M2 Macrophages Enhance Pathological Neovascularization in the Mouse Model of Oxygen-Induced Retinopathy

Yedi Zhou1, Shigeo Yoshida1, Shintaro Nakao1

  • 1Department of Ophthalmology Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.

Abstract

Insights

M2 macrophages, not M1, drive pathological neovascularization in oxygen-induced retinopathy (OIR). Targeting M2 macrophages may offer a novel therapeutic strategy for OIR treatment.

Area of Science:

  • Immunology
  • Ophthalmology
  • Vascular Biology

Background:

  • Oxygen-induced retinopathy (OIR) is a common cause of vision impairment.
  • Macrophage polarization plays a critical role in inflammatory and neovascular diseases.
  • The specific role of M2 macrophages in OIR pathogenesis remains unclear.

Purpose of the Study:

  • To investigate the role of M2 macrophages in a mouse model of oxygen-induced retinopathy (OIR).
  • To determine if M2 macrophages promote or inhibit pathological neovascularization in OIR.

Main Methods:

  • Oxygen-induced retinopathy (OIR) was induced in C57BL/6J mice.
  • Macrophage markers were assessed using RT-PCR and immunofluorescence.
  • M2 macrophages were depleted or administered intravitreally.
  • M2 macrophages were co-cultured with human retinal endothelial cells (HRECs) in vitro.

Main Results:

  • M2 macrophages, not M1, were significantly upregulated in OIR retinas.
  • Increased M2 macrophages correlated with neovascular tufts.
  • Depletion of M2 macrophages reduced pathological neovascularization and enhanced physiological revascularization.
  • M2 macrophages promoted HREC proliferation and tube formation in vitro.

Conclusions:

  • M2 macrophages, rather than M1, are key drivers of retinal pathological neovascularization in OIR.
  • M2 macrophages likely exert their pro-angiogenic effects through secreted factors.
  • Targeting M2 macrophages represents a promising therapeutic avenue for OIR.