Eric A. Pierce, MD, PhD
Associate Professor of Ophthalmology
Active Staff, Presbyterian Medical Center, University of Pennsylvania Health System
Attending Staff, Hospital of the University of Pennsylvania, University of Pennsylvania Health System
Member, Mahoney Institute of Neurological Sciences, University of Pennsylvania
University Associate, Division of Ophthalmology, Children's Hospital of Philadelphia
Department: Ophthalmology
Contact information
F.M. Kirby Center for Molecular Opthamology,
Scheie Eye Institute,
305 Stellar-Chance Labs,
422 Curie Boulevard
Philadelphia, PA 19104
Scheie Eye Institute,
305 Stellar-Chance Labs,
422 Curie Boulevard
Philadelphia, PA 19104
Office: (215) 573-3919
Fax: 215-573-8030
Fax: 215-573-8030
Email:
epierce@mail.med.upenn.edu
epierce@mail.med.upenn.edu
Graduate Group Affiliations
Publications
Links
Search PubMed for articles
F.M. Kirby Center for Molecular Ophthalmology website
Cell and Molecular Biology graduate group faculty webpage.
Mahoney Institute of Neurological Sciences website
Search PubMed for articles
F.M. Kirby Center for Molecular Ophthalmology website
Cell and Molecular Biology graduate group faculty webpage.
Mahoney Institute of Neurological Sciences website
Education:
A.B. (Biochemistry)
Dartmouth College, 1981.
Ph.D. (Biochemistry)
University of Wisconsin-Madison, 1986.
M.D. (Medicine)
Harvard Medical School and Massachusetts Institute of Technology, Health Sciences and Technology Division, 1990.
A.B. (Biochemistry)
Dartmouth College, 1981.
Ph.D. (Biochemistry)
University of Wisconsin-Madison, 1986.
M.D. (Medicine)
Harvard Medical School and Massachusetts Institute of Technology, Health Sciences and Technology Division, 1990.
Post-Graduate Training
Intern, Medicine, Massachusetts General Hospital,Boston, 1990-1991.
Resident, Ophthalmology , Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston, 1991-1994.
Research Fellow, Ophthalmology , Children's Hospital, Harvard Medical School, Boston, 1994-1995.
Clinical Fellow, Ophthalmology , Children's Hospital, Harvard Medical School, Boston, 1995-1996.
Intern, Medicine, Massachusetts General Hospital,Boston, 1990-1991.
Resident, Ophthalmology , Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston, 1991-1994.
Research Fellow, Ophthalmology , Children's Hospital, Harvard Medical School, Boston, 1994-1995.
Clinical Fellow, Ophthalmology , Children's Hospital, Harvard Medical School, Boston, 1995-1996.
Certifications
American Board of Ophthalmology, 1997.
Permanent linkAmerican Board of Ophthalmology, 1997.
Description of Research Expertise
RESEARCH INTERESTSMolecular Genetics of Inherited Blindness
Inherited retinal degenerations such as retinitis pigmentosa (RP) are common causes of blindness. The overall goals of our research program are to improve our understanding of the molecular bases of inherited retinal degenerations and related cilia disorders so that rational therapies can be developed for these diseases.
Key words: Cilia, gene targeting, photoreceptor cells, macular degeneration, next generation sequencing, proteomic analysis, retinal degeneration, retinitis pigmentosa, RP1, RNA splicing
DESCRIPTION OF RESEARCH
1. The Biology and Diseases of Photoreceptor Sensory Cilia
Cilia are present on most cells in the human body. These structures are typically sensory organelles, and are involved in many critical aspects of cell biology and development. The photoreceptor sensory cilium (PSC) elaborated by each rod and cone photoreceptor cell of the retina is a classic example (Figure 1). Consistent with the importance of cilia in biology, mutations in genes that encode cilia components are common causes of disease. Mutations that cause inherited retinal degenerations, which are common causes of blindness, have been identified in genes encoding more than 40 PSC proteins to date. These disorders are characterized by PSC dysfunction, followed by degeneration and death of the photoreceptor cells, resulting in loss of vision.

Figure 1. Photoreceptor sensory cilia (right, top part of rod cell) are the light sensitive parts of the rods and cones in the eye's retina (middle and left). Like other cilia, the outer segment (OS) contains an axoneme, which begins at the basal bodies, passes through a transition zone (the so-called "connecting cilium") and into the OS. The basal bodies also nucleate the ciliary rootlet, which extends into the inner segment (IS). The PSC complex comprises the OS and its cytoskeleton, including the rootlet, basal body and axoneme. The membrane domain of the OS is highly specialized, with discs (lamellar membranes) stacked in tight order at 30 per micron along the axoneme. The proteins required for phototransduction are located in or associated with these discs.
We are interested in studying how photoreceptor sensory cilia are built and maintained, and how these processes are disrupted in disease. For example, while there has been notable progress identifying the genetic causes of inherited retinal degenerations and other cilia disorders, the genes that harbor mutations which cause disease in half of patients with inherited retinal degeneration remain to be identified. To help understand PSCs better, and facilitate identification of new retinal degeneration disease genes, we performed a series of proteomic analyses to identify all of the proteins in mouse photoreceptor sensory cilia. The results show that PSCs are made of almost 2000 proteins, including ~1500 proteins not detected in cilia from lower organisms. This database of PSC proteins has already proved to be very useful. For example, in the past year we have used the list of genes that encode novel PSC proteins to help identify one confirmed and four potential new retinal degeneration disease genes.
Retinitis Pigmentosa 1
Part of our work on PSCs is focused on the retinitis pigmentosa 1 (RP1) protein. Mutations in RP1 are a common cause of dominant RP, which is the most common form of inherited retinal degeneration. Work in our lab has found that the RP1 protein is a photoreceptor microtubule-associated protein that is required for the correct formation of PSCs. We are now working to identify proteins that interact with RP1 in order to further define how it participates in PSC formation, and study how its mutations lead to photoreceptor cell death. We are also beginning to test potential therapies for RP1 disease, including gene augmentation therapy, in point mutation Rp1 knockin mice.
2. RNA Splicing Factor Retinitis Pigmentosa
Mutations in genes that encode the RNA splicing factors are common causes retinitis pigmentosa (RP). Despite their prevalence, the pathogenesis of these disorders is not understood. The splicing factors affected, pre-mRNA processing factor (PRPF) 3, PRPF8, PRPF31 are highly conserved components of the spliceosome, the complex which excises introns from nascent RNA transcripts to generate mature mRNAs. Since RNA splicing is required in all cells, it is not clear how mutations in these ubiquitous proteins lead to retina-specific disease. We hypothesize that mutations in these RNA splicing factors disrupt RNA splicing and lead to the generation of aberrant transcripts and proteins in the retina and other tissues, one or more of which are pathogenic in the retina. We have generated Prpf3 and Prpf8 knockin mice to investigate the pathogenesis of the RNA splicing factor forms of RP. We are now using exon microarray and next generation sequencing based transcriptome analyses to identify aberrant mRNAs that may be pathogenic in these disorders.
3. Inherited Macular Degeneration
Age-related macular degeneration (AMD) is one of the most common cause of vision loss in developed countries. The most characteristic clinical finding in the retinas of patients with AMD is drusen, or extracellular deposits of protein, lipid and debris that accumulate underneath the retinal pigment epithelium (RPE). At present, the etiology of drusen in AMD is not known, and there are only limited treatments are available to prevent the progression of AMD. In order to gain insight into the pathogenesis of AMD, we are studying an inherited form of macular degeneration called Doyne honeycomb retinal dystrophy (DHRD)/Malattia Leventinese (ML). Both DHRD and ML are caused by a single mutation, Arg-345 to Trp (R345W), in the EFEMP1 or Fibulin-3 gene. We have used gene targeting techniques to introduce this mutation into the Efemp1 gene of mice. We have found that the Efemp1-R345W knockin mice develop AMD-like deposits under their retinas, and are now using proteomic analyses to study the pathogenesis of these lesions.
4. Oligonucleotide-Directed Gene Targeting and Gene Correction
The fundamental premise of this project that oligodeoxynucleotides (ODNs) can be used to introduce sequence-specific alterations into the genomic DNA of stem cells. In mouse embryonic stem (ES) cells, the goal of ODN-mediated gene targeting is to create knock-in mouse models of human disease. In adult and induced pluripotent stem cells (iPS), the use of ODNs is directed toward the therapeutic correction of pathogenic mutations in human disease genes. Results generated from our research and from other investigators in the past several years have demonstrated proof of principle for this approach. We are workinng to build on these successes to develop strategies for broad application of ODN-mediated gene correction for the treatment of human disease and ODN-mediated gene targeting for the generation of mouse models of disease.
Techniques
Molecular biology, cell biology, proteomics, next generation sequencing, gene targeting to generate mouse models of disease.
Rotation Projects for 2009-2010
1. Investigation of the roles of novel PSC proteins in the formation, maintenance and function of photoreceptor cilia.
2. Transcriptome analyses of RNA samples from RNA splicing factor knockin mice
3. Tandem affinity purification analyses to identify proteins that interact with RP1 in vivo
4. Proteomic analyses of AMD-like deposits in Efemp1 mutant mice
Lab personnel:
Donna Garland, Ph.D. – Senior Research Investigator
Mike Farkas, Ph.D. – Postdoctoral Researcher
Robert Jinks, Ph.D. – Visiting Associate Professor
Qin Liu, M.D., Ph.D. – Research Assistant Professor
Yun Liu – Research Specialist
Suzanne Pavluk – Lab Manager
Alex Saveliev – Research Specialist
Qi Zhang, Ph.D. – Senior Research Investigator
Lab Address
F.M. Kirby Center for Molecular Ophthalmology
304-306 Stellar-Chance Labs
Description of Clinical Expertise
Inherited Retinal Degenerations and Ophthalmic GeneticsSelected Publications
Pierce EA, Quinn T, Meehan T, McGee TL, Berson EL & Dryja TP : Mutations in a gene encoding a new oxygen-regulated photoreceptor protein cause dominant retinitis pigmentosa Nature Genetics 22: 248-254, 1999.Liu Q, Lyubarsky A, Skalet J, Pugh EN and EA Pierce: RP1 is required for correct stacking of outer segment discs. Investigative Ophthalmology & Visual Sciences 44: 4171-4183, 2003.
Liu Q, Zuo J, and EA Pierce: The retinitis pigmentosa 1 protein is a photoreceptor MAP. Journal of Neuroscience 24: 6427-6432, 2004.
Murphy BR, Moayedpardazi HS, Gewirtz AM, Diamond SL and EA Pierce: Delivery and mechanistic considerations for the production of knock-in mice by single-stranded oligonucleotide gene targeting. Gene Therapy 14: 304-315, 2006.
Liu Q, Tan G, Levenkova N, Li T, Pugh EN, Rux JJ, Speicher DW, and EA Pierce: The proteome of the mouse photoreceptor sensory cilium complex Molecular & Cellular Proteomics 6: 1299-1317, 2007.
Fu L, Garland D, Yang Z, Shukla D, Rajendran A, Pearson E, Stone EM, Zhang K and EA Pierce: The R345W Mutation in EFEMP1 is Pathogenic, and Causes AMD-Like Deposits in Mice Human Molecular Genetics 16: 2411-2422, 2007.
Flagler K, Alexeev V, Pierce EA and O Igoucheva: Site-specific gene modification by oligodeoxynucleotides in mouse bone marrow-derived mesenchymal stem cells Gene Therapy 13: 1-14, 2008.
Liu Q, Saveliev A, Pierce EA: The Severity of Retinal Degeneration in Rp1h Gene-Targeted Mice is Dependent on Genetic Background. Investigative Ophthalmology and Visual Sciences 50(4), April 2009.
Maguire AM, Simonelli F, Pierce EA, Pugh EN Jr, Mingozzi F, Bennicelli J, Banfi S, Marshall KA, Testa F, Surace EM, Rossi S, Lyubarsky A, Arruda VR, Konkle B, Stone E, Sun J, Jacobs J, Dell'osso L, Hertle R, Ma JX, Redmond TM, Zhu X, Hauck B, Zelenaia O, Shindler KS, Maguire MG, Wright JF, Volpe NJ, McDonnell JW, Auricchio A, High KA and J Bennett: Safety and Efficacy of Gene Transfer for Leber's Congenital Amaurosis New England Journal Medicine 358: 2240-2248, 2008.
Graziotto JJ, Inglehearn CF, Pack MA and EA Pierce: Decreased levels of the RNA Splicing Factor Prpf3 in Mice and Zebrafish Do Not Cause Photoreceptor Degeneration Investigative Ophthalmology and Visual Sciences 49: 3830-3839, 2008.

