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Molecular mechanism of choroidal neovascularization in pathologic myopia

Research Project

Project/Area Number 17591823
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Ophthalmology
Research InstitutionTokyo Medical and Dental University

Principal Investigator

FUTAGAMI Soh  Tokyo Medical and Dental University Graduate School, Ophthalmology and Visual Science, Lecturer, 医学部附属病院, 非常勤講師 (70301158)

Co-Investigator(Kenkyū-buntansha) OHNO Kyoko (MATSUI Kyoko)  Tokyo Medical and Dental University Graduate School, Ophthalmology and Visual Science, Assistant Professor, 大学院医歯学総合研究科, 准教授 (30262174)
MOCHIZUKI Manabu  Tokyo Medical and Dental University Graduate School, Ophthalmology and Visual Science, Professor & Chairman, 大学院医歯学総合研究科, 教授 (10010464)
Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,200,000 (Direct Cost: ¥3,200,000)
Fiscal Year 2006: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2005: ¥2,200,000 (Direct Cost: ¥2,200,000)
Keywordspathologic myopia / mechanical stress / choroidal neovascularization / retinal pigmented epithelium / VEGF / PEDF / 網膜脈絡膜 / 血管新生 / 網膜色素上皮 / 機械的伸展 / 血管内皮増殖因子 / 色素上皮由来因子
Research Abstract

Pathologic myopia is a major cause of the blindness in many developed countries. Among various fundus lesions in highly myopic eyes, choroidal neovascularization (CNV) is the most common cause for visual impairment.
We hypothesized that mechanical stretch loaded onto retinal pigmented epithelial (RPE) cells due to axial elongation of the eyeball causes the change of expression of angiogenesis-related factors, and thus causes CNV.
To prove this, we cultured human RPE cells in differentiated condition on laminin-coated dish. Using FlexerCell machine, we loaded 15% stretch on cultured RPE cells for 24 hours at intervals of 30 minutes. The results demonstrated that vascular endothelial growth factor (VEGF) and monocytes chemoattractant factor-1 (MCP-1) were upregulated both at mRNA and protein levels after mechanical stretch. In contrast, pigment epithelium-derived factor (PEDF) was decreased at protein level. This suggests that mechanical stress causes unbalance of angiogenesis-related factors released from RPE cells, which might be important for the development of CNV in pathologic myopia.
I also investigated the cause of CNV development in highly myopic eyes from the point of ocular circulation using ICG angiography. The results showed that choroidal circulation dramatically changes with time in highly myopic eyes, and the remodeling of choroidal vasculature might be related to the CNV development.

Report

(3 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • Research Products

    (17 results)

All 2006 2005 Other

All Journal Article (17 results)

  • [Journal Article] Trans-Tenon's retrobulbar triamcinolone infusion for myopic choroidal neovascularization.2006

    • Author(s)
      Kojima A, et al.
    • Journal Title

      Acta Ophthalmol Scand 84

      Pages: 749-754

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Natural course of macular retinoschisis in highly myopic eyes without macular hole or retinal detachment.2006

    • Author(s)
      Shimada N, et al.
    • Journal Title

      Am J Ophthalmol 142

      Pages: 497-500

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Choroidal neovascularization in highly myopic eyes after cataract surgery.2006

    • Author(s)
      Hayashi K, et al.
    • Journal Title

      Jpn J Ophthalmol 50

      Pages: 345-348

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Characteristics of peripapillary detachment in pathologic myopia.2006

    • Author(s)
      Shimada N, et al.
    • Journal Title

      Arch Ophthalmol 124

      Pages: 46-52

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Trans-Tenon's retrobulbar triamcinolone infursion for myopic choroidal neovascularization.2006

    • Author(s)
      Kojima A, et al.
    • Journal Title

      Acta Ophthalmol 84

      Pages: 749-754

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Characteristics of peripapillary detachment in pathologic myopia.2006

    • Author(s)
      Shimada N, Ohno-Matsui K, Futagami S, et al.
    • Journal Title

      Arch Ophthalmol 124

      Pages: 46-52

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Choroidal neovascularization in highly myopic eyes after cataract2006

    • Author(s)
      Hayashi K, Ohno-Matsui K, Futagami S, et al.
    • Journal Title

      Jpn J Ophthalmol 50

      Pages: 345-348

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Natural course of macular retinoschisis in highly myopic eyes without macular hole or retinal detachment.2006

    • Author(s)
      Shimada N, Ohno-Matsui K, Futagami S, et al.
    • Journal Title

      Am J Ophthalmol 142

      Pages: 497-500

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Trans-Tenon retrobulbar triamcinolone infusion for myopic choroidal neovascularization.2006

    • Author(s)
      Kojima A, Ohno-Matsui K, Futagami S, et al.
    • Journal Title

      Acta Ophthalmol Scand 84

      Pages: 749-754

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Fundus characteristics of high myopia in children.2005

    • Author(s)
      Kobayashi K, et al.
    • Journal Title

      Jpn J Ophthalmol 49

      Pages: 306-311

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Characteristics of patients with a favorable natural course of myopic choroidal neovascularization2005

    • Author(s)
      Hayashi K, Ohno-Matsui K, Futagami S, et al.
    • Journal Title

      Graefes Arch Clin Exp Ophthalmol 243

      Pages: 13-19

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Fundus characteristics of high myopia in children2005

    • Author(s)
      Kobayashi K, Ohno-Matsui K, Futagami S, et al.
    • Journal Title

      Jpn J Ophthalmol 49

      Pages: 306-311

    • Related Report
      2005 Annual Research Report
  • [Journal Article] RPE atrophy secondary to dilated choroidal artery in the macula in a highly myopic patient.2005

    • Author(s)
      Hayashi K, Ohno-Matsui K, Futagami S, et al.
    • Journal Title

      Jpn J Ophthalmol 49

      Pages: 153-158

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Morphology and long-term changes of choroidal vascular structure in highly myopic eyes with and without posterior staphyloma.

    • Author(s)
      Moriyama M, et al.
    • Journal Title

      Ophthalmology (印刷中)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Morphology and Long-term changes of choroidal vascular structure in highly myopic eyes with and without posterior staphyloma

    • Author(s)
      Moriyama M, et al.
    • Journal Title

      Ophthalmology (in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Choroidal Neovascularization in Highly Myopic Eyes after Cataract Surgery

    • Author(s)
      Hayashi K, Ohno-Matsui K, Futagami S, et al.
    • Journal Title

      Jpn J Ophthalmol (in press)

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Characteristics of peripapillary detachment in pathologic myopia.

    • Author(s)
      Shimada N, Ohno-Matsui K, Futagami S, et al.
    • Journal Title

      Arch Ophthalmol (in press)

    • Related Report
      2005 Annual Research Report

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Published: 2005-04-01   Modified: 2016-04-21  

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