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Publication : Circulating natural killer cells are phenotypically and functionally altered in age-related macular degeneration.

First Author  Brennan K Year  2026
Journal  Cell Rep Med Volume  7
Issue  6 Pages  102792
PubMed ID  42102824 Mgi Jnum  J:389467
Mgi Id  MGI:8344052 Doi  10.1016/j.xcrm.2026.102792
Citation  Brennan K, et al. (2026) Circulating natural killer cells are phenotypically and functionally altered in age-related macular degeneration. Cell Rep Med :102792
abstractText  Age-related macular degeneration (AMD) is the leading cause of irreversible central blindness and can result in pathological neovascularization. Using a "human-first" approach, we identify immunotherapy as a disease modifier in models of neovascular AMD (nAMD). Plasma cytokine analysis in a large population cohort reveals an imbalance of lymphocytic cytokines associated with severity of AMD, leading to discovery of a skewed peripheral natural killer (NK) cell phenotype in individuals with AMD. Peripheral NK cells are rapidly activated in nAMD models, and single-cell RNA sequencing demonstrates expansion of activated cytolytic NK cells within neovascular lesions during resolution. NK cells localize to neovessels in human AMD donor eyes; however, they exhibit markers of terminal differentiation and quiescence. Adoptive transfer of pre-activated NK cells reduces neovascularization and restores barrier integrity. Our data identify a distinct, functionally altered NK cell phenotype in nAMD and suggests harnessing NK cells represents an immunotherapeutic alternative for the treatment of nAMD.
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