Retinal Pigment Epithelium Extracellular Vesicles Induce Microglia Polarization in MERTK-Associated Retinal

Hang Zhang1,2, Zhen-Yu Liu1, Lingzi Wu1

  • 1Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

Abstract

Insights

Extracellular vesicles (EVs) derived from retinal pigment epithelium (RPE) drive microglial activation in MERTK-associated retinitis pigmentosa (RP). Targeting these EVs may offer a new therapeutic strategy for retinal degeneration.

Area of Science:

  • Ophthalmology
  • Genetics
  • Immunology

Background:

  • Retinitis pigmentosa (RP) is a hereditary retinal disease.
  • MERTK-associated RP presents with early onset and rapid progression, involving retinal pigment epithelium (RPE) inflammation and microglial activation.
  • The precise mechanisms linking RPE inflammation and microglial activation in MERTK-RP remain unclear.

Purpose of the Study:

  • To investigate the role of RPE-derived extracellular vesicles (EVs) in mediating interactions between RPE inflammation and microglial activation in MERTK-associated RP.
  • To elucidate the molecular cargo of RPE-derived EVs and their impact on microglial responses.

Main Methods:

  • Established induced pluripotent stem cell (iPSC)-derived RPE models from MERTK mutant and healthy control patients.
  • Isolated and characterized RPE-derived EVs, profiling their RNA and protein content.
  • Utilized in vitro co-culture and in vivo animal models to assess the effects of RPE-EVs on microglial activation.

Main Results:

  • Transcriptomic analysis revealed enrichment of inflammatory and EV-related pathways in MERTK mutant RPE.
  • Multi-omics data showed altered RNA and protein cargo in EVs from MERTK mutant RPE, associated with inflammation.
  • In vitro and in vivo studies confirmed that MERTK-RPE-derived EVs promote microglial activation, M1 polarization, and migration.

Conclusions:

  • RPE-derived EVs are key drivers of microglial M1 polarization in MERTK-associated RP.
  • These EVs play a critical role in the progression of early-onset severe RP.
  • Targeting EVs presents a potential strategy to modulate the retinal immune microenvironment and combat retinal degeneration.

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