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选择性刺激血管内皮生长因子受体-1可预防早产儿视网膜病变中氧诱导的视网膜血管退变。

Selective stimulation of VEGFR-1 prevents oxygen-induced retinal vascular degeneration in retinopathy of prematurity.

作者信息

Shih Shu-Ching, Ju Meihua, Liu Nan, Smith Lois E H

机构信息

Department of Ophthalmology, Children's Hospital Boston, Boston, Massachusetts 02115, USA.

出版信息

J Clin Invest. 2003 Jul;112(1):50-7. doi: 10.1172/JCI17808.

Abstract

Oxygen administration to immature neonates suppresses VEGF-A expression in the retina, resulting in the catastrophic vessel loss that initiates retinopathy of prematurity. To investigate the mechanisms responsible for survival of blood vessels in the developing retina, we characterized two VEGF-A receptors, VEGF receptor-1 (VEGFR-1, also known as Flt-1) and VEGF receptor-2 (VEGFR-2, also known as Flk-1). Surprisingly, these two VEGF-A receptors differed markedly during normal retinal development in mice. At 5 days postpartum (P5), VEGFR-1 protein was colocalized with retinal vessels, whereas VEGFR-2 was detected only in the neural retina. Real-time RT-PCR identified a 60-fold induction of VEGFR-1 mRNA in retina from P3 (early vascularization) to P26 (fully vascularized), and no significant change in VEGFR-2 mRNA expression. Placental growth factor-1 (PlGF-1), which exclusively binds VEGFR-1, decreased hyperoxia-induced retinal vaso-obliteration from 22.2% to 5.1%, whereas VEGF-E, which exclusively binds VEGFR-2, had no effect on blood vessel survival. Importantly, under the same conditions, PlGF-1 did not increase vasoproliferation during (a). normal vessel growth, (b). revascularization following hyperoxia-induced ischemia, or (c). the vasoproliferative phase, indicating a selective function supporting blood vessel survival. We conclude that VEGFR-1 is critical in maintaining the vasculature of the neonatal retina, and that activation of VEGFR-1 by PlGF-1 is a selective strategy for preventing oxygen-induced retinal ischemia without provoking retinal neovascularization.

摘要

给未成熟新生儿吸氧会抑制视网膜中VEGF-A的表达,导致灾难性的血管丧失,从而引发早产儿视网膜病变。为了研究发育中的视网膜血管存活的机制,我们对两种VEGF-A受体进行了表征,即VEGF受体-1(VEGFR-1,也称为Flt-1)和VEGF受体-2(VEGFR-2,也称为Flk-1)。令人惊讶的是,在小鼠正常视网膜发育过程中,这两种VEGF-A受体存在显著差异。产后5天(P5)时,VEGFR-1蛋白与视网膜血管共定位,而VEGFR-2仅在神经视网膜中检测到。实时RT-PCR显示,从P3(早期血管形成)到P26(完全血管化),视网膜中VEGFR-1 mRNA诱导了60倍,而VEGFR-2 mRNA表达无显著变化。仅与VEGFR-1结合的胎盘生长因子-1(PlGF-1)将高氧诱导的视网膜血管闭塞从22.2%降至5.1%,而仅与VEGFR-2结合的VEGF-E对血管存活没有影响。重要的是,在相同条件下,PlGF-1在以下情况中均未增加血管增殖:(a)正常血管生长期间;(b)高氧诱导的缺血后的血管再生期间;或(c)血管增殖期,表明其具有支持血管存活的选择性功能。我们得出结论,VEGFR-1对维持新生儿视网膜的脉管系统至关重要,并且PlGF-1激活VEGFR-1是一种预防氧诱导的视网膜缺血而不引发视网膜新生血管形成的选择性策略。

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