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Hypoxic drive caused type 3 neovascularization in a preclinical model of exudative age-related macular degeneration.


ABSTRACT: Hypoxia associated with the high metabolic demand of rods has been implicated in the pathology of age-related macular degeneration (AMD), the most common cause of adult blindness in the developed world. The majority of AMD-associated severe vision loss cases are due to exudative AMD, characterized by neovascularization. To further investigate the causes and histopathology of exudative AMD, we conditionally induced hypoxia in a novel preclinical AMD model (Pde6gcreERT2/+;Vhl-/-) by targeting Vhl and used multimodal imaging and immunohistochemistry to track the development of hypoxia-induced neovascularization. In addition to developing a preclinical model that phenocopies exudative AMD, our studies revealed that the photoreceptor hypoxic response initiates and drives type 3 neovascularization, mainly in the outer retina. Activation of the VHL-HIF1a-VEGF-EPO pathway in the adult retina led to long-term neovascularization, retinal hemorrhages and compromised retinal layers. Our novel preclinical model would accelerate the testing of therapies that use metabolomic approaches to ameliorate AMD.

SUBMITTER: Zhang L 

PROVIDER: S-EPMC7275777 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Hypoxic drive caused type 3 neovascularization in a preclinical model of exudative age-related macular degeneration.

Zhang Lijuan L   Cui Xuan X   Han Yangjun Y   Park Karen Sophia KS   Gao Xiaohong X   Zhang Ximei X   Yuan Zhigang Z   Hu Yong Y   Hsu Chun-Wei CW   Li Xiaorong X   Bassuk Alexander G AG   Mahajan Vinit B VB   Wang Nan-Kai NK   Tsang Stephen H SH  

Human molecular genetics 20191001 20


Hypoxia associated with the high metabolic demand of rods has been implicated in the pathology of age-related macular degeneration (AMD), the most common cause of adult blindness in the developed world. The majority of AMD-associated severe vision loss cases are due to exudative AMD, characterized by neovascularization. To further investigate the causes and histopathology of exudative AMD, we conditionally induced hypoxia in a novel preclinical AMD model (Pde6gcreERT2/+;Vhl-/-) by targeting Vhl  ...[more]

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