Phagocytosis of shed photoreceptor rod outer segments (ROS) by the retinal pigment epithelium (RPE) is essential for retinal function. Here, we demonstrate that this process requires ␣v5 integrin, rather than ␣v3 integrin utilized by systemic macrophages. Although adult rat RPE expressed both ␣v3 and ␣v5 integrins, only ␣v3 was expressed at birth, when the retina is immature and phagocytosis is absent. Expression of ␣v5 was first detected in RPE at PN7 and reached adult levels at PN11, just before onset of phagocytic activity. Interestingly, ␣v5 localized in vivo to the apical plasma membrane, facing the photoreceptors, and to intracellular vesicles, whereas ␣v3 was expressed basolaterally. Using quantitative f luorimaging to assess in vitro uptake of f luorescent particles by human (ARPE-19) and rat (RPE-J) cell lines, ␣v5 function-blocking antibodies were shown to reduce phagocytosis by drastically decreasing (85%) binding of ROS but not of latex beads. In agreement with a role for ␣v5 in phagocytosis, immunof luorescence experiments demonstrated codistribution of ␣v5 integrin with internalized ROS. Control experiments showed that blocking ␣v3 function with antibodies did not inhibit ROS phagocytosis and that ␣v3 did not colocalize with phagocytosed ROS. Taken together, our results indicate that the RPE requires the integrin receptor ␣v5 specifically for the binding of ROS and that phagocytosis involves internalization of a ROS-␣v5 complex. ␣v5 integrin does not participate in phagocytosis by other phagocytic cells and is the first of the RPE receptors involved in ROS phagocytosis that may be specific for this process.Among the vital functions performed by the retinal pigment epithelium (RPE) (1) is the phagocytosis of rod outer segments (ROS) fragments (2). At birth, rat RPE cells lack phagocytic ability (3, 4). During postnatal retinal maturation, the RPE forms long, apical microvilli that ensheath developing photoreceptor outer segments. From about PN12, stacks of ROS membranes are shed daily from the distal end of photoreceptors and become efficiently phagocytosed by RPE cells (5). The essential role of RPE phagocytosis is highlighted by the rapid degeneration of photoreceptor neurons in Royal College of Surgeons rats. Royal College of Surgeons rats carry an autosomal recessive mutation that impairs RPE phagocytosis, resulting in subretinal accumulation of ROS (3, 6, 7). Photoreceptor death is irreversible and inevitably results in blindness (8, 9). RPE phagocytosis is poorly understood, compared with the well characterized phagocytosis by monocyte macrophages. RPE and systemic phagocytosis differ in that the former follows a circadian rhythm in many species (10). Furthermore, although RPE cells express Fc receptors, they highly favor ROS binding and uptake over internalization of opsonized bacteria, yeast or inert particles (11). Of special relevance to RPE phagocytosis is the phagocytosis of apoptotic cells by circulating macrophages. Clearance of senescent cells by monocyte macro...