Recombinant membrane-targeted form of CD59 inhibits the growth of choroidal neovascular complex in mice

Nalini S Bora1, Purushottam Jha, Valeriy V Lyzogubov

  • 1Department of Ophthalmology, Jones Eye Institute, Pat and Willard Walker Eye Research Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, USA.

Insights

Recombinant membrane-targeted CD59 (rCD59-APT542) significantly inhibited choroidal neovascularization (CNV) growth and reduced CNV size in a mouse model. This therapy works by increasing apoptosis and decreasing cell proliferation via membrane attack complex (MAC) inhibition.

Area of Science:

  • Ophthalmology
  • Immunology
  • Regenerative Medicine

Background:

  • Choroidal neovascularization (CNV) is a major cause of vision loss.
  • Current treatments for CNV have limitations.
  • The complement system, particularly the membrane attack complex (MAC), plays a role in CNV pathogenesis.

Purpose of the Study:

  • To investigate the therapeutic potential of recombinant, membrane-targeted CD59 (rCD59-APT542) in a laser-induced murine model of CNV.
  • To evaluate the effect of rCD59-APT542 on CNV growth, size, and underlying mechanisms.

Main Methods:

  • CNV was induced in C57BL/6 mice using laser photocoagulation.
  • rCD59-APT542 was administered via intravitreal injection.
  • Effects were assessed using Western blot, immunohistochemistry, total complement hemolytic assay, and analysis of CNV growth and size.

Main Results:

  • Exogenously administered rCD59-APT542 was incorporated, retained, and functionally active in the RPE and choroid.
  • A single intravitreal injection of rCD59-APT542 inhibited CNV growth by approximately 79% when given during CNV development.
  • rCD59-APT542 significantly reduced the size of fully developed CNV, blocked MAC formation, increased apoptosis, and decreased cell proliferation within the neovascular complex.

Conclusions:

  • Recombinant membrane-targeted CD59 (rCD59-APT542) effectively inhibits the growth and reduces the size of choroidal neovascularization in a laser-induced mouse model.
  • The therapeutic effects are attributed to the inhibition of MAC, leading to increased apoptosis and decreased cell proliferation in the neovascular complex.
  • rCD59-APT542 shows promise as a novel therapeutic agent for treating CNV.

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