Foxton, Richard H., Finkelstein, Arthur, Vijay, Sauparnika, Dahlmann-Noor, Annegret, Khaw, Peng T., Morgan, James Edwards ORCID: https://orcid.org/0000-0002-8920-1065, Shima, David T. and Ng, Yin-Shan 2013. VEGF-A is necessary and sufficient for retinal neuroprotection in models of experimental glaucoma. American Journal of Pathology 182 (4) , pp. 1379-1390. 10.1016/j.ajpath.2012.12.032 |
Abstract
Vascular endothelial growth factor A (VEGF-A) is a validated therapeutic target in several angiogenic- and vascular permeability–related pathological conditions, including certain cancers and potentially blinding diseases, such as age-related macular degeneration and diabetic retinopathy. We and others have shown that VEGF-A also plays an important role in neuronal development and neuroprotection, including in the neural retina. Antagonism of VEGF-A function might therefore present a risk to neuronal survival as a significant adverse effect. Herein, we demonstrate that VEGF-A acts directly on retinal ganglion cells (RGCs) to promote survival. VEGF receptor-2 signaling via the phosphoinositide-3-kinase/Akt pathway was required for the survival response in isolated RGCs. These results were confirmed in animal models of staurosporine-induced RGC death and experimental hypertensive glaucoma. Importantly, we observed that VEGF-A blockade significantly exacerbated neuronal cell death in the hypertensive glaucoma model. Our findings highlight the need to better define the risks associated with use of VEGF-A antagonists in the ocular setting.
Item Type: | Article |
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Date Type: | Publication |
Status: | Published |
Schools: | Medicine Systems Immunity Research Institute (SIURI) |
Subjects: | R Medicine > R Medicine (General) R Medicine > RB Pathology |
Publisher: | American Society for Investigative Pathology |
ISSN: | 0002-9440 |
Last Modified: | 28 Oct 2022 09:24 |
URI: | https://orca.cardiff.ac.uk/id/eprint/74400 |
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