Sox9 prevents retinal degeneration and is required for limbal stem cell differentiation in the adult mouse eye

Reviewer #1 (Public review):

Summary:

Hurtado et al. show that Sox9 is essential for retinal integrity, and its null mutation causes the loss of the outer nuclear layer (ONL). The authors then show that this absence of the ONL is due to apoptosis of photoreceptors and a reduction in the numbers of other retinal cell types such as ganglion cells, amacrine cells, and horizontal cells. They also describe that Müller Glia undergoes reactive gliosis by upregulating the Glial Fibrillary Acidic Protein. The authors then show that Sox9+ progenitors proliferate and differentiate to generate the corneal cells through Sox9 lineage-tracing experiments. They validate Sox9 expression and characterize its dynamics in limbal stem cells using an existing single-cell RNA sequencing dataset. Finally, the authors argue that Sox9 deletion causes progenitor cells to lose their clonogenic capacity by comparing the sizes of control and Sox9-null clones. Overall, Hurtado et al. underline the importance of Sox9 function in retinal and corneal cells.

Strengths:

The authors have characterized a myriad of striking phenotypes due to Sox9 deletion in the retina and limbal stem cells which will serve as a basis for future studies.

Weaknesses:

Hurtado et al. investigate the importance of Sox9 in the retina and limbal stem cells. However, the overall experimental narrative appears dispersed.

The authors begin by characterizing the phenotype of Sox9 deletion in the retina and show that the absence of the ON layer is due to photoreceptor apoptosis and a reduction in other retinal cell types. The authors also note that Müller glia undergoes gliosis in the Sox9 deletion condition. These striking observations are never investigated further, and instead, the authors switch to lineage-tracing experiments in the limbus that seem disconnected from the first three figures of the paper. Another example of this disconnect is the comparison of Sox9 high and Sox9 low populations using an existing scRNA-seq dataset and the subsequent GO term analysis, which does not directly tie in with the lineage-tracing data of the succeeding Sox9∆/∆ experiments.

A major concern is that a single Sox9∆/∆ limbal clone has a sufficiently large size, comparable to wild-type clones, as seen in Figure 6D. This singular result is contrary to their conclusion, which states that Sox9-deficient stem cells minimally contribute to the maintenance of the cornea.

Reviewer #2 (Public review):

Summary:

Sox9 is a transcription factor crucial for development and tissue homeostasis, and its expression continues in various adult eye cell types, including retinal pigmented epithelium cells, Müller glial cells, and limbal and corneal basal epithelia. To investigate its functional roles in the adult eye, this study employed inducible mouse mutagenesis. Adult-specific Sox9 depletion led to severe retinal degeneration, including the loss of Müller glial cells and photoreceptors. Further, lineage tracing revealed that Sox9 is expressed in a basal limbal stem cell population that supports stem cell maintenance and homeostasis. Mosaic analysis confirmed that Sox9 is essential for the differentiation of limbal stem cells. Overall, the study highlights that Sox9 is critical for both retinal integrity and the differentiation of limbal stem cells in the adult mouse eye.

Strengths:

In general, inducible genetic approaches in the adult mouse nervous system are rare and difficult to carry out. Here, the authors employ tamoxifen-inducible mouse mutagenesis to uncover the functional roles of Sox9 in the adult mouse eye.

Careful analysis suggests that two degeneration phenotypes (mild and severe) are detected in the adult mouse eye upon tamoxifen-dependent Sox9 depletion. Phenotype severity nicely correlates with the efficiency of Cre-mediated Sox9 depletion.

Molecular marker analysis provides strong evidence of Mueller cell loss and photoreceptor degeneration.

A clever genetic tracing strategy uncovers a critical role for Sox9 in limbal stem cell differentiation.

Weaknesses:

The Introduction can be improved by explaining clearly what was previously known about Sox9 in the eye. A lot of this info is mentioned in a single, 3-page long paragraph in the Discussion. However, the current study's significance and novelty would become clearer if the authors articulated in more detail in the Introduction what was already known about Sox9 in retina cell types (in vitro and in vivo).

Because a ubiquitous tamoxifen-inducible CreER line is employed, non-cell autonomous mechanisms possibly contribute to the observed retina degeneration. There is precedence for this in the literature. For example, RPE-specific ablation of Otx2 results in photoreceptor degeneration (PMID: 23761884). Have the authors considered the possibility of non-cell autonomous effects upon ubiquitous Sox9 deletion?

Given the similar phenotypes between animals lacking Otx2 and Sox9 in specific cell types of the eye, the authors are encouraged to evaluate Otx2 expression in the tamoxifen-induced Sox9 adult retina.

The most parsimonious explanation for the dual role of Sox9 in retinal cell types and limbal stem cells is that the cell context is different. For example, Sox9 may cooperate with TF1 in photoreceptors, TF2, in Mueller cells, and TF3 in limbal stem cells, and such cell type-specific cooperation may result in different outcomes (retinal integrity, stem cell differentiation). The authors are encouraged to add a paragraph to the discussion and share their thoughts on the dual role of Sox9.

One more molecular marker for Mueller glial cells would strengthen the conclusion that these cells are lost upon Sox9 deletion.

Using opsins as markers, the authors conclude that the photoreceptors are lost upon Sox9 deletion. However, an alternate possibility is that the photoreceptors are still present and that Sox9 is required for the transcription of opsin genes. In that case, Sox9 (like Otx2) may act as a terminal selector in photoreceptor cells. This point is particularly important because vertebrate terminal selectors (e.g., Nurr1, Otx2, Brn3a) initially affect neuron type identity and eventually lead to cell loss.

Quantification is needed for the TUNEL and GFAP analysis in Figure 3.

Line 269-320: The authors examined available scRNA-Seq data on adult retina. This data provides evidence for Sox9 expression in distinct cell types. However, the dataset does not inform about the functional role of Sox9 because Sox9 mutant cells were not analyzed with RNA-Seq. Hence, all the data that claim that this experiment provides insights into possible Sox9 functional roles must be removed. This includes panels F, G, and H in Figure 5. In general, this section of the paper (Lines 269-320) needs a major revision. Similarly, lines 442-446 in the Discussion should be removed.