The Role of the Mitogen-Activated Protein Kinase Pathway in the Development of Laser-Induced Choroidal

Sun Young Jang1, Jin Young Yang2, Jin Hwan Park1

  • 1Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, Republic of Korea.

Insights

The mitogen-activated protein kinase (MAPK) pathway drives choroidal neovascularization (CNV). Sprouty 2 (SPRY2) inhibits MAPK, significantly reducing CNV lesions and inflammation, offering a potential therapeutic strategy.

Area of Science:

  • Ophthalmology
  • Molecular Biology
  • Cell Biology

Background:

  • The role of the mitogen-activated protein kinase (MAPK) pathway in choroidal neovascularization (CNV) is not fully understood.
  • Investigating specific MAPK pathways (ERK, JNK, p38) and their involvement in CNV pathogenesis is crucial.

Purpose of the Study:

  • To elucidate the involvement of ERK, JNK, and p38 pathways in CNV development.
  • To evaluate the therapeutic potential of Sprouty 2 (SPRY2), an MAPK inhibitor, in a mouse model of CNV.

Main Methods:

  • Laser-induced CNV mouse model.
  • Western blotting and immunostaining to analyze protein expression.
  • Immunofluorescence and co-immunostaining to assess protein localization and cellular associations.

Main Results:

  • Increased p-ERK and p-JNK expression observed in retinal and choroidal tissues post-CNV induction.
  • p-ERK colocalized with markers of angiogenesis, inflammation, and glial cells; p-JNK and p-p38 associated with angiogenesis and inflammation.
  • SPRY2 treatment significantly inhibited CNV lesion size, endothelial proliferation, fibrosis, and apoptosis compared to aflibercept, while preserving retinal pigment epithelium (RPE) integrity.
  • SPRY2 reduced CNV-related inflammation, epithelial-mesenchymal transition, and photoreceptor apoptosis.

Conclusions:

  • The MAPK pathway, particularly ERK and JNK, plays a significant role in CNV pathogenesis, mediating processes like Müller cell gliosis, angiogenesis, and inflammation.
  • SPRY2 demonstrates potent therapeutic effects by suppressing key CNV pathologies, highlighting its potential as a novel treatment targeting the MAPK pathway.

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