Shang Qing-Li, Ma Jing-Xue, Wei Jing-Shuang, Shang Zhong-Lin, Xiu He-Ming, Yang Ai-Qin
Department of Ophthalmology, Second Affiliated Hospital, Hebei Medical College, Shijiazhuang 050000, China.
Zhonghua Yan Ke Za Zhi. 2004 Apr;40(4):266-71.
Endostatin is an endogeneous angiogenesis inhibitor. The purpose of this study was to investigated the effect of Endostatin on the eyes of rats with experimental choroidal neovascularization (CNV).
Experimental CNV was induced by laser photocoagulation. Animals were given subretinal injections of recombinant human Endostatin 20 microl (5 g/L) or 0.9% chlorine sodium. The intensity of fluorescein leakage from the photocoagulated lesions was studied 13 days after photocoagulation. The area of CNV at each rupture site was measured using high molecular weight FITC-dextran (MW 2 x 10(6)) for high resolution angiography in RPE-choroid-sclera flat mounts. In addition, 8 eyes in each group were removed and fixed 14 days after photocoagulation, cut into thin sections. The sections were examined by light microscopy. Immunolocalization of Endoglin (CD105) and factor VIII on sections of CNV lesions was studied by immunohistochemical evaluation.
After Endostatin injection, fluorescein leakage from the CNV lesions decreased significantly compared with the control eyes. The average area of CNV at sites of the Bruch's membrane rupture showed significant difference in eyes injected with Endostatin compared with control eyes. Endothelial cells demonstrated strong immunoreactivity of CD105 and factor VIII in CNV lesions of control eyes. CD105-positive cell were not detected in normal chorioretinal tissues.
The development of CNV can be inhibited by injection of Endostatin, which suggest that Endostatin may be beneficial in treating CNV and that further studies can be considered to evaluate this possibility.
内皮抑素是一种内源性血管生成抑制剂。本研究旨在探讨内皮抑素对实验性脉络膜新生血管(CNV)大鼠眼部的影响。
通过激光光凝诱导实验性CNV。给动物视网膜下注射20微升重组人内皮抑素(5克/升)或0.9%氯化钠。光凝后13天研究光凝损伤处荧光素渗漏强度。使用高分子量异硫氰酸荧光素-葡聚糖(分子量2×10⁶)对视网膜色素上皮-脉络膜-巩膜扁平标本进行高分辨率血管造影,测量每个破裂部位的CNV面积。此外,每组8只眼在光凝后14天摘除并固定,切成薄片。切片进行光学显微镜检查。通过免疫组织化学评估研究CNV病变切片上内皮糖蛋白(CD105)和因子VIII的免疫定位。
注射内皮抑素后,与对照眼相比,CNV病变处的荧光素渗漏显著减少。与对照眼相比,在注射内皮抑素的眼中,脉络膜破裂部位的CNV平均面积显示出显著差异。在对照眼的CNV病变中,内皮细胞表现出强烈的CD105和因子VIII免疫反应性。在正常脉络膜视网膜组织中未检测到CD105阳性细胞。
注射内皮抑素可抑制CNV的发展,这表明内皮抑素可能对治疗CNV有益,可考虑进一步研究评估这种可能性。