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Publication : Pathophysiological function of endogenous calcitonin gene-related peptide in ocular vascular diseases.

First Author  Toriyama Y Year  2015
Journal  Am J Pathol Volume  185
Issue  6 Pages  1783-94
PubMed ID  25857228 Mgi Jnum  J:221180
Mgi Id  MGI:5638466 Doi  10.1016/j.ajpath.2015.02.017
Citation  Toriyama Y, et al. (2015) Pathophysiological function of endogenous calcitonin gene-related Peptide in ocular vascular diseases. Am J Pathol 185(6):1783-94
abstractText  Calcitonin gene-related peptide (CGRP; official name CALCA) has a variety of functions and exhibits both angiogenic and anti-inflammatory properties. We previously reported the angiogenic effects of the CGRP family peptide adrenomedullin in oxygen-induced retinopathy; however, the effects of CGRP on ocular angiogenesis remain unknown. Herein, we used CGRP knockout (CGRP(-/-)) mice to investigate the roles of CGRP in ocular vascular disease. Observation of pathological retinal angiogenesis in the oxygen-induced retinopathy model revealed no difference between CGRP(-/-) and wild-type mice. However, much higher levels of the CGRP receptor were present in the choroid than the retina. Laser-induced choroidal neovascularization (CNV), a model of exudative age-related macular degeneration, revealed more severe CNV lesions in CGRP(-/-) than wild-type mice, and fluorescein angiography showed greater leakage from CNV in CGRP(-/-). In addition, macrophage infiltration and tumor necrosis factor (TNF)-alpha production were enhanced within the CNV lesions in CGRP(-/-) mice, and the TNF-alpha, in turn, suppressed the barrier formation of retinal pigment epithelial cells. In vivo, CGRP administration suppressed CNV formation, and CGRP also dose dependently suppressed TNF-alpha production by isolated macrophages. From these data, we conclude that CGRP suppresses the development of leaky CNV through negative regulation of inflammation. CGRP may thus be a promising therapeutic agent for the treatment of ocular vascular diseases associated with inflammation.
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