Abstract 99. Jahrestagung der DOG, 29. 9. - 2. 10. 01 im ICC, Berlin

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Therapy of angioproliferative retinopathy with soluble VEGF- and Tie- 2- receptors in a mouse model

Boden K. T., 2Fiedler U., 2Marmé D., 1Hansen L. L., 1Agostini H. T.

1Universitäts-Augenklinik Freiburg, 2Klinik für Tumorbiologie Freiburg

Objective: To reduce the experimentally induced retinal neovascularisation in a mouse modell, we tried to diminish the effective concentration of VEGF or Angiopoietin by local application of soluble receptors. The aim is to develop an alternative therapy of hypoxia induced retinopathy frequently seen in diabetics, prematurely born infants or patients with retinal vein occlusion.
Methods: Seven days old C57/Bl6J mice were incubated together with their mother in a chamber with 75% oxygen for 5 days. After returning to room air the relative hypoxia caused a proliferative retinopathy which was treated by intravitreal injection in one eye of each animal either with chimaric recombinant VEGFR-2 or Tie-2 at day 12 postpartum (pp) using the other eye as control. The mice were perfused with dextran coupled flourescein at day 17 pp. To quantify retinal neovascularisation flat-mounts of the retina were prepared.
Results: The induced angioproliferative retinopathy increased to a maximum at day 17 pp and decreased afterwards. Local treatment with soluble VEGFR-2 in one eye reduced neovascularisation when compared to the other eye receiving only control substance. Injection of soluble Tie-2 was less effective
Conclusion: It is possible to reduce retinal neovascularisation by injection of soluble VEGF- or Angiopoietin-receptors in this mouse model. In our experiments VEGF-reducing therapy seems to be more effective than the reduction of Angiopoietin. This experimental model is suitable to evaluate other anti-angiogenic substances by local or systemic application and to study pathogenic aspects of retinal neovascularisation.




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