Antiangiogenic effects of bisphosphonates on laser-induced choroidal neovascularization in mice

Takayuki Nagai1, Hisanori Imai, Shigeru Honda

  • 1Department of Surgery, Division of Ophthalmology, Kobe University Graduate School of Medicine, Chuo-ku, Kobe, Japan.

Abstract

Insights

Bisphosphonates, like alendronate, show potential in treating eye diseases by inhibiting choroidal neovascularization (CNV). These drugs may also reduce the expression of genes linked to blood vessel growth.

Area of Science:

  • Ophthalmology
  • Pharmacology
  • Molecular Biology

Background:

  • Choroidal neovascularization (CNV) is a major cause of vision loss.
  • Bisphosphonates are primarily known for treating bone diseases.
  • Ocular adverse effects of bisphosphonates are documented, but therapeutic potential is less explored.

Purpose of the Study:

  • To investigate the anti-angiogenic effects of bisphosphonates in laser-induced CNV in vivo.
  • To determine if bisphosphonates downregulate angiogenic gene expression in retinal pigment epithelial cells in vitro.

Main Methods:

  • Bisphosphonates (alendronate, clodronate) or saline were administered to mice.
  • CNV was induced via laser photocoagulation, followed by fluorescein angiography and histological analysis.
  • ARPE-19 cells were treated with bisphosphonates to assess gene expression of VEGF and integrins using real-time PCR.

Main Results:

  • Alendronate and clodronate significantly reduced the size of CNV lesions in mice.
  • Alendronate markedly decreased VEGF and integrin-alphaV immunoreactivity.
  • Alendronate significantly downregulated VEGF and integrin gene expression in ARPE-19 cells, while clodronate had no effect.

Conclusions:

  • Bisphosphonates demonstrate anti-angiogenic properties relevant to ocular diseases.
  • The therapeutic potential of bisphosphonates in ophthalmology warrants further investigation.
  • Mechanisms underlying the anti-angiogenic effects of bisphosphonates may differ and require more study.

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