Controlling Vascular Endothelial Growth Factor: Therapies for Ocular Diseases Associated with Nevascularization

  • Robert J. Marano
  • P. Elizabeth Rakoczy
Conference paper
Part of the Advances in Experimental Medicine and Biology book series (volume 572)

Abstract

Vascular endothelial growth factor (VEGF) is a potent stimulator of angiogenesis and is essential for normal embryonic development and many physiological events that require the growth of new blood vessels. Abnormal expression of endogenous VEGF can lead to ocular diseases including age related macular degeneration (Ohno-Matsui et al., 2001) and diabetic retinopathy (Aiello et al., 1994; Boulton et al., 1998), which are the two leading causes of blindness in the developed world. Regulation of VEGF expression occurs primarily through trans-factor interactions with cis-elements located on the 5′ and 3′ untranslated regions (UTR’s) and include stabilizing and destabilizing elements in addition to enhancer regions (Coles et al., 2004; Dibbens et al., 1999; Iida et al., 2002; Levy et al., 1997; Marano et al., 2004). The prime stimuli of VEGF upregulation are hypoxic or ischemic conditions, which indirectly activates VEGF through interactions between hypoxia inducible factor 1 (HIF-1) and the hypoxia response element (HRE) located within the promoter region of the VEGF gene (Forsythe et al., 1996).

Keywords

Vascular Endothelial Growth Factor Diabetic Retinopathy Vascular Endothelial Growth Factor Expression Choroidal Neovascularization Vascular Endothelial Growth Factor mRNA 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Adamis, A. P., Shima, D. T., Tolentino, M. J., Gragoudas, E. S., Ferrara, N., Folkman, J., D’Amore, P. A., Miller, J. W., 1996, Inhibition of vascular endothelial growth factor prevents retinal ischemia-associated iris neovascularization in a nonhuman primate, Arch Ophthalmol, 114:66–71.PubMedGoogle Scholar
  2. Aiello, L. P., Avery, R. L., Arrigg, P. G., Keyt, B. A., Jampel, H. D., Shah, S. T., Pasquale, L. R., Thieme, H., Iwamoto, M. A., Park, J. E., et al., 1994, Vascular endothelial growth factor in ocular fluid of patients with diabetic retinopathy and other retinal disorders, N Engl J Med, 331:1480–1487.PubMedCrossRefGoogle Scholar
  3. Akiyama, H., Tanaka, T., Itakura, H., Kanai, H., Maeno, T., Doi, H., Yamazaki, M., Takahashi, K., Kimura, Y., Kishi, S., Kurabayashi, M., 2004, Inhibition of ocular angiogenesis by an adenovirus carrying the human von Hippel-Lindau tumor-suppressor gene in vivo. Invest Ophthalmol Vis Sci, 45:1289–1296.PubMedCrossRefGoogle Scholar
  4. Arenz, C., Schepers, U., 2003, RNA interference: from an ancient mechanism to a state of the art therapeutic application? Naturwissenschaften, 90:345–359.PubMedCrossRefGoogle Scholar
  5. Auricchio, A., Behling, K. C., Maguire, A. M., O’Connor, E. M., Bennett, J., Wilson, J. M., Tolentino, M. J., 2002, Inhibition of retinal neovascularization by intraocular viral-mediated delivery of anti-angiogenic agents, Mol Ther, 6:490–494.PubMedCrossRefGoogle Scholar
  6. Bainbridge, J. W., Mistry, A., Binley, K., De Alwis, M., Thrasher, A. J., Naylor, S., Ali, R. R., 2003, Hypoxiaregulated transgene expression in experimental retinal and choroidal neovascularization. Gene Ther, 10:1049–1054.PubMedCrossRefGoogle Scholar
  7. Bainbridge, J. W., Mistry, A., De Alwis, M., Paleolog, E., Baker, A., Thrasher, A. J., Ali, R. R., 2002, Inhibition of retinal neovascularisation by gene transfer of soluble VEGF receptor sFlt-1. Gene Ther, 9:320–326.PubMedCrossRefGoogle Scholar
  8. Baum, C., von Kalle, C., Staal, F. J., Li, Z., Fehse, B., Schmidt, M., Weerkamp, F., Karlsson, S., Wagemaker, G., Williams, D. A., 2004, Chance or necessity? Insertional mutagenesis in gene therapy and its consequences. Mol Ther, 9:5–13.PubMedCrossRefGoogle Scholar
  9. Berdugo, M., Valamanesh, F., Andrieu, C., Klein, C., Benezra, D., Courtois, Y., Behar-Cohen, F., 2003, Delivery of antisense oligonucleotide to the cornea by iontophoresis. Antisense Nucleic Acid Drug Dev, 13:107–114.PubMedCrossRefGoogle Scholar
  10. Boulton, M., Foreman, D., Williams, G., McLeod, D., 1998, VEGF localisation in diabetic retinopathy. Br J Ophthalmol, 82:561–568.PubMedCrossRefGoogle Scholar
  11. Coles, L. S., Bartley, M. A., Bert, A., Hunter, J., Polyak, S., Diamond, P., Vadas, M. A., Goodall, G. J., 2004, A multi-protein complex containing cold shock domain (Y-box) and polypyrimidine tract binding proteins forms on the vascular endothelial growth factor mRNA. Potential role in mRNA stabilization. Eur J Biochem, 271:648–660.PubMedCrossRefGoogle Scholar
  12. de Boer, R. A., Siebelink, H. J., Tio, R. A., Boomsma, F., van Veldhuisen, D. J., 2001, Carvedilol increases plasma vascular endothelial growth factor (VEGF) in patients with chronic heart failure. Eur J Heart Fail, 3:331–333.PubMedCrossRefGoogle Scholar
  13. Dibbens, J. A., Miller, D. L., Damert, A., Risau, W., Vadas, M. A., Goodall, G. J., 1999, Hypoxic regulation of vascular endothelial growth factor mRNA stability requires the cooperation of multiple RNA elements. Mol Biol Cell, 10:907–919.PubMedGoogle Scholar
  14. Forsythe, J. A., Jiang, B. H., Iyer, N. V., Agani, F., Leung, S. W., Koos, R. D., Semenza, G. L., 1996, Activation of vascular endothelial growth factor gene transcription by hypoxia-inducible factor 1. Mol Cell Biol, 16:4604–4613.PubMedGoogle Scholar
  15. Garrett, K. L., Shen, W. Y., Rakoczy, P. E., 2001, In vivo use of oligonucleotides to inhibit choroidal neovascularisation in the eye. J Gene Med, 3:373–383.PubMedCrossRefGoogle Scholar
  16. Iida, K., Kawakami, Y., Sone, H., Suzuki, H., Yatoh, S., Isobe, K., Takekoshi, K., Yamada, N., 2002, Vascular endothelial growth factor gene expression in a retinal pigmented cell is up-regulated by glucose deprivation through 3′ UTR. Life Sci, 71:1607–1614.PubMedCrossRefGoogle Scholar
  17. Lai, C. M., Brankov, M., Zaknich, T., Lai, Y. K., Shen, W. Y., Constable, I. J., Kovesdi, I., Rakoczy, P. E., 2001, Inhibition of angiogenesis by adenovirus-mediated sFlt-1 expression in a rat model of corneal neovascularization. Hum Gene Ther, 12:1299–1310.PubMedCrossRefGoogle Scholar
  18. Lai, Y. K., Shen, W. Y., Brankov, M., Lai, C. M., Constable, I. J., Rakoczy, P. E., 2002, Potential long-term inhibition of ocular neovascularisation by recombinant adeno-associated virus-mediated secretion gene therapy. Gene Ther, 9:804–813.PubMedCrossRefGoogle Scholar
  19. Levy, N. S., Goldberg, M. A., Levy, A. P., 1997, Sequencing of the human vascular endothelial growth factor (VEGF) 3′ untranslated region (UTR): conservation of five hypoxia-inducible RNA-protein binding sites. Biochim Biophys Acta, 1352:167–173.PubMedGoogle Scholar
  20. Marano, R. J., Wimmer, N., Kearns, P. S., Thomas, B. G., Toth, I., Brankov, M., Rakoczy, P. E., 2003, Inhibition of in vitro VEGF expression and choroidal neovascularization by synthetic dendrimer peptide mediated delivery of a sense oligonucleotide. Experimental Eye Research, Accepted.Google Scholar
  21. Marano, R. J., Brankov, M., Rakoczy, P. E., 2004, Discovery of a novel control element within the 5′UTR of VEGF: Regulation of expression using sense oligonucleotides. J Biol Chem, 279(36):37808–37814.PubMedCrossRefGoogle Scholar
  22. Ohno-Matsui, K., Morita, I., Tombran-Tink, J., Mrazek, D., Onodera, M., Uetama, T., Hayano, M., Murota, S. I., Mochizuki, M., 2001, Novel mechanism for age-related macular degeneration: an equilibrium shift between the angiogenesis factors VEGF and PEDF. J Cell Physiol, 189:323–333.PubMedCrossRefGoogle Scholar
  23. Reich, S. J., Fosnot, J., Kuroki, A., Tang, W., Yang, X., Maguire, A. M., Bennett, J., Tolentino, M. J., 2003, Small interfering RNA (siRNA) targeting VEGF effectively inhibits ocular neovascularization in a mouse model. Mol Vis, 9:210–216.PubMedGoogle Scholar
  24. The Eyetech Study Group, 2002, Preclinical and phase 1A clinical evaluation of an anti-VEGF pegylated aptamer (EYE001) for the treatment of exudative age-related macular degeneration, Retina, 22:143–152.CrossRefGoogle Scholar
  25. The Eyetech Study Group, 2003, Anti-vascular endothelial growth factor therapy for subfoveal choroidal neovascularization secondary to age-related macular degeneration: phase II study results. Ophthalmology, 110:979–986.CrossRefGoogle Scholar
  26. Tolentino, M. J., Brucker, A. J., Fosnot, J., Ying, G. S., Wu, I. H., Malik, G., Wan, S., Reich, S. J., 2004, Intravitreal injection of vascular endothelial growth factor small interfering RNA inhibits growth and leakage in a nonhuman primate, laser-induced model of choroidal neovascularization. Retina, 24:132–138.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Robert J. Marano
    • 1
    • 2
  • P. Elizabeth Rakoczy
    • 2
  1. 1.Department of Molecular OphthalmologyLions Eye instituteNedlandsAustralia
  2. 2.Centre for Ophthalmology and Visual SciencesUniversity of Western AustraliaAustralia

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