Antiangiogenic Effects of Doxazosin on Experimental Choroidal Neovascularization in Mice

Jiaxian Guo1,2, Xueting Luo1,2, Jian Liang1,2

  • 11 Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine , Shanghai, China .

Abstract

Insights

Doxazosin significantly reduced choroidal neovascularization (CNV) in mice by inhibiting key signaling pathways. This suggests doxazosin may be a potential treatment for neovascular age-related macular degeneration.

Area of Science:

  • Ophthalmology
  • Angiogenesis Research
  • Pharmacology

Background:

  • Choroidal neovascularization (CNV) is a major cause of vision loss in age-related macular degeneration.
  • Current therapies for CNV have limitations, necessitating the exploration of novel treatment strategies.

Purpose of the Study:

  • To investigate the antiangiogenic effects of doxazosin in an experimental mouse model of CNV.
  • To elucidate the molecular mechanisms underlying doxazosin's action on CNV.

Main Methods:

  • Experimental CNV was induced in C57BL/6 mice via laser photocoagulation.
  • Mice received daily intraperitoneal injections of doxazosin (5 mg/kg).
  • CNV lesion size, leakage, and thickness were assessed using fluorescein angiography, choroidal flat mounts, and histology. Western blot analysis evaluated the PI3K/Akt/mTOR pathway, HIF-1α, and VEGF expression.

Main Results:

  • Doxazosin treatment significantly reduced CNV lesion leakage, area, and thickness compared to controls.
  • Systemic administration of doxazosin suppressed the PI3K/Akt/mTOR signaling pathway.
  • Doxazosin treatment notably decreased the expression of hypoxia-inducible factor 1α (HIF-1α) and vascular endothelial growth factor (VEGF).

Conclusions:

  • Doxazosin demonstrates significant antiangiogenic properties in a mouse model of CNV.
  • The drug's mechanism involves the inhibition of the PI3K/Akt/mTOR pathway and downstream factors like HIF-1α and VEGF.
  • Doxazosin holds potential as an adjunctive therapy for neovascular age-related macular degeneration in humans.

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