Dbl3Y570D rescues phagocytosis in mutant MerTK iPSC-derived RPE cells. (a) Schematic outline of RPE cell generation from the MerTK mutant fibroblasts. Note, fibroblasts were derived from a blind individual suffering from retinitis pigmentosa (RP). (b) Fundus image taken from a MerTK-deficient RP individual’s right eye showing the retinal vessels (black arrowheads) and macula (white circle). (c) A red-free image of the macula with the green arrow representing the position of the line scan in b. (d) A spectral domain optical coherence tomography image of the left fundus, through the fovea, showing a thinning of the retina at the fovea (normally over 200 µm) and a loss of retinal lamination, especially centrally (total loss of ellipsoid zone, black arrowhead); the white arrowheads show an epiretinal membrane. (e–g) Confocal immunofluorescence z-section analysis of MerTK mutant RPE transfected with wild-type Dbl3 or Dbl3Y570D and exposed to POS-FITC. Note, RPE cells expressing Dbl3Y570D undergo efficient recovery of phagocytosis. White arrowheads highlight the apical F-actin cortex. (h–k) Analysis of POS adhesion sites to cup population ratios in mutant cells and cells expressing Dbl3Y570D. Note, colocalization analysis by Pearson’s coefficient calculation reveals that MerTK-deficient RPE cells contain almost exclusively Dbl-rich adhesion sites that fail to transform into protrusions depicted in white, whereas mutant cells expressing Dbl3Y570D undergo cup maturation with characteristic Dbl-POS colocalization at contact sites depicted as white rings at contact points. Scale bars represent 10 μm, unless highlighted otherwise. All quantifications are based on n = 3 independent experiments and show the data points, means ±1SD, the total number of cells analyzed for each type of sample across all experiments, and P values derived from t tests are indicated. (l) Schematic illustration of proposed model of MRCKβ-controlled morphodynamic signaling in MerTK receptor-mediated RPE cells. Briefly, MerTK-Cdc42–driven MRCKβ signaling progresses through distinct phases with a lower activity during initial pseudopod induction and high activity, concomitant with increased F-actin, during deformation of protrusions to mediate particle wrapping. Continued MRCKβ-driven myosin-II activity stimulates FAK activation of paxillin (dashed outline represents a putative link based on the established mechanosensory bridge in migratory cells), recruitment of mechanotransducers vinculin and talin, and receptor clustering at cups to coordinate particle wrapping.