MD2 Inhibits Choroidal Neovascularization via Antagonizing TLR4/MD2 Mediated Signaling Pathway

Qi Wu1,2, Zhang Chen3, Chenxin Wu1,2

  • 1School of Optometry and Ophthalmology and Eye Hospital, Wenzhou Medical University, Wenzhou, China.

Current Eye Research
|January 2, 2023
PubMed
Abstract

Insights

Inhibiting myeloid differentiation protein 2 (MD2) with L2H17 reduced neovascular age-related macular degeneration (nAMD) and associated inflammation. This suggests MD2 is a therapeutic target for nAMD treatment.

Area of Science:

  • Ophthalmology
  • Immunology
  • Molecular Biology

Background:

  • Neovascular age-related macular degeneration (nAMD) is a leading cause of vision loss.
  • Toll-like receptor 4 (TLR4) signaling is implicated in nAMD pathogenesis.
  • The role of the TLR4 coreceptor, myeloid differentiation protein 2 (MD2), in nAMD requires further elucidation.

Purpose of the Study:

  • To investigate the pathological mechanism of TLR4 in mediating nAMD.
  • To explore the potential therapeutic role of targeting MD2 in nAMD.

Main Methods:

  • A chalcone derivative, L2H17, was used to inhibit MD2.
  • A laser-induced choroidal neovascularization (CNV) mouse model was employed.
  • Tert-butyl hydroperoxide (TBHP)-challenged rhesus choroid-retinal endothelial (RF/6A) cells were used to assess MD2 blockade effects.

Main Results:

  • L2H17 administration reduced angiogenesis in CNV mice and protected against retinal dysfunction.
  • L2H17 decreased key inflammatory markers (phospho-ERK, phospho-P65, IL-6, TNF-α, ICAM-1) in retinal tissues.
  • L2H17 protected RF/6A cells from TBHP-induced inflammation, oxidative stress, and apoptosis via TLR4/MD2 pathway inhibition.

Conclusions:

  • Inhibition of MD2 with L2H17 effectively reduced CNV, inflammation, and oxidative stress in an MD2-dependent manner.
  • MD2 represents a promising therapeutic target for nAMD.
  • L2H17 shows potential as an alternative treatment strategy for nAMD.