Abstract
Age-related macular degeneration (AMD) is the leading cause of legal blindness in elderly individuals in the developed world, affecting 30–50 million people worldwide. AMD primarily affects the macular region of the retina that is responsible for the majority of central, color and daytime vision. The presence of drusen, extracellular protein aggregates that accumulate under the retinal pigment epithelium (RPE), is a major pathological hallmark in the early stages of the disease. The end stage ‘dry’ and ‘wet’ forms of the disease culminate in vision loss and are characterized by focal degeneration of the RPE and cone photoreceptors, and choroidal neovascularization (CNV), respectively. Being a multifactorial and genetically heterogeneous disease, the pathophysiology of AMD remains unclear, yet, there is ample evidence supporting immunological and inflammatory processes. Here, we review the recent literature implicating some of these immune processes in human AMD and in animal models.
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Abbreviations
- AMD:
-
Age-related macular degeneration
- RPE:
-
Retinal pigment epithelium
- CNV:
-
Choroidal neovascularization
- CEP:
-
Carboxyethylpyrrole
- BRB:
-
Blood retinal barrier
- MSA:
-
Mouse serum albumin
- IL:
-
Interleukin
- CCDKO:
-
Ccl2/Cx3cr1 double knockout
- Crb1:
-
Crumbs-like 1
- DAMPs:
-
Danger-associated molecular patterns
- NLRs:
-
Nod-like receptors
- NLRP3:
-
NLR family, pyrin domain containing 3
References
Crabb JW, Miyagi M, Gu X, Shadrach K, West KA, Sakaguchi H et al (2002) Drusen proteome analysis: an approach to the etiology of age-related macular degeneration. Proc Natl Acad Sci U S A 99(23):14682–14687
Patel N, Ohbayashi M, Nugent AK, Ramchand K, Toda M, Chau KY et al (2005) Circulating anti-retinal antibodies as immune markers in age-related macular degeneration. Immunology 115:422–430
Hollyfield JG, Bonilha VL, Rayborn ME, Yang X, Shadrach KG, Lu L et al (2008) Oxidative damage-induced inflammation initiates age-related macular degeneration. Nat Med 14:194–198
Xu H, Chen M, Forrester JV (2009) Para-inflammation in the aging retina. Prog Retin Eye Res 28:348–368
Zhou J, Pham L, Zhang N, He S, Gamulescu MA, Spee C et al (2005) Neutrophils promote experimental choroidal neovascularization. Mol Vis 11:414–424
Rutar MV, Natoli RC, Provis JM (2012) Small interfering RNA-mediated suppression of Ccl2 in Muller cells attenuates microglial recruitment and photoreceptor death following retinal degeneration. J Neuroinflammation 9:221
Ambati J, Anand A, Fernandez S, Sakurai E, Lynn BC, Kuziel WA et al (2003) An animal model of age-related macular degeneration in senescent Ccl-2- or Ccr-2-deficient mice. Nat Med 9:1390–1397
Apte RS, Richter J, Herndon J, Ferguson TA (2006) Macrophages inhibit neovascularization in a murine model of age-related macular degeneration. PLoS Med 3:e310
Raoul W, Auvynet C, Camelo S, Guillonneau X, Feumi C, Combadière C et al (2010) CCL2/CCR2 and CX3CL1/CX3CR1 chemokine axes and their possible involvement in age-related macular degeneration. J Neuroinflammation 7:87
Jonas JB, Tao Y, Neumaier M, Findeisen P (2010) Monocyte chemoattractant protein 1, intercellular adhesion molecule 1, and vascular cell adhesion molecule 1 in exudative age-related macular degeneration. Arch Ophthalmol 128:1281–1286
Combadière C, Feumi C, Raoul W, Keller N, Rodéro M, Pézard A et al (2007) CX3CR1-dependent subretinal microglia cell accumulation is associated with cardinal features of age-related macular degeneration. J Clin Invest 117:2920–2928
Chan CC, Ross RJ, Shen D, Ding X, Majumdar Z, Bojanowski CM et al (2008) Ccl2/Cx3cr1-deficient mice: an animal model for age-related macular degeneration. Ophthalmic Res 40:124–128
Olefsky JM, Glass CK (2010) Macrophages, inflammation, and insulin resistance. Annu Rev Physiol 72:219–246
Mattapallil MJ, Wawrousek EF, Chan CC, Zhao H, Roychoudhury J, Ferguson TA et al (2012) The rd8 mutation of the Crb1 gene is present in vendor lines of C57BL/6N mice and embryonic stem cells, and confounds ocular induced mutant phenotypes. Invest Ophthalmol Vis Sci 53:2921–2927
Luhmann UF, Lange CA, Robbie S, Munro PM, Cowing JA, Armer HE et al (2012) Differential modulation of retinal degeneration by Ccl2 and Cx3cr1 chemokine signalling. PLoS One 7:e35551
Doyle SL, Campbell M, Ozaki E, Salomon RG, Mori A, Kenna PF et al (2012) NLRP3 has a protective role in age-related macular degeneration through the induction of IL-18 by drusen components. Nat Med 18:791–798
Giganti M, Beer PM, Lemanski N, Hartman C, Schartman J, Falk N (2010) Adverse events after intravitreal infliximab (Remicade). Retina 30:71–80
Anderson DH, Radeke MJ, Gallo NB, Chapin EA, Johnson PT, Curletti CR et al (2010) The pivotal role of the complement system in aging and age-related macular degeneration: hypothesis re-visited. Prog Retin Eye Res 29:95–112
Matsumura N, Kamei M, Tsujikawa M, Suzuki M, Xie P, Nishida K (2012) Low-dose lipopolysaccharide pretreatment suppresses choroidal neovascularization via IL-10 induction. PLoS One 7:e39890
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Ozaki, E., Campbell, M., Kiang, AS., Humphries, M., Doyle, S., Humphries, P. (2014). Inflammation in Age-Related Macular Degeneration. In: Ash, J., Grimm, C., Hollyfield, J., Anderson, R., LaVail, M., Bowes Rickman, C. (eds) Retinal Degenerative Diseases. Advances in Experimental Medicine and Biology, vol 801. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3209-8_30
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DOI: https://doi.org/10.1007/978-1-4614-3209-8_30
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