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American Journal of Pathology, Vol 145, 574-584, Copyright © 1994 by American Society for Investigative Pathology
REGULAR ARTICLES |
JW Miller, AP Adamis, DT Shima, PA D'Amore, RS Moulton, MS O'Reilly, J Folkman, HF Dvorak, LF Brown and B Berse
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston 02114.
Ischemia often precedes neovascularization. In ocular neovascularization, such as occurs in diabetic retinopathy, a diffusible angiogenic factor has been postulated to be produced by ischemic retina and to lead to neovascularization of the retina, optic nerve, or iris. However, no angiogenic factor has been conclusively identified that satisfies this hypothesis. Vascular endothelial growth factor/vascular permeability factor, hereafter referred to as VEGF, is a likely candidate for an ocular angiogenic factor because it is a secreted mitogen, specific for endothelial cells, and is upregulated by hypoxia. We investigated the association of VEGF with the development of experimental iris neovascularization in the cynomolgus monkey. Following the production of retinal ischemia by laser occlusion of all branch retinal veins, VEGF was increased in the aqueous fluid, and the aqueous VEGF levels changed synchronously and proportionally with the severity of iris neovascularization. Northern analysis and in situ hybridization revealed that VEGF messenger RNA is upregulated in the ischemic retina. These observations support the hypothesis that ocular neovascularization is regulated by a diffusible factor and identify VEGF as a likely candidate for a retina-derived vascular permeability and angiogenesis factor in vivo.
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K. D. O'Brien, T. O. McDonald, A. Chait, M. D. Allen, and C. E. Alpers Neovascular Expression of E-Selectin, Intercellular Adhesion Molecule-1, and Vascular Cell Adhesion Molecule-1 in Human Atherosclerosis and Their Relation to Intimal Leukocyte Content Circulation, February 15, 1996; 93(4): 672 - 682. [Abstract] [Full Text] |
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A. P. Adamis, D. T. Shima, M. J. Tolentino, E. S. Gragoudas, N. Ferrara, J. Folkman, P. A. D'Amore, and J. W. Miller Inhibition of Vascular Endothelial Growth Factor Prevents Retinal Ischemia--Associated Iris Neovascularization in a Nonhuman Primate Arch Ophthalmol, January 1, 1996; 114(1): 66 - 71. [Abstract] [PDF] |
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J. Folkman Clinical Applications of Research on Angiogenesis N. Engl. J. Med., December 28, 1995; 333(26): 1757 - 1763. [Full Text] [PDF] |
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M. Friedlander, P. C. Brooks, R. W. Shaffer, C. M. Kincaid, J. A. Varner, and D. A. Cheresh Definition of Two Angiogenic Pathways by Distinct alpha(v) Integrins Science, December 1, 1995; 270(5241): 1500 - 1502. [Abstract] [PDF] |
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L. P. Aiello, J. M. Northrup, B. A. Keyt, H. Takagi, and M. A. Iwamoto Hypoxic Regulation of Vascular Endothelial Growth Factor in Retinal Cells Arch Ophthalmol, December 1, 1995; 113(12): 1538 - 1544. [Abstract] [PDF] |
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W. Roberts and G. Palade Increased microvascular permeability and endothelial fenestration induced by vascular endothelial growth factor J. Cell Sci., January 6, 1995; 108(6): 2369 - 2379. [Abstract] [PDF] |
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A. Otani, B. M. Slike, M. I. Dorrell, J. Hood, K. Kinder, K. L. Ewalt, D. Cheresh, P. Schimmel, and M. Friedlander A fragment of human TrpRS as a potent antagonist of ocular angiogenesis PNAS, January 8, 2002; 99(1): 178 - 183. [Abstract] [Full Text] [PDF] |
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V. Stellmach, S. E. Crawford, W. Zhou, and N. Bouck Prevention of ischemia-induced retinopathy by the natural ocular antiangiogenic agent pigment epithelium-derived factor PNAS, February 27, 2001; 98(5): 2593 - 2597. [Abstract] [Full Text] [PDF] |
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