Pathological tissue remodeling, including choroidal neovascularization (CNV) and fibrosis, is central to the development of retinal diseases such as age-related macular degeneration; however, its molecular mechanisms remain incompletely defined. We examined the intraocular expression patterns of Meflin encoded by the ISLR gene, a mesenchymal stromal cell marker with anti-fibrotic properties, in human surgical specimens and mouse retinal tissues, and evaluated its involvement in a retinal injury mouse model. Meflin expression was detected in fibroblast-like stromal cells within human proliferative vitreoretinopathy / proliferative diabetic retinopathy fibrovascular membranes and the ciliary body, lens epithelium, retinal pigment epithelium, optic nerve meningeal cells, and choroidal perivascular fibroblast-like cells of the mouse eye. Lineage-tracing using a Meflin reporter mouse line revealed accumulation of Meflin-lineage cells within laser-induced CNV lesions. Notably, adeno-associated virus-mediated Meflin overexpression increased CNV volume in the acute phase of retinal injury but suppressed subretinal fibrosis after the CNV growth phase. These findings suggest that Meflin overexpression modulates angiogenic and fibrotic remodeling after retinal injury in a phase-dependent manner, consistent with reported roles in cancer and fibrotic diseases. These results improve understanding of retinal disease pathology and identify Meflin as a potential target for future therapeutic studies on proliferative and fibrotic retinal diseases.
Okuda et al. (2026) studied this question.