A Highly Active Angiopoietin 1 Mimetic Potentiates Angiogenesis in Mouse Models of Choroidal Neovascularization

Asmaa A Youssif1,2,3, Pan Liu1,4, Danille Gaczkowski1,2

  • 1Feinberg Cardiovascular and Renal Research Inst. Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Abstract

Insights

Hepta-ANGPT1, a novel angiopoietin-1 mimetic, unexpectedly promoted angiogenesis in models of neovascular age-related macular degeneration (nvAMD). Further research is needed to understand Tie2 activation contexts for effective nvAMD therapies.

Area of Science:

  • Ophthalmology
  • Vascular Biology
  • Drug Development

Background:

  • The angiopoietin (ANGPT) pathway, including ANGPT1 and its receptor Tie2, plays a critical role in angiogenesis.
  • While ANGPT1 is generally associated with vascular stability, its role in neovascular age-related macular degeneration (nvAMD) is complex.
  • Existing ANGPT1-based therapies have limitations, hindering their clinical adoption for nvAMD.

Purpose of the Study:

  • To evaluate the efficacy of Hepta-ANGPT1, an improved ANGPT1-mimetic fusion protein, as a potential therapy for nvAMD.
  • To investigate the effects of Hepta-ANGPT1 on choroidal neovascularization (CNV) in preclinical models.

Main Methods:

  • Utilized laser-induced and RNV3 (JR5558) mouse models of CNV.
  • Administered Hepta-ANGPT1 and assessed Tie2 phosphorylation, angiogenesis, and neovascular lesion size.
  • Included Tie2 knockout mice to confirm specificity.

Main Results:

  • Hepta-ANGPT1 induced Tie2 phosphorylation without causing angiogenesis in healthy eyes.
  • In CNV models, Hepta-ANGPT1 significantly increased neovascularization and lesion size.
  • These pro-angiogenic effects were absent in Tie2 knockout mice, confirming target specificity.

Conclusions:

  • Contrary to expectations, Hepta-ANGPT1 demonstrated pro-angiogenic activity in CNV models, suggesting Tie2 activation can be detrimental in nvAMD under certain conditions.
  • Understanding the context-dependent effects of Tie2 activation is crucial for developing effective nvAMD therapies.

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