Background::Diabetic retinopathy (DR) is a major cause of vision loss in workingage
individuals worldwide. Cell-to-cell communication between retinal cells and retinal pigment
epithelial cells (RPEs) in DR is still unclear, so this study aimed to generate a single-cell atlas
and identify receptor‒ligand communication between retinal cells and RPEs.
Methods::A mouse single-cell RNA sequencing (scRNA-seq) dataset was retrieved from the
GEO database (GSE178121) and was further analyzed with the R package Seurat. Cell cluster
annotation was performed to further analyze cell‒cell communication. The differentially expressed
genes (DEGs) in RPEs were explored through pathway enrichment analysis and the protein‒
protein interaction (PPI) network. Core genes in the PPI were verified by quantitative PCR
in ARPE-19 cells.
Results::We observed an increased proportion of RPEs in STZ mice. Although some overall
intercellular communication pathways did not differ significantly in the STZ and control groups,
RPEs relayed significantly more signals in the STZ group. In addition, THBS1, ITGB1,
COL9A3, ITGB8, VTN, TIMP2, and FBN1 were found to be the core DEGs of the PPI network
in RPEs. qPCR results showed that the expression of ITGB1, COL9A3, ITGB8, VTN, TIMP2,
and FBN1 was higher and consistent with scRNA-seq results in ARPE-19 cells under hyperglycemic
conditions.
Conclusion::Our study, for the first time, investigated how signals that RPEs relay to and from
other cells underly the progression of DR based on scRNA-seq. These signaling pathways and
hub genes may provide new insights into DR mechanisms and therapeutic targets.