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.

Abstract

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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