Genome-wide expression differences in anti-Vegf and dexamethasone treatment of inflammatory angiogenesis in the rat

Pierfrancesco Mirabelli1, Anthony Mukwaya1, Anton Lennikov1

  • 1Department of Ophthalmology, Institute for Clinical and Experimental Medicine,Faculty of Health Sciences, Linkoping University, 58183, Linköping, Sweden.

Scientific Reports
|August 17, 2017
PubMed

Insights

Dexamethasone more effectively suppressed corneal angiogenesis and inflammation than anti-VEGF treatments by targeting specific pathways. This study identifies new therapeutic targets for eye conditions, offering alternatives to broad immunosuppressants.

Area of Science:

  • Ophthalmology
  • Molecular Biology
  • Immunology

Background:

  • Pathological ocular angiogenesis contributes to blindness.
  • Current treatments like anti-VEGF and steroids have limitations, including partial efficacy and broad side effects.

Purpose of the Study:

  • To investigate genome-wide gene expression differences between dexamethasone and anti-VEGF treatments in a rat corneal neovascularization model.
  • To identify novel therapeutic targets for corneal inflammation and angiogenesis.

Main Methods:

  • A suture-induced corneal neovascularization model in rats was used.
  • Topical treatments included rat-specific anti-VEGF, dexamethasone, and sham.
  • Analysis involved in vivo imaging, RNA microarray, immunofluorescence, qRTPCR, and Western blot.

Main Results:

  • Dexamethasone significantly suppressed limbal vasodilation and key signaling pathways (PI3K-Akt, focal adhesion, chemokine).
  • Dexamethasone strongly suppressed Reg3g, Ccl2, and Cxcl5, and activated complement factors (C1r, C1s, C2, C3).
  • These effects were largely absent with anti-VEGF treatment.

Conclusions:

  • Dexamethasone targets distinct molecular pathways compared to anti-VEGF in corneal angiogenesis.
  • Genome-wide analysis reveals numerous potential targets for specific blockade of corneal inflammation and angiogenesis.
  • These findings suggest alternative therapeutic strategies beyond current anti-VEGF and broad immunosuppressive therapies.