Inflammation of the retinal pigment epithelium drives early-onset photoreceptor degeneration in Mertk-associated retinitis pigmentosa

Sci Adv. 2023 Jan 20;9(3):eade9459. doi: 10.1126/sciadv.ade9459. Epub 2023 Jan 20.

Abstract

Severe, early-onset photoreceptor (PR) degeneration associated with MERTK mutations is thought to result from failed phagocytosis by retinal pigment epithelium (RPE). Notwithstanding, the severity and onset of PR degeneration in mouse models of Mertk ablation are determined by the hypomorphic expression or the loss of the Mertk paralog Tyro3. Here, we find that loss of Mertk and reduced expression/loss of Tyro3 led to RPE inflammation even before eye-opening. Incipient RPE inflammation cascaded to involve microglia activation and PR degeneration with monocyte infiltration. Inhibition of RPE inflammation with the JAK1/2 inhibitor ruxolitinib mitigated PR degeneration in Mertk-/- mice. Neither inflammation nor severe, early-onset PR degeneration was observed in mice with defective phagocytosis alone. Thus, inflammation drives severe, early-onset PR degeneration-associated with Mertk loss of function.

MeSH terms

  • Animals
  • Inflammation / genetics
  • Inflammation / metabolism
  • Mice
  • Proto-Oncogene Proteins / genetics
  • Proto-Oncogene Proteins / metabolism
  • Receptor Protein-Tyrosine Kinases / genetics
  • Receptor Protein-Tyrosine Kinases / metabolism
  • Retinal Degeneration* / genetics
  • Retinal Degeneration* / metabolism
  • Retinal Pigment Epithelium / metabolism
  • Retinitis Pigmentosa* / genetics
  • Retinitis Pigmentosa* / metabolism
  • c-Mer Tyrosine Kinase / genetics
  • c-Mer Tyrosine Kinase / metabolism

Substances

  • c-Mer Tyrosine Kinase
  • Receptor Protein-Tyrosine Kinases
  • Proto-Oncogene Proteins
  • Mertk protein, mouse