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Biochemistry/Molecular Biology - ARVO

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<strong>ARVO</strong> 2013 Annual Meeting Abstracts by Scientific Section/Group - <strong>Biochemistry</strong>/<strong>Molecular</strong> <strong>Biology</strong>Purpose: We recently reported the generation of the first PCV modelby transgenically expressing human HTRA1, a multi-functionalserine protease, in mouse retinal pigment epithelium (RPE). Weshowed that increased HTRA1 induced characteristic features ofPCV, including branching networks of choroidal vessels andpolypoidal lesions. Transgenic hHTRA1+ mice also developed occultCNV. To test the hypothesis that the proteolytic activity of HTRA1 isresponsible for its pathological role in PCV, we have generatedtransgenic mice expressing the protease inactive mutant of HTRA1(S328A) in mouse RPE. In addition, we generated an improvedtransgenic HTRA1 mouse model Tg44, with more consistentphenotypes.Methods: The expression of HTRA1 and HTRA1-S328A wasdetermined by western blotting and immunohistochemistry. Thephenotypes of various HTRA1 mice were examined by fluoresceinangiography (FA), indocyanine green angiography (ICGA), fundusimaging, spectral-domain optical coherence tomography (SD-OCT),histology and electron microscopy (EM).Results: We have generated two S328A mouse lines (Tg26 andTg33) and one HTRA1 mouse line Tg44. The protein level ofHTRA1-S328 is ~ 2-3 times that of HTRA1 in Tg44. The proteinlevel of HTRA1-S328 in Tg33 is similar to that of HTRA1 in Tg44.All transgenic proteins were expressed in mouse RPE. On ICGA,Tg44 mice exhibited characteristic features of PCV: 1) lategeographic hyperfluorescence and hyperfluorescent plaque; 2)polypoidal lesions (polyp and branching vascular network). SD-OCTdepicted RPE atrophy in lesion areas. Color fundus photographshowed hemorrhagic pigment epithelial detachment and scarformation at polypoidal lesions. Histology staining revealed serousexudation, thin-walled choroidal vessels, and regional loss ofchoriocapillaris. EM analysis revealed deteriorative changes in theelastic lamina of Bruch’s membrane, RPE, photoreceptors andchoroid vasculature. In contrast to Tg44 mice, neither Tg26 nor Tg33mice expressing HTRA1-S328A show any PCV phenotypes.Conclusions: Our results provide strong evidence that the proteolyticactivity of HTRA1 is responsible for its pathological role in PCV.The transgenic HTRA1 mice exhibited cardinal features of humanPCV, which will be invaluable for further studies on the mechanismsand treatment strategies of PCV.Commercial Relationships: Sandeep Kumar, None; Alex Jones,None; Zach Berriochoa, None; Shixian Wang Wang, None;Yingbin Fu, Methods of Diagnosing and Treating VascularAssociated Maculopathy and Symptoms Thereof (P)Support: Career Development Award from RPB; RPB departmentalunrestricted grant; Carl Marshall Reeves & Mildred Almen ReevesFoundation Equipment Grant; Moran Center for TranslationalMedicine Research GrantProgram Number: 4992 Poster Board Number: A0121Presentation Time: 2:45 PM - 4:30 PMAssociations between Posterior Vitreous Detachment andConcentrations of Various Cytokines in Eyes with Age-relatedMacular Degeneration and Normal Control EyesHidenori Takahashi 1 , Xue Tan 2 , Yoko Nomura 2 , Aya Iriyama 2 , YujiroFujino 3 , Yuko Okubo 1 , Aya Sato 1 , Mikiko Takezawa 1 , HidetoshiKawashima 1 , Yasuo Yanagi 2 . 1 Ophthalmology, Jichi MedicalUniversity, Shimotsuke-shi, Japan; 2 Ophthalmology, University ofTokyo, Tokyo, Japan; 3 Ophthalmology, Tokyo KoseiNenkinHospital, Tokyo, Japan.Purpose: We previously reported the prevalence of posterior vitreousdetachment (PVD) to be lower in eyes with age-related maculardegeneration (AMD) and that, eyes with PVD had a lowerconcentration of vascular endothelial growth factor (VEGF) in theaqueous humor. Herein, we investigated changes in theconcentrations of various cytokines in the aqueous humor and theircorrelation with PVD in eyes with AMD and normal control eyes.Methods: This is a prospective IRB-approved study. We studied 53eyes with exudative AMD initially treated with ranibizumab, and 79receiving cataract surgery without fundus lesions (control eyes) atTokyo Kosei Nenkin Hospital. Among the 5 eyes, 22 eyes were withtypical AMD and 31 were with polypoidal choroidal vasculopathy(PCV). Concentrations of the following cytokines were determinedusing a multiplex cytokine assay: IP-10, MCP-1, MMP-9, CXCL 12,IL-6, IL-10, CXCL 1, CXCL 13, and CCL 11. Explanatory variableswere age, sex, type of disease (typical AMD, PCV, and control),greatest linear diameter of the lesion (μm), disease duration (months),axial length of the eye (mm), PVD, and vitreomacular adhesion.Response variables were the concentrations of the various cytokines.For model selection in the general linear model, Akaike's InformationCriterion was used.Results: The cytokine level results were nearly log-normallydistributed. The correlation coefficient was very high (approximately0.9) for the levels of CXCL 13, IP-10, and MMP-9. Other correlationcoefficients did not exceed 0.5. PVD remained as an explanatoryvariable in a good fit model for IP-10 (p < 0.0001*), MCP-1 (p =0.0009*), MMP-9 (p = 0.0051*), CXCL 12 (p = 0.0182), IL-6 (p

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