Broad spectrum antiangiogenic treatment for ocular neovascular diseases.

Pathological neovascularization is a hallmark of late stage neovascular (wet) age-related macular degeneration (AMD) and the leading cause of blindness in people over the age of 50 in the western world. The treatments focus on suppression of choroidal neovascularization (CNV), while current approved...

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Main Authors: Ofra Benny, Kei Nakai, Takeru Yoshimura, Lauren Bazinet, James D Akula, Shintaro Nakao, Ali Hafezi-Moghadam, Dipak Panigrahy, Pouya Pakneshan, Robert J D'Amato
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2010-09-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC2931703?pdf=render
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author Ofra Benny
Kei Nakai
Takeru Yoshimura
Lauren Bazinet
James D Akula
Shintaro Nakao
Ali Hafezi-Moghadam
Dipak Panigrahy
Pouya Pakneshan
Robert J D'Amato
author_facet Ofra Benny
Kei Nakai
Takeru Yoshimura
Lauren Bazinet
James D Akula
Shintaro Nakao
Ali Hafezi-Moghadam
Dipak Panigrahy
Pouya Pakneshan
Robert J D'Amato
author_sort Ofra Benny
collection DOAJ
description Pathological neovascularization is a hallmark of late stage neovascular (wet) age-related macular degeneration (AMD) and the leading cause of blindness in people over the age of 50 in the western world. The treatments focus on suppression of choroidal neovascularization (CNV), while current approved therapies are limited to inhibiting vascular endothelial growth factor (VEGF) exclusively. However, this treatment does not address the underlying cause of AMD, and the loss of VEGF's neuroprotective can be a potential side effect. Therapy which targets the key processes in AMD, the pathological neovascularization, vessel leakage and inflammation could bring a major shift in the approach to disease treatment and prevention. In this study we have demonstrated the efficacy of such broad spectrum antiangiogenic therapy on mouse model of AMD.Lodamin, a polymeric formulation of TNP-470, is a potent broad-spectrum antiangiogenic drug. Lodamin significantly reduced key processes involved in AMD progression as demonstrated in mice and rats. Its suppressive effects on angiogenesis, vascular leakage and inflammation were studied in a wide array of assays including; a Matrigel, delayed-type hypersensitivity (DTH), Miles assay, laser-induced CNV and corneal micropocket assay. Lodamin significantly suppressed the secretion of various pro-inflammatory cytokines in the CNV lesion including monocyte chemotactic protein-1 (MCP-1/Ccl2). Importantly, Lodamin was found to regress established CNV lesions, unlike soluble fms-like tyrosine kinase-1 (sFlk-1). The drug was found to be safe in mice and have little toxicity as demonstrated by electroretinography (ERG) assessing retinal and by histology.Lodamin, a polymer formulation of TNP-470, was identified as a first in its class, broad-spectrum antiangiogenic drug that can be administered orally or locally to treat corneal and retinal neovascularization. Several unique properties make Lodamin especially beneficial for ophthalmic use. Our results support the concept that broad spectrum antiangiogenic drugs are promising agents for AMD treatment and prevention.
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spelling doaj.art-2e3abb9eb9d54cd4ab0fa04ae76c848e2022-12-21T18:37:31ZengPublic Library of Science (PLoS)PLoS ONE1932-62032010-09-015910.1371/journal.pone.0012515Broad spectrum antiangiogenic treatment for ocular neovascular diseases.Ofra BennyKei NakaiTakeru YoshimuraLauren BazinetJames D AkulaShintaro NakaoAli Hafezi-MoghadamDipak PanigrahyPouya PakneshanRobert J D'AmatoPathological neovascularization is a hallmark of late stage neovascular (wet) age-related macular degeneration (AMD) and the leading cause of blindness in people over the age of 50 in the western world. The treatments focus on suppression of choroidal neovascularization (CNV), while current approved therapies are limited to inhibiting vascular endothelial growth factor (VEGF) exclusively. However, this treatment does not address the underlying cause of AMD, and the loss of VEGF's neuroprotective can be a potential side effect. Therapy which targets the key processes in AMD, the pathological neovascularization, vessel leakage and inflammation could bring a major shift in the approach to disease treatment and prevention. In this study we have demonstrated the efficacy of such broad spectrum antiangiogenic therapy on mouse model of AMD.Lodamin, a polymeric formulation of TNP-470, is a potent broad-spectrum antiangiogenic drug. Lodamin significantly reduced key processes involved in AMD progression as demonstrated in mice and rats. Its suppressive effects on angiogenesis, vascular leakage and inflammation were studied in a wide array of assays including; a Matrigel, delayed-type hypersensitivity (DTH), Miles assay, laser-induced CNV and corneal micropocket assay. Lodamin significantly suppressed the secretion of various pro-inflammatory cytokines in the CNV lesion including monocyte chemotactic protein-1 (MCP-1/Ccl2). Importantly, Lodamin was found to regress established CNV lesions, unlike soluble fms-like tyrosine kinase-1 (sFlk-1). The drug was found to be safe in mice and have little toxicity as demonstrated by electroretinography (ERG) assessing retinal and by histology.Lodamin, a polymer formulation of TNP-470, was identified as a first in its class, broad-spectrum antiangiogenic drug that can be administered orally or locally to treat corneal and retinal neovascularization. Several unique properties make Lodamin especially beneficial for ophthalmic use. Our results support the concept that broad spectrum antiangiogenic drugs are promising agents for AMD treatment and prevention.http://europepmc.org/articles/PMC2931703?pdf=render
spellingShingle Ofra Benny
Kei Nakai
Takeru Yoshimura
Lauren Bazinet
James D Akula
Shintaro Nakao
Ali Hafezi-Moghadam
Dipak Panigrahy
Pouya Pakneshan
Robert J D'Amato
Broad spectrum antiangiogenic treatment for ocular neovascular diseases.
PLoS ONE
title Broad spectrum antiangiogenic treatment for ocular neovascular diseases.
title_full Broad spectrum antiangiogenic treatment for ocular neovascular diseases.
title_fullStr Broad spectrum antiangiogenic treatment for ocular neovascular diseases.
title_full_unstemmed Broad spectrum antiangiogenic treatment for ocular neovascular diseases.
title_short Broad spectrum antiangiogenic treatment for ocular neovascular diseases.
title_sort broad spectrum antiangiogenic treatment for ocular neovascular diseases
url http://europepmc.org/articles/PMC2931703?pdf=render
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