Inhibition of choroidal and corneal pathologic neovascularization by Plgf1-de gene transfer

Valeria Tarallo1, Sasha Bogdanovich, Yoshio Hirano

  • 1Angiogenesis Lab, Institute of Genetics and Biophysics, CNR, Naples, Italy.

Abstract

Insights

The PlGF1-DE gene effectively inhibits ocular neovascularization (NV) by blocking VEGF-A activity. This novel gene therapy shows promise for treating conditions causing blindness like choroidal and corneal NV.

Area of Science:

  • Ophthalmology
  • Molecular Biology
  • Gene Therapy

Background:

  • Ocular neovascularization (NV) is a leading cause of blindness.
  • Current treatments target VEGF-A, but other VEGF family members like VEGF-B and placental growth factor (PlGF) also contribute to angiogenesis.
  • Pathologic angiogenesis requires both PlGF and VEGF, which can form heterodimers.

Purpose of the Study:

  • To investigate the therapeutic potential of the PlGF1-DE gene in treating choroidal and corneal NV.
  • PlGF1-DE is a modified PlGF1 variant designed to act as a dominant-negative inhibitor of VEGF-A and PlGF1 by forming heterodimers without activating VEGFR-1.

Main Methods:

  • Adeno-associated virus (AAV) vectors carrying PlGF1-DE, PlGF1wt, LacZ, or GFP genes were delivered via subretinal injection in a laser-induced choroidal neovascularization (CNV) mouse model.
  • Corneal NV was induced by scrape or suture, followed by injection of expression vectors for PlGF1wt, PlGF1-DE, or an empty vector.
  • Neovascularization was assessed using CD31 and LYVE-1 immunostaining.

Main Results:

  • Expression of PlGF1-DE significantly inhibited both choroidal and corneal NV.
  • This inhibition was achieved by reducing VEGF-A homodimer production.
  • PlGF1wt delivery, while reducing VEGF-A production, did not impact NV, highlighting the specific mechanism of PlGF1-DE.

Conclusions:

  • The PlGF1-DE gene represents a novel therapeutic strategy for inhibiting VEGF-driven ocular neovascularization.
  • This gene therapy holds potential for treating blinding conditions associated with NV.

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