ABSTRACT: In the retinal vascular unit, direct communication between pericytes (PCs) and endothelial cells (ECs) is important for vessel stability and maintenance of the properties of the blood-retinal barrier (BRB). ECs and PCs sharing a common basement membrane throughout vasculogenesis tend to lose vessel integrity in the retina during Diabetic Retinopathy (DR). The proteins required to maintain BRB integrity and EC-PCs homeostasis may be altered or lost during the late angiogenic stage of DR. The selective dropout of microvascular cells during mild DR, later recruitment of unstable cells, and thereby retinal detachment in proliferative DR are still speculative; therefore, a comprehensive profiling of healthy retinal vasculature and fibrovascular membrane from the retina of proliferative diabetic retinopathy patients may provide clues for the seriousness of retinal detachment due to angiogenesis. This study aimed to isolate the retinal vasculature (RV) from a healthy human retina, making it more suitable for comparison with the microvascular cells of the fibrovascular membrane (FVM) from PDR patients, and to perform proteome profiling to understand the switch in BRB homeostasis due to DR. We first isolated the VT-NRC by removing the non-vascular retinal components, further the presence of microvascular cells in VT-NRC and FVM using IHC studies confirmed that the vascular components expressing both SMA and CD-34, were differentially expressed for Desmin, PDGFR- and CD-31 in a hefty proportion of FVM. Additionally, to confirm angiogenesis, both samples were subjected to ki67 expression which is significantly expressed in the FVM. Proteins were extracted, quantified, and fractionated using 1D-SDS-PAGE to analyze the proteomes of VT-NRC and FVM. After in-gel tryptic digestion, the peptides were analyzed in duplicate using LC–MS/MS on a tandem mass spectrometer. A total of 60 and 49 highly confident unique proteins were identified in VT-NRC and FVM, respectively, with 40 shared proteins. Similarly, using two-dimensional (2D) analysis, VT-NRC and FVM protein profiles were analyzed using MALDI-TOF. Out of ten differentially expressed spots, 6 and 4 highly confident proteins were identified in VT-NRC and FVM, respectively. GO analysis of the FVM protein revealed that a large percentage of the identified proteins had negative and positive regulation of angiogenesis, cell death, apoptosis, and cellular adhesion, being the most enriched molecular functions. Interaction network analysis using the SHINYGO 0.80 tool showed the involvement of SFN, YWHAZ, YWHAG, CFL1, CALM3, HRNR and PRKDC in ECM-receptor interaction, regulation of the actin skeleton, negative regulation of Angiogenesis and PI3 kinase pathway. SFN and HRNR mRNA levels were increased significantly in PBMC isolated from whole blood of DR patients compared with Type II Diabetic and Healthy control patient. Similarly, CFL1 and CALM3 mRNA levels were decreased. Controlling the expression of the differentially regulated proteins may prevent the retinal angiogenesis thereby fibrovascular membrane formation