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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3831-3838.
Prepublished online as a Blood First Edition Paper on August 25, 2005; DOI 10.1182/blood-2005-03-0889.
Previous Article | Next Article 
Submitted March 3, 2005
Accepted August 15, 2005
Inhibition of pathological retinal neovascularization by -defensins
Matina Economopoulou, Khalil Bdeir, Douglas B Cines, Franz Fogt, Yasmina Bdeir, Jacek Lubkowski, Wuyuan Lu, Klaus T Preissner, Hans P Hammes, and Triantafyllos Chavakis*
Experimental Immunology Branch, National Cancer Institute, NIH, Bethesda, MD, USA; Department of Internal Medicine V, University Clinic Mannheim, Mannheim, Germany; Department of Ophthalmology, Justus-Liebig-University, Giessen, Giessen, Germany
Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA
Macromolecular Assembly Structure and Cell Signaling Section, National Cancer Institute, Frederick, MD, USA
Institute of Human Virology, University of Maryland Biotechnology Institute, Baltimore, MD, USA
Institute for Biochemistry, Justus-Liebig-University, Giessen, Giessen, Germany
Department of Internal Medicine V, University Clinic Mannheim, Mannheim, Germany
Experimental Immunology Branch, National Cancer Institute, NIH, Bethesda, MD, USA
* Corresponding author; email: chavakist{at}mail.nih.gov.
Proliferative retinopathies, such as those complicating prematurity and diabetes, are major causes of blindness. A prominent feature of these retinopathies is excessive neovascularization, which is orchestrated by the hypoxia-induced vascular endothelial growth factor (VEGF) stimulating endothelial cells, and the integrin-mediated adhesive interactions of endothelial cells with extracellular matrix components like fibronectin (FN). Recently, we demonstrated that -defensins interfere with 5 1-FN interactions and dependent endothelial cell functions. Here, -defensins were studied in hypoxia-induced proliferative retinopathy. In vitro, -defensins specifically inhibited 5 1-integrin dependent migration of bovine retinal endothelial cells (BREC) to FN, attenuated the VEGF-stimulated increase in endothelial permeability, and blocked BREC proliferation and capillary sprout formation in three-dimensional fibrin-matrices. An upregulation of 1-integrin and FN was observed in the retinal vessels in the mouse model of hypoxia-induced retinal angiogenesis. Systemic and ocular administration of -defensins reduced retinal neovascularization by 45% and 60%, respectively, and this effect was comparable to the inhibitory effect of 5 1-blocking antibody. -defensins were detected in human diabetic retinas associated with normal retinal vessels but were absent from proliferative lesions. Together, these data show that -defensins inhibit pathological retinal neovascularization in vivo and may provide a clinically efficient strategy against proliferative retinopathies.

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