Genetic deficiency and pharmacological modulation of RORα regulate laser-induced choroidal neovascularization

Chi-Hsiu Liu1, Felix Yemanyi1, Kiran Bora1

  • 1Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.

Aging
|January 10, 2023
PubMed

Insights

Nuclear receptor RORα (RAR-related orphan receptor alpha) negatively regulates choroidal neovascularization (CNV) in age-related macular degeneration (AMD). Loss of RORα exacerbates CNV, while its inhibition promotes blood vessel growth.

Area of Science:

  • Ophthalmology
  • Genetics
  • Molecular Biology

Background:

  • Choroidal neovascularization (CNV) is a major cause of vision loss in neovascular age-related macular degeneration (AMD).
  • The role of the nuclear receptor RAR-related orphan receptor alpha (RORα) in pathological CNV is not fully understood, despite genetic links to AMD.

Purpose of the Study:

  • To investigate the specific role of RORα in the development of pathological CNV.
  • To determine how RORα influences angiogenic and inflammatory pathways in the choroid and retinal pigment epithelium (RPE).

Main Methods:

  • Analysis of RORα expression in mouse choroid and RPE.
  • Utilizing Staggerer mice (Rorasg/sg) with genetic RORα deficiency in a laser-induced CNV model.
  • Assessing CNV lesion size, vascular leakage, and protein levels of VEGFR2 and TNFα.
  • Investigating the effects of RORα inhibition on isolated mouse choroidal explants and human choroidal endothelial cells.

Main Results:

  • RORα is highly expressed in the mouse choroid and its expression increases post-laser CNV induction.
  • Genetic loss or pharmacological inhibition of RORα significantly worsened CNV, increasing lesion size and vascular leakage.
  • RORα deficiency or inhibition led to increased VEGFR2 and TNFα levels and promoted vascular growth in vitro and ex vivo.

Conclusions:

  • RORα acts as a negative regulator of pathological CNV.
  • RORα's protective effect is mediated by modulating choroidal endothelial cell angiogenesis and the inflammatory environment in the choroid/RPE complex.