Small leucine-rich proteoglycans (SLRPs) are involved in a variety of biological and pathological processes. This review focuses on their regulatory roles in matrix assembly. SLRPs have protein cores and hypervariable glycosylation with multivalent binding abilities. During development, differential interactions of SLRPs with other molecules result in tissue-specific spatial and temporal distributions. The changing expression patterns play a critical role in the regulation of tissue-specific matrix assembly and therefore tissue function. SLRPs play significant structural roles within extracellular matrices. In addition, they play regulatory roles in collagen fibril growth, fibril organization and extracellular matrix assembly. Moreover, they are involved in mediating cell–matrix interactions. Abnormal SLRP expression and/or structures result in dysfunctional extracellular matrices and pathophysiology. Altered expression of SLRPs has been found in many disease models, and structural deficiency also causes altered matrix assembly. SLRPs regulate assembly of the extracellular matrix, which defines the microenvironment, modulating both the extracellular matrix and cellular functions, with an impact on tissue function.
The small leucine-rich proteoglycan (SLRP) family has important roles in a range of biological processes and pathophysiologies, including collagen fibrillogenesis [1, 2], signal transduction [3-5] and tumor growth [6, 7]. This review focuses on the roles of SLRPs in matrix assembly during development, and in pathophysiology.
Structure and multivalent binding abilities
The SLRP family has been expanded to five classes based on homologies at both the genomic and protein level (Table 1). In humans, 18 genes encoding SLRPs are spread over seven chromosomes, with some genes clustered on chromosomes, suggesting duplication to generate functional redundancy during evolution . At the protein level, SLRPs have a variable number of tandem leucine-rich repeats (LRRs) comprising the major central domain. Each LRR has a conserved hallmark motif: LXXLxLXXNxL, where L indicates leucine, which may be substituted by isoleucine, valine and other hydrophobic amino acids, and x indicates any amino acid. The LRRs in the central domain form a curved solenoid structure with both convex and concave faces. The central LRR domain is flanked by cysteine-rich domains on two sides. At the N-terminus, all SLRPs contain four cysteines with class-conserved internal spacing . The N-termini in various SLRPs are variably modified to provide unique functions for each SLRP [9-12]. Among the conserved C-terminal cysteine-rich capping motifs, a distinctive feature for the canonical class I, II and III SLRPs is the ‘ear repeat’, which is the penultimate LRR that is always the longest LRR extending outwards from the convex face. The ear repeat is proposed to maintain the conformation of the protein core and influence ligand binding ability. A mutation in this position has been found in human congenital stromal corneal dystrophy .
Table 1. Interactions of SLRPs with other matrix molecules.PRELP, proline/arginine-rich end leucine-rich repeat protein
Collagen I [17-20]; collagen II and III ; collagen V ; collagen VI [23, 24]; collagen XII ; collagen XIV ; fibronectin [27, 28]; thrombospondin-1 ; microfibril-associated glycoprotein-1 and fibrillin-1 ; tenascin-X 
Collagen I ; collagen II ; collagen III ; collagen VI ; collagen IX and biglycan ; collagen II and VI complex ; tropoelastin and microfibril-associated glycoprotein-1 
SLRPs are proteoglycans that have both protein cores and glycosaminoglycan chains (GAGs), although non-canonical class IV and V SLRPs that do not contain any GAGs are also included in this family. The GAGs of SLRPs are differentially processed in development and aging, and are variable with regard to size, number, sulfation and epimerization in various tissues. For instance, lumican is predominantly a highly sulfated proteoglycan that is present in the cornea, but a glycoprotein in other tissues . The GAGs of SLRPs are important in cytokine binding, extracellular matrix assembly and hydration. SLRPs also are modified by N-glycosylation. Together with O-linked GAGs, these polysaccharide modifications affect the conformational stability of the protein core  and secretion . Variations in glycosylation modify the binding affinities of SLRPs at different developmental stages. The hypervariable glycosylation and N-terminal variations provide SLRPs with multiple binding abilities that have been demonstrated in interactions with other molecules both in vivo and in vitro.
Spatial and temporal distribution of SLRPs during development
SLRPs are dynamically synthesized, secreted, deposited and degraded in vivo. Their multivalent binding abilities, secretion speed, local concentration and the presence/absence of other molecules all affect their existing form and functions. In the dynamic process of metabolism, SLRPs are subject to alterations of the micro-environment and are regulated at different levels, both intra- and extracellularly. At the chromosomal level, the clustered genes can be regulated together during development. For instance, keratocan, which is downstream of lumican on chromosome 12, is regulated by lumican . Differential splicing, alternative polyadenylation and multiple promoter use during transcription all provide tissue-specific regulation at different developmental stages. For instance, the expression of SLRPs and cytokines are regulated bi-directionally through a common regulatory framework , providing feedback mechanisms regulating matrix assembly and remodeling. In the secretory pathway, SLRPs are subject to surveillance chaperones and post-translational modifications in the ER . Dysregulation in these steps may lead to under-glycosylated, mis-folded or dislocated SLRPs . In the extracellular matrix, SLRPs are substrates for many proteases such as matrix metalloproteinases , aggrecanases , bone morphogenetic protein-1  and granzyme B . However, SLRPs are selectively resistant to some matrix metalloproteinases , and protect collagen fibrils from cleavage by collagenases  when they bind to the collagen fibril surface. Secreted SLRPs may be recycled by endocytosis . Endocytosis not only affects the metabolism of SLRPs, but also modulates other biological processes. For instance, endocytosis of decorin induces protracted internalization and degradation of the epidermal growth factor receptor ; intracellular accumulation and nuclear localization of aberrantly expressed decorin are observed in tumor cells . SLRPs are ubiquitous molecules and are deposited in the extracellular matrix and mainly associated with collagens in interstitial connective tissues such as cornea, bone and tendon. However, SLRPs are expressed in tissues independently of collagen secretion in early developmental stages to regulate cell migration, proliferation and differentiation [68, 69]. Despite their similar structure and some common functions, the spatial distribution and organization of SLRPs are tissue-specific and dynamic during development. For example, keratocan is mostly restricted to the corneal stroma postnatally , whereas biglycan shows peak levels in tendon and muscle in embryonic stages , but its expression levels are low in adult tissues.
The cornea provides an excellent example of differential spatial and temporal expression patterns for a number of SLRPs. The cornea expresses six SLRPs that have unique expression patterns both spatially and temporally. The corneal class I SLRPs, decorin and biglycan, are distributed across the corneal stroma, but biglycan expression decreases significantly after birth while decorin remains relatively stable. The corneal class II SLRPs also display differential expression patterns. Keratocan has a constant temporal and spatial expression pattern in corneal development and the mature cornea . In contrast, during development, lumican is homogenous in both anterior and posterior stroma, but becomes restricted to the posterior stroma in the adult animal . Fibromodulin is not considered a corneal component; however, it has a narrow window of expression extending into the central cornea during early postnatal development . The class III SLRP, osteoglycin, is localized to the epithelium and basement membrane zone only . The complex expression patterns of SLRPs during corneal development are tightly regulated. The tissue-specific regulation of collagen fibrillogenesis and stromal matrix assembly, hydration and cornea/sclera integration during corneal development, is responsible for generating the functional attributes of transparency and refraction to the cornea.
The nature of the GAGs attached to the SLRPs also is regulated during development. For instance, the switch of the polylactosamine form to keratan sulfate lumican in cornea is coincident with eye opening and contributes to corneal transparency . During bone formation, dermatan sulfate biglycan is only expressed during the cell proliferation phase, ceases during the early matrix deposition phase, and then chondroitin sulfate GAGs are synthesized at the initiation of mineralization . Spatial and temporal variations of SLRP expression are also observed in cartilage, tendon , ocular  and odontal tissues  during development. The tissue-specific temporal and spatial expression of SLRPs plays both instructive and structural roles in matrix assembly during development.
The regulatory and structural roles of SLRPs in matrix assembly
The extracellular matrix provides mechanical strength and support, but also provides a micro-environment that defines the concentration of growth factors, hydration, pH and electrochemical gradients that shape tissue-specific function. The extracellular matrix is mainly composed of glycoproteins, proteoglycans and collagens. SLRPs, with their multivalent binding abilities, regulate matrix assembly during development at various levels.
Regulatory roles in collagen fibrillogenesis
Collagen fibrils are the major component of most extracellular matrices. The assembly and deposition of collagen fibrils involves a sequence of events that occurs in both intracellular and extracellular compartments. Procollagen molecules are synthesized, hydroxylated, glycosylated, assembled from three polypeptides, and folded in the rough ER. Packaging occurs in the Golgi, and transport occurs via specialized and elongated intracellular compartments, with secretion at the cell surface. Extracellular removal of N- and C-propeptides after procollagen secretion is required for the formation of collagen. Collagen molecules assemble into striated protofibrils with a characteristic 67 nm banding pattern. Protofibrils are immature fibrils that have small and uniform diameters as well as short lengths compared to mature fibrils. During development, collagen fibrils are initially assembled as uniform and relatively short protofibrils (diameter ~ 20 nm, length 4–12 μm) (Fig. 1A). The protofibrils are D-periodic with tapered ends [79-82]. In mature tissues, collagen fibrils are functionally continuous, i.e. are so long that lengths have not been accurately measured using available approaches, and have diameters in the range 20–500 nm, depending on the tissue and developmental stage [79, 80, 83]. The mature fibril is assembled by end-to-end and lateral association of protofibrils (Fig. 1A,B). A model for the multi-step assembly of mature fibrils from pre-formed intermediates, protofibrils, is presented in Fig. 2. Procollagen is processed into collagen, which assembles into protofibrils that are closely associated with the cell surface. Collagen assembly into protofibrils involves the interaction of at least two fibril-forming collagens. Collagens V and XI are variants of the same collagen type and play key roles in nucleating protofibril assembly [84-87].The protofibrils are deposited and incorporated into the developing extracellular matrix where they are stabilized via interactions with macromolecules such as SLRPs. This stabilization may coincide with assembly, or may occur with changing patterns at the time of and after assembly. Protofibril stabilization is not a single defined interaction, but rather a continuum that varies in a tissue- and developmental-specific manner. The stabilized protofibrils result in a discontinuous extracellular matrix during periods of rapid growth and development. Maturation is generally associated with larger-diameter fibrils that become longer and functionally continuous. Initially, this involves linear fibril growth involving end-overlap of the protofibrils. In most tissues, this is followed by lateral fibril growth, where the fibrils associate and fuse laterally to generate the large-diameter fibrils seen in most mature tissues. These associations involve molecular rearrangements that are necessary to regenerate the cylindrical fibril structure. In this process, some or all components stabilizing the protofibrils are lost or replaced during formation of the mature fibrils. Throughout this process, lysyl oxidase mediates intra- and inter-molecular covalent cross-linking of collagen within the fibril. As the number of inter-molecular cross-links increases with fibril maturation, molecular rearrangement is limited and mature fibril structure is stabilized. The growth in length and diameter as well as covalent cross-linking increase the mechanical strength of the connective tissue.
Almost all SLRPs bind collagen fibrils (Table 1), and gene-targeted mouse models have demonstrated their critical instructive roles in fibrillogenesis and matrix assembly . Decorin also binds to procollagen , indicating that SLRPs may bind to collagen before collagen fibril assembly. The binding of SLRPs to collagen has been analyzed by many researchers. Immuno-electron microscopy and in vitro peptide binding assays demonstrate that SLRPs may have different or shared binding sites as well as different binding affinities. This permits finely tuned regulation of fibrillogenesis through the cooperation of various SLRPs. The class I SLRPs decorin and biglycan bind the ‘d’ and ‘e’ bands of collagen fibrils [17, 18], and the class II SLRPs lumican and fibromodulin bind the ‘a’ and ‘c’ bands of collagen fibrils . SLRPs of the same classhave the same binding site on collagen, and therefore compete with each other for binding; for instance, asporin competes with decorin  and lumican competes with fibromodulin [43, 90]. In contrast, SLRPs of different classes do not compete because of the different binding sites on the collagen fibrils . During development, the similar binding abilities between SLRPs provide functional redundancy in fibrillogenesis. For instance, both decorin-deficient and biglycan-deficient mice have mild corneal stromal phenotypes . The decorin-deficient mice showed significant up-regulation of biglycan expression, suggesting a functional compensation. When this compensation was prevented in a compound decorin/biglycan-deficient mouse model, a very severe stromal phenotype resulted (Fig. 3). These data support functional redundancy within SLRP classes.
SLRPs bind collagen primarily through their central domains. For example, decorin binds collagen I via LRRs 4–6 . Binding can be further localized to the specific sequence, SYIRIADTNIT ; lumican and fibromodulin have a homologous sequence in LRRs 5–7 for collagen binding. In addition, SLRPs have multiple collagen binding domains; for instance, decorin has multiple binding domains for interaction with collagen I . A crystal structure of the decorin–collagen complex suggests that one decorin monomer may bind multiple collagens via multiple binding domains . Class II fibromodulin is also able to bind collagen I via Glu353 and Lys355 in LRR 11 , which facilitates collagen fibril cross-linking  and maturation. During tendon development, fibromodulin facilitates the growth of protofibrils into mature fibrils . Binding of SLRPs on the collagen fibril surface regulates fibril growth steps, and a common feature in SLRP-null models is dysfunctional regulation of fibril diameter and altered fibril structure [2, 72, 76, 92].
GAGs affect SLRP protein core conformation during biosynthesis . However, in vitro fibrillogenesis assays indicate that SLRP protein cores are critical in regulating fibrillogenesis, independently of the GAGs . The SLRP protein cores bind collagen fibrils via their concave face, with GAGs extending outwards into the inter-fibril space. The sulfated GAGs regulate matrix hydration  and interact with adjacent collagen fibrils. Periodic interactions between GAGs and collagen fibrils are observed under high-resolution scanning electron microscopy . Three-dimensional electron morphological studies also show that the GAGs tether two or more collagen fibrils to form a network [98, 99]. In cell cultures, mutant decorin without GAGs was associated with larger-diameter collagen fibrils in the 3D matrix . Dermatan sulfate epimerase 1-deficient mice also exhibit altered collagen structure in skin . Computational studies suggest that GAGs bridge and transfer force between adjacent fibrils, providing mechanical integrity to the tissue . Therefore, GAGs of SLRPs may be involved in the regulation of fibrillogenesis, but also influence inter-fibril spacing and organization during matrix assembly. In the absence of decorin, fibrils in the periodontal ligament are randomly organized instead of in the normal parallel orientation . In addition, GAGs may also modulate the micro-environment during matrix assembly. For instance, decorin and biglycan inhibit hydroxyapatite-induced crystal growth through GAGs and regulate the mineralization process during bone formation .
SLRPs not only bind collagen I, but also other fibrillar collagens such as collagena II and III . SLRPs have different affinities for different fibrillar collagens, which contribute to modulation of their functions within different tissues. For instance, biglycan interacts strongly with collagen II, but has a lower affinity for collagen I; therefore, different or modified roles are expected in tissues with different collagen compositions, e.g. cartilage versus cornea, bone or tendon.
Constructive roles in matrix assembly
SLRPs have multiple binding domains with elongated sulfated GAGs. Proline/arginine-rich end leucine-rich repeat protein has both a collagen-binding domain and a heparin-binding domain. It may function in integration of adjacent extracellular matrices by binding perlecan in the basement membrane and collagen in underlying connective tissues . Collagen VI is a ubiquitous collagen that forms a flexible network that weaves among collagen fibrils in connective tissues and between fibrils and cells. Immuno-electron localization showed that collagen VI microfilaments cross collagen I at the ‘d’ band where decorin and biglycan also bind . Both decorin and biglycan bind collagen VI [24, 34]. In vitro studies demonstrate that biglycan may also organize collagen VI into hexagonal-like networks . SLRPs may connect collagen VI, collagen II, matrilin-1 and aggrecan, forming a complex in the pericellular matrix, as demonstrated in cultured chondrosarcoma cells . SLRPs such as fibromodulin, decorin and biglycan also bind fibril-associated collagens such as collagen XII and collagen XIV via the protein core or GAGs; therefore, they indirectly regulate collagen fibril organization [25, 26, 108, 109]. Other extracellular matrix molecules that interact with SLRPs include the microfibrillar proteins microfibril-associated glycoprotein-1 and fibrillin-1 complex , tropoelastin and microfibril-associated glycoprotein-1 complex , and aggrecan .
Involvement of SLRPs in cell–matrix interaction during matrix assembly
Although collagen fibrils can self-assemble, the cell also participates in organization of the fibrils through interactions involving integrins, fibronectin, thrombospondins, tenascins, etc. . SLRPs may be involved in cell–matrix interactions by directly interfering with plasma membrane receptors and pericellular matrix molecules. For instance, decorin inhibits cell attachment though fibronectin , thrombospondin  and tenasin . Lumican [45, 48], osteoadherin  and chondroadherin  all have high affinity for integrins. Biglycan also regulates muscle cell behavior by binding plasma membrane α-dystroglycan through its GAGs , playing a role in muscular dystrophies. Nyctalopin, a cell membrane-associated SLRP, acts by integrating cell receptors and pericellular matrix proteins to modulate cellular behavior . SLRPs act as cytokine reservoirs in the extracellular matrix , matrix barriers restricting molecular diffusion  and matrikines directly interacting with cell-surface receptors . Therefore, SLRPs influence cell behaviors including differentiation, apoptosis, proliferation and migration through multiple means. SLRPs that influence both cell behavior and matrix assembly are critical for the structural integrity of tissues.
Altered expression of SLRPs disrupts matrix integrity
Collagen fibrillogenesis is tightly regulated to generate tissue-specific structures and therefore functions. In the corneal stroma, homogenous small-diameter fibrils, which are regularly packed and arranged as orthogonal lamellae, are required for corneal transparency. Lumican-deficient mice exhibit progressive corneal opacity with age. This is associated with irregularly packed, large-diameter collagen fibrils with irregular, cauliflower-like contours in the posterior stroma. The altered fibril characteristics are consistent with dysfunctional regulation of lateral fibril growth steps. The requirement for a homogeneous population of small-diameter fibrils necessary for transparency is inconsistent with lateral fibril growth in the corneal stroma. This abnormal phenotype is coincident with the spatial restriction of lumican to the posterior stoma, resulting in increased light scattering and opacity in the region [117, 118]. Mice that are deficient in decorin or biglycan, another class I SLRP in the cornea, only have a mild phenotype. However, compound mutant mice that are deficient for both decorin and biglycan demonstrated a severe phenotype with increased numbers of large-diameter fibrils, a very heterogeneous diameter distribution, and irregular, cauliflower-like contours in both the anterior and posterior stroma. Again, the spatial distribution of the abnormal phenotype was coincident with decorin expression. Both in vivo and in vitro studies demonstrated that biglycan is up-regulated in the absence of decorin, and may functionally compensate for the loss of decorin. The data suggest that decorin is a major regulatory SLRP in the cornea . Keratocan-deficient mice have thinner corneal stromas and a narrower cornea–iris angle, indicating that the keratan sulfate-containing keratocan regulates stroma hydration and shape during development . Fibromodulin, which is expressed during a very narrow window during development of the corneal stroma, is involved in regulation of cornea/sclera integration during corneal postnatal development . In humans, cornea plana is associated with mis-sense and frameshift mutations resulting in a single amino acid substitution or a C-terminally truncated keratocan [119, 120]. High-degree myopia is associated with intronic variations and single-nucleotide polymorphisms in fibromodulin, proline/arginine-rich end leucine-rich repeat protein and opticin genes [121, 122]. Increased keratocan expression is observed in the stroma of keratoconus corneas . Therefore, cornea-specific temporal and spatial expression of SLRPs is critical for precisely regulated matrix assembly during development.
Tendons are composed of uniaxially arranged collagen fibrils, organized as fibers (fibril bundles), which provide the tensile properties required for transmission of force. As illustrated in the mouse flexor tendon, fibrillogenesis involves sequential steps during development (Fig. 4). First, protofibrils are assembled at approximately P4 (postnatal 4) and have a normal diameter distribution with relatively small diameters. Next, there is a transition from the assembly phase to the growth phase where protofibrils begin the linear and lateral growth required for fibril maturation. At approximately P10, larger-diameter fibrils are added to the smaller-diameter protofibril population. These immature fibrils continue to grow to maturation from 1 to 3 months. This phase is characterized by lateral fibril growth, generating a broad, heterogeneous distribution of fibril diameters that are characteristic of the structurally and functionally mature tissue. An abnormal fibril structure was present in decorin-deficient tendons. The fibrils had larger diameters with irregular fibril contours, indicating altered regulation of lateral collagen fibril growth in the decorin-deficient tendons. There were tendon-specific differences in the severity of the fibril phenotype [124, 125]. The underlying basis of the site-specific differences requires further study, but may result from tissue-specific differences in SLRP expression patterns. Other than decorin, biglycan (class I), fibromodulin and lumican (class II) are the major SLRPs expressed during tendon development. Cooperation between different SLRPs is important in the regulation of tendon fibril growth and maturation . During tendon development, lumican expression has a peak level  at approximately P8 and then decreases dramatically. The expression of fibromodulin peaks at P14, is maintained until P30, and then decreases dramatically. In the absence of fibromodulin, the collagen-associated lumican level is increased. In lumican-deficient tendons, fibril alterations are observed early, but the mature tendon is nearly normal. Fibromodulin-deficient tendons are comparable with those of lumican-deficient mice in early development, but have an increased smaller-diameter fibril population in mature tendons . In mature tendons, lumican-deficient tendons were comparable to wild-type tendons, while stiffness was significantly reduced in fibromodulin-deficient tendons. Interestingly, as lumican was reduced in compound mutant mice deficient in fibromodulin, the stiffness was reduced in proportion to the amount of lumican expressed: Fmod−/−/Lum+/+ > Fmod−/−/Lum+/−> Fmod−/−/Lum−/− . We interpret this as a dominant SLRP interacting with a modulatory SLRP in the regulation of tissue-specific fibrillogenesis. The double-deficient mice have an early additive phenotype, but are comparable with the fibromodulin-deficient mice at maturation. Both lumican and fibromodulin inhibit fibril lateral growth during initial assembly of protofibrils, and may influence fibril number, as fewer fibrils are observed in the tail tendon in fibromodulin-deficient mice . In later stages, fibromodulin facilitates fibril growth through growth steps leading to mature fibrils. Decorin also regulates tendon fibril development cooperatively with biglycan . Decorin-deficient mice not only exhibit disrupted collagen fibril structure, but also altered viscoelastic properties, indicating that decorin regulates inter-fibril organization .
SLRP-deficient mice exhibit phenotypes that are consistent with dysfunctional matrix assembly in connective tissues such as skin, bone, cartilage and teeth , as well as non-connective tissues such as liver  and the pregnant uterus [133, 134]. These phenotypes resemble those observed in many human diseases. For instance, targeted disruption of the biglycan gene leads to an osteoporosis-like phenotype in mice , biglycan/fibromodulin-deficient mice have abnormal collagen fibrils in tendons that leads to gait impairment, ectopic ossification and osteoarthritis , and Ehlers–Danlos-like changes such as skin laxity and fragility, as well as joint laxity, are found in decorin- and biglycan-deficient mice , as well as lumican- and fibromodulin-deficient mice . Indeed, altered expression of SLRPs has been observed in a broad range of human diseases such as Marfan syndrome , localized scleroderma , infantile progeroid patients , osteogenesis imperfecta , systemic sclerosis  and carbohydrate-deficient glycoprotein syndrome .
The multivalent binding capacity of SLRPs is required for their normal function. However, this advantage may become a disadvantage when SLRPs provide an adhesion site for pathogens or toxic substances. Borrelia burgdorferi, the causative agent of Lyme disease, resides mainly in the extracellular matrix, binding with decorin via decorin-binding proteins A and B . Mice that are deficient in the decorin gene are more resistant to Lyme disease [144, 145]. Decorin also plays an important role in forming amyloid plaques in Alzheimer's disease . In a patient with proximal myopathy, a skeletal muscle-specific form of decorin was an antigen for a serum IgM [146a]. SLRPs such as decorin and biglycan may link low density lipoprotein and apolipoproteins to collagen, resulting in accumulation of these toxic substances in atherosclerosis [147, 148].
Structural deficiency of SLRPs in altered matrix assembly
Structural deficiency that leads to dysfunctional matrix assembly is also found in human diseases. In a patient with progeroid, only 50% of the decorin protein core molecules are substituted with GAGs due to two point mutations in β4 galactosyltransferase I (β4GalT-7). The heterogeneously glycosylated decorin is thought to be the major mechanistic cause of the defective skin seen in Ehlers–Danlos syndrome .
Human congenital stromal corneal dystrophy is the only human disease that has been associated with a mutant decorin gene. Three frameshift mutations have been reported, and all of these mutations (c.947ΔG, c.967ΔT and c.941ΔC) are at the C-terminus of decorin [150-153]. These deletion mutations all lead to identical truncations of decorin, lacking a 33 amino acid segment that includes the ‘ear repeat’, which is a feature specific for SLRPs (Fig. 5). A recently described decorin-associated congenital stromal corneal dystrophy involves a novel nucleotide substitution (c.1036T>G) in decorin . The substitution of cysteine by glycine within the C-terminus caused a milder phenotype than the truncated mutations . Presumably, loss of the Cys residue results in a deficiency in disulfide bond formation in this critical region. The resulting altered conformation, rather than a truncation, may explain the milder functional consequences. A novel animal model that recapitulates human congenital stromal corneal dystrophy was generated in our laboratory . Mutant mice expressed both wild-type and mutant decorin. Corneal opacities were found throughout, with increased severity towards the posterior stroma. The architecture of the lamellae was disrupted, with relatively normal lamellae separated by regions of abnormal fibril organization. Within abnormal zones, the inter-fibrillar spacing and the fibril diameters were increased (Fig. 5). Truncated decorin negatively affected the expression of endogenous decorin, biglycan, lumican and keratocan, and positively affected fibromodulin . In vitro studies demonstrate that the truncation of the decorin C-terminus results in a mis-folded protein that is retained in the ER. The mutant decorin alters cytoplasmic trafficking and induces ER stress (S. Chen and D. E. Birk, unpublished data). This leads to dysregulated homeostasis of extracellular matrix components and disrupted matrix assembly in the cornea stroma.
Conclusions and future directions
Extracellular matrices provide structural scaffolds that are tissue-specific, developmental stage-specific and are altered in pathophysiological conditions. These scaffolds also define cell function. Cells sense signals within the micro-environment associated with the extracellular matrix, and are able to respond by altering cellular function. Alternatively, they may manipulate the micro-environment to benefit their growth or other function. The altered micro-environment may provide signals for cell migration in during development or in pathological processes such as inflammation and cancer. Almost all SLRP-deficient mice exhibit a phenotype in connective tissues, suggesting extensive cooperation between SLRPs and other molecules. The temporal and spatial dynamic interactions among SLRPs, cells and their extracellular matrices provide a diversity of specific tissue functions (Fig. 6). SLRP redundancy in tissues provides functional redundancy to support important roles in maintaining tissue stasis. In contrast, differences in SLRPs are important in fine tuning tissue-specific micro-environments to promote a particular cellular and/or tissue function. For instance, compound decorin and p53-deficient mice provide a permissive condition for tumor growth . In early embryonic development, SLRPs regulate cell migration and differentiation via cytokines and cell receptors. In later stages, they regulate matrix assembly, thereby shaping tissue function. SLRPs are indispensable structural components of the extracellular matrix in mature tissues. In pathological conditions, such as inflammation and wound healing, SLRPs facilitate tissue repair and regeneration [157, 159]. Finally, SLRPs may be associated with tissue changes associated with aging . Extracellular matrices are regulated by SLRPs during assembly, but these matrices also regulate the dynamic distribution and function of SLRPs during development and diseases. The SLRPs in extracellular matrices may provide prognostic markers, but may also enable pharmacological targeting in treatment of a broad range of diseases .
This study was supported by US National Institutes of Health grants National Eye Institute EY05129 and National Institute of Arthritis and Musculoskeletal and Skin Diseases AR44745.