Restoration of retinal regenerative potential of Müller glia by disrupting intercellular Prox1 transfer

Eun Jung Lee1,2,3, Museong Kim1,2, Sooyeon Park1,2,3

  • 1Department of Biological Sciences, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, South Korea.

Nature Communications
|March 26, 2025
PubMed

Insights

Mammals cannot regenerate retinal cells like cold-blooded vertebrates because of the protein prospero-related homeobox 1 (Prox1). Blocking Prox1 in Müller glia (MG) promotes retinal regeneration, offering a potential therapy for vision loss.

Area of Science:

  • Ophthalmology
  • Developmental Biology
  • Regenerative Medicine

Background:

  • Retinal degenerative diseases cause irreversible vision loss due to limited regeneration of retinal cells in mammals.
  • Mammalian Müller glia (MG) possess limited regenerative capacity compared to zebrafish, hindering vision restoration.
  • The molecular mechanisms restricting mammalian MG regeneration remain largely unknown.

Purpose of the Study:

  • To identify key factors inhibiting Müller glia (MG)-mediated retinal regeneration in mammals.
  • To investigate the role of prospero-related homeobox 1 (Prox1) in restricting mammalian retinal regeneration.
  • To explore therapeutic strategies targeting Prox1 for vision restoration in retinal degenerative diseases.

Main Methods:

  • Comparative analysis of Prox1 expression in degenerating human/mouse retinas versus regenerating zebrafish retinas.
  • Investigation of intercellular transfer of Prox1 from retinal neurons to MG in mice.
  • Experimental blocking of Prox1 transfer and administration of anti-Prox1 antibodies via adeno-associated virus (AAV) vectors.
  • Assessment of MG reprogramming into retinal progenitor cells and retinal neuron regeneration in mouse models of retinal injury and retinitis pigmentosa.

Main Results:

  • Prox1 accumulates in MG of degenerating mammalian retinas but is absent in regenerating zebrafish retinas.
  • Prox1 is transferred intercellularly to MG from neighboring retinal neurons in mice.
  • Inhibiting Prox1 transfer or sequestering extracellular Prox1 with an antibody promotes MG reprogramming and retinal neuron regeneration in injured mouse retinas.
  • Anti-Prox1 therapy delayed vision loss in a mouse model of retinitis pigmentosa.

Conclusions:

  • Prospero-related homeobox 1 (Prox1) acts as a critical barrier to Müller glia (MG)-mediated retinal regeneration in mammals.
  • Intercellular transfer of Prox1 from neurons to MG is a key mechanism restricting regeneration.
  • Targeting Prox1 with therapies like anti-Prox1 antibodies shows promise for restoring retinal regeneration and treating vision loss in degenerative diseases.