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Gene Expression Within a Human Choroidal Neovascular Membrane Using Spatial Transcriptomics
Journal article   Open access   Peer reviewed

Gene Expression Within a Human Choroidal Neovascular Membrane Using Spatial Transcriptomics

Andrew P Voigt, Nathaniel K Mullin, Emma M Navratil, Miles J Flamme-Wiese, Li-Chun Lin, Todd E Scheetz, Ian C Han, Edwin M Stone, Budd A Tucker and Robert F Mullins
Investigative ophthalmology & visual science, Vol.64(13), 40
10/03/2023
DOI: 10.1167/iovs.64.13.40
PMCID: PMC10615143
PMID: 37878301
url
https://doi.org/10.1167/iovs.64.13.40View
Published (Version of record) Open Access

Abstract

PurposeMacular neovascularization is a relatively common and potentially visually devastating complication of age-related macular degeneration. In macular neovascularization, pathologic angiogenesis can originate from either the choroid or the retina, but we have limited understanding of how different cell types become dysregulated in this dynamic process. MethodsTo study how gene expression is altered in focal areas of pathology, we performed spatial RNA sequencing on a human donor eye with macular neovascularization as well as a healthy control donor. We performed differential expression to identify genes enriched within the area of macular neovascularization and used deconvolution algorithms to predict the originating cell type of these dysregulated genes. ResultsWithin the area of neovascularization, endothelial cells demonstrated increased expression of genes related to Rho family GTPase signaling and integrin signaling. Likewise, VEGF and TGFB1 were identified as potential upstream regulators that could drive the observed gene expression changes produced by endothelial and retinal pigment epithelium cells in the macular neovascularization donor. These spatial gene expression profiles were compared to previous single-cell gene expression experiments in human age-related macular degeneration as well as a model of laser-induced neovascularization in mice. As a secondary aim, we investigated regional gene expression patterns within the macular neural retina and between the macular and peripheral choroid. ConclusionsOverall, this study spatially analyzes gene expression across the retina, retinal pigment epithelium, and choroid in health and describes a set of candidate molecules that become dysregulated in macular neovascularization.

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