Genet. 44, 322–326.

    Article  PubMed  CAS  Google Scholar 

  • Forrester J., Dick A., McMenamin P. and Lee W. 2002 The eye-basic sciences in practice. Elsevier, Philadelphia, USA.

    Google Scholar 

  • Fort D. J., Rogers R. L., McLaughlin D. W., Sellers C. M. and Schlekat C. L. 2002 Impact of boron deficiency on Xenopus laevis: a summary of biological effects and potential biochemical roles. Biol. Trace Elem. Res. 90, 117–142.

    Article  PubMed  CAS  Google Scholar 

  • Ghosheh F. R., Cremona F. A., Rapuano C. J., Cohen E. J., Ayres B. D., Hammersmith K. M. et al. 2008 Trends in penetrating keratoplasty in the United States 1980–2005. Int. Ophthalmol. 28, 147–153.

    Article  PubMed  Google Scholar 

  • Godeiro K. D., Coutinho A. B., Pereira P. R., Fernandes B. F., Cassie A. and Burnier Jr M. N. 2007 Histopathological diagnosis of corneal button specimens: an epidemiological study. Ophthalmic Epidemiol. 14, 70–75.

    Article  PubMed  Google Scholar 

  • Gottsch J. D., Sundin O. H., Liu S. H., Jun A. S., Broman K. W., Stark W. J. et al. 2005 Inheritance of a novel COL8A2 mutation defines a distinct early-onset subtype of fuchs corneal dystrophy. Invest. Ophthalmol. Vis. Sci. 46, 1934–1939.

    Article  PubMed  Google Scholar 

  • Gwilliam R., Liskova P., Filipec M., Kmoch S., Jirsova K., Huckle E. J. et al. 2005 Posterior polymorphous corneal dystrophy in Czech families maps to chromosome 20 and excludes the VSX1 gene. Invest. Ophthalmol. Vis. Sci. 46, 4480–4484.

    Article  PubMed  Google Scholar 

  • Hand C. K., Harmon D. L., Kennedy S. M., FitzSimon J. S., Collum L. M. and Parfrey N. A. 1999 Localization of the gene for autosomal recessive congenital hereditary endothelial dystrophy (CHED2) to chromosome 20 by homozygosity mapping. Genomics 61, 1–4.

    Article  PubMed  CAS  Google Scholar 

  • Hemadevi B., Veitia R. A., Srinivasan M., Arunkumar J., Prajna N. V., Lesaffre C. et al. 2008 Identification of mutations in the SLC4A11 gene in patients with recessive congenital hereditary endothelial dystrophy. Arch. Ophthalmol. 126, 700–708.

    Article  PubMed  CAS  Google Scholar 

  • Heon E., Greenberg A., Kopp K. K., Rootman D., Vincent A. L., Billingsley G. et al. 2002 VSX1: a gene for posterior polymorphous dystrophy and keratoconus. Hum. Mol. Genet. 11, 1029–1036.

    Article  PubMed  CAS  Google Scholar 

  • Heon E., Mathers W. D., Alward W. L., Weisenthal R. W., Sunden S. L., Fishbaugh J. A. et al. 1995 Linkage of posterior polymorphous corneal dystrophy to 20q11. Hum. Mol. Genet. 4, 485–488.

    Article  PubMed  CAS  Google Scholar 

  • Hosseini S. M., Herd S., Vincent A. L. and Heon E. 2008 Genetic analysis of chromosome 20-related posterior polymorphous corneal dystrophy: genetic heterogeneity and exclusion of three candidate genes. Mol. Vis. 14, 71–80.

    PubMed  CAS  Google Scholar 

  • Hunt C. D. 1994 The biochemical effects of physiologic amounts of dietary boron in animal nutrition models. Environ. Health Perspect. 102,suppl. 7, 35–43.

    Article  PubMed  CAS  Google Scholar 

  • Jiao X., Sultana A., Garg P., Ramamurthy B., Vemuganti G. K., Gangopadhyay N. et al. 2007 Autosomal recessive corneal endothelial dystrophy (CHED2) is associated with mutations in SLC4A11. J. Med. Genet. 44, 64–68.

    Article  PubMed  CAS  Google Scholar 

  • Jirsova K., Merjava S., Martincova R., Gwilliam R., Ebenezer N. D., Liskova P. et al. 2007 Immunohistochemical characterization of cytokeratins in the abnormal corneal endothelium of posterior polymorphous corneal dystrophy patients. Exp. Eye Res. 84, 680–686.

    Article  PubMed  CAS  Google Scholar 

  • Kanis A. B., Al-Rajhi A. A., Taylor C. M., Mathers W. D., Folberg R. Y., Nishimura D. Y. et al. 1999 Exclusion of AR-CHED from the chromosome 20 region containing the PPMD and AD-CHED loci. Ophthalmic Genet. 20, 243–249.

    Article  PubMed  CAS  Google Scholar 

  • Kirkness C. M., McCartney A., Ric N. S., Garner A. and Steele A. D. 1987 Congenital hereditary corneal oedema of Maumenee: its clinical features, management, and pathology. Br. J. Ophthalmol. 71, 130–144.

    Article  PubMed  CAS  Google Scholar 

  • Klintworth G. K. 2009 Corneal dystrophies. Orphanet J. Rare Dis. 4, 7.

    Article  PubMed  Google Scholar 

  • Kobayashi A., Fujiki K., Murakami A., Kato T., Chen L. Z., Onoe H. et al. 2004 Analysis of COL8A2 gene mutation in Japanese patients with Fuchs’ endothelial dystrophy and posterior polymorphous dystrophy. Jpn. J. Ophthalmol. 48, 195–198.

    Article  PubMed  CAS  Google Scholar 

  • Krafchak C. M., Pawar H., Moroi S. E., Sugar A., Lichter P. R., Mackey D. A. et al. 2005 Mutations in TCF8 cause posterior polymorphous corneal dystrophy and ectopic expression of COL4A3 by corneal endothelial cells. Am. J. Hum. Genet. 77, 694–708.

    Article  PubMed  CAS  Google Scholar 

  • Kumar A., Bhattacharjee S., Prakash D. R. and Sadanand C. S. 2007 Genetic analysis of two Indian families affected with congenital hereditary endothelial dystrophy: two novel mutations in SLC4A11. Mol. Vis. 13, 39–46.

    PubMed  CAS  Google Scholar 

  • Levy S. G., Moss J., Sawada H., Dopping-Hepenstal P. J. and Mc-Cartney A. C. 1996 The composition of wide-spaced collagen in normal and diseased Descemet’s membrane. Curr. Eye Res. 15, 45–52.

    Article  PubMed  CAS  Google Scholar 

  • Liskova P., Prescott Q., Bhattacharya S. S. and Tuft S. J. 2007a British family with early-onset Fuchs’ endothelial corneal dystrophy associated with p.L450W mutation in the COL8A2 gene. Br. J. Ophthalmol. 91, 1717–1718.

    Article  PubMed  CAS  Google Scholar 

  • Liskova P., Tuft S. J., Gwilliam R., Ebenezer N. D., Jirsova K., Prescott Q. et al. 2007b Novel mutations in the ZEB1 gene identified in Czech and British patients with posterior polymorphous corneal dystrophy. Hum. Mutat. 28, 638.

    Article  PubMed  Google Scholar 

  • Liu Y., Peng X., Tan J., Darling D. S., Kaplan H. J. and Dean D. C. 2008 Zeb1 mutant mice as a model of posterior corneal dystrophy. Invest. Ophthalmol. Vis. Sci. 49, 1843–1849.

    Article  PubMed  Google Scholar 

  • Lopez I. A., Rosenblatt M. I., Kim C., Galbraith G. G., Jones S. M., Kao L. et al. 2009 Slc4a11 gene disruption in mice: Cellular targets of sensorineuronal abnormalities. J. Biol. Chem. 284, 26882–26896.

    Article  PubMed  CAS  Google Scholar 

  • Magovern M., Beauchamp G. R., McTigue J. W., Fine B. S. and Baumiller R. C. 1979 Inheritance of Fuchs’ combined dystrophy. Ophthalmology 86, 1897–1923.

    PubMed  CAS  Google Scholar 

  • Mehta J. S., Vithana E. N., Tan D. T., Yong V. H., Yam G. H., Law R.W. et al. 2008 Analysis of the posterior polymorphous corneal dystrophy 3 gene, TCF8, in late-onset Fuchs’ endothelial corneal dystrophy. Invest. Ophthalmol. Vis. Sci. 49, 184–188.

    Article  PubMed  Google Scholar 

  • Mintz-Hittner H. A., Semina E. V., Frishman L. J., Prager T. C. and Murray J. C. 2004 VSX1 (RINX) mutation with craniofacial anomalies, empty sella, corneal endothelial changes, and abnormal retinal and auditory bipolar cells. Ophthalmology, 111, 828–836.

    Article  PubMed  Google Scholar 

  • Mok J. W., Kim H. S. and Joo C. K. 2009 Q455V mutation in COL8A2 is associated with Fuchs’ corneal dystrophy in Korean patients. Eye 23, 895–903.

    Article  PubMed  CAS  Google Scholar 

  • Nguyen D. Q., Hosseini M., Billingsley G., Heon E. and Churchill A. J. 2009 Clinical phenotype of posterior polymorphous corneal dystrophy in a family with a novel ZEB1 mutation. Acta Ophthalmol. (doi: 10.1111/j. 1755-3768. 2009 01511.x).

  • Pandrowala H., Bansal A., Vemuganti G. K. and Rao G. N. 2004 Frequency, distribution, and outcome of keratoplasty for corneal dystrophies at a tertiary eye care center in South India. Cornea 23, 541–546.

    Article  PubMed  Google Scholar 

  • Park M., Li Q., Shcheynikov N., Zeng W. and Muallem S. 2004 NaBC1 is a ubiquitous electrogenic Na+-coupled borate transporter essential for cellular boron homeostasis and cell growth and proliferation. Mol. Cell 16, 331–341.

    Article  PubMed  CAS  Google Scholar 

  • Parker M. D., Ourmozdi E. P. and Tanner M. J. 2001 Human BTR1, a new bicarbonate transporter superfamily member and human AE4 from kidney. Biochem. Biophys. Res. Commun. 282, 1103–1109.

    Article  PubMed  CAS  Google Scholar 

  • Ramprasad V. L., Ebenezer N. D., Aung T., Rajagopal R., Yong V. H., Tuft S. J. et al. 2007 Novel SLC4A11 mutations in patients with recessive congenital hereditary endothelial dystrophy (CHED2). Mutation in brief #958. Online. Hum. Mutat. 28, 522–523.

    Article  PubMed  Google Scholar 

  • Riazuddin S. A., Eghrari A. O., Al-Saif A., Davey L., Meadows D. N., Katsanis N. et al. 2009 Linkage of a mild late-onset phenotype of Fuchs’ corneal dystrophy to a novel locus at 5q33.1-q35.2. Invest. Ophthalmol. Vis. Sci. 50, 5667–5671.

    Article  PubMed  Google Scholar 

  • Schmid E., Lisch W., Philipp W., Lechner S., Gottinger W., Schlotzer-Schrehardt U. et al. 2006 A new, X-linked endothelial corneal dystrophy. Am. J. Ophthalmol. 141, 478–487.

    Article  PubMed  Google Scholar 

  • Shah S. S., Al-Rajhi A., Brandt J. D., Mannis M. J., Roos B., Sheffield V. C. et al. 2008 Mutation in the SLC4A11 gene associated with autosomal recessive congenital hereditary endothelial dystrophy in a large Saudi family. Ophthalmic Genet. 29, 41–45.

    Article  PubMed  CAS  Google Scholar 

  • Shimizu S., Krafchak C., Fuse N., Epstein M. P., Schteingart M. T., Sugar A. et al. 2004 A locus for posterior polymorphous corneal dystrophy (PPCD3) maps to chromosome 10. Am. J.Med. Genet. A 130A, 372–377.

    Article  PubMed  Google Scholar 

  • Sultana A., Garg P., Ramamurthy B., Vemuganti G. K. and Kannabiran C. 2007 Mutational spectrum of the SLC4A11 gene in autosomal recessive congenital hereditary endothelial dystrophy. Mol. Vis. 13, 1327–1332.

    PubMed  CAS  Google Scholar 

  • Sundin O. H., Broman K. W., Chang H. H., Vito E. C., Stark W. J. and Gottsch J. D. 2006a A common locus for late-onset Fuchs’ corneal dystrophy maps to 18q21.2-q21.32. Invest. Ophthalmol. Vis. Sci. 47, 3919–3926.

    Article  PubMed  Google Scholar 

  • Sundin O. H., Jun A. S., Broman K. W., Liu S. H., Sheehan S. E., Vito E. C. et al. 2006b Linkage of late-onset Fuchs corneal dystrophy to a novel locus at 13pTel-13q12.13. Invest. Ophthalmol. Vis. Sci. 47, 140–145.

    Article  PubMed  Google Scholar 

  • Takagi T., Moribe H., Kondoh H. and Higashi Y. 1998 DeltaEF1, a zinc finger and homeodomain transcription factor, is required for skeleton patterning in multiple lineages. Development 125, 21–31.

    PubMed  CAS  Google Scholar 

  • Toma N. M., Ebenezer N. D., Inglehearn C. F., Plant C., Ficker L. A. and Bhattacharya S. S. 1995 Linkage of congenital hereditary endothelial dystrophy to chromosome 20. Hum. Mol. Genet. 4, 2395–2398.

    Article  PubMed  CAS  Google Scholar 

  • Urquhart J. E., Biswas S., Black G. C., Munier F. L. and Sutphin J. 2006 Exclusion of COL8A1, the gene encoding the alpha2(VIII) chain of type VIII collagen, as a candidate for Fuchs’ endothelial dystrophy and posterior polymorphous corneal dystrophy. Br. J. Ophthalmol. 90, 1430–1431.

    Article  PubMed  CAS  Google Scholar 

  • Valleix S., Nedelec B., Rigaudiere F., Dighiero P., Pouliquen Y., Renard G. et al. 2006 H244R VSX1 is associated with selective cone ON bipolar cell dysfunction and macular degeneration in a PPCD family. Invest. Ophthalmol. Vis. Sci. 47, 48–54.

    Article  PubMed  Google Scholar 

  • Vithana E. N., Morgan P., Sundaresan P., Ebenezer N. D., Tan D. T., Mohamed M. D. et al. 2006 Mutations in sodium-borate cotransporter SLC4A11 cause recessive congenital hereditary endothelial dystrophy (CHED2). Nat. Genet. 38, 755–757.

    Article  PubMed  CAS  Google Scholar 

  • Vithana E. N., Morgan P. E., Ramprasad V., Tan D. T., Yong V. H., Venkataraman D. et al. 2008 SLC4A11 mutations in Fuchs’ endothelial corneal dystrophy. Hum. Mol. Genet. 17, 656–666.

    Article  PubMed  CAS  Google Scholar 

  • Waring G. O. III, Bourne W. M., Edelhauser H. F. and Kenyon K. R. 1982 The corneal endothelium: normal and pathologic structure and function. Ophthalmology 89, 531–590.

    PubMed  Google Scholar 

  • Weiss J. S., Moller H. U., Lisch W., Kinoshita S., Aldave A. J., Belin M. W. et al. 2008 The IC3D classification of the corneal dystrophies. Cornea 27,suppl. 2, 1–83.

    Google Scholar 

  • Yellore V. S., Rayner S. A., Emmert-Buck L., Tabin G. C., Raber I., Hannush S. B. et al. 2005 No pathogenic mutations identified in the COL8A2 gene or four positional candidate genes in patients with posterior polymorphous corneal dystrophy. Invest. Ophthalmol. Vis. Sci. 46, 1599–1603.

    Article  PubMed  Google Scholar 

  • Zhang C., Bell W. R., Sundin O. H., De La Cruz Z., Stark W. J., Green W. R. et al. 2006 Immunohistochemistry and electron microscopy of early-onset Fuchs’ corneal dystrophy in three cases with the same L450W COL8A2 mutation. Trans Am. Ophthalmol. Soc. 104, 85–97.

    PubMed  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Chitra Kannabiran.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Kannabiran, C. Genetics of corneal endothelial dystrophies. J Genet 88, 487–494 (2009). https://doi.org/10.1007/s12041-009-0067-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12041-009-0067-1

Keywords

  • genetics
  • corneal dystrophy
  • corneal endothelium
  • gene mapping
  • mutations