PURPOSE. Chemokine signaling and monocytes/macrophages were implicated in the pathogenesis of AMD. We tested the association between chemokines involved in monocyte recruitment and AMD.
METHODS.Immunophenotyping for white blood cell (WBC) populations including CD14þþCD16-and CD14þCD16þ monocytes, CD19þ, CD3þ, and CD16þ lymphocytes, and chemokine receptors CCR1, CCR2, CCR5, CX 3 CR1, and CXCR4 was performed on peripheral blood from treatment-naïve neovascular AMD (NV-AMD) patients and controls. The mRNA level of chemokine receptors in monocytes was measured with quantitative-PCR. Systemic levels of major chemokine ligands CCL2, CCL5, CCL3, and CXCL10 were evaluated by ELISA. Genotyping was performed for risk SNPs for AMD in the CFH, C3, and HTRA1 genes.
RESULTS.The percentage of WBC subpopulations tested was similar between NV-AMD patients (n ¼ 18) and controls (n ¼ 20). CD14þCD16þ monocyte subpopulation showed a 3.5-fold increased expression of CCR1 (P ¼ 0.039; t-test) and a 2.2-fold increased expression of CCR2 (P ¼ 0.027) in patients compared with controls. Increased CCR1 and CCR2 expression was correlated with each other in patients (R 2 ¼ 0.64, P < 0.0001), but not controls (R 2 ¼ 0.02, P ¼ 0.57). Increased mRNA levels of CCR1 (1.6-fold, P ¼ 0.037) and CCR2 (1.6-fold, P ¼ 0.007) were found in monocytes from NV-AMD patients. Chemokine receptor expression was not correlated with the presence of risk SNPs, and was not associated with blood chemokine levels.CONCLUSIONS. CCR1 and CCR2 are coupregulated on the CD14þCD16þ monocyte population in NV-AMD patients. These data implicate CD14þCD16þ monocytes and chemokine signaling in AMD. Additional investigation is needed to elucidate the role of these monocytes and their potential as a biomarker or therapeutic target for AMD. (Invest Ophthalmol Vis Sci. 2012;53:5292-5300)