Nozaki Miho, Sakurai Eiji, Raisler Brian J, Baffi Judit Z, Witta Jassir, Ogura Yuichiro, Brekken Rolf A, Sage E Helene, Ambati Balamurali K, Ambati Jayakrishna
Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, Kentucky 40536-0284, USA.
J Clin Invest. 2006 Feb;116(2):422-9. doi: 10.1172/JCI26316.
VEGF-A promotes angiogenesis in many tissues. Here we report that choroidal neovascularization (CNV) incited by injury was increased by excess VEGF-A before injury but was suppressed by VEGF-A after injury. This unorthodox antiangiogenic effect was mediated via VEGFR-1 activation and VEGFR-2 deactivation, the latter via Src homology domain 2-containing (SH2-containing) tyrosine phosphatase-1 (SHP-1). The VEGFR-1-specific ligand placental growth factor-1 (PlGF-1), but not VEGF-E, which selectively binds VEGFR-2, mimicked these responses. Excess VEGF-A increased CNV before injury because VEGFR-1 activation was silenced by secreted protein, acidic and rich in cysteine (SPARC). The transient decline of SPARC after injury revealed a temporal window in which VEGF-A signaling was routed principally through VEGFR-1. These observations indicate that therapeutic design of VEGF-A inhibition should include consideration of the level and activity of SPARC.
血管内皮生长因子A(VEGF-A)可促进多种组织的血管生成。在此我们报告,损伤诱发的脉络膜新生血管(CNV)在损伤前因VEGF-A过量而增加,但在损伤后却受到VEGF-A的抑制。这种非传统的抗血管生成作用是通过血管内皮生长因子受体1(VEGFR-1)激活和血管内皮生长因子受体2(VEGFR-2)失活介导的,后者是通过含Src同源结构域2(SH2结构域)的酪氨酸磷酸酶-1(SHP-1)实现的。VEGFR-1特异性配体胎盘生长因子-1(PlGF-1)而非选择性结合VEGFR-2的VEGF-E模拟了这些反应。损伤前VEGF-A过量会增加CNV,因为分泌型富含半胱氨酸的酸性蛋白(SPARC)使VEGFR-1激活沉默。损伤后SPARC的短暂下降揭示了一个时间窗,在此期间VEGF-A信号主要通过VEGFR-1传导。这些观察结果表明,VEGF-A抑制的治疗设计应考虑SPARC的水平和活性。