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Updated: Jun 24, 2026

Targeted Knockdown of Genes in the Choroid Plexus
Published on: June 16, 2023
Suppression and regression of choroidal neovascularization by the multitargeted kinase inhibitor pazopanib
Kyoichi Takahashi1, Yoshitsugu Saishin, Yumiko Saishin
1Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287-9277, USA.
Objective:
To investigate pazopanib hydrochloride, a multitargeted kinase inhibitor, for treatment of choroidal neovascularization (CNV).
Methods:
Choroidal neovascularization was induced in mice by rupture of Bruch membrane with laser photocoagulation. Mice were treated with pazopanib by gavage or periocular injection, and the area of CNV was measured.
Results:
Twice-daily gavage of pazopanib, 100 mg/kg, suppressed the development of CNV by 93%. Treatment of established CNV between days 7 and 14 with 8, 40, or 200 mg/kg per day reduced CNV by 0%, 58%, and 71%, respectively. Substantial regression (40%) of CNV was also achieved after periocular injection of pazopanib. A single oral dose of 4 or 100 mg/kg resulted in an area under the curve from time 0 to the last quantifiable concentration of 129.6 and 752.0 microg x h/mL, respectively. After 7 days of 4, 20, or 100 mg/kg twice a day by gavage, plasma levels were 1300, 4900, and 5800 ng/mL and levels in the retina/choroid were 4800, 28 800, and 38 000 ng/g of tissue.
Conclusions:
Orally administered pazopanib has good bioavailability to the retina/choroid and strongly suppresses CNV in mice. Treatment with pazopanib after CNV is established causes dose-dependent regression of CNV.
Clinical Relevance:
Pazopanib may be useful for treatment of CNV in humans.
Insights
Pazopanib effectively suppresses choroidal neovascularization (CNV) in mice, showing strong bioavailability to the retina. This kinase inhibitor demonstrates dose-dependent regression of established CNV, suggesting potential human therapeutic applications.
Area of Science:
- Ophthalmology
- Pharmacology
- Biomedical Research
Background:
- Choroidal neovascularization (CNV) is a leading cause of vision loss.
- Current treatments for CNV have limitations.
- Pazopanib is a multitargeted kinase inhibitor with potential anti-angiogenic properties.
Purpose of the Study:
- To evaluate the efficacy of pazopanib hydrochloride in treating choroidal neovascularization (CNV) in a mouse model.
- To assess the bioavailability and therapeutic effects of pazopanib on CNV.
Main Methods:
- CNV was induced in mice using laser photocoagulation to rupture Bruch's membrane.
- Mice were administered pazopanib via oral gavage or periocular injection.
- The area of CNV was quantified to measure treatment efficacy.
Main Results:
- Oral pazopanib (100 mg/kg twice daily) suppressed CNV development by 93%.
- Established CNV showed dose-dependent regression (58%-71%) with daily oral doses (40-200 mg/kg).
- Periocular injection also induced significant CNV regression (40%), with good retinal/choroidal bioavailability observed.
Conclusions:
- Pazopanib demonstrates significant oral bioavailability to the retina and choroid in mice.
- Pazopanib effectively suppresses CNV development and promotes regression of established CNV.
- Pazopanib holds promise as a potential therapeutic agent for treating human CNV.
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