Potential microglial participation is also reported in various forms of retinal injury or disease, including diabetic retinopathy,
22 23 glaucomatous optic nerve degeneration,
24 light damage,
25 26 glaucoma,
27 28 inherited retinal degeneration in the RCS rat,
29 30 human retinitis pigmentosa and age-related macular degeneration,
31 32 optic axotomy,
33 34 EAU,
34 retinal ischemia and reperfusion injury,
35 and in retinal degeneration in
rd mice.
36 37 Activated microglia migrates from the inner retinal layers to the outer nuclear layer during the early phase of EAU. This migration occurs subsequent to the generation of oxygen free radicals in the photoreceptors.
34 The activated microglia are known to release IL-1β, IL-3, IL-6, TNF-α, interferon-γ, tumor growth factor-β, vascular endothelial growth factor, lymphotoxin, macrophage inflammatory protein-1α, matrix metalloproteinases, proteolytic enzymes, nitric oxide, and reactive oxygen species, all of which can cause photoreceptor degeneration.
38 In addition, several of these agents can alter the expression of vascular cell adhesion molecules, and the latter can recruit lymphocytes and macrophages, thus causing further tissue damage.
39 Moreover, the blood–retinal barrier is altered and thus enhances the infiltration of leukocytes.