Prolyl hydroxylase inhibition during hyperoxia prevents oxygen-induced retinopathy

JE Sears, G Hoppe, Q Ebrahem… - Proceedings of the …, 2008 - National Acad Sciences
JE Sears, G Hoppe, Q Ebrahem, B Anand-Apte
Proceedings of the National Academy of Sciences, 2008National Acad Sciences
Oxygen-induced retinopathy (OIR) in the mouse, like the analogous human disease
retinopathy of prematurity, is an ischemic retinopathy dependent on oxygen-induced
vascular obliteration. We tested the hypothesis that chemically overriding the oxygen-
induced downregulation of hypoxia-inducible factor (HIF) activity would prevent vascular
obliteration and subsequent pathologic neovascularization in the OIR model. Because the
degradation of HIF-1α is regulated by prolyl hydroxylases, we examined the effect of …
Oxygen-induced retinopathy (OIR) in the mouse, like the analogous human disease retinopathy of prematurity, is an ischemic retinopathy dependent on oxygen-induced vascular obliteration. We tested the hypothesis that chemically overriding the oxygen-induced downregulation of hypoxia-inducible factor (HIF) activity would prevent vascular obliteration and subsequent pathologic neovascularization in the OIR model. Because the degradation of HIF-1α is regulated by prolyl hydroxylases, we examined the effect of systemic administration of a prolyl hydroxylase inhibitor, dimethyloxalylglycine, in the OIR model. Our results determine that stabilizing HIF activity in the early phase of OIR prevents the oxygen-induced central vessel loss and subsequent vascular tortuosity and tufting that is characteristic of OIR. Overall, these findings imply that simulating hypoxia chemically by stabilizing HIF activity during the causative ischemia phase (hyperoxia) of retinopathy of prematurity may be of therapeutic value in preventing progression to the proliferative stage of the disease.
National Acad Sciences