CD11c+ macrophages are proangiogenic and necessary for experimental choroidal neovascularization

Steven Droho1, Amrita Rajesh1, Carla M Cuda2

  • 1Department of Ophthalmology and.

JCI Insight
|February 23, 2023
PubMed

Insights

Researchers uncovered specific macrophage subtypes driving wet age-related macular degeneration (AMD). Depleting CD11c+ macrophages significantly reduced choroidal neovascularization (CNV), suggesting a new therapeutic target for vision loss in AMD patients.

Area of Science:

  • Ophthalmology
  • Immunology
  • Cell Biology

Background:

  • Neovascular age-related macular degeneration (nAMD) causes vision loss through choroidal neovascularization (CNV).
  • Macrophages infiltrate CNV lesions, and their absence in Ccr2-/- mice reduces CNV size, suggesting a role in nAMD pathogenesis.
  • Macrophage populations are diverse and functionally heterogeneous, necessitating deeper investigation into their specific roles in ocular disease.

Purpose of the Study:

  • To investigate macrophage heterogeneity in a laser-induced mouse model of nAMD using single-cell RNA-Seq.
  • To identify specific macrophage subsets involved in the development of choroidal neovascularization.
  • To evaluate the therapeutic potential of targeting identified macrophage populations in nAMD.

Main Methods:

  • Single-cell RNA-sequencing of immune cells from wild-type (WT) and Ccr2-/- laser-injured eyes.
  • Bioinformatic analysis to identify and characterize distinct macrophage clusters.
  • Immunohistochemistry to detect CD11c+ macrophages in CNV lesions.
  • Experimental depletion of CD11c+ macrophages to assess their impact on CNV size.

Main Results:

  • Twelve distinct macrophage clusters were identified, including a proangiogenic Spp1+ macrophage subset enriched in WT lasered eyes.
  • Spp1+ macrophages exhibited transcriptomes associated with vascular endothelial growth factor signaling, endothelial cell sprouting, cytokine signaling, and fibrosis.
  • CD11c+ macrophages, a subset of Spp1+ macrophages, were increased by laser injury and found within CNV lesions.
  • Depletion of CD11c+ macrophages resulted in a significant 40% reduction in CNV size.

Conclusions:

  • Ocular macrophage populations exhibit significant heterogeneity relevant to nAMD pathogenesis.
  • CD11c+ macrophages play a critical proangiogenic role in choroidal neovascularization.
  • Targeting CD11c+ macrophages presents a promising therapeutic strategy for treatment-resistant nAMD.