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 characterized
22 –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.