During chronic inflammation, tertiary lymphoid tissue (TLT) can form within an
inflamed organ, including the central nervous system (CNS). However, little is known about
TLT formation in the neuroretina. In a novel spontaneous autoimmune mouse model of uveitis
(R161H), we identified well-organized lymphoid aggregates in the retina and examined them
for TLT characteristics. Presence of immune cells, tissue-specific markers, and gene
expression patterns typically associated with germinal centers and T follicular helper
(TFH) cells were examined using immunohistochemistry and gene analysis of
laser capture microdissected retina. Our data revealed the retinal lymphoid structures
contained CD4+ T cells and B cells in well-defined zonal areas that
expressed classic germinal center markers, PNA and GL-7. Gene expression analysis showed
upregulation of T follicular helper cell markers, most notably CXCR5 and its ligand
CXCL13, and immunohistochemical analysis confirmed CXCR5 expression, typically associated
with CD4+ T follicular helper cells. Highly organized stromal cell
networks, a hallmark of organized lymphoid tissue, were also present. Positive staining
for phospho-Zap70 in retina-specific T cells indicated CD4+ T cells
were being activated within these lymphoid structures.
CD138+/B220+ plasma cells were detected,
suggesting the retinal lymphoid aggregates give rise to functional germinal centers, which
produce antibodies. Interestingly, eyes with lymphoid aggregates exhibited lower
inflammatory scores by fundus examination and a slower initial rate of loss of visual
function by electroretinography, compared to eyes without these structures. Our findings
suggest that the lymphoid aggregates in the retina of R161H mice represent organized TLT,
which impact the course of chronic uveitis.