Published in PNAS, the University of Melbourne research uncovers how retinal immune cells change during diabetes, which may lead to new treatments that can be used from an early stage of disease, well before any loss of vision.
“Until recently, immune cells of the nervous system were thought to sit quietly, only responding when injury or disease occurred. Our finding expands our knowledge of what these cells do and shows a highly unusual mechanism by which blood vessels are regulated. This is the first time, immune cells have been implicated in controlling blood vessel and blood flow,” co-author Professor Erica Fletcher said.
Almost everyone with type 1 diabetes, and more than 60 per cent of those with type 2 diabetes, will develop some form of diabetic eye disease within 20 years of diagnosis, according to Diabetes Australia. With an additional 280 people developing the disease every day, the breakthrough has important implications.
The research team found a specific type of immune cell, called microglia, contact both blood vessels and neurons in the retina and are able to change blood flow to meet the needs of neurons.