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5
1 Integrin AntagonistDepartments of Ophthalmology and Neuroscience, The Johns Hopkins University School of Medicine, Baltimore, Maryland (N.U., H.A., P.A.C.); and Jerini Pharmaceuticals, Berlin, Germany (G.Z., D.V., R.S.)
Integrin
5
1 plays an important role in developmental angiogenesis, but its role in various types of pathologic neovascularization has not been completely defined. In this study, we found strong up-regulation of
5
1 in choroidal neovascularization. Implantation of an osmotic pump delivering 1.5 or 10 µg/h (
1.8 or 12 mg/kg/day) of 3-(2-{1-alkyl-5-[(pyridin-2-ylamino)-methyl]-pyrrolidin-3-yloxy}-acetylamino)-2-(alkylamino)-propionic acid (JSM6427), a selective
5
1 antagonist, caused significant suppression of choroidal neovascularization; the area of neovascularization was reduced by 33 to 40%. When an osmotic pump delivering 10 µg/h of JSM6427 was implanted 7 days after rupture of Bruch's membrane, there was terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) staining in vascular cells within the neovascularization and significant regression of the neovascularization over the next week. JSM6427 also induced apoptosis of cultured vascular endothelial cells. Fibronectin stimulates phosphorylation of extracellular signal-regulated kinase (ERK) in
5
1-expressing cells that is blocked by JSM6427. These data suggest that
5
1 plays a role in the development and maintenance of choroidal neovascularization and provides a target for therapeutic intervention.
Address correspondence to: Dr. Peter A. Campochiaro, The Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD 21287-9277. E-mail: pcampo{at}jhmi.edu
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