PURPOSE. Laser-induced choroidal neovascularization (CNV) is a widely used model to mimic many features of CNV resulting from wet AMD. Macrophages have been implicated in the pathogenesis of AMD. Class A scavenger receptors, scavenger receptor-A (SR-A) and macrophage receptor with collagenous domain (MARCO), are expressed on macrophages and are associated with macrophage function. The goal of this study is to examine the role of macrophage scavenger receptors in immune cell recruitment and the formation of CNV.
METHODS.Laser photocoagulation was performed in wild-type and knockout mice with deletion of SR-A (SR-A À/À ), MARCO (MARCO À/À ), or both SR-A and MARCO double knockout (DKO). Immune cell recruitment at different time points and CNV lesions at 14 days after laser treatment were evaluated through immunostaining and confocal microscopy. Microarray analysis was performed in eyes 1 day after laser injury.
RESULTS.Wild-type eyes showed higher chemokine/receptor expression compared with knockout eyes after laser injury. Scavenger receptor deficiency markedly impaired the recruitment of neutrophils and macrophages to CNV lesions at 1-and 3-days post laser injury, respectively. Significantly reduced CNV volumes were found in the eyes from scavenger receptor knockout mice compared with wild-type mice.CONCLUSIONS. The deficiency of scavenger receptors impairs the formation of CNV and immune cell recruitment. Our findings suggest a potential role for scavenger receptors in contributing to CNV formation and inflammation in AMD.Keywords: AMD, CNV, macrophages, scavenger receptors A ge-related macular degeneration is the leading cause of irreversible central blindness in the elderly, worldwide. It is clinically characterized by degenerative changes in the macula, the region of the retina that permits fine central vision. One of the key pathologic features of AMD is the development of large drusen, extracellular deposits located in Bruch's membrane beneath the RPE. Their presence is a harbinger of further retinal change, the major risk factor for the development of advanced AMD, which can be classified into two subtypes: geographic atrophy (dry) and neovascular/exudative (wet). 1 In wet AMD, new vessels from the choroid breach Bruch's membrane and grow into the subretinal space and retina. This process is also called choroidal neovascularization (CNV). It represents only 10% of all cases of advanced AMD, but about 90% of AMD patients experience severe vision loss resulting from this subtype. Various animal models attempt to mimic the clinical manifestations of AMD. Among them, a laser-induced murine CNV model is widely used to mimic the wet form of AMD by compromising Bruch's membrane to induce CNV formation in the subretinal region. This model allows for visualization and evaluation of the morphologic changes of experimental CNV and has been a valuable tool to study the diverse components of complex CNV lesions.
2The exact mechanisms that cause AMD are not clear. Recent information suggests that immune mechanisms play...