Changes in complement activation products after anti-VEGF injection for choroidal neovascularization in age-related macular degeneration and pachychoroid disease

Abstract We evaluated changes in the complement system resulting from anti-vascular endothelial growth factor (VEGF) in eyes with age-related choroidal neovascularization (CNV) including neovascular age-related macular degeneration, pachychoroid neovasculopathy, and polypoidal choroidal neovasculopa...

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Autores principales: Keiichiro Tanaka, Yasuharu Oguchi, Tomoko Omori, Yumi Ishida, Hiroaki Shintake, Ryutaro Tomita, Akihito Kasai, Masashi Ogasawara, Yukinori Sugano, Kanako Itagaki, Akira Ojima, Takeshi Machida, Hideharu Sekine, Tetsuju Sekiryu
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:328cde84e0ef45edaf7b4ea496f210952021-12-02T18:27:48ZChanges in complement activation products after anti-VEGF injection for choroidal neovascularization in age-related macular degeneration and pachychoroid disease10.1038/s41598-021-87340-62045-2322https://doaj.org/article/328cde84e0ef45edaf7b4ea496f210952021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87340-6https://doaj.org/toc/2045-2322Abstract We evaluated changes in the complement system resulting from anti-vascular endothelial growth factor (VEGF) in eyes with age-related choroidal neovascularization (CNV) including neovascular age-related macular degeneration, pachychoroid neovasculopathy, and polypoidal choroidal neovasculopathy. We measured the concentrations of the complement activation products (C3a, C4a), VEGF, and monocyte chemotactic protein-1 in the aqueous humor during intravitreal anti-VEGF injections for CNV. The VEGF level decreased significantly (P < 0.001), while the C3a and C4a levels increased significantly (P < 0.001 for both comparisons) 1 month after two monthly anti-VEGF injections. The VEGF level was correlated with the C3a (R = 0.328, P = 0.007) and C4a (R = − 0.237, P = 0.055) levels at baseline, but the correlation between the VEGF and C3a levels (R = − 0.148, P = 0.242) changed significantly (P = 0.028 by analysis of covariance) after anti-VEGF treatment. The C3a increase after anti-VEGF therapy did not change the visual outcomes in eyes with CNV for 1 year. Dysregulation of the complement system can be induced after anti-VEGF therapy.Keiichiro TanakaYasuharu OguchiTomoko OmoriYumi IshidaHiroaki ShintakeRyutaro TomitaAkihito KasaiMasashi OgasawaraYukinori SuganoKanako ItagakiAkira OjimaTakeshi MachidaHideharu SekineTetsuju SekiryuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Keiichiro Tanaka
Yasuharu Oguchi
Tomoko Omori
Yumi Ishida
Hiroaki Shintake
Ryutaro Tomita
Akihito Kasai
Masashi Ogasawara
Yukinori Sugano
Kanako Itagaki
Akira Ojima
Takeshi Machida
Hideharu Sekine
Tetsuju Sekiryu
Changes in complement activation products after anti-VEGF injection for choroidal neovascularization in age-related macular degeneration and pachychoroid disease
description Abstract We evaluated changes in the complement system resulting from anti-vascular endothelial growth factor (VEGF) in eyes with age-related choroidal neovascularization (CNV) including neovascular age-related macular degeneration, pachychoroid neovasculopathy, and polypoidal choroidal neovasculopathy. We measured the concentrations of the complement activation products (C3a, C4a), VEGF, and monocyte chemotactic protein-1 in the aqueous humor during intravitreal anti-VEGF injections for CNV. The VEGF level decreased significantly (P < 0.001), while the C3a and C4a levels increased significantly (P < 0.001 for both comparisons) 1 month after two monthly anti-VEGF injections. The VEGF level was correlated with the C3a (R = 0.328, P = 0.007) and C4a (R = − 0.237, P = 0.055) levels at baseline, but the correlation between the VEGF and C3a levels (R = − 0.148, P = 0.242) changed significantly (P = 0.028 by analysis of covariance) after anti-VEGF treatment. The C3a increase after anti-VEGF therapy did not change the visual outcomes in eyes with CNV for 1 year. Dysregulation of the complement system can be induced after anti-VEGF therapy.
format article
author Keiichiro Tanaka
Yasuharu Oguchi
Tomoko Omori
Yumi Ishida
Hiroaki Shintake
Ryutaro Tomita
Akihito Kasai
Masashi Ogasawara
Yukinori Sugano
Kanako Itagaki
Akira Ojima
Takeshi Machida
Hideharu Sekine
Tetsuju Sekiryu
author_facet Keiichiro Tanaka
Yasuharu Oguchi
Tomoko Omori
Yumi Ishida
Hiroaki Shintake
Ryutaro Tomita
Akihito Kasai
Masashi Ogasawara
Yukinori Sugano
Kanako Itagaki
Akira Ojima
Takeshi Machida
Hideharu Sekine
Tetsuju Sekiryu
author_sort Keiichiro Tanaka
title Changes in complement activation products after anti-VEGF injection for choroidal neovascularization in age-related macular degeneration and pachychoroid disease
title_short Changes in complement activation products after anti-VEGF injection for choroidal neovascularization in age-related macular degeneration and pachychoroid disease
title_full Changes in complement activation products after anti-VEGF injection for choroidal neovascularization in age-related macular degeneration and pachychoroid disease
title_fullStr Changes in complement activation products after anti-VEGF injection for choroidal neovascularization in age-related macular degeneration and pachychoroid disease
title_full_unstemmed Changes in complement activation products after anti-VEGF injection for choroidal neovascularization in age-related macular degeneration and pachychoroid disease
title_sort changes in complement activation products after anti-vegf injection for choroidal neovascularization in age-related macular degeneration and pachychoroid disease
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/328cde84e0ef45edaf7b4ea496f21095
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