The in vivo function of microRNAs (miRs) in diabetic retinopathy (DR) and age-related macular degeneration (AMD) remains unclear. We report here that let-7 family members are expressed in retinal and choroidal endothelial cells (ECs). In ECs, overexpression of let-7 by adenovirus represses EC proliferation, migration, and networking in vitro, whereas inhibition of the let-7 family with a locked nucleic acid (LNA)-anti-miR has the opposite effect. Mechanistically, silencing of the let-7 target HMGA2 gene mimics the phenotype of let-7 overexpression in ECs. let-7 transgenic (let-7-Tg) mice show features of nonproliferative DR, including tortuous retinal vessels and defective pericyte coverage. However, these mice develop significantly less choroidal neovascularization (CNV) compared to wild-type controls after laser injury. Consistently, silencing of let-7 in the eye increased laser-induced CNV in wild-type mice. Together, our data establish a causative role of let-7 in nonproliferative diabetic retinopathy and a repressive function of let-7 in pathological angiogenesis, suggesting distinct implications of let-7 in the pathogenesis of DR and AMD.KEYWORDS let-7, endothelial cells, angiogenesis, diabetic retinopathy, choroidal, neovascularization, AMD T he retina has been an excellent model for studying the mechanism of angiogenesis. Retinal vascularization in mice begins after birth, when endothelial cells (ECs) sprout from the central retinal artery to the peripheral region and then to the intermediate and deep retinal layers (1, 2). Pathological angiogenesis in the eye is the most common cause of blindness at all ages and underlies conditions such as retinopathy of prematurity in children, diabetic retinopathy (DR) in young adults, and age-related macular degeneration (AMD) in the elderly. DR is the leading cause of blindness in working-age adults (18 to 64 years old), with a prevalence of 5.4% (ϳ7.7 million people) in the United States (3). Early-stage DR (or nonproliferative DR [NPDR]) is characterized by pericyte loss, basement membrane thickening, and EC dysfunction. Proliferative diabetic retinopathy (PDR) develops at the advanced stage and is associated with new blood vessel growth along the retina and the vitreous surface. AMD is a degenerative disease of the retina and the leading cause of blindness among the elderly (4). Neovascular (or wet) AMD, which accounts for the majority of acute vision loss in AMD, is characterized by choroidal neovascularization (CNV), a process involving abnormal growth of blood vessels from the choroid into the retina. Vascular endothelial growth factor (VEGF) is a major cytokine driving neovascularization and vascular permeability during CNV and diabetic edema. Several U.S. Food and Drug Administration-approved anti-VEGF agents are the current mainstay for wet AMD treatment and have been recently approved for