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39 Protamine Sulfate Downregulates VEGF Expression and Inhibits VEGF

347

protamine sulfate reduced the VEGF amount at the cell surface in the immunocytochemistry studies, maybe because protamine sulfate can directly inhibit the binding of VEGF to its receptor or protamine sulfate may inhibit VEGF receptor expression. Though VEGF can be secreted by other surrounding cells besides endothelial cells, protamine sulfate inhibits downstream signaling by inhibiting binding of VEGF to its receptor binding, even if the concentration of VEGF coming from cells other than endothelial cells is very hogh. So, protamine sulfate can potentially inhibit the neovascularization.

39.3.3The Potential Use of Protamine Sulfate Inhibition of Angiogenic Eye Diseases

It was ascertained that the neovascularization because of hypoxia and increase of VEGF expression is one of the mechanisms of age-related macular degeneration (AMD), diabetic retinopathy (DR) and retinal vein occlusion pathogenesis. The increase of VEGF plays a critical role in the development of neovascularization. In this study, we showed that protamine sulfate can inhibit VEGF expression and binding between VEGF and its receptor. On this basis, we conclude that protamine sulfate can potentially be used to treat angiogenic eye disease in clinic. The in vivo study will be investigated to further evaluate this potential value of protamine sulfate in angiogenic eye diseases.

Acknowledgments The Study was supported by the National Natural Foundation of China; Sichuan Provincial Foundation for People Coming Back from Studying Abroad; Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital.

References

Barfod NM, Larsen B (1974) Increased growth-inhibiting effect on tumour cells of protamine sulfate after Polymerization. Eur J Cancer 10(11):765–769

Eichler W, Yafai Y, Wiedemann P et al (2004) Angiogenesis-related factors derived from retinal glial (Müller) cells inhypoxia. Neuroreport 15(10):1633–1637

Forooghian F, Razavi R, Timms L (2007) Hypoxia-inducible factor expression in human RPE cells. Br J Ophthalmol 91(10):1406–1410

Gilbert RE, Vranes D, Berka JL et al (1998) Vascular endothelial growth factor and its receptors in control and diabetic rat eyes. Lab Invest 78(8):1017–1027

Heiduschka P, Julien S, Hofmeister S et al (2008) Bevacizumab (Avasin) does not harm retinal function after intravireal injection as shown by electrorenitography in abult mice. Retina 28(1):46–55

Wu WC, Kao YH, Hu PS et al (2007) Geldanamycin, a HSP90 inhibitor, attenuates the hypoxiainduced vascular endothelial growth factor expression in retinal pigment epithelium cells in vitro. Exp Eye Res 85(5):721–773

Chapter 40

Computer-Assisted Semi-Quantitative Analysis

of Mouse Choroidal Density

Yun-Zheng Le

Abstract Geographic atrophy is a dry form of age-related macular degeneration (AMD) and a leading cause of blindness in the United States. The mechanism of the disease is unknown and there is no treatment for the disease at present. During aging and the development of geographic atrophy, there is a significant decrease in choroidal density. Since mouse is the only mammal that allows precise genomic manipulation, in vivo studies with genetically altered mice are likely to provide more mechanistic insights about the pathogenic mechanisms of the disease. To establish an efficient and quantitative procedure measuring choroidal density in mice for studies related to choroidal biology and geographic atrophy, we developed a computer-assisted semi-quantitative procedure for mouse choroidal density. In this study, mouse choroidal vessels were immunostained with anti-CD31 antibody and were detected by fluorescently labeled secondary antibody. Confocal or fluorescent microscopic images were analyzed with Adobe Photoshop software to determine the relative density of choroidal vessels. This procedure is relatively simple to perform and can be utilized to measure choroidal density efficiently in mouse models, which may be useful for preclinical studies relevant to the pathogenic mechanisms and therapeutics of geographic atrophy.

40.1 Introduction

Geographic atrophy is a dry form of age-related macular degeneration (AMD) that causes a severe central vision loss in 3.5% of people over 75 years of age in the United States and constitutes approximately 25% of AMD patients with severe central vision loss (Sunness 1999; Zarbin 2004). During aging and AMD, there is a

Y.-Z. Le (B)

Departments of Medicine and Cell Biology, Dean A. McGee Eye Institute, Harold Hamm Oklahoma Diabetes Center, University of Oklahoma Health Sciences Center, Oklahoma, OK 73104, USA

e-mail: yun-le@ouhsc.edu

R.E. Anderson et al. (eds.), Retinal Degenerative Diseases, Advances in Experimental

349

Medicine and Biology 664, DOI 10.1007/978-1-4419-1399-9_40,C Springer Science+Business Media, LLC 2010