Microglia preserve visual function loss in the aging retina by supporting retinal pigment epithelial health

Margarete M Karg1,2, May Moorefield1, Emma Hoffmann1

  • 1Schepens Eye Research Institute of Mass Eye and Ear, 20 Staniford St, Boston, MA, 02114, USA.

Immunity & Ageing : I & A
|October 14, 2023
PubMed
Abstract

Insights

In aged mice, microglia in the outer retina support vision and retinal pigment epithelial (RPE) cell function by clearing debris. Depleting these microglia impairs vision and RPE health, highlighting their protective role.

Area of Science:

  • Ophthalmology and Vision Science
  • Neuroimmunology
  • Cellular Biology

Background:

  • Aging is a significant risk factor for retinal diseases like age-related macular degeneration (AMD).
  • Microglia, the resident immune cells of the retina, play roles in neuronal protection and homeostasis.
  • In aged retinas, microglia migrate to the subretinal space (SRS) near retinal pigment epithelial (RPE) cells, but their function there is unknown.

Purpose of the Study:

  • To investigate the role of aged subretinal microglia in retinal function and health.
  • To determine the impact of microglia depletion on visual function and RPE integrity in aged mice.

Main Methods:

  • Aged C57/BL6 mice were fed a chow containing PLX5622, a colony-stimulating factor-1 receptor (Csf1r) inhibitor, for 6 weeks to deplete microglia.
  • Visual function was assessed using contrast sensitivity and electroretinography (ERG).
  • Retinal structure, including RPE cell health and morphology, was examined using transmission electron microscopy (TEM).

Main Results:

  • Subretinal microglia in aged mice exhibited an activated morphology and phagocytosed photoreceptor outer segments.
  • PLX5622 treatment depleted up to 90% of retinal microglia, leading to significant vision loss, reduced contrast sensitivity, and lower c-wave ERG amplitudes.
  • Microglia depletion resulted in RPE cell loss and increased RPE swelling, indicating impaired RPE function.

Conclusions:

  • Microglia are crucial for maintaining visual function in aged mice.
  • Subretinal microglia support RPE cell function by phagocytosing shed photoreceptor outer segments and lipids.
  • These microglial functions compensate for age-related declines in RPE phagocytic capacity, highlighting their protective role in retinal aging.

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