A Two-Stage Laser-Induced Mouse Model of Subretinal Fibrosis Secondary to Choroidal Neovascularization

A Two-Stage Laser-Induced Mouse Model of Subretinal Fibrosis Secondary to Choroidal Neovascularization
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DOI:
10.1167/tvst.9.4.3
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发表时间:
2020-03-01
影响因子:
3
通讯作者:
Xu, Heping
Xu, Heping
中科院分区:
医学3区
文献类型:
--
作者:
Little, Karis;Llorian-Salvador, Maria;Xu, Heping

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目的:方法:成年C57 BL/6 J小鼠每只眼接受3次激光烧伤以诱导脉络膜新生血管(CNV)。7天后,对每个新生血管病变进行第二次激光烧伤。传统的激光诱导CNV被用作对照。通过眼底成像、荧光素眼底血管造影、光学相干断层扫描(OCT)和免疫组织化学,在激光(p.l)治疗后10、20、30和40天监测病变。胶原-1(COL-1)、纤连蛋白、α-平滑肌肌动蛋白、F4/80、补体因子B(CF B)、补体成分3(C3)、转化生长因子-β(TGF-β)通过免疫荧光和逆转录聚合酶链反应检测视网膜和视网膜色素上皮/脉络膜中的TGF-β、成纤维细胞生长因子2(FGF 2)。在所有时间点,通过OCT和免疫组化,两阶段激光方案诱导的病变均显著大于传统激光CNV。共聚焦显微镜检测了两阶段激光方案术后30至40天病变中的COL-1(+)纤维和IBA 1(+)/CD 31(+)血管。在这个时间点,来自传统激光CNV的病变仅包含COL-1(+)纤维而不包含血管。与传统激光CNV损伤相比,在两阶段激光诱导损伤的视网膜中检测到更高水平的促炎基因(诱导型一氧化氮合酶(iNOS)、C3、CFB)和促纤维化基因(TGF-β、FGF 2和血管内皮生长因子)。在两阶段激光诱导的纤维化lesion.Conclusions:两阶段激光治疗诱导视网膜下纤维血管膜,持续超过40 days.Translational Relationship:该模型是一个有用的工具,研究黄斑纤维化的机制,在nAMD和测试抗纤维化药物。
Purpose: To develop a model that can recapitulate key features of macular fibrosis in neovascular age-related macular degeneration (nAMD).Methods: Adult C57BL/6J mice received three laser burns/eye to induce choroidal neovascularization (CNV). Seven days later, a second laser burn was directed to each of the neovascular lesions. Traditional laser-induced CNV was used as a control. Lesions were monitored at 10, 20, 30, and 40 days post-laser (p.l) treatment by fundus imaging, fundus fluorescein angiography, optical coherence tomography (OCT), and immunohistochemistry. The expression of collagen-1 (COL-1), fibronectin, alpha-smooth muscle actin, F4/80, complement factor B (CFB), Complement component 3 (C3), transforming growth factor-beta (TGF-beta), and fibroblast growth factor 2 (FGF2) in retina and retinal pigment epithelium/choroid was examined by immunofluorescence and reverse transcription polymerase chain reaction.Results: The two-stage laser protocol induced significantly larger lesions than the traditional laser-CNV by OCT and immunohistochemistry at all time points. Confocal microscopy detected COL-1(+) fibers and IBA1(+)/CD31(+) blood vessels in lesions from the two-stage laser protocol 30 to 40 days p.l. Lesions from traditional laser-CNV contain only COL-1(+) fibers but not blood vessels at this time point. Higher levels of proinflammatory (inducible nitric oxide synthase (iNOS), C3, CFB) and profibrotic (TGF-beta, FGF2, and vascular endothelial growth factor) genes were detected in the retinas from the two-stage laser-induced lesions compared with the traditional laser-CNV lesion. Higher number of infiltrating F4/80 macrophages was also observed in and around the two-stage laser-induced fibrotic lesion.Conclusions: The two-stage laser treatment induced subretinal fibrovascular membranes that persist over 40 days.Translational Relevance: The model is a useful tool to study the mechanism of macular fibrosis in nAMD and test antifibrotic drugs.