Rapid monocyte infiltration following retinal detachment is dependent on non-canonical IL6 signaling through gp130

Xinlei Wang1,2, Eric B Miller3, Mayank Goswami2,4

  • 1Department of Ophthalmology & Vision Science, University of California, Davis, USA.

Abstract

Insights

Monocytes drive the cytokine storm after retinal detachment (RD). Blocking gp130, not IL6, inhibits monocyte infiltration, suggesting new therapies for preventing vision loss from proliferative vitreoretinopathy (PVR).

Area of Science:

  • Ophthalmology
  • Immunology
  • Retinal Biology

Background:

  • Retinal detachment (RD) can lead to proliferative vitreoretinopathy (PVR), a major cause of irreversible vision loss.
  • PVR involves a cytokine storm, but the source and signaling of key molecules like IL6 remain unclear.
  • Understanding the early immune response to RD is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate the early immune cell response following RD in a mouse model.
  • To identify the source and downstream signaling pathways of IL6 in the context of RD.
  • To explore potential therapeutic targets for preventing PVR.

Main Methods:

  • RD was induced in C57BL/6J and IL6 knockout mice.
  • Immunohistochemistry and flow cytometry assessed inflammatory responses.
  • Cytokine arrays, Western blotting, and intravitreal injections of blocking antibodies (IL6Rα or gp130) were employed.

Main Results:

  • Bone marrow-derived monocytes infiltrated the vitreous within one day of RD, while retinal microglia remained largely unaffected.
  • IL6 signaling was activated in the vitreous and aqueous humor, not the neurosensory retina.
  • Blocking gp130 inhibited monocyte infiltration, whereas IL6 knockout or IL6Rα blockade did not.

Conclusions:

  • Monocytes are the primary immune cells mediating the cytokine storm after RD.
  • Retinal damage is likely due to gp130-mediated signaling in monocytes, not direct IL6 retinal signaling.
  • Immediate RD treatment and gp130-targeted therapies may prevent PVR and enhance retinal healing.

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