Activation of limbal epithelial proliferation is partly controlled by the ACE2-LCN2 pathway
Huimin Jiang,
Min Liu,
Wending Yang,
Yi-Kai Hong,
Dan Xu,
Elif Kayaalp Nalbant,
Elwin D. Clutter,
Parisa Foroozandeh,
Nihal Kaplan,
Jan Wysocki,
Daniel Batlle,
Stephen D. Miller,
Kurt Lu,
Han Peng
Affiliations
Huimin Jiang
Departments of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA; Department of Ophthalmology, The Second Hospital of Anhui Medical University, Hefei 230601, China
Min Liu
Departments of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Wending Yang
Departments of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Yi-Kai Hong
Departments of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Dan Xu
Microbiology-Immunology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Elif Kayaalp Nalbant
Departments of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Elwin D. Clutter
Departments of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Parisa Foroozandeh
Departments of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Nihal Kaplan
Departments of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Jan Wysocki
Medicine (Nephrology and Hypertension), Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Daniel Batlle
Medicine (Nephrology and Hypertension), Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Stephen D. Miller
Microbiology-Immunology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Kurt Lu
Departments of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Han Peng
Departments of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA; Corresponding author
Summary: In response to corneal injury, an activation of corneal epithelial stem cells and their direct progeny the early transit amplifying (eTA) cells to rapidly proliferate is critical for proper re-epithelialization. Thus, it is important to understand how such stem/eTA cell activation is regulated. Angiotensin-converting enzyme 2 (ACE2) is predominantly expressed in the stem/eTA-enriched limbal epithelium but its role in the limbal epithelium was unclear. Single cell RNA sequencing (scRNA-seq) suggested that Ace2 involved the proliferation of the stem/eTA cells. Ace2 was reduced following corneal injury. Such reduction enhanced limbal epithelial proliferation and downregulated LCN2, a negative regulator of proliferation in a variety of tissues, via upregulating TGFA and consequently activating epidermal growth factor receptor (EGFR). Inhibition of EGFR or overexpression of LCN2 reversed the increased proliferation in limbal epithelial cells lacking ACE2. Our findings demonstrate that after corneal injury, ACE2 is downregulated, which activates limbal epithelial cell proliferation via a TGFA/EGFR/LCN2 pathway.
