Microglia Depletion leads to Increased Susceptibility to Ocular Hypertension-Dependent Glaucoma

Cory A Diemler1,2, Michael MacLean1, Sarah E Heuer1,3

  • 1The Jackson Laboratory, Bar Harbor, ME.

Insights

Microglia depletion worsened glaucoma-related optic nerve damage in mice, suggesting these immune cells protect against retinal ganglion cell loss in ocular hypertension.

Area of Science:

  • Neuroscience
  • Immunology
  • Ophthalmology

Background:

  • Microglia, the resident immune cells of the central nervous system, are increasingly recognized for their complex roles in neurodegenerative diseases.
  • Glaucoma, a leading cause of irreversible blindness, is characterized by progressive optic nerve damage and retinal ganglion cell (RGC) loss, often associated with elevated intraocular pressure (IOP).

Approach:

  • This study investigated the role of microglia in experimental glaucoma using aged DBA/2J (D2) mice, a model exhibiting spontaneous ocular hypertension and glaucomatous damage.
  • Microglia were depleted using a dietary CSF1R antagonist (PLX5622) to assess their impact on RGC survival and optic nerve integrity under chronic ocular hypertension.
  • Intraocular pressure, RGC somas, and optic nerve damage were quantified in PLX5622-treated and control D2 mice, as well as in normotensive controls.

Key Points:

  • Dietary PLX5622 effectively reduced retinal microglia numbers in D2 mice without altering intraocular pressure.
  • Microglia depletion did not cause optic nerve damage in normotensive controls.
  • In D2 mice, the reduction of microglia significantly exacerbated moderate-to-severe optic nerve damage compared to controls.

Conclusions:

  • Global reduction of microglia exacerbates glaucomatous neurodegeneration in the DBA/2J mouse model.
  • These findings suggest that microglia play a predominantly beneficial role in protecting against ocular hypertension-associated RGC loss and optic nerve damage.
  • Targeting microglia may represent a potential therapeutic strategy for glaucoma, but their depletion could be detrimental.