Infiltrating Monocyte Fate Switch in Retinal Degeneration: From Early Pathology to Late Homeostasis

Wenxin Ma1, Quyan Zhang1, Lijin Dong1

  • 1National Eye Institute.

Research Square
|June 29, 2026
PubMed

Insights

Infiltrating monocytes initially worsen neuroinflammation and retinal damage but later help restore immune balance. Targeting these monocytes early may protect against neurodegeneration.

Area of Science:

  • Neuroscience
  • Immunology
  • Ophthalmology

Background:

  • The role of infiltrating monocyte-derived macrophages (MDMs) in neurodegeneration is unclear.
  • Understanding their precise function and evolution in the degenerating retina is crucial.

Purpose of the Study:

  • To track and define the functional evolution of infiltrating monocytes in retinal degeneration models.
  • To investigate the pathogenic and homeostatic roles of these cells.
  • To identify stage-specific therapeutic targets.

Main Methods:

  • Utilized a CCR2-CreER-based lineage-tracing and ablation strategy in mouse models of retinal degeneration.
  • Monitored monocyte infiltration, marker acquisition (TMEM119, P2RY12), morphology, and transcriptional changes.
  • Assessed the impact of monocyte ablation on neuroinflammation, complement deposition, and photoreceptor survival.

Main Results:

  • Infiltrating monocytes downregulate CCR2, acquire microglial markers, and adopt a microglial-like phenotype.
  • Early monocyte infiltration exacerbates neuroinflammation by inducing Müller cell C3 production and promoting microglial alternative pathway complement regulation.
  • Selective ablation of acute-phase monocytes reduced C3 deposition, suppressed microglial activation, and preserved photoreceptors.

Conclusions:

  • Infiltrating monocytes have a dual role: early pathogenic drivers and later contributors to immune homeostasis.
  • Monocyte infiltration is a critical, stage-specific therapeutic target for neurodegenerative diseases.
  • These findings elucidate the complex interplay between monocytes, microglia, and Müller cells in retinal degeneration.