Association of IL-4 with pachychoroid neovasculopathy

Abstract The purpose of this study was to identify the inflammatory cytokines that were associated with pachychoroid neovasculopathy (PNV). Seventy-five eyes of 75 patients with PNV, 145 eyes of 145 patients with neovascular age-related macular degeneration without pachyvessels, and 150 eyes of 150...

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Main Authors: Takashi Baba, Ayumi Koyama, Ryu Uotani, Hitomi Miyake, Kodai Inata, Shin-ichi Sasaki, Yumiko Shimizu, Yoshitsugu Inoue, Kaori Adachi, Eiji Nanba, Dai Miyazaki
Format: Article
Language:English
Published: Nature Portfolio 2023-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-28108-y
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author Takashi Baba
Ayumi Koyama
Ryu Uotani
Hitomi Miyake
Kodai Inata
Shin-ichi Sasaki
Yumiko Shimizu
Yoshitsugu Inoue
Kaori Adachi
Eiji Nanba
Dai Miyazaki
author_facet Takashi Baba
Ayumi Koyama
Ryu Uotani
Hitomi Miyake
Kodai Inata
Shin-ichi Sasaki
Yumiko Shimizu
Yoshitsugu Inoue
Kaori Adachi
Eiji Nanba
Dai Miyazaki
author_sort Takashi Baba
collection DOAJ
description Abstract The purpose of this study was to identify the inflammatory cytokines that were associated with pachychoroid neovasculopathy (PNV). Seventy-five eyes of 75 patients with PNV, 145 eyes of 145 patients with neovascular age-related macular degeneration without pachyvessels, and 150 eyes of 150 normal subjects were examined for the levels of intraocular cytokines. In eyes with PNV, the levels of IL-1α, IL-1β, IL-2, IL-4, IL-10, and VEGF were significantly higher than that of the controls. Logistic regression analysis showed that the highest association with the pachyvessels was found for IL-4, IL-2, and IL-1α. In eyes with PNV, the levels of IL-4, IL-2, IL-5, IL-13, IL-1α, and IL-1β were significantly higher in eyes with both increased choroidal thickness and choroidal vessel diameter. The strongest correlation with the choroidal thickness and vessel diameter was observed for IL-4. In PNV eyes with polypoidal lesions, the levels of IL-4, IL-17, and TNFβ were significantly correlated with the number of polypoidal lesions. Of these cytokines, IL-4 was especially associated with the thickness of the choroidal vessels and the formation of polypoidal lesions. We conclude that IL-4 is most likely involved in establishing the clinical characteristics of PNV and polypoidal vascular remodeling.
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spelling doaj.art-df03cc2526d04523a8be14a868a1ec342023-01-22T12:12:16ZengNature PortfolioScientific Reports2045-23222023-01-0113111010.1038/s41598-023-28108-yAssociation of IL-4 with pachychoroid neovasculopathyTakashi Baba0Ayumi Koyama1Ryu Uotani2Hitomi Miyake3Kodai Inata4Shin-ichi Sasaki5Yumiko Shimizu6Yoshitsugu Inoue7Kaori Adachi8Eiji Nanba9Dai Miyazaki10Division of Ophthalmology and Visual Science, Faculty of Medicine, Tottori UniversityDivision of Ophthalmology and Visual Science, Faculty of Medicine, Tottori UniversityDivision of Ophthalmology and Visual Science, Faculty of Medicine, Tottori UniversityDivision of Ophthalmology and Visual Science, Faculty of Medicine, Tottori UniversityDivision of Ophthalmology and Visual Science, Faculty of Medicine, Tottori UniversityDivision of Ophthalmology and Visual Science, Faculty of Medicine, Tottori UniversityDivision of Ophthalmology and Visual Science, Faculty of Medicine, Tottori UniversityDivision of Ophthalmology and Visual Science, Faculty of Medicine, Tottori UniversityResearch Initiative Center, Organization for Research Initiative and Promotion, Tottori UniversityResearch Initiative Center, Organization for Research Initiative and Promotion, Tottori UniversityDivision of Ophthalmology and Visual Science, Faculty of Medicine, Tottori UniversityAbstract The purpose of this study was to identify the inflammatory cytokines that were associated with pachychoroid neovasculopathy (PNV). Seventy-five eyes of 75 patients with PNV, 145 eyes of 145 patients with neovascular age-related macular degeneration without pachyvessels, and 150 eyes of 150 normal subjects were examined for the levels of intraocular cytokines. In eyes with PNV, the levels of IL-1α, IL-1β, IL-2, IL-4, IL-10, and VEGF were significantly higher than that of the controls. Logistic regression analysis showed that the highest association with the pachyvessels was found for IL-4, IL-2, and IL-1α. In eyes with PNV, the levels of IL-4, IL-2, IL-5, IL-13, IL-1α, and IL-1β were significantly higher in eyes with both increased choroidal thickness and choroidal vessel diameter. The strongest correlation with the choroidal thickness and vessel diameter was observed for IL-4. In PNV eyes with polypoidal lesions, the levels of IL-4, IL-17, and TNFβ were significantly correlated with the number of polypoidal lesions. Of these cytokines, IL-4 was especially associated with the thickness of the choroidal vessels and the formation of polypoidal lesions. We conclude that IL-4 is most likely involved in establishing the clinical characteristics of PNV and polypoidal vascular remodeling.https://doi.org/10.1038/s41598-023-28108-y
spellingShingle Takashi Baba
Ayumi Koyama
Ryu Uotani
Hitomi Miyake
Kodai Inata
Shin-ichi Sasaki
Yumiko Shimizu
Yoshitsugu Inoue
Kaori Adachi
Eiji Nanba
Dai Miyazaki
Association of IL-4 with pachychoroid neovasculopathy
Scientific Reports
title Association of IL-4 with pachychoroid neovasculopathy
title_full Association of IL-4 with pachychoroid neovasculopathy
title_fullStr Association of IL-4 with pachychoroid neovasculopathy
title_full_unstemmed Association of IL-4 with pachychoroid neovasculopathy
title_short Association of IL-4 with pachychoroid neovasculopathy
title_sort association of il 4 with pachychoroid neovasculopathy
url https://doi.org/10.1038/s41598-023-28108-y
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