VEGF receptor blockade markedly reduces retinal microglia/macrophage infiltration into laser-induced CNV

Hu Huang1, Rachel Parlier, Ji-Kui Shen

  • 1Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.

Plos One
|August 27, 2013
PubMed

Insights

Blocking VEGF receptor 1 (VEGFR1) significantly reduced microglia/macrophage infiltration in wet age-related macular degeneration (AMD) models. Both VEGFR1 and VEGFR2 inhibition were crucial at later stages for controlling choroidal neovascularization (CNV).

Area of Science:

  • Ophthalmology
  • Immunology
  • Molecular Biology

Background:

  • Vascular Endothelial Growth Factor (VEGF) pathway blockade is effective for wet age-related macular degeneration (AMD).
  • The specific roles of VEGF receptors (VEGFR1 and VEGFR2) in microglia/macrophage infiltration in choroidal neovascularization (CNV), a model for wet AMD, are not fully understood.

Purpose of the Study:

  • To investigate the impact of VEGFR1 and/or VEGFR2 blockade on retinal microglia/macrophage infiltration in a laser-induced CNV model.
  • To elucidate the differential roles of VEGFR1 and VEGFR2 in the pathogenesis of CNV.

Main Methods:

  • CNV lesions were analyzed using laser capture microdissection, RT-PCR, and immunofluorescence staining at 3, 7, and 14 days post-laser.
  • Neutralizing antibodies against VEGFR1 (MF1) or VEGFR2 (DC101) were administered intraperitoneally.
  • Microglia/macrophage infiltration was assessed using antibodies against CD11b, CD45, and Iba1, and quantified via cell counting.

Main Results:

  • VEGFR1 mRNA and protein were expressed at all stages, while VEGFR2 was detected only at later stages.
  • Anti-VEGFR1 (MF1) inhibited leukocyte infiltration at 3 days post-laser, whereas anti-VEGFR2 (DC101) had no effect at this time point.
  • By 14 days post-laser, both MF1 and DC101 markedly inhibited microglia/macrophage infiltration into CNV.

Conclusions:

  • VEGFR1 plays a dominant role in early CNV pathogenesis (3 days), while both VEGFR1 and VEGFR2 are pivotal in later stages (14 days).
  • Targeting chemoattractant molecules regulating retinal microglia/macrophage trafficking presents a promising therapeutic strategy for CNV and wet AMD.

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