Release of Pro-Inflammatory/Angiogenic Factors by Retinal Microvascular Cells Is Mediated by Extracellular Vesicles

Elena Beltramo1, Aurora Mazzeo1, Massimo Porta1

  • 1Department of Medical Sciences, University of Turin, 10126 Torino, Italy.

Insights

Inflammatory microglia release extracellular vesicles (EVs) that damage retinal microvasculature in diabetic retinopathy (DR). Thiamine treatment reduced these harmful EV effects, suggesting a potential therapeutic strategy for DR.

Area of Science:

  • Ophthalmology
  • Immunology
  • Cell Biology

Background:

  • Diabetic retinopathy (DR) involves complex interactions between retinal neurons and vasculature.
  • Microglia play a key role in retinal inflammation, potentially releasing extracellular vesicles (EVs) that mediate damage.

Purpose of the Study:

  • To characterize EVs from inflamed human microglia.
  • To investigate the impact of these EVs on retinal microvascular cells.
  • To assess thiamine's anti-inflammatory potential in this context.

Main Methods:

  • Human microglial cells were polarized to M1 pro-inflammatory state.
  • Extracellular vesicles (EVs) were isolated and characterized.
  • Retinal endothelial cells (HRECs) and pericytes (HRPs) were stimulated with M1-derived EVs.
  • Cell functions and inflammatory factor release were assessed.
  • Thiamine was added to M1-microglial cultures.

Main Results:

  • M1-derived EVs contained increased miR-21, miR-155, CCL2, MMP2, and MMP9.
  • These EVs induced apoptosis, proliferation, migration, and ROS production in HRPs and HRECs.
  • EV exposure increased pro-inflammatory and angiogenic factors (IL-1β, IL-6, MMP9, CCL2, VEGF, Ang2, PDGF-B) in microvascular cells.
  • Thiamine treatment largely reversed these detrimental effects.

Conclusions:

  • Microglia-derived EVs in an inflammatory state promote microvascular dysfunction and exacerbate DR features.
  • Thiamine demonstrates anti-inflammatory effects by modulating microglial EV release and their impact on retinal vasculature.