Abstract
Angiogenic factors play an important role in the pathogenesis of diabetic retinopathy (DR), neovascular age-related macular degeneration (nAMD) and retinopathy of prematurity (ROP). Pleiotrophin, a well-known angiogenic factor, was recently reported to be upregulated in the vitreous fluid of patients with proliferative DR (PDR). However, its pathogenic role and therapeutic potential in ocular vascular diseases have not been defined in vivo. Here using corneal pocket assays, we demonstrated that pleiotrophin induced angiogenesis in vivo. To investigate the pathological role of pleiotrophin we used neutralizing antibody to block its function in multiple in vivo models of ocular vascular diseases. In a mouse model of DR, intravitreal injection of pleiotrophin-neutralizing antibody alleviated diabetic retinal vascular leakage. In a mouse model of oxygen-induced retinopathy (OIR), which is a surrogate model of ROP and PDR, we demonstrated that intravitreal injection of anti-pleiotrophin antibody prevented OIR-induced pathological retinal neovascularization and aberrant vessel tufts. Finally, pleiotrophin-neutralizing antibody ameliorated laser-induced choroidal neovascularization, a mouse model of nAMD, suggesting that pleiotrophin is involved in choroidal vascular disease. These findings suggest that pleiotrophin plays an important role in the pathogenesis of DR with retinal vascular leakage, ROP with retinal neovascularization and nAMD with choroidal neovascularization. The results also support pleiotrophin as a promising target for anti-angiogenic therapy.
Similar content being viewed by others
References
Yau JW, Rogers SL, Kawasaki R, Lamoureux EL, Kowalski JW, Bek T et al (2012) Global prevalence and major risk factors of diabetic retinopathy. Diabetes Care 35(3):556–564
Beharry KD, Valencia GB, Lazzaro DR, Aranda JV (2016) Pharmacologic interventions for the prevention and treatment of retinopathy of prematurity. Semin Perinatol 40(3):189–202
Hellstrom A, Smith LE, Dammann O (2013) Retinopathy of prematurity. Lancet 382(9902):1445–1457
Wong WL, Su X, Li X, Cheung CM, Klein R, Cheng CY et al (2014) Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis. Lancet Glob Health 2(2):e106–e116
Votruba M, Gregor Z (2001) Neovascular age-related macular degeneration: present and future treatment options. Eye (Lond) 15(Pt 3):424–429
Diabetic Retinopathy Clinical Research Network, Wells JA, Glassman AR, Ayala AR, Jampol LM, Aiello LP et al (2015) Aflibercept, bevacizumab, or ranibizumab for diabetic macular edema. N Engl J Med 372(13):1193–1203
Kim LA, D’Amore PA (2012) A brief history of anti-VEGF for the treatment of ocular angiogenesis. Am J Pathol 181(2):376–379
Dedania VS, Bakri SJ (2015) Current perspectives on ranibizumab. Clin Ophthalmol 9:533–542
Drolet DW, Green LS, Gold L, Janjic N (2016) Fit for the eye: aptamers in ocular disorders. Nucleic Acid Ther 26(3):127–146
Mintz-Hittner HA, Kennedy KA, Chuang AZ, Group B-RC (2011) Efficacy of intravitreal bevacizumab for stage 3+ retinopathy of prematurity. N Engl J Med 364(7):603–615
Lepore D, Quinn GE, Molle F, Baldascino A, Orazi L, Sammartino M et al (2014) Intravitreal bevacizumab versus laser treatment in type 1 retinopathy of prematurity: report on fluorescein angiographic findings. Ophthalmology 121(11):2212–2219
Deuel TF, Zhang N, Yeh HJ, Silos-Santiago I, Wang ZY (2002) Pleiotrophin: a cytokine with diverse functions and a novel signaling pathway. Arch Biochem Biophys 397(2):162–171
Papadimitriou E, Mikelis C, Lampropoulou E, Koutsioumpa M, Theochari K, Tsirmoula S et al (2009) Roles of pleiotrophin in tumor growth and angiogenesis. Eur Cytokine Netw 20(4):180–190
Raulo E, Chernousov MA, Carey DJ, Nolo R, Rauvala H (1994) Isolation of a neuronal cell surface receptor of heparin binding growth-associated molecule (HB-GAM). Identification as N-syndecan (syndecan-3). J Biol Chem 269(17):12999–13004
Bernard-Pierrot I, Delbe J, Rouet V, Vigny M, Kerros ME, Caruelle D et al (2002) Dominant negative effectors of heparin affin regulatory peptide (HARP) angiogenic and transforming activities. J Biol Chem 277(35):32071–32077
Bermek O, Diamantopoulou Z, Polykratis A, Dos Santos C, Hamma-Kourbali Y, Burlina F et al (2007) A basic peptide derived from the HARP C-terminus inhibits anchorage-independent growth of DU145 prostate cancer cells. Exp Cell Res 313(19):4041–4050
Mikelis C, Sfaelou E, Koutsioumpa M, Kieffer N, Papadimitriou E (2009) Integrin alpha(v)beta(3) is a pleiotrophin receptor required for pleiotrophin-induced endothelial cell migration through receptor protein tyrosine phosphatase beta/zeta. FASEB J. 23(5):1459–1469
Kadomatsu K, Muramatsu T (2004) Midkine and pleiotrophin in neural development and cancer. Cancer Lett 204(2):127–143
Meng K, Rodriguez-Pena A, Dimitrov T, Chen W, Yamin M, Noda M et al (2000) Pleiotrophin signals increased tyrosine phosphorylation of beta beta-catenin through inactivation of the intrinsic catalytic activity of the receptor-type protein tyrosine phosphatase beta/zeta. Proc Natl Acad Sci USA 97(6):2603–2608
Fang W, Hartmann N, Chow DT, Riegel AT, Wellstein A (1992) Pleiotrophin stimulates fibroblasts and endothelial and epithelial cells and is expressed in human cancer. J Biol Chem 267(36):25889–25897
Zhu X, Bai Y, Yu W, Pan C, Jin E, Song D et al (2015) The effects of pleiotrophin in proliferative diabetic retinopathy. PLoS ONE 10(1):e0115523
Rauvala H (1989) An 18-kd heparin-binding protein of developing brain that is distinct from fibroblast growth factors. EMBO J 8(10):2933–2941
Perez-Pinera P, Berenson JR, Deuel TF (2008) Pleiotrophin, a multifunctional angiogenic factor: mechanisms and pathways in normal and pathological angiogenesis. Curr Opin Hematol 15(3):210–214
LeBlanc ME, Wang W, Chen X, Ji Y, Shakya A, Shen C et al (2016) The regulatory role of hepatoma-derived growth factor as an angiogenic factor in the eye. Mol Vis 22:374–386
Liang CC, Park AY, Guan JL (2007) In vitro scratch assay: a convenient and inexpensive method for analysis of cell migration in vitro. Nat Protoc 2(2):329–333
LeBlanc ME, Wang W, Caberoy NB, Chen X, Guo F, Alvarado G et al (2015) Hepatoma-derived growth factor-related protein-3 is a novel angiogenic factor. PLoS ONE 10(5):e0127904
Heiss C, Wong ML, Block VI, Lao D, Real WM, Yeghiazarians Y et al (2008) Pleiotrophin induces nitric oxide dependent migration of endothelial progenitor cells. J Cell Physiol 215(2):366–373
Scheppke L, Aguilar E, Gariano RF, Jacobson R, Hood J, Doukas J et al (2008) Retinal vascular permeability suppression by topical application of a novel VEGFR2/Src kinase inhibitor in mice and rabbits. J Clin Invest 118(6):2337–2346
Connor KM, Krah NM, Dennison RJ, Aderman CM, Chen J, Guerin KI et al (2009) Quantification of oxygen-induced retinopathy in the mouse: a model of vessel loss, vessel regrowth and pathological angiogenesis. Nat Protoc 4(11):1565–1573
Poor SH, Qiu Y, Fassbender ES, Shen S, Woolfenden A, Delpero A et al (2014) Reliability of the mouse model of choroidal neovascularization induced by laser photocoagulation. Invest Ophthalmol Vis Sci 55(10):6525–6534
Chan N, He S, Spee CK, Ishikawa K, Hinton DR (2015) Attenuation of choroidal neovascularization by histone deacetylase inhibitor. PLoS ONE 10(3):e0120587
Fan JB, Liu W, Yuan K, Zhu XH, Xu DW, Chen JJ et al (2014) EGFR trans-activation mediates pleiotrophin-induced activation of Akt and Erk in cultured osteoblasts. Biochem Biophys Res Commun 447(3):425–430
Li J, Wei H, Chesley A, Moon C, Krawczyk M, Volkova M et al (2007) The pro-angiogenic cytokine pleiotrophin potentiates cardiomyocyte apoptosis through inhibition of endogenous AKT/PKB activity. J Biol Chem 282(48):34984–34993
Choudhuri R, Zhang HT, Donnini S, Ziche M, Bicknell R (1997) An angiogenic role for the neurokines midkine and pleiotrophin in tumorigenesis. Cancer Res 57(9):1814–1819
Rask-Madsen C, King GL (2013) Vascular complications of diabetes: mechanisms of injury and protective factors. Cell Metab 17(1):20–33
Stahl A, Connor KM, Sapieha P, Chen J, Dennison RJ, Krah NM et al (2010) The mouse retina as an angiogenesis model. Invest Ophthalmol Vis Sci 51(6):2813–2826
Kim CB, D’Amore PA, Connor KM (2016) Revisiting the mouse model of oxygen-induced retinopathy. Eye Brain 8:67–79
Raulo E, Julkunen I, Merenmies J, Pihlaskari R, Rauvala H (1992) Secretion and biological activities of heparin-binding growth-associated molecule. Neurite outgrowth-promoting and mitogenic actions of the recombinant and tissue-derived protein. J Biol Chem 267(16):11408–11416
Delbe J, Vacherot F, Laaroubi K, Barritault D, Courty J (1995) Effect of heparin on bovine epithelial lens cell proliferation induced by heparin affin regulatory peptide. J Cell Physiol 164(1):47–54
Papadimitriou E, Heroult M, Courty J, Polykratis A, Stergiou C, Katsoris P (2000) Endothelial cell proliferation induced by HARP: implication of N or C terminal peptides. Biochem Biophys Res Commun 274(1):242–248
Mentlein R, Held-Feindt J (2002) Pleiotrophin, an angiogenic and mitogenic growth factor, is expressed in human gliomas. J Neurochem 83(4):747–753
Li YS, Milner PG, Chauhan AK, Watson MA, Hoffman RM, Kodner CM et al (1990) Cloning and expression of a developmentally regulated protein that induces mitogenic and neurite outgrowth activity. Science 250(4988):1690–1694
Tsutsui J, Uehara K, Kadomatsu K, Matsubara S, Muramatsu T (1991) A new family of heparin-binding factors: strong conservation of midkine (MK) sequences between the human and the mouse. Biochem Biophys Res Commun 176(2):792–797
Kuboyama K, Fujikawa A, Suzuki R, Noda M (2015) Inactivation of protein tyrosine phosphatase receptor type Z by pleiotrophin promotes remyelination through activation of differentiation of oligodendrocyte precursor cells. J Neurosci 35(35):12162–12171
Courty J, Dauchel MC, Caruelle D, Perderiset M, Barritault D (1991) Mitogenic properties of a new endothelial cell growth factor related to pleiotrophin. Biochem Biophys Res Commun 180(1):145–151
Kong Y, Bai PS, Nan KJ, Sun H, Chen NZ, Qi XG (2012) Pleiotrophin is a potential colorectal cancer prognostic factor that promotes VEGF expression and induces angiogenesis in colorectal cancer. Int J Colorectal Dis 27(3):287–298
Chauhan AK, Li YS, Deuel TF (1993) Pleiotrophin transforms NIH 3T3 cells and induces tumors in nude mice. Proc Natl Acad Sci USA 90(2):679–682
Besse S, Comte R, Frechault S, Courty J, de Joel L, Delbe J (2013) Pleiotrophin promotes capillary-like sprouting from senescent aortic rings. Cytokine 62(1):44–47
Zhang N, Zhong R, Perez-Pinera P, Herradon G, Ezquerra L, Wang ZY et al (2006) Identification of the angiogenesis signaling domain in pleiotrophin defines a mechanism of the angiogenic switch. Biochem Biophys Res Commun 343(2):653–658
Koch S, Tugues S, Li X, Gualandi L, Claesson-Welsh L (2011) Signal transduction by vascular endothelial growth factor receptors. Biochem J 437(2):169–183
Ramos JW (2008) The regulation of extracellular signal-regulated kinase (ERK) in mammalian cells. Int J Biochem Cell Biol 40(12):2707–2719
Hu L, Wang J, Wang Y, Xu H (2016) An integrin alphavbeta3 antagonistic modified peptide inhibits tumor growth through inhibition of the ERK and AKT signaling pathways. Oncol Rep 36(4):1953–1962
Eishingdrelo H, Kongsamut S (2013) Minireview: targeting GPCR activated ERK pathways for drug discovery. Curr Chem Genom Transl Med 7:9–15
Keck PJ, Hauser SD, Krivi G, Sanzo K, Warren T, Feder J et al (1989) Vascular permeability factor, an endothelial cell mitogen related to PDGF. Science 246(4935):1309–1312
Leung DW, Cachianes G, Kuang WJ, Goeddel DV, Ferrara N (1989) Vascular endothelial growth factor is a secreted angiogenic mitogen. Science 246(4935):1306–1309
Tokunaga CC, Mitton KP, Dailey W, Massoll C, Roumayah K, Guzman E et al (2014) Effects of anti-VEGF treatment on the recovery of the developing retina following oxygen-induced retinopathy. Invest Ophthalmol Vis Sci 55(3):1884–1892
Zhang L, Kundu S, Feenstra T, Li X, Jin C, Laaniste L et al (2015) Pleiotrophin promotes vascular abnormalization in gliomas and correlates with poor survival in patients with astrocytomas. Sci Signal 8(406):ra125
Heroult M, Bernard-Pierrot I, Delbe J, Hamma-Kourbali Y, Katsoris P, Barritault D et al (2004) Heparin affin regulatory peptide binds to vascular endothelial growth factor (VEGF) and inhibits VEGF-induced angiogenesis. Oncogene 23(9):1745–1753
Koutsioumpa M, Poimenidi E, Pantazaka E, Theodoropoulou C, Skoura A, Megalooikonomou V et al (2015) Receptor protein tyrosine phosphatase beta/zeta is a functional binding partner for vascular endothelial growth factor. Mol Cancer 14:19
Papadimitriou E, Pantazaka E, Castana P, Tsalios T, Polyzos A, Beis D (2016) Pleiotrophin and its receptor protein tyrosine phosphatase beta/zeta as regulators of angiogenesis and cancer. Biochim Biophys Acta 1866(2):252–265
Kokolakis G, Mikelis C, Papadimitriou E, Courty J, Karetsou E, Katsoris P (2006) Effect of heparin affin regulatory peptide on the expression of vascular endothelial growth factor receptors in endothelial cells. Vivo. 20(5):629–635
Gerber HP, McMurtrey A, Kowalski J, Yan M, Keyt BA, Dixit V et al (1998) Vascular endothelial growth factor regulates endothelial cell survival through the phosphatidylinositol 3′-kinase/Akt signal transduction pathway. Requirement for Flk-1/KDR activation. J Biol Chem 273(46):30336–30343
Byeon SH, Lee SC, Choi SH, Lee HK, Lee JH, Chu YK et al (2010) Vascular endothelial growth factor as an autocrine survival factor for retinal pigment epithelial cells under oxidative stress via the VEGF-R2/PI3K/Akt. Invest Ophthalmol Vis Sci 51(2):1190–1197
Rosenstein JM, Mani N, Khaibullina A, Krum JM (2003) Neurotrophic effects of vascular endothelial growth factor on organotypic cortical explants and primary cortical neurons. J Neurosci 23(35):11036–11044
LeBlanc ME, Wang W, Chen X, Caberoy NB, Guo F, Shen C et al (2017) Secretogranin III as a disease-associated ligand for antiangiogenic therapy of diabetic retinopathy. J Exp Med 214(4):1029–1047
Lynn KD, Roland CL, Brekken RA (2010) VEGF and pleiotrophin modulate the immune profile of breast cancer. Cancers (Basel) 2(2):970–988
Acknowledgements
We thank F. Zhang and R. Wen for instrument support; G. Gaidosh for confocal service.
Funding
This work was supported by NIH R01GM094449 (W.L.), R21HD075372 (W.L.), R21EY027065 (W.L.), Special Scholar Award from Research to Prevent Blindness (RPB) (W.L.), American Heart Association Predoctoral Fellowship 14PRE18310014 (M.E.L) and 16PRE27250308 (M.E.L), NIH P30-EY014801 and an institutional grant from RPB.
Authors’ contribution
W.W., M.E.L., P.C., Y.L., M.B., H.T., S.R.S., performed most of the studies and analyzed data. X.P. carried out corneal pocket assay. M.B. H.T., S.R.S provide supportive experiments. W.L. designed experiments, analyzed data and wrote manuscript. K.W. provided reagents, advised on experimental design and revised manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no competing or financial interests.
Rights and permissions
About this article
Cite this article
Wang, W., LeBlanc, M.E., Chen, X. et al. Pathogenic role and therapeutic potential of pleiotrophin in mouse models of ocular vascular disease. Angiogenesis 20, 479–492 (2017). https://doi.org/10.1007/s10456-017-9557-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10456-017-9557-6