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Overstaying their welcome: defective CX3CR1 microglia eyed in macular degeneration
Jing Chen, Kip M. Connor, Lois E.H. Smith
Jing Chen, Kip M. Connor, Lois E.H. Smith
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Commentary

Overstaying their welcome: defective CX3CR1 microglia eyed in macular degeneration

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Abstract

Age-related macular degeneration (AMD), the most common cause of blindness in the elderly, is characterized by degeneration of the macula and can lead to loss of fine color vision. Alterations in inflammatory and immune system pathways, which arise from genetic differences, predispose individuals to AMD. Yet the mechanism of disease progression with respect to inflammation is not fully understood. In this issue of the JCI, the study by Combadière and colleagues shows that CX3C chemokine receptor 1–deficient (CX3CR1-deficient) mice have abnormal microglia that accumulate beneath the retina and contribute to the progression of AMD (see the related article beginning on page 2920).

Authors

Jing Chen, Kip M. Connor, Lois E.H. Smith

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Figure 1

Loss of central vision in AMD patients.

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Loss of central vision in AMD patients.
(A) Representation of the visual...
(A) Representation of the visual field seen by a person with normal vision and by an AMD patient with a loss of central color vision. (B) Schematic of a normal human eye compared with an AMD eye depicting deposits of drusen (yellow spots) and choroidal neovascularization with subretinal hemorrhage in the macula (red). (C) Schematic cross-section of a normal eye through the macula shows retinal neuronal layers, RPE, Bruch’s membrane, and choroid vessels. In AMD, the intimate relation among photoreceptors, RPE, and choroid is disrupted by drusen (lipid and cellular debris–containing deposits). The formation of drusen separates RPE from Bruch’s membrane and the underlying choroidal vessels in association with RPE atrophy and photoreceptor degeneration (hallmarks of dry AMD). In wet AMD with choroidal neovascularization, abnormal leaky choroidal vessels proliferate and penetrate the altered Bruch’s membrane protruding into the subretinal space, causing hemorrhage and rapid loss of vision.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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