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Intraocular Concentration of Stem Cell Factor/c-KIT and Galectin-1 in Retinal Diseases
Yong Je Choi1,2, Hyeong Min Kim1,3, Tae-Young Na4
1Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Purpose:
To investigate the intraocular concentration profiles of stem cell factor (SCF)/c-KIT, galectin-1 (GAL-1), and vascular endothelial growth factor (VEGF)-A with regard to retinal disease and treatment response.
Methods:
The study group included 13 patients with dry age-related macular degeneration (AMD), 196 with neovascular AMD (nAMD), 21 with diabetic macular edema (DME), 10 with retinal vein occlusion (RVO), and 34 normal subjects with cataracts. Aqueous humor levels of SCF, c-KIT, GAL-1, and VEGF-A were analyzed by immunoassay according to disease group and treatment response.
Results:
Increased aqueous levels of SCF, c-KIT, and GAL-1 were observed in eyes with nAMD (2.67 ± 3.66, 296.84 ± 359.56, and 3945.61 ± 5976.2 pg/mL, respectively), DME (1.64 ± 0.89, 238.80 ± 265.54, and 3701.23 ± 4340.54 pg/mL, respectively), and RVO (4.62 ± 8.76, 509.63 ± 647.58, and 9079.60 ± 11909.20 pg/mL, respectively) compared with controls (1.13 ± 0.24, 60.00 ± 0.00, and 613.27 ± 1595.12 pg/mL, respectively). In the eyes of nAMD, the levels of all three cytokines correlated positively with VEGF-A levels. After intravitreal injections of anti-VEGF agents, the levels of GAL-1 and VEGF-A decreased significantly, whereas those of SCF and c-Kit showed no significant change. Eyes of nAMD patients with improved vision after treatment had significantly lower levels of c-KIT, GAL-1, and VEGF-A at baseline.
Conclusions:
The intraocular levels of cytokines were significantly elevated in eyes with nAMD, DME, and RVO compared to the controls and they showed different response to anti-VEGF treatment. With this result and their known association with angiogenesis, these cytokines may be potential therapeutic targets for future research.
Insights
Elevated stem cell factor (SCF), galectin-1 (GAL-1), and vascular endothelial growth factor (VEGF)-A in retinal diseases like nAMD, DME, and RVO suggest potential therapeutic targets. These cytokines showed varied responses to anti-VEGF treatment.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Molecular Biology
Background:
- Intraocular cytokine profiles are crucial for understanding retinal disease pathogenesis.
- Stem cell factor (SCF)/c-KIT, galectin-1 (GAL-1), and vascular endothelial growth factor (VEGF)-A play roles in angiogenesis and ocular inflammation.
- Investigating these factors in various retinal conditions and their response to treatment is essential.
Purpose of the Study:
- To determine the intraocular concentration of SCF/c-KIT, GAL-1, and VEGF-A in patients with retinal diseases.
- To correlate these cytokine levels with disease status and response to anti-VEGF therapy.
- To explore the potential of these cytokines as therapeutic targets.
Main Methods:
- Aqueous humor samples were collected from patients with dry age-related macular degeneration (AMD), neovascular AMD (nAMD), diabetic macular edema (DME), retinal vein occlusion (RVO), and normal controls.
- Immunoassay was used to quantify the levels of SCF, c-KIT, GAL-1, and VEGF-A.
- Statistical analysis was performed to compare levels between disease groups and assess treatment response.
Main Results:
- Significantly elevated levels of SCF, c-KIT, and GAL-1 were found in nAMD, DME, and RVO compared to controls.
- SCF, c-KIT, and GAL-1 levels positively correlated with VEGF-A in nAMD patients.
- Anti-VEGF treatment led to decreased GAL-1 and VEGF-A levels, while SCF and c-KIT remained unchanged. Improved vision in nAMD patients correlated with lower baseline c-KIT, GAL-1, and VEGF-A.
Conclusions:
- Intraocular cytokine levels of SCF, c-KIT, and GAL-1 are elevated in nAMD, DME, and RVO.
- These cytokines exhibit differential responses to anti-VEGF therapy.
- SCF, c-KIT, and GAL-1 represent potential therapeutic targets for retinal diseases due to their association with angiogenesis.
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