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Updated: May 12, 2025

Laser-Induced Chronic Ocular Hypertension Model on SD Rats
Published on: December 4, 2007
Glucagon-Like Peptide 1 Receptor Agonist Stimulation Inhibits Laser-Induced Choroidal Neovascularization by
Akira Machida1, Keiji Suzuki2, Takafumi Nakayama2
1Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Nagasaki Prefecture, Japan.
Purpose:
The glucagon-like peptide-1 receptor (GLP-1R), a diabetes therapy target, is expressed in multiple organs and is associated with neuroprotective, anti-inflammatory, and antitumor effects, particularly in cardiac and cerebral tissues. Although GLP-1's role in diabetic and ischemic retinopathies is well-studied, its influence on choroidal neovascularization (CNV) in exudative age-related macular degeneration (AMD) remains unclear. This study explored the effects of GLP-1 on CNV using a laser-induced mouse model.
Methods:
The anti-angiogenic effects of GLP-1 were tested using ex vivo sprouting assays in 3-week-old C57BL/6J mice. In 6-week-old mice, GLP-1R localization in laser-induced CNV lesions was analyzed via immunohistochemistry. Liraglutide, a GLP-1R agonist, was administered subcutaneously for 7 days or by single intravitreal injection post-laser. Eyeballs collected on days 1 to 7 post-laser were analyzed using RT-qPCR for GLP-1R expression and inflammatory cytokines.
Results:
GLP-1R-positive cells were detected in CNV lesions and were expressed in Iba-1-positive activated microglia or macrophages. They also expressed in abnormal retinal pigment epithelial cells and surrounding normal endothelial cells. NOD-like receptor protein 3 (NLRP3) inflammasome signaling was observed near CNV. Liraglutide inhibited angiogenesis in ex vivo assays and significantly reduced CNV formation with both subcutaneous and intravitreal administration. Additionally, Liraglutide inhibited expression of NLRP3, IL-1β, IL-6, and TNF expression compared with healthy controls. Intravitreal GLP-1R antagonist reduced subcutaneous effects.
Conclusions:
Liraglutide suppresses CNV formation, likely via NLRP3 inflammasome inhibition. Intraocular GLP-1R appears to mediate anti-CNV effects, supporting GLP-1R agonists as potential adjunctive therapy for exudative AMD and warranting further investigation into its safety and clinical feasibility.
Insights
Glucagon-like peptide-1 receptor (GLP-1R) agonists, like liraglutide, effectively reduce choroidal neovascularization (CNV) by inhibiting the NLRP3 inflammasome. This suggests GLP-1R agonists may be a viable adjunctive therapy for exudative age-related macular degeneration (AMD).
Area of Science:
- Ophthalmology
- Endocrinology
- Immunology
Background:
- The glucagon-like peptide-1 receptor (GLP-1R) is a therapeutic target for diabetes with known neuroprotective and anti-inflammatory effects.
- While GLP-1's role in diabetic and ischemic retinopathies is established, its impact on choroidal neovascularization (CNV) in exudative age-related macular degeneration (AMD) is not well understood.
Purpose of the Study:
- To investigate the effects of GLP-1 on CNV in a laser-induced mouse model.
- To determine if GLP-1R agonists can suppress CNV formation and explore the underlying mechanisms.
Main Methods:
- Ex vivo sprouting assays were used to test the anti-angiogenic effects of GLP-1.
- GLP-1R localization in laser-induced CNV lesions was analyzed using immunohistochemistry.
- Liraglutide, a GLP-1R agonist, was administered subcutaneously or intravitreally, and CNV formation was assessed via RT-qPCR and histological analysis.
Main Results:
- GLP-1R was detected in CNV lesions, co-localizing with activated microglia/macrophages, retinal pigment epithelial cells, and endothelial cells.
- Liraglutide significantly inhibited angiogenesis in vitro and reduced CNV formation in vivo through both administration routes.
- Liraglutide suppressed the expression of NLRP3 inflammasome components (NLRP3, IL-1β, IL-6, TNF).
Conclusions:
- Liraglutide suppresses CNV formation, likely by inhibiting the NLRP3 inflammasome pathway.
- Intraocular GLP-1R signaling appears to mediate these anti-CNV effects.
- GLP-1R agonists represent a potential adjunctive therapy for exudative AMD, warranting further clinical investigation.
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