Tissue Plasminogen Activator as an Antiangiogenic Agent in Experimental Laser-Induced Choroidal Neovascularization in Mice

Invest Ophthalmol Vis Sci. 2016 Oct 1;57(13):5348-5354. doi: 10.1167/iovs.16-19617.

Abstract

Purpose: We investigate the antiangiogenic efficacy of tissue plasminogen activator (tPA) on experimental laser-induced choroidal neovascularization (CNV) in mice.

Methods: After CNV was induced by laser photocoagulation in 92 C57BL/6J wild-type mice, tPA (4 or 40 international units [IU]/μl) or PBS was injected intravitreally immediately after laser injury. Fluorescein angiography was performed on day 7 to grade CNV leakage. The CNV volume was measured by confocal microscopy in eyes enucleated 7 days after laser injury. Immunohistochemical studies were performed 3 days after laser injury to evaluate fibrin/fibrinogen and CD31 expression. The possible adverse effects of tPA were assessed by electroretinography (ERG) and histology on day 7.

Results: Intravitreal administration of tPA significantly suppressed CNV leakage and CNV volume in a dose-dependent manner (P < 0.01). Intravitreal injection of tPA suppressed fibrin/fibrinogen and CD31 expression in laser-induced lesions. Histologic examination and ERG showed no evidence of retinal toxicity in eyes injected with tPA.

Conclusions: Intravitreal injection of tPA suppressed fibrin/fibrinogen expression and laser-induced CNV. The current results suggested that tPA may be a potential therapeutic adjuvant for treating CNV.

MeSH terms

  • Animals
  • Choroid / diagnostic imaging*
  • Choroid / metabolism
  • Choroidal Neovascularization / diagnosis
  • Choroidal Neovascularization / drug therapy*
  • Choroidal Neovascularization / etiology
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Electroretinography
  • Fibrin / biosynthesis
  • Fibrinogen / biosynthesis
  • Fibrinolytic Agents / administration & dosage
  • Fluorescein Angiography
  • Fundus Oculi
  • Intravitreal Injections
  • Laser Coagulation / adverse effects
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Microscopy, Confocal
  • Platelet Endothelial Cell Adhesion Molecule-1 / biosynthesis
  • Retina / diagnostic imaging*
  • Retina / metabolism
  • Tissue Plasminogen Activator / administration & dosage*

Substances

  • Fibrinolytic Agents
  • Platelet Endothelial Cell Adhesion Molecule-1
  • Fibrin
  • Fibrinogen
  • Tissue Plasminogen Activator