Promiscuous Chemokine Antagonist (BKT130) Suppresses Laser-Induced Choroidal Neovascularization by Inhibition of Monocyte Recruitment

Background. Age-related macular degeneration (AMD), the most common cause of blindness in the developed world, usually affects individuals older than 60 years of age. The majority of visual loss in this disease is attributable to the development of choroidal neovascularization (CNV). Mononuclear pha...

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Main Authors: Shira Hagbi-Levi, Michal Abraham, Liran Tiosano, Batya Rinsky, Michelle Grunin, Orly Eizenberg, Amnon Peled, Itay Chowers
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2019/8535273
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author Shira Hagbi-Levi
Michal Abraham
Liran Tiosano
Batya Rinsky
Michelle Grunin
Orly Eizenberg
Amnon Peled
Itay Chowers
author_facet Shira Hagbi-Levi
Michal Abraham
Liran Tiosano
Batya Rinsky
Michelle Grunin
Orly Eizenberg
Amnon Peled
Itay Chowers
author_sort Shira Hagbi-Levi
collection DOAJ
description Background. Age-related macular degeneration (AMD), the most common cause of blindness in the developed world, usually affects individuals older than 60 years of age. The majority of visual loss in this disease is attributable to the development of choroidal neovascularization (CNV). Mononuclear phagocytes, including monocytes and their tissue descendants, macrophages, have long been implicated in the pathogenesis of neovascular AMD (nvAMD). Current therapies for nvAMD are based on targeting vascular endothelial growth factor (VEGF). This study is aimed at assessing if perturbation of chemokine signaling and mononuclear cell recruitment may serve as novel complementary therapeutic targets for nvAMD. Methods. A promiscuous chemokine antagonist (BKT130), aflibercept treatment, or combined BKT130+aflibercept treatment was tested in an in vivo laser-induced model of choroidal neovascularization (LI-CNV) and in an ex vivo choroidal sprouting assay (CSA). Quantification of CD11b+ cell in the CNV area was performed, and mRNA levels of genes implicated in CNV growth were measured in the retina and RPE-choroid. Results. BKT130 reduced the CNV area and recruitment of CD11b+ cells by 30-35%. No effect of BKT130 on macrophages’ proangiogenic phenotype was demonstrated ex vivo, but a lower VEGFA and CCR2 expression was found in the RPE-choroid and a lower expression of TNFα and NOS1 was found in both RPE-choroid and retinal tissues in the LI-CNV model under treatment with BKT130. Conclusions. Targeting monocyte recruitment via perturbation of chemokine signaling can reduce the size of experimental CNV and should be evaluated as a potential novel therapeutic modality for nvAMD.
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spelling doaj-art-f194585487bd4e4d8954864b077628562025-02-03T01:22:10ZengWileyJournal of Immunology Research2314-88612314-71562019-01-01201910.1155/2019/85352738535273Promiscuous Chemokine Antagonist (BKT130) Suppresses Laser-Induced Choroidal Neovascularization by Inhibition of Monocyte RecruitmentShira Hagbi-Levi0Michal Abraham1Liran Tiosano2Batya Rinsky3Michelle Grunin4Orly Eizenberg5Amnon Peled6Itay Chowers7Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, P.O.B 12000, IsraelBiokine Therapeutics Ltd., Science Park, Ness Ziona, IsraelDepartment of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, P.O.B 12000, IsraelDepartment of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, P.O.B 12000, IsraelDepartment of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, P.O.B 12000, IsraelBiokine Therapeutics Ltd., Science Park, Ness Ziona, IsraelBiokine Therapeutics Ltd., Science Park, Ness Ziona, IsraelDepartment of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, P.O.B 12000, IsraelBackground. Age-related macular degeneration (AMD), the most common cause of blindness in the developed world, usually affects individuals older than 60 years of age. The majority of visual loss in this disease is attributable to the development of choroidal neovascularization (CNV). Mononuclear phagocytes, including monocytes and their tissue descendants, macrophages, have long been implicated in the pathogenesis of neovascular AMD (nvAMD). Current therapies for nvAMD are based on targeting vascular endothelial growth factor (VEGF). This study is aimed at assessing if perturbation of chemokine signaling and mononuclear cell recruitment may serve as novel complementary therapeutic targets for nvAMD. Methods. A promiscuous chemokine antagonist (BKT130), aflibercept treatment, or combined BKT130+aflibercept treatment was tested in an in vivo laser-induced model of choroidal neovascularization (LI-CNV) and in an ex vivo choroidal sprouting assay (CSA). Quantification of CD11b+ cell in the CNV area was performed, and mRNA levels of genes implicated in CNV growth were measured in the retina and RPE-choroid. Results. BKT130 reduced the CNV area and recruitment of CD11b+ cells by 30-35%. No effect of BKT130 on macrophages’ proangiogenic phenotype was demonstrated ex vivo, but a lower VEGFA and CCR2 expression was found in the RPE-choroid and a lower expression of TNFα and NOS1 was found in both RPE-choroid and retinal tissues in the LI-CNV model under treatment with BKT130. Conclusions. Targeting monocyte recruitment via perturbation of chemokine signaling can reduce the size of experimental CNV and should be evaluated as a potential novel therapeutic modality for nvAMD.http://dx.doi.org/10.1155/2019/8535273
spellingShingle Shira Hagbi-Levi
Michal Abraham
Liran Tiosano
Batya Rinsky
Michelle Grunin
Orly Eizenberg
Amnon Peled
Itay Chowers
Promiscuous Chemokine Antagonist (BKT130) Suppresses Laser-Induced Choroidal Neovascularization by Inhibition of Monocyte Recruitment
Journal of Immunology Research
title Promiscuous Chemokine Antagonist (BKT130) Suppresses Laser-Induced Choroidal Neovascularization by Inhibition of Monocyte Recruitment
title_full Promiscuous Chemokine Antagonist (BKT130) Suppresses Laser-Induced Choroidal Neovascularization by Inhibition of Monocyte Recruitment
title_fullStr Promiscuous Chemokine Antagonist (BKT130) Suppresses Laser-Induced Choroidal Neovascularization by Inhibition of Monocyte Recruitment
title_full_unstemmed Promiscuous Chemokine Antagonist (BKT130) Suppresses Laser-Induced Choroidal Neovascularization by Inhibition of Monocyte Recruitment
title_short Promiscuous Chemokine Antagonist (BKT130) Suppresses Laser-Induced Choroidal Neovascularization by Inhibition of Monocyte Recruitment
title_sort promiscuous chemokine antagonist bkt130 suppresses laser induced choroidal neovascularization by inhibition of monocyte recruitment
url http://dx.doi.org/10.1155/2019/8535273
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