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Research is conducted on two sites; one team, headed by John McAvoy, is based in the
Sydney Eye Hospital campus and the other team, headed by Frank Lovicu, is primarily
based in the Anderson Stuart building on the main University of Sydney campus (Camperdown).
Research is primarily directed at identifying the molecules and mechanisms
that govern the behaviour of cells of the ocular lens, in health, ageing
and disease. Our studies have identified a number of molecules that play
key roles in both normal and pathological lens development and growth.
Currently we are working to gain a better understanding of how these
molecules are regulated in the eye. This is fundamental to identifying
new therapeutics for retarding or preventing cataract, one of the most
common and costly diseases of ageing.
The lens transmits and focuses light onto the retina. To do this it needs
to be transparent and to have appropriate refractive properties. This
depends on the development and maintenance of a highly ordered cellular
architecture. The lens consists of two forms of cells encapsulated
within a basement membrane; (i) elongated fibre cells, grow to several
millimetres in length, and are precisely aligned to form a regularly
packed spheroidal mass, and (ii) cuboidal epithelial cells form a
single-layered sheet that covers the anterior surface of the fibres.
Whilst the fibre cells make up the bulk of the lens and mostly determine
its optical properties, epithelial cells play a key role in maintaining
an appropriate physiological environment within the lens. In addition,
the epithelium contains the 'stem cells' that proliferate, migrate and
differentiate into the new fibres that are progressively added to the
fibre mass throughout life.
We have focussed our attention on growth
factors because of their importance in regulating cell fates in many
diverse developmental systems. Using a unique lens epithelial explant
culture system we have identified members of the FGF growth factor
family as inducers of lens cell proliferation, migration & differentiation;
responses that are induced in a progressive dose-dependent manner. We
have proposed that an anterior-posterior gradient of FGF in the eye determines
lens polarity and growth patterns and testing this hypothesis continues to
be a major area of research activity in our laboratory. In addition to FGF,
we are actively exploring the differential mitogenic effects of other growth
factors primarily as a means of identifying which of these is important
for regulating lens cell proliferation in the eye. Our more recent studies
have also identified molecules, including members of the Wnt and Frizzled
gene families, as well as putative growth factor antagonists, that appear
to be essential for maintenance of the lens epithelium, primarily serving
to tightly regulate its structural and functional characteristics.
In addition to better understanding normal lens developmental biology,
our growth factor studies have also helped us to gain insights into the
molecular basis of the major lens pathology, cataract. We have shown that
members of the transforming growth factor beta (TGF_) family induce aberrant
growth and differentiation of lens cells. This progressively leads to
disruption of normal cellular architecture and opacification of the lens.
Cataract is the most common cause of blindness in the world today.
Although surgery is generally effective, in many countries it cannot
keep pace with the growing demand. Moreover, complications such as aberrant
growth and differentiation of lens cells left behind after cataract surgery
(most commonly referred to as posterior capsule opacification), require
further treatment and add to the cost of cataract management. Because of
its clinical significance it is vital to understand how TGF_ induces
cataractous effects on the lens and most importantly how it is regulated
in the eye. This information is fundamental to understanding the molecular
basis of cataract and devising strategies for prevention.
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