Blood-derived macrophages infiltrate the retina and activate Muller glial cells under experimental choroidal

Alejandro Caicedo1, Diego G Espinosa-Heidmann, Yolanda Piña

  • 1Bascom Palmer Eye Institute, University of Miami School of Medicine, 1638 NW 10th Avenue, Miami, FL 33136, USA.

Insights

Inflammation drives age-related macular degeneration. This study shows blood-derived macrophages, not resident microglia, infiltrate the retina during choroidal neovascularization (CNV), suggesting a key role for these immune cells in vision loss.

Area of Science:

  • Ophthalmology
  • Immunology
  • Neuroscience

Background:

  • Age-related macular degeneration (AMD) is a leading cause of blindness in the elderly, with inflammation playing a key role in its pathogenesis.
  • While the role of macrophages in choroidal neovascularization (CNV) is known, their specific contribution to retinal degeneration underlying CNV remains unexplored.
  • Neuroinflammation involving macrophages and microglia is implicated in other neuropathological conditions.

Purpose of the Study:

  • To investigate the distinct roles of recruited blood-derived macrophages versus resident microglia in the retina during laser-induced choroidal neovascularization (CNV) in a mouse model.
  • To elucidate the inflammatory mechanisms contributing to vision loss and retinal degeneration associated with CNV.

Main Methods:

  • Utilized laser-induced CNV in mice, employing bone marrow transplantation with GFP-labeled cells to track macrophage origins.
  • Analyzed chimeric mice for GFP-labeled cell infiltration into the retina under CNV.
  • Assessed upregulation of cell adhesion molecules (VCAM-1, ICAM-1, PECAM) and macrophage marker (F4/80) in CNV retinas.
  • Quantified resident microglia density and proximity of infiltrating cells to Muller cells.
  • Depleted circulating macrophages using clodronic acid to evaluate their impact on retinal cells.

Main Results:

  • Significant infiltration of GFP-labeled, blood-derived cells (macrophages) into the retina underlying CNV, unlike in unaffected retinas.
  • Strong upregulation of VCAM-1, ICAM-1, and PECAM in retinal blood vessels associated with CNV.
  • Majority (70%) of F4/80+ cells under CNV were GFP-labeled, indicating blood origin; resident microglia density did not increase.
  • Infiltrating macrophages were found near activated Muller cells.
  • Depletion of circulating macrophages reduced F4/80+ cells and activated Muller cells in CNV retinas.

Conclusions:

  • Recruitment of blood-derived macrophages, rather than resident microglia, is significantly associated with choroidal neovascularization (CNV).
  • These infiltrating macrophages appear to interact with Muller cells, potentially contributing to retinal pathology in CNV.
  • Findings highlight the critical role of peripheral macrophage recruitment in the inflammatory processes underlying AMD-related vision loss.

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