[HTML][HTML] Antioxidant or neurotrophic factor treatment preserves function in a mouse model of neovascularization-associated oxidative stress

MI Dorrell, E Aguilar, R Jacobson… - The Journal of …, 2009 - Am Soc Clin Investig
MI Dorrell, E Aguilar, R Jacobson, O Yanes, R Gariano, J Heckenlively, E Banin…
The Journal of clinical investigation, 2009Am Soc Clin Investig
In several disease states, abnormal growth of blood vessels is associated with local
neuronal degeneration. This is particularly true in ocular diseases such as retinal
angiomatous proliferation (RAP) and macular telangiectasia (MacTel), in which, despite the
absence of large-scale leakage or hemorrhage, abnormal neovascularization (NV) is
associated with local neuronal dysfunction. We describe here a retinal phenotype in mice
with dysfunctional receptors for VLDL (Vldlr–/–mice) that closely resembles human retinal …
In several disease states, abnormal growth of blood vessels is associated with local neuronal degeneration. This is particularly true in ocular diseases such as retinal angiomatous proliferation (RAP) and macular telangiectasia (MacTel), in which, despite the absence of large-scale leakage or hemorrhage, abnormal neovascularization (NV) is associated with local neuronal dysfunction. We describe here a retinal phenotype in mice with dysfunctional receptors for VLDL (Vldlr–/– mice) that closely resembles human retinal diseases in which abnormal intra- and subretinal NV is associated with photoreceptor cell death. Such cell death was evidenced by decreased cone and, to a lesser extent, rod opsin expression and abnormal electroretinograms. Cell death in the region of intraretinal vascular abnormalities was associated with an increased presence of markers associated with oxidative stress. Oral antioxidant supplementation protected against photoreceptor degeneration and preserved retinal function, despite the continued presence of abnormal intra- and subretinal vessels. What we believe to be novel, Müller cell–based, virally mediated delivery of neurotrophic compounds specifically to sites of NV was also neuroprotective. These observations demonstrate that neuronal loss secondary to NV can be prevented by the use of simple antioxidant dietary measures or cell-based delivery of neurotrophic factors, even when the underlying vascular phenotype is not altered.
The Journal of Clinical Investigation