Microglial recruitment is associated with increased cell death after retinal light-induced damage. In this study, after light-induced damage, early focal expression of the chemokine Ccl2 by Müller cells, which relates spatially to the infiltration of microglia, was identified.
Abstract
Purpose.
To investigate the time course and localization of Ccl2 expression and recruitment of inflammatory cells associated with light-induced photoreceptor degeneration.
Methods.
Sprague-Dawley (SD) rats were exposed to 1000 lux light for up to 24 hours, after which some animals were allowed to recover in dim light (5 lux) for 3 or 7 days. During and after exposure to light, the animals were euthanatized and the retinas processed. Ccl2 expression was assessed by qPCR, immunohistochemistry, and in situ hybridization at each time point. Counts were made of perivascular monocytes/microglia immunolabeled with ED1, and photoreceptor apoptosis was assessed with TUNEL.
Results.
Upregulation of Ccl2 expression was evident in the retina by 12 hours of exposure and correlated with increased photoreceptor death. Ccl2 expression reached its maximum at 24 hours, coinciding with peak cell death. Immunohistochemistry and in situ hybridization showed that Ccl2 is expressed by Müller cells from 12 hours of exposure, most intensely in the superior retina, in the region of the incipient light-induced lesion. After the Müller cell-driven expression of Ccl2, there was a substantial recruitment of monocytes to the local retina and choroidal vasculature. This coincided spatially with the expression of Ccl2 in the superior retina. Peak monocyte infiltration followed maximum Ccl2 expression by up to 3 days. Furthermore, Ccl2 immunoreactivity was observed in many infiltrating monocytes after a 24-hour exposure.
Conclusions.
The data indicate that photoreceptor death promotes region-specific expression of Ccl2 by Müller cells, which facilitates targeting of monocytes to sites of injury. The data suggest that recruitment of monocytes to developing lesions is secondary to signaling events in the retina.
Microglia are the principal immune cells of the central nervous system (CNS).1 Through persistent surveillance of their microenvironment,2 the microglia act after neuronal stress and injury, maintaining homeostasis in the CNS parenchyma, including the retina; facilitating the phagocytosis of debris and apoptotic cells,3–5 enabling antigen presentation,6,7 and promoting secretion of neuroprotective factors.8 However, activated microglia may also promote the secretion of the proinflammatory mediators tumor necrosis factor (TNF)-α and interleukin (IL)-1β,9–11 in addition to cytotoxic factors such as nitric oxide,12–14 shown to harm neuronal cells.12,15–18 In the retina, activated microglia respond to degeneration elicited from a range of human retinal disease, including age-related macular degeneration (AMD) (Wong JG, et al. IOVS 2001;42:ARVO Abstract 1222),4,19–21 retinitis pigmentosa,4 and late-onset retinal degeneration,4 as well as in many experimental models of retinal degeneration.8 In the light-induced model of photoreceptor degeneration, recruitment and activation of microglia in the retina have been particularly well characterized22–27 and involve the infiltration of both parenchymal microglia and perivascular monocytes/microglia to the outer nuclear layer (ONL) and subretinal space after a damaging stimulus. Moreover, it has been demonstrated that attenuating the microglial response results in reduced photoreceptor death and IL1β production after light-induced damage,26 indicating that the extensive aggregation and overactivation of microglia play a role in propagating the neurodegenerative process.
We have shown that light-induced microgliosis of perivascular monocytes is site-specific to the region of peak photoreceptor death, at the area centralis of the rat retina.23 However, the process by which microglia are recruited into the retina after light-induced damage remains to be clarified. Chemokines have been shown to have potent chemoattractant properties in the trafficking of leukocytes in immune surveillance and inflammation in the CNS.28–31 Chemokine expression results in the establishment of chemical ligand gradients that serve as directional cues for the guidance of certain leukocytes to sites of injury and are also thought to aid in their extravasation into tissues.28 Studies have shown that several chemokines are expressed at high levels after light-induced damage25,32; the most well-characterized of these being chemokine (C-C motif) ligand 2 (Ccl2).33 Ccl2 (also known as monocyte chemoattractant protein 1 [MCP-1]) is a strong chemoattractant for monocytes,34,35 whose upregulation is implicated in several CNS diseases30,31 including Alzheimer's disease,36,37 multiple sclerosis,38,39 and brain trauma.40,41
We sought to investigate the site and cellular localization of Ccl2 expression in the retina after photoreceptor death induced by exposure to bright, continuous light (BCL) and to relate this expression pattern to infiltration of perivascular monocytes/microglia (hereinafter referred to as monocytes). Our findings show that in this model, Müller cells located in the region of the incipient lesion are the early source of Ccl2, which is upregulated in concert with the onset of photoreceptor degeneration. These findings demonstrate the role of the neural retina in the active initiation of an inflammatory response, as a result of light-induced injury. This Müller cell–driven expression correlates closely with the spatial and temporal infiltration of monocytes from both the retinal and choroidal vascular supplies, which in turn were found to express Ccl2.
Methods
Animals and Exposure to Light
All experiments conducted were in accordance with the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research. Sprague-Dawley (SD) rats were born and reared in dim cyclic light conditions with an ambient level of approximately 5 lux. The animals were exposed to BCL between postnatal day (P)130 and P160. Before BCL exposure, the animals were dark adapted for a minimum of 15 hours, then transferred to individual cages designed to allow light to enter unimpeded. BCL exposure, which was achieved with a fluorescent light source (18W, Cool White; TFC, Taipei, Taiwan) positioned above the cages, commenced daily at 9 AM and was maintained at an intensity of approximately 1000 lux at the cage floor. The animals were exposed to BCL for a period of 1, 3, 6, 12, 17, or 24 hours, after which retinal tissue was obtained for analysis. Some animals were returned to dim-light conditions immediately after 24 hours' BCL, for a period of 3 or 7 days, while postexposure effects were studied. Age-matched, dim-light–reared animals served as the controls.
Tissue Collection and Processing
Animals were euthanatized by overdose of a barbiturate administered by intraperitoneal injection (60 mg/kg bodyweight; Valabarb; Virbac, Milperra, NSW, Australia). The left eye of each animal was marked at the superior surface for orientation, enucleated, and processed for cryosectioning, and the retina of the right eye was excised through a corneal incision and prepared for RNA extraction.
Eyes for cryosectioning were immediately immersion fixed in 4% paraformaldehyde in 0.1 M PBS (pH 7.3) for 3 hours at room temperature, then washed in 0.1 M PBS before being left in a 15% sucrose solution overnight for cryoprotection. Eyes were oriented and embedded in OCT compound (Tissue-Tek; Sakura Fintek, Tokyo, Japan), snap frozen in liquid nitrogen, and cryosectioned at 16 μm. The sections were mounted on gelatin/poly-l-lysine–coated glass slides, dried overnight at 37°C, and stored at −20°C until use.
Retinas for RNA extraction were immediately deposited in RNA stabilizer (RNAlater solution, cat. no. 7024; Ambion, Austin, TX) prechilled on ice. The samples were incubated at 4°C overnight to allow adequate penetration of the preservative, and then stored at −80°C until required. The samples were processed in batches encompassing the entire time course, to ensure comparability. On extraction, the retinal samples were thawed on ice, and the RNA stabilizer was removed. RNA extraction was performed with a combination of extraction reagent (TRIzol; cat. no. 15596-026; Invitrogen, Carlsbad, CA) and a purification kit (RNAqueous-Small Scale, cat. no. 1912; Ambion) used in tandem to extract and purify the RNA respectively, as described in another publication.42 Isolated total RNA was analyzed for quantity and purity with a spectrophotometer (ND-1000; Nanodrop Technologies, Wilmington, DE); samples with a 260/280 ratio greater than 1.90 were considered sufficient. The RNA quality in each sample was assessed with an RNA analyzer (model 2100 Bioanalyzer; Agilent Technologies, Santa Clara, CA); only samples with an integrity number (RIN) of ≥8 were used.
Quantitative Real-Time Polymerase Chain Reaction
First-strand cDNA synthesis was performed (SuperScript III Reverse Transcriptase kit, cat. no. 18080–044; Invitrogen) according to the manufacturer's instructions. A 20-μL reaction mixture was used in conjunction with 1 μg RNA, 500 ng oligo (dT)18 primer, and 200 U reverse transcriptase. Gene amplification was measured with commercially available hydrolysis probes (TaqMan; Applied Biosystems, Inc. [ABI], Foster City, CA), the details of which are provided in Table 1. The hydrolysis probes were applied according to the manufacturer's instructions in conjunction with a master mix (Gene Expression Master-Mix, cat. no. 4369514; ABI), with the fluorescence measured on a FAM 510-nm detection channel by a qPCR system (StepOnePlus; ABI). The samples in each well were normalized by using a passive reference dye (ROX; ABI), included in the master mix, to account for well-to-well discrepancies. The amplification of each biological sample was performed in experimental duplicate, with the mean Cq (quantitation cycle) value used to determine the ratio of change in expression. The change ratio was determined by using the ΔΔCq method, where the expression of the target gene was normalized relative to the expression of two reference genes, glyceraldehyde-3-phosphate dehydrogenase (GAPDH), and actin-β (Actb). Amplification specificity was assessed with gel electrophoresis.
Table 1.
Gene Symbol | Gene Name | Catalog No. | Entrez Gene ID |
---|---|---|---|
Ccl2 | Chemokine (C-C motif) ligand 2 | Rn01456716_g1 | NM_031530.1 |
Gfap | Glial fibrillary acidic protein | Rn00566603_m1 | NM_017009.2 |
GAPDH | Glyceraldehyde-3-phosphate dehydrogenase | Rn99999916_s1 | NM_017008.3 |
Actb | Actin Beta | Rn00667869_m1 | NM_031144.2 |
The Entrez database is provided in the public domain by the National Center for Biotechnology Information, Bethesda, MD.
In Situ Hybridization
To investigate the localization of Ccl2 mRNA transcripts in the retina after BCL, a riboprobe to Ccl2 was generated for in situ hybridization on retinal cryosections. Ccl2 was cloned from a PCR product (550-bp amplicon), with cDNA prepared from rat retinas (as just described), a DNA vector system (pGEM-T, cat. no. A3600; Promega, Madison, WI), and TOP10-competent cells (One Shot, cat. no. C4040-10; Invitrogen). A DIG RNA labeling kit (SP6/T7, cat. no. 1175025; Roche, Basel, Switzerland) was used to transcribe linearized plasmid and generate DIG-labeled antisense and sense riboprobes. The in situ hybridization was performed according to a protocol described elsewhere.43 The Ccl2 riboprobe was hybridized overnight at 55°C and then washed in saline sodium citrate (pH 7.4) at 60°C.
Analysis of Cell Death
TUNEL labeling was used to quantify photoreceptor apoptosis during and after BCL, in cryosections using a protocol published previously.44 Counts of TUNEL+ cells in the ONL were performed along the full length of retinal sections cut in the parasagittal plane (superoinferior), including the optic disc, in adjacent fields measuring 1000 μm2. The final count from each animal is the average at comparable locations in two nonsequential sections.
Immunohistochemistry
Cryosections adjacent to those used in the TUNEL analysis were used for immunohistochemistry. Details for the primary antibodies used are shown in Table 2. After antigen retrieval (RevealIt Ag; ImmunoSolution, QLD, Australia), the sections were incubated in 10% normal goat serum (Sigma-Aldrich) for 1 hour at room temperature (RT) and incubated in the primary antibody overnight at 4°C. The sections were washed in 0.1 M PBS and incubated in the appropriate biotinylated secondary antibody for 2 hours at RT (1:200 anti-hamster IgG-biotin; Biolegend, San Diego, CA/ 1:200 biotinylated anti-mouse IgG+A+M; Invitrogen-Molecular Probes, Eugene, OR). After an additional wash in 0.1 M PBS, the sections were incubated with a streptavidin – AlexaFluor 594 conjugate (1:1000; Invitrogen-Molecular Probes) for 1.5 hours at RT. To block autofluorescence, we performed an incubation using 0.05% Sudan Black B, as described elsewhere.45 Sections were then stained (either 1:1000 bis benzamide; Calbiochem, La Jolla, CA, or 1:1000 Syto12; Invitrogen-Molecular Probes), to visualize the cellular layers, and coverslipped with aqueous mounting medium (Aquamount, cat. no. 18606; Polysciences, Warrington, PA). Primary antibodies were omitted to control for nonspecific binding of the secondary antibody. Immunofluorescence was viewed with a laser scanning microscope (Carl Zeiss Meditec, Dublin CA) and acquired with Pascal software (ver. 4.0, Carl Zeiss Meditec). Images were enhanced for publication with image-management software (Photoshop; Adobe systems, Mountain View, CA), which was standardized between images.
Table 2.
Antibody | Dilution | Source |
---|---|---|
Hamster α-Ccl2 | 1:100 | Cat# 505902; Biolegend, San Diego, CA |
Mouse α-ED1 | 1:200 | Cat# MAB1435; Chemicon, Temecula, CA |
Mouse α-S100β | 1:200 | Cat# 2532; Sigma-Aldrich, St. Louis, MO |
Mouse α-vimentin | 1:200 | Cat# MAB302; Chemicon |
Monocyte Quantification
Monocyte counts were performed on sections immunolabeled with ED-1, a marker for perivascular monocytes/microglia,46 and bis benzamide (as per the methodology described earlier). Counts of ED1-positive nuclei performed along the full length of retinal sections cut in the parasagittal plane (superoinferior), including the optic disc, in adjacent fields measuring 1000 μm2. The number of monocytes in the superficial vasculature, deep vasculature, ONL, and choroidal vasculature were assessed, where the graphs showing the number of ED-1-positive cells include the total number in each field of view.
Statistical Analysis
Statistical analysis was performed with the one-way ANOVA, two-way ANOVA, or the unpaired Student's t-test. For each analysis, differences with a P < 0.05 were considered statistically significant. The one-way ANOVA, and unpaired Student's t-test were used for the quantification of TUNEL and monocytes, whereas qPCR results were analyzed by both the one- and the two-way ANOVA.
Results
Time Course of TUNEL Labeling and GFAP and Ccl2 Expression
During the first 12 hours of exposure to BCL the average number of TUNEL+ photoreceptors increased from near 0 to 10 (P < 0.05, Student's t-test) and reached a peak of 470 by 24 hours of exposure (P < 0.0001, Student's t-test). During the postexposure period, the number of TUNEL+ nuclei decreased to 213 by 3 days and then to 33 after 7 days (P < 0.01, Student's t-test). Using qPCR, we also detected modulation of GFAP expression over the experimental period (P < 0.0001, one-way ANOVA). GFAP expression reached peak levels at 24 hours (2446% relative to control levels) and was somewhat reduced by 7 days after exposure. These data are shown in Figure 1, where the expression levels of Ccl2 are plotted alongside both the time course of photoreceptor death (TUNEL; Fig. 1A) and expression levels of GFAP (Fig. 1B).
Exposure to BCL induced a significant differential expression of retinal Ccl2 mRNA relative to dim-light–reared animals over the experimental period (P < 0.0001; one-way ANOVA; Figs. 1A, 1B). By 12 hours of exposure, qPCR showed a 3499% increase in Ccl2 expression relative to dim-light–reared controls. Levels of Ccl2 mRNA reached a peak of 196,479% at 24 hours. In the postexposure period, Ccl2 expression fell to 5547% of control levels by 3 days and to 2092% by 7 days after exposure. The progressive increase in Ccl2 expression observed in the 24 hours of the exposure period correlated significantly with TUNEL labeling over the same period (interaction 43.60% of total variance; P < 0.0001, two-way ANOVA; Fig. 1A). Expression of GFAP and Ccl2 also correlated significantly in the 24-hour exposure period (interaction 42.82% of total variance; P < 0.0001, two-way ANOVA; Fig. 1B). However, GFAP expression in the recovery period did not show a clear downward trend, in contrast to a progressive reduction in expression of Ccl2 after exposure.
Localization of Ccl2 Expression
Ccl2 mRNA was not detectable by in situ hybridization in retinas of dim-light–reared animals (Fig. 2A). However, in experimental animals at 12 hours of exposure, we detected the expression of Ccl2 mRNA in isolated cells within the inner nuclear layer (INL) of the superior retina (Fig. 2B); by 24 hours BCL, we detected robust expression of Ccl2 in many cells and processes in the INL (Fig. 2C), consistent with the qPCR expression profile (Fig. 1). We also observed that Ccl2 expression was distributed in a superoinferior gradient after BCL, with peak expression observed within the superior midperiphery (Figs. 2E–G). The fluorescent markers showed that the Ccl2 mRNA (Figs. 2H–J; arrows) co-localized with the vimentin-immunoreactive Müller cell processes (Figs. 2H–J; arrows), suggesting that Ccl2 is initially expressed by the Müller cells.
There was no immunoreactivity (IR) for Ccl2 protein in dim-light–reared animals (Fig. 3A), but in experimental animals at 12 hours of exposure, some Ccl2-IR was present in radially oriented processes in the superior retina (Figs. 3B, 3C) and in an increasing number of processes at 24 hours of exposure (Fig. 3D). Double immunolabeling with the Müller-cell–specific protein S100β (Figs. 3I–K) showed Ccl2-IR localized within the inner processes of Müller cells, consistent with the in situ hybridization results (Fig. 2). Ccl2-IR Müller cell processes were most prominent at 24 hours of BCL exposure (Fig. 3D) and declined markedly in the postexposure period (Figs. 3E, 3F), so that relatively few Ccl2-IR processes were present by 7 days after exposure (Fig. 3F). As with the distribution of Ccl2 mRNA (Fig. 2E), Ccl2-IR was predominant in Müller cell processes in the superior retina after exposure to BCL (Figs. 3G, 3H).
Quantification of ED-1-Positive Monocytes
The histograms in Figure 4 show the number of monocytes in the retina and choroid. The total number of monocytes in the retina and choroid remained unchanged in the first 17 hours of BCL exposure, but increased significantly by 24 hours of exposure, compared with the dim-light–reared controls (P < 0.01, Student's t-test; Fig. 4A). Peak numbers of monocytes were detected at 3 days after exposure (196 cells; P < 0.05, Student's t-test), which were significantly diminished by 7 days (123 cells; P < 0.05, Student's t-test). The overall trend in monocyte infiltration was found to be highly significant by one-way ANOVA (P < 0.0001). The counts of recruited cells in different locations (retinal vasculature, choroid, and ONL) are shown in Figure 4B. The data show significant monocyte recruitment after BCL in both the choroid and retinal vasculature, reaching peak numbers in the retinal vasculature by 24 hours of exposure and in the choroid at 3 days (P < 0.001, one-way ANOVA). The peak number of monocytes was also detected in the ONL by 3 days (P < 0.01, one-way ANOVA). While a larger number of ED-1+ cells were detected in the choroid (compared with the count in the retinal vessels), the data indicate that recruitment of monocytes from the retinal vessels occurred earlier than the from the choroid, with the number of cells rising acutely from a baseline of near 0 to 16 cells per retina, between 12 and 17 hours of BCL exposure (P < 0.01, Student's t-test).
The distribution of the infiltrating monocytes along the vertical axis of the retina is shown in Figure 5. In dim-light–reared animals, circulating monocytes were evenly distributed across the superior and inferior retina (Fig. 5A). By 24 hours of BCL exposure, the monocytes were more numerous in the superior retina by a ratio of approximately 2:1 (P < 0.05, Student's t-test; Fig. 5A). By 3 days, there were more than six times as many monocytes in the superior retina than in the inferior retina, and the number remained elevated in the superior retina at 7 days after exposure (P < 0.01, Student's t-test). A more detailed analysis of the distribution of monocytes in adjacent fields along the vertical axis of the retina, at different times of BCL exposure and recovery, is shown in Figure 5B. The data indicate that monocyte numbers reached a peak at 3 days after exposure, in the region of the superior retina that corresponds to the incipient “hot-spot” of degeneration, characterized in our previous investigation.23
We also found that many infiltrating monocytes in the superior retina expressed Ccl2 after exposure to BCL (Fig. 6). After 24 hours of BCL, many infiltrating monocytes within the choroid were Ccl2-IR (Fig. 6A–C). Extravasated tissue macrophages located within the outer segment layer (Fig. 6A) and the ONL (Fig. 6D) were also strongly Ccl2-IR. Ccl2+ monocytes were observed predominately at 24 hours of BCL exposure; none were observed in the early exposure period (12 hours BCL), coinciding with the emergence of Ccl2 expression by Müller cells. By the postexposure period, relatively few Ccl2-IR monocytes were detected (data not shown).
Discussion
The results of this study confirm the early and robust upregulation of Ccl2 in conjunction with the light-mediated induction of photoreceptor death and the expression of the stress-factor GFAP, consistent with findings from previous studies.25,32 Our data also elaborate on the role of Ccl2 in light-mediated retinal dystrophy, through several key findings. First, both in situ hybridization and immunohistochemistry verified that Ccl2 was expressed early by the Müller glia after exposure to BCL, whose expression—predominately in the superior retina—was consistent with both the temporal and spatial onset of photoreceptor apoptosis.23,47 Second, a preferential recruitment of monocytes to both retinal and choroidal vascular supplies occurred in the superior retinal after the expression of Ccl2, which correlates with the spatial distribution of Ccl2-positive Müller cells. Third, our data show that extravasating monocytes provided additional stimulatory expression of Ccl2 after 24 hours of BCL after the initial expression driven by the Müller cells.
Although the expression of Ccl2 in light-damaged retinas has been documented previously through PCR,32 the precise distribution and cellular localization of Ccl2 expression after the damaging stimulus has not, to our knowledge, been investigated. Zhang et al.25 hypothesized that Müller cells or retinal pigment epithelial cells (RPE) may be the source of chemokines after BCL, and several in vitro studies have shown that RPE cell cultures express Ccl2,48 including in response to the introduction of stimulatory cytokines.49–53 This investigation, however, is the first to show the preferential distribution of Ccl2 mRNA in Müller cells in the region of the incipient lesion, with as little as 12 hours of exposure to BCL. The findings pinpoint a response by Müller cells—not RPE cells—as the primary source of local Ccl2 expression, which promotes the monocyte infiltration that is associated with light-mediated photoreceptor apoptosis. The present findings are consistent with those in a previous study of experimental retinal detachment, which showed a rapid upregulation of Ccl2 expression in microdissected sections of the INL and the localization of Ccl2-IR in Müller cells that correlated with detachment-induced photoreceptor death.54
Our data also demonstrate an important role for chemokines in mediating local neuroinflammatory responses driven by the neural retina. Ccl2 is a potent chemokine for monocytes in vitro35 and is induced in a range of CNS diseases.30 Its rapid site-specific expression by Müller cells, as demonstrated in the present study, appears to serve as an early proinflammatory signal that targets monocytes to sites of degeneration. We propose that Ccl2 expression is stimulated in Müller cells as a result of regional photoreceptor apoptosis, since increased levels of apoptotic photoreceptors are detected around 6 hours before increased levels of Ccl2 are detected (Fig. 1A). After Ccl2 upregulation, our data also showed preferential infiltration of monocytes from retinal and choroidal vascular supplies into the superior retina, consistent with our previous findings23 and correlating with the spatial distribution of Ccl2+ Müller cells.
Perivascular monocytes express the Ccr2 chemokine receptor, of which Ccl2 is a known ligand,55 and ED-1+ monocytes specifically have been shown to express Ccr2.56 Our findings are consistent with those in previous investigations that have established Ccl2 as a key factor in the chemotactic guidance of monocytes after injury. An investigation in experimental retinal detachment in Ccl2-deficient knockout mice and Ccl2-specific antibody neutralization showed a substantial decrease in monocyte recruitment after detachment in conjunction with reduced photoreceptor death compared with the controls.57 Similar deficiencies in monocyte recruitment have also been reported after Ccl2 inhibition in a variety of models, including skin inflammation,58 thioglycollate challenge,59 experimental autoimmune encephalomyelitis,60 pulmonary granuloma,59 and peripheral endotoxin insult.61 Despite these findings, however, in a recent study, Joly et al.62 did not observe a difference in the population of F4/80-positive macrophages in the subretinal space after light-induced damage in Ccl2-knockout mice. However, those authors did not assess the expression of other microglial markers, such as ED-1, nor did they determine whether the F4/80+ cells expressed the Ccr2 receptor. Indeed, a study in lung infection showed that <10% of F4/80bright cells express Ccr2, suggesting that they are resident, rather than recruited, macrophages.63
Our findings also show that many extravasating monocytes in the superior retina display strong IR for Ccl2 after 24 hours of BCL, contributing to the vast increase in Ccl2 mRNA observed by qPCR at 24 hours of BCL. Such expression is consistent with the altered responsiveness in monocytes as they differentiate to form tissue macrophages, resulting in a concomitant downregulation of the Ccr2 receptor and an enhancement of Ccl2 secretion after endothelial adherence.64 This modulation of Ccr2 may act as a regulatory mechanism for controlling the extent of macrophage activation,64 whereas the upregulation of Ccl2 could serve to refine and amplify the Ccl2 gradient initially laid forth by the Müller cells.
Relevance to AMD
Our previous findings, in conjunction with those in other studies, suggest that the light-mediated model of retinal degeneration has several features in common with the pathogenesis of AMD.23,65,66 This model, like the established laser-induced model of neovascular AMD, uses an acute damaging stimulus to evoke long-term, site-specific retinal degeneration. We have recently shown recruitment of monocytes/macrophages to incipient lesion on the visual axis (area centralis) of the rat retina after BCL injury.23 Activated macrophages are associated with the progression and severity of AMD,67 and several studies show that macrophage/microglial inhibition reduce lesion size in the laser-induced model of neovascular AMD.68–70 The light-induced damage model used in this study involved localized macrophage recruitment to the site of retinal damage23 and endogenous Ccl2 expression in the neural retina (present study). These findings provide insight into the mechanisms that guide macrophages to regions of incipient degeneration, which may be common to AMD.
Although direct studies of Ccl2 expression in the human retina are lacking,71 it has been shown that both Ccl2- and Ccr2-knockout mice exhibit reduced lesion size and macrophage infiltration after laser-induced choroidal neovascularization compared with controls.72,73 It has been suggested that aging Ccl2/Ccr2-knockout mice develop AMD-like retinal degeneration,74 indicating that Ccl2 is also necessary for retinal homeostasis, although the AMD-like phenotype in the knockout has been questioned recently.72 Despite this, the findings suggest a role for Ccl2-induced monocyte trafficking in the pathogenesis of AMD, and point to a possible role of the retina in localization of the lesions to the macula.
Conclusion
While the recruitment of microglia has been thought to serve a beneficial function after retinal injury, such as promoting the removal of cellular debris and apoptotic cells,5 recent evidence has suggested that the extensive microglial activation induced in BCL is detrimental.26 Our data demonstrate that monocyte recruitment after light-mediated cell death correlates with both the temporal and spatial expression of Ccl2 by Müller cells, which supports a role of the neural retina in guiding neuroinflammatory responses of microglia after damage. The potential modulation of such endogenous chemokine responses may provide a powerful means of controlling excessive microglial recruitment and activation, which has relevance in the treatment of human diseases such as AMD.
Footnotes
Supported by Australian Research Council Centres of Excellence Program CE0561903 and an Ophthalmic Research Institute of Australia Brenda Mitchell Grant.
Disclosure: M. Rutar, None; R. Natoli, None; K. Valter, None; J.M. Provis, None
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