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Updated: Jun 2, 2026

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Transpupillary Two-Photon In Vivo Imaging of the Mouse Retina
Published on: February 13, 2021
Integrated Transcriptomics and Experimental Validation Reveal Müller Cell-Driven PANoptosis in Diabetic Retinopathy
Jing Li1, Yicong Chen2, Yunxiang Chao1
1Department of Vitreoretinal Diseases, The Affiliated Eye Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, People's Republic of China.
International Journal of General Medicine
|June 1, 2026
Summary
Diabetic retinopathy involves programmed cell death (PANoptosis) driven by Müller cells. Targeting the PSAP-GPR37 pathway offers a new strategy for treating this vision-impairing diabetes complication.
Area of Science:
- Ophthalmology
- Cell Biology
- Genetics
Background:
- Diabetic retinopathy (DR) is a leading cause of vision loss in diabetes patients.
- PANoptosis, a pro-inflammatory programmed cell death, is implicated in DR pathogenesis.
- Understanding membrane protein-mediated PANoptosis in DR is crucial for therapeutic development.
Purpose of the Study:
- To investigate the role of PANoptosis in diabetic retinopathy progression.
- To identify key cell populations and signaling pathways involved in DR-related PANoptosis.
- To screen for potential therapeutic targets and coregulated genes.
Main Methods:
- Integrated single-cell and bulk transcriptomics to identify differentially expressed PANoptosis-related genes (DE-PRGs).
- Utilized ssGSEA for PANoptosis scoring and CellChat for intercellular communication analysis.
- Validated findings in DR rat models and high-glucose-treated retinal Müller cells (RMC-1).
Main Results:
- Identified 27 DE-PRGs linked to TNF, programmed cell death (PCD), and p53 signaling.
- Müller cells, particularly the "Müller2" subpopulation, showed elevated PANoptosis scores and mediated pro-apoptotic signals via the PSAP-GPR37 axis.
- High glucose induced cell death and PANoptosis markers in vitro; PSAP knockdown attenuated these effects.
Conclusions:
- Müller cells, specifically the Müller2 subpopulation, are central drivers of PANoptosis in diabetic retinopathy through PSAP-GPR37 signaling.
- Identified hub genes and PSAP as potential targets for cell-subpopulation-specific interventions in DR.
- This research provides a foundation for developing targeted therapies for diabetic retinopathy.

