Wilmer Ophthalmological Institute, Johns Hopkins University, School of Medicine, Baltimore, Maryland 21287, USA.
Am J Pathol. 2010 Jun;176(6):3085-97. doi: 10.2353/ajpath.2010.090989. Epub 2010 Apr 15.
The purpose of this study was to develop and characterize a rat model of choroidal neovascularization (CNV) as occurs in age-related macular degeneration. The lipid hydroperoxide 13(S)-hydroperoxy-9Z,11E-octadecadienoic acid (HpODE) is found in submacular Bruch's membrane in aged humans and has been reported to generate neovascularization in a rabbit model. Three weeks after a single subretinal injection of 30 microg of HpODE, eyes of Sprague-Dawley rats were harvested. Follow-up fluorescein angiography was done on other animals until 5 weeks postinjection. Histological studies, immunohistochemical staining, and flatmount choroids for CNV measurements were performed. In addition, we used murine neuronal, bovine endothelial, and human ARPE19 cells for testing the in vitro effects of HpODE. CNV developed in 85.7% of HpODE-injected eyes. The neovascular areas were significantly greater in HpODE-injected eyes compared with those in control eyes (P = 0.023). The CNV had maximum dye leakage at 3 weeks, which subsided by the 5th week. Histologically, CNV extended from the choriocapillaris into the subretinal space. ED1-positive macrophages were recruited to the site. In vitro assays demonstrated that only 30 ng/ml HpODE induced cell proliferation and migration of endothelial cells. HpODE-induced CNV was highly reproducible, and its natural course seems to be ideal for evaluating therapeutic modalities. Because HpODE has been isolated from aged humans, the HpODE-induced rat model seems to be a relevant experimental model for CNV in age-related macular degeneration.
本研究旨在建立并鉴定一种与年龄相关性黄斑变性中出现的脉络膜新生血管(CNV)相似的大鼠模型。脂质过氧化物 13(S)-羟基-9Z,11E-十八碳二烯酸(HpODE)存在于老年人群的黄斑下脉络膜的 Bruch 膜中,有报道称其可在兔模型中产生新生血管。在单次视网膜下注射 30 微克 HpODE 3 周后,收获 Sprague-Dawley 大鼠的眼睛。对其他动物进行后续荧光素血管造影,直到注射后 5 周。进行组织学研究、免疫组织化学染色和 CNV 测量的脉络膜平面成像。此外,我们使用鼠神经元、牛内皮细胞和人 ARPE19 细胞测试 HpODE 的体外作用。在 85.7%的 HpODE 注射眼发展出 CNV。与对照组相比,HpODE 注射眼的新生血管区域明显更大(P = 0.023)。CNV 在第 3 周时最大程度地渗漏染料,第 5 周时消退。组织学上,CNV 从脉络膜毛细血管延伸到视网膜下间隙。ED1 阳性巨噬细胞被募集到该部位。体外实验表明,只有 30ng/ml 的 HpODE 才能诱导内皮细胞的增殖和迁移。HpODE 诱导的 CNV 具有高度可重复性,其自然病程似乎非常适合评估治疗方法。由于 HpODE 已从老年人群中分离出来,因此 HpODE 诱导的大鼠模型似乎是年龄相关性黄斑变性中 CNV 的相关实验模型。