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Published on: March 30, 2020
Anti-VEGF Drugs in Eye Diseases: Local Therapy with Potential Systemic Effects
Markus van der Giet1, Cornelia Henkel, Mirjam Schuchardt
1Charite - Campus Benjamin Franklin, Med. Klinik mit SP Nephrologie, Hindenburgdamm 30, 12203 Berlin. Markus.vanderGiet@charite.de.
Abstract:
Vascular endothelial growth factor (VEGF) is one of the main endogenous pro-angiogenic cytokines. Inhibition of the VEGF signaling pathways is an effective treatment for cancer patients. In addition, local anti- VEGF therapy was developed and established to treat proliferative diabetic retinopathy, age-related macular degeneration and retinal vein occlusion. For systemic administration of anti-VEGF drugs, serious side effects including hypertension or renal disorders have been observed. Evidence suggests that systemic effects might occur or develop in long-term treatment, despite limited resorption and minimal local side effects. Here, only limited data from clinical studies are available. The VEGF system is delicately balanced, and changes might result in deleterious effects. This review provides a brief overview of the VEGF-system, and summarizes its relevance in proliferative eye diseases. The anti-VEGF drugs locally used to treat different disease conditions are discussed with their local and systemic side effects.
Insights
Anti-vascular endothelial growth factor (VEGF) therapies are effective for eye diseases but can cause systemic side effects like hypertension. Careful monitoring is crucial for patients receiving anti-VEGF treatments.
Area of Science:
- Ophthalmology
- Oncology
- Vascular Biology
Background:
- Vascular endothelial growth factor (VEGF) is a key pro-angiogenic factor.
- VEGF signaling pathway inhibition is a validated cancer treatment.
- Local anti-VEGF therapy is established for several proliferative eye diseases.
Purpose of the Study:
- To review the VEGF system and its role in proliferative eye diseases.
- To discuss locally administered anti-VEGF drugs.
- To summarize local and systemic side effects of anti-VEGF therapies.
Main Methods:
- Literature review of VEGF system and anti-VEGF therapies.
- Summary of clinical data on anti-VEGF drug efficacy and safety.
- Analysis of local and systemic adverse events.
Main Results:
- Anti-VEGF therapies show efficacy in treating conditions like diabetic retinopathy and macular degeneration.
- Systemic administration of anti-VEGF drugs is associated with adverse effects such as hypertension and renal disorders.
- Long-term systemic effects may occur even with limited drug resorption.
Conclusions:
- The VEGF system is a delicate balance, and its disruption can lead to adverse outcomes.
- Local anti-VEGF therapy is beneficial for specific eye diseases but requires careful consideration of potential systemic risks.
- Further clinical studies are needed to fully understand the long-term systemic effects of anti-VEGF treatments.
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