CCR1 mediates Müller cell activation and photoreceptor cell death in macular and retinal degeneration

Sarah Elbaz-Hayoun1, Batya Rinsky1, Shira Hagbi-Levi1

  • 1Department of Ophthalmology, Hadassah Medical Center, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.

Elife
|October 30, 2023
PubMed

Insights

Macrophages drive retinal cell death in age-related macular degeneration (AMD). Targeting the C-C chemokine receptor type 1 (CCR1) pathway reduced retinal damage and inflammation, offering a potential therapeutic strategy for AMD.

Area of Science:

  • Ophthalmology
  • Immunology
  • Cell Biology

Background:

  • Mononuclear cells, particularly macrophages, play a critical role in the pathogenesis of retinal diseases like age-related macular degeneration (AMD).
  • Understanding the specific mechanisms of macrophage-driven retinal cell death is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate the mechanisms of macrophage-driven retinal cell death in the context of AMD.
  • To identify potential therapeutic targets within the identified signaling pathways.

Main Methods:

  • Human monocytes from AMD patients were differentiated into macrophages (hMdɸs) and characterized using proteomics and gene expression.
  • Bioinformatics analysis identified key signaling pathways.
  • Retinal explants and a photic injury model were used to assess macrophage function and therapeutic interventions.
  • Inhibition of C-C chemokine receptor type 1 (CCR1) was tested.

Main Results:

  • M2a macrophages (hMdɸs) were associated with retinal cell death in explants and a photic injury model.
  • M2a hMdɸs express C-C chemokine receptor type 1 (CCR1) ligands, and CCR1 was upregulated in Müller cells during retinal injury and aging.
  • CCR1 expression correlated with retinal damage.
  • Inhibiting CCR1 reduced photic-induced retinal damage, photoreceptor apoptosis, and inflammation.

Conclusions:

  • Human M2a macrophages, Müller cells, and CCR1 signaling are interconnected in driving retinal and macular degeneration.
  • CCR1 represents a promising therapeutic target for treating sight-threatening retinal conditions like AMD.