Antibody blockade of Jagged1 attenuates choroidal neovascularization

Abstract Antibody-based blocking of vascular endothelial growth factor (VEGF) reduces choroidal neovascularization (CNV) and retinal edema, rescuing vision in patients with neovascular age-related macular degeneration (nAMD). However, poor response and resistance to anti-VEGF treatment occurs. We re...

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Main Authors: Torleif Tollefsrud Gjølberg, Jonas Aakre Wik, Hanna Johannessen, Stig Krüger, Nicola Bassi, Panagiotis F. Christopoulos, Malin Bern, Stian Foss, Goran Petrovski, Morten C. Moe, Guttorm Haraldsen, Johanna Hol Fosse, Bjørn Steen Skålhegg, Jan Terje Andersen, Eirik Sundlisæter
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-38563-w
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author Torleif Tollefsrud Gjølberg
Jonas Aakre Wik
Hanna Johannessen
Stig Krüger
Nicola Bassi
Panagiotis F. Christopoulos
Malin Bern
Stian Foss
Goran Petrovski
Morten C. Moe
Guttorm Haraldsen
Johanna Hol Fosse
Bjørn Steen Skålhegg
Jan Terje Andersen
Eirik Sundlisæter
author_facet Torleif Tollefsrud Gjølberg
Jonas Aakre Wik
Hanna Johannessen
Stig Krüger
Nicola Bassi
Panagiotis F. Christopoulos
Malin Bern
Stian Foss
Goran Petrovski
Morten C. Moe
Guttorm Haraldsen
Johanna Hol Fosse
Bjørn Steen Skålhegg
Jan Terje Andersen
Eirik Sundlisæter
author_sort Torleif Tollefsrud Gjølberg
collection DOAJ
description Abstract Antibody-based blocking of vascular endothelial growth factor (VEGF) reduces choroidal neovascularization (CNV) and retinal edema, rescuing vision in patients with neovascular age-related macular degeneration (nAMD). However, poor response and resistance to anti-VEGF treatment occurs. We report that targeting the Notch ligand Jagged1 by a monoclonal antibody reduces neovascular lesion size, number of activated phagocytes and inflammatory markers and vascular leakage in an experimental CNV mouse model. Additionally, we demonstrate that Jagged1 is expressed in mouse and human eyes, and that Jagged1 expression is independent of VEGF signaling in human endothelial cells. When anti-Jagged1 was combined with anti-VEGF in mice, the decrease in lesion size exceeded that of either antibody alone. The therapeutic effect was solely dependent on blocking, as engineering antibodies to abolish effector functions did not impair the therapeutic effect. Targeting of Jagged1 alone or in combination with anti-VEGF may thus be an attractive strategy to attenuate CNV-bearing diseases.
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spelling doaj.art-76fcbbf1b309412aacb2029fbbf2cf3a2023-06-04T11:33:11ZengNature PortfolioNature Communications2041-17232023-05-0114111910.1038/s41467-023-38563-wAntibody blockade of Jagged1 attenuates choroidal neovascularizationTorleif Tollefsrud Gjølberg0Jonas Aakre Wik1Hanna Johannessen2Stig Krüger3Nicola Bassi4Panagiotis F. Christopoulos5Malin Bern6Stian Foss7Goran Petrovski8Morten C. Moe9Guttorm Haraldsen10Johanna Hol Fosse11Bjørn Steen Skålhegg12Jan Terje Andersen13Eirik Sundlisæter14Department of Immunology, Oslo University Hospital RikshospitaletDepartment of Pathology, Oslo University Hospital RikshospitaletDepartment of Pathology, Oslo University Hospital RikshospitaletDepartment of Pathology, Oslo University Hospital RikshospitaletDepartment of Pathology, Oslo University Hospital RikshospitaletDepartment of Pathology, Oslo University Hospital RikshospitaletDepartment of Immunology, Oslo University Hospital RikshospitaletDepartment of Immunology, Oslo University Hospital RikshospitaletCenter of Eye Research, Department of Ophthalmology, Oslo University Hospital and University of OsloCenter of Eye Research, Department of Ophthalmology, Oslo University Hospital and University of OsloDepartment of Pathology, Oslo University Hospital RikshospitaletDepartment of Pathology, Oslo University Hospital RikshospitaletDepartment of Nutrition, Division of Molecular Nutrition, Institute of Basic Medical Sciences, University of OsloDepartment of Immunology, Oslo University Hospital RikshospitaletDepartment of Pathology, Oslo University Hospital RikshospitaletAbstract Antibody-based blocking of vascular endothelial growth factor (VEGF) reduces choroidal neovascularization (CNV) and retinal edema, rescuing vision in patients with neovascular age-related macular degeneration (nAMD). However, poor response and resistance to anti-VEGF treatment occurs. We report that targeting the Notch ligand Jagged1 by a monoclonal antibody reduces neovascular lesion size, number of activated phagocytes and inflammatory markers and vascular leakage in an experimental CNV mouse model. Additionally, we demonstrate that Jagged1 is expressed in mouse and human eyes, and that Jagged1 expression is independent of VEGF signaling in human endothelial cells. When anti-Jagged1 was combined with anti-VEGF in mice, the decrease in lesion size exceeded that of either antibody alone. The therapeutic effect was solely dependent on blocking, as engineering antibodies to abolish effector functions did not impair the therapeutic effect. Targeting of Jagged1 alone or in combination with anti-VEGF may thus be an attractive strategy to attenuate CNV-bearing diseases.https://doi.org/10.1038/s41467-023-38563-w
spellingShingle Torleif Tollefsrud Gjølberg
Jonas Aakre Wik
Hanna Johannessen
Stig Krüger
Nicola Bassi
Panagiotis F. Christopoulos
Malin Bern
Stian Foss
Goran Petrovski
Morten C. Moe
Guttorm Haraldsen
Johanna Hol Fosse
Bjørn Steen Skålhegg
Jan Terje Andersen
Eirik Sundlisæter
Antibody blockade of Jagged1 attenuates choroidal neovascularization
Nature Communications
title Antibody blockade of Jagged1 attenuates choroidal neovascularization
title_full Antibody blockade of Jagged1 attenuates choroidal neovascularization
title_fullStr Antibody blockade of Jagged1 attenuates choroidal neovascularization
title_full_unstemmed Antibody blockade of Jagged1 attenuates choroidal neovascularization
title_short Antibody blockade of Jagged1 attenuates choroidal neovascularization
title_sort antibody blockade of jagged1 attenuates choroidal neovascularization
url https://doi.org/10.1038/s41467-023-38563-w
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