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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2021
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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) |
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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 |
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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 |
work_keys_str_mv |
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