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Antibodies Against Lysophosphatidic Acid Protect Against Blast-Induced Ocular Injuries
Peethambaran Arun1, Franco Rossetti1, James C DeMar1
1Blast-Induced Neurotrauma Branch, Walter Reed Army Institute of Research, Silver Spring, MD, United States.
Frontiers in Neurology
|January 1, 2021
Summary
A single dose of anti-lysophosphatidic acid (LPA) antibody protected against blast-induced ocular injuries. This treatment preserved retinal cell morphology and improved visual acuity in blast-exposed subjects.
Area of Science:
- Ophthalmology
- Neuroscience
- Immunology
Background:
- Blast overpressure waves cause ocular injuries and visual dysfunction in veterans.
- No current therapies effectively treat blast-induced ocular dysfunction.
- Lysophosphatidic acid (LPA) is implicated in inflammatory processes and increases after traumatic brain injury.
Purpose of the Study:
- To evaluate the protective efficacy of a monoclonal LPA antibody against blast-induced ocular injuries.
- To assess the impact of anti-LPA antibody treatment on retinal integrity and visual function post-blast.
Main Methods:
- Administered a single intravenous dose of anti-LPA antibody (25 mg/kg) 1 hour post-blast exposure.
- Exposed mice to a 19 psi blast and analyzed LPA levels in blood plasma.
- Assessed retinal glial cell activation, neuronal morphology, and visual acuity (optokinetic measurements).
Main Results:
- Blast exposure significantly increased LPA levels in blood plasma.
- Anti-LPA antibody treatment reduced glial cell activation and preserved neuronal morphology in the retina.
- Treatment significantly improved visual acuity and enhanced photoreceptor and bipolar cell signaling.
Conclusions:
- Blast exposure triggers LPA release, contributing to ocular injuries.
- Early administration of anti-LPA antibodies offers significant protection against blast-induced visual dysfunction.
- Targeting LPA represents a potential therapeutic strategy for combat-related eye injuries.

