Suppression and regression of choroidal neovascularization in mice by a novel CCR2 antagonist, INCB3344

Ping Xie1, Motohiro Kamei, Mihoko Suzuki

  • 1Department of Ophthalmology, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.

Plos One
|December 30, 2011
PubMed
Abstract

Insights

The CCR2 antagonist INCB3344 effectively reduced choroidal neovascularization (CNV) in mice by inhibiting macrophage infiltration and suppressing vascular endothelial growth factor (VEGF). This compound demonstrated efficacy in both preventing new CNV and regressing existing CNV.

Area of Science:

  • Ophthalmology
  • Immunology
  • Vascular Biology

Background:

  • Choroidal neovascularization (CNV) is a major cause of vision loss in age-related macular degeneration.
  • Macrophage infiltration and vascular endothelial growth factor (VEGF) play critical roles in CNV pathogenesis.
  • Targeting inflammatory pathways presents a potential therapeutic strategy for CNV.

Purpose of the Study:

  • To evaluate the therapeutic potential of intravitreally administered CCR2 antagonist INCB3344 in mouse models of CNV.
  • To investigate the effects of INCB3344 on macrophage infiltration, VEGF expression, and CNV development.

Main Methods:

  • CNV was induced by laser photocoagulation in wild-type mice, followed by intravitreal injection of INCB3344 or vehicle.
  • CNV area, macrophage infiltration, VEGF expression (protein and mRNA), and p-ERK1/2 levels were assessed.
  • Efficacy was also evaluated in spontaneous CNV in SOD1-deficient mice.

Main Results:

  • INCB3344 treatment significantly reduced CNV area by 42.4% compared to controls (p<0.001).
  • INCB3344 suppressed macrophage infiltration (p<0.001), VEGF protein expression (p=0.012), VEGF mRNA in macrophages (p<0.001), and p-ERK1/2 phosphorylation (p<0.001).
  • Spontaneous CNV in SOD1⁻/⁻ mice regressed by 70.35% with INCB3344 treatment (p<0.001).

Conclusions:

  • INCB3344 effectively inhibits the formation of new CNV and promotes regression of established CNV.
  • Suppression of macrophage infiltration and angiogenic signaling via the CCR-2/MCP-1 pathway is a promising therapeutic approach for CNV.
  • Targeting CCR2 may offer a novel strategy for treating CNV associated with conditions like age-related macular degeneration.

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