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Takahiko Hara - One of the best experts on this subject based on the ideXlab platform.
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identification of functional domains of CXCL14 involved in high affinity binding and intracellular transport of cpg dna
2021Co-Authors: Rina Iwase, Naoto Naruse, Miho Nakagawa, Risa Saito, Akira Shigenaga, Akira Otaka, Takahiko HaraAbstract:Some CXC chemokines, including CXCL14, transport CpG oligodeoxynucleotides (ODNs) into dendritic cells (DCs), thereby activating TLR9. The molecular basis of this noncanonical function of CXC chemokines is not well understood. In this study, we investigated the CpG ODN binding and intracellular transport activities of various CXC chemokines and partial peptides of CXCL14 in mouse bone marrow-derived dendritic cells. CXCL14, CXCL4, and CXCL12 specifically bound CpG ODN, but CXCL12 failed to transport it into cells at low dose. CXCL14 N-terminal peptides 1-47, but not 1-40, was capable of transporting CpG ODN into the cell, resulting in an increase in cytokine production. However, both the 1-47 and 1-40 peptides bound CpG ODN. By contrast, CXCL14 peptides 13-50 did not possess CpG ODN binding capacity or transport activity. The chimeric peptides CXCL12 (1-22)-CXCL14 (13-47) bound CpG ODN but failed to transport it. These results suggest that amino acids 1-12 and 41-47 of CXCL14 are required for binding and intracellular transport of CpG ODN, respectively. We found that an anti-CXCL14 Ab blocked cell-surface binding and internalization of the CpG ODN/CXCL14 complex. On the basis of these findings, we propose that CXCL14 has two functional domains, one involved in DNA recognition and the other in internalization of CXCL14-CpG DNA complex via an unidentified CXCL14 receptor, which together are responsible for eliciting the CXCL14/CpG ODN-mediated TLR9 activation. These domains could play roles in CXCL14-related diseases such as arthritis, obesity-induced diabetes, and various types of carcinoma.
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a novel function of a cxc type chemokine CXCL14 as a specific carrier of cpg dna into dendritic cells for activating toll like receptor 9 mediated adaptive immunity
2016Co-Authors: Naoto Naruse, Akira Shigenaga, Takahiko Hara, Kosuke Tanegashima, Kohei Tsuji, Rena Takahashi, Hideko Nuriya, Akira OtakaAbstract:CXCL14 is a primordial CXC-type chemokine that induces migration of immature dendritic cells (DCs), tissue resident macrophages, and natural killer cells. It has been reported that CXCL14 plays multiple roles in tumor suppression, exacerbation of autoimmune arthritis, and induction of obesity-associated insulin resistance. However, underlying molecular mechanisms of these phenomena remain to be elucidated. Although CXCL14 binds to the CXCL12 receptor CXCR4 with high affinity, chemoattractive activity of CXCL14 is much weaker than CXCL12. In this study, we newly discovered that CXCL14 specifically binds to CpG DNA and activates Toll-like receptor 9 (TLR9), thereby inducing inflammatory cytokines such as IL-6, IL-12 p40, and TNFa in mouse bone marrow-derived dendritic cells (BMDCs). Cell surface expression levels of MHC class-II and CD86 in BMDCs were also enhanced by the combination of CpG DNA and CXCL14. In this experimental setting, CXCL14 interacted with certain classes of CpG DNA, but not with RNA ligands for TLR3 and TLR8. In addition, this CpG DNA-cooperative activity was not present in CXCL8 and CXCL12, excluding a nonspecific interaction between CpG DNA and an alkaline chemokine. In BMDCs and inguinal lymph node DCs, intracellular transport of a low concentration of CpG DNA was greatly enhanced by the addition of CXCL14. Confocal microscopical analyses revealed that CpG DNA and CXCL14 mainly co-localized in EEA1+ endosome and LAMP1+ lysosomal compartments where TLR9 is present. Furthermore, we demonstrated that CXCL14 binds to CpG DNA in vitro in the neutral pH condition with high affinity (Kd=9.8 nM). This interaction was completely dissociated in pH 6.0, implying that CpG DNA can be released and passed to TLR9 in the endosome and lysosome. Consistent with our hypothesis, induction of IL-12 p40, MHC class-II, and CD86 by the combination of CpG DNA and CXCL14 was not observed in BMDCs derived from TLR9 knockout (KO) mice. Moreover, after systemic administration of CpG DNA, plasma concentration of IL-12 p40 and frequency of MHC-class II+CD11c+CD8+DCs in spleen were significantly decreased in CXCL14-deficient mice when compared to littermate control mice. Taken together, these results demonstrated that CXCL14 serves as a specific carrier for CpG DNA into conventional DCs for activating TLR9-mediated adaptive immune system. This is also the first demonstration of a DNA sensing function of chemokine. The combination of CXCL14 and CpG DNA would be a promising vaccine adjuvant for enhancing immnunosurveillance against pathogens and malignant cancers. Disclosures Tanegashima:Tokyo Metropolitan Institute of Medical Science: Patents & Royalties. Takahashi:Tokyo Metropolitan Institute of Medical Science: Patents & Royalties. Tsuji:Tokushima University: Patents & Royalties. Shigenaga:Tokushima University: Patents & Royalties. Otaka:Tokushima University: Patents & Royalties.
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efficient one pot synthesis of CXCL14 and its derivative using an n sulfanylethylanilide peptide as a peptide thioester equivalent and their biological evaluation
2015Co-Authors: Kohei Tsuji, Akira Shigenaga, Takahiko Hara, Kosuke Tanegashima, Kohei Sato, Ken Sakamoto, Tsubasa Inokuma, Akira OtakaAbstract:CXCL14 is a CXC-type chemokine that exhibits chemotactic activity for immature dendritic cells, activated macrophages, and activated natural killer cells. However, its specific receptor and signaling pathway remain obscure. Recently, it was reported that CXCL14 binds to CXCR4 with high affinity and inhibits CXCL12-mediated chemotaxis. Furthermore, the CXCL14 C-terminal α-helical region is important for binding to its receptor. In this context, we chemically synthesized CXCL14 and its derivative with a one-pot method using N-sulfanylethylanilide peptide as a thioester equivalent. The synthetic CXCL14 proteins possessed inhibitory activities to CXCL12-mediated chemotaxis comparable with that of recombinant CXCL14. Moreover, we proved that chemically biotinylated CXCL14 binds to CXCR4 on cells by flow cytometry analysis.
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CXCL14 antagonizes the cxcl12 cxcr4 signaling axis
2014Co-Authors: Takahiko Hara, Kosuke TanegashimaAbstract:CXCL12 and CXCL14 are evolutionarily conserved members of the CXC-type chemokine family. CXCL12 binds specifically to the G-protein-coupled receptor CXCR4 to induce the migration of primordial germ cells, hematopoietic stem cells, and inflammation-associated immune cells. In addition, CXCL12-CXCR4 signaling is often enhanced in malignant tumor cells and facilitates increased proliferation as well as metastasis. Although macrophage migration inhibitory factor and extracellular ubiquitin interact with CXCR4 as agonistic factors, CXCL12 was believed to be the sole chemokine ligand for CXCR4. However, a very recent report revealed that CXCL14 binds to CXCR4 with high affinity and efficiently inhibits CXCL12-mediated chemotaxis of hematopoietic progenitor and leukemia-derived cells. CXCL14 does not directly cross-compete with CXCL12 for the CXCR4 binding but instead inactivates CXCR4 via receptor internalization. Because both CXCL12 and CXCL14 are expressed during embryogenesis and brain development in mice, these two chemokines could function in an interactive fashion. We propose that the CXCL14 gene has been conserved from fish to man due to its role in fine-tuning the strength of CXCL12-mediated signal transduction. In addition to its biological implications, the above finding will be important for designing anti-cancer compounds targeting the CXCL12-CXCR4 signaling axis. In fact, a stabilized dimeric peptide containing the C-terminal 51-77 amino acid residues of CXCL14 has been shown to have stronger CXCL12 antagonistic activity than full-length CXCL14.
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dimeric peptides of the c terminal region of CXCL14 function as cxcl12 inhibitors
2013Co-Authors: Kosuke Tanegashima, Akira Shigenaga, Akira Otaka, Kenji Suzuki, Kohei Tsuji, Takahiko HaraAbstract:We recently reported that CXCL14 binds to CXCR4 with high affinity and inhibits CXCL12-mediated chemotaxis. Here we found that the C-terminal 51–77 amino acid residues of CXCL14 are responsible for CXCR4 binding. A disulfide dimer peptide of CXCL14(51–77) bound to CXCR4 with comparable affinity to full length CXCL14, and exhibited CXCL12 inhibitor activity. CXCR4 was efficiently internalized upon binding of dimeric CXCL14(51–77), thereby being reduced on the cell surface. Substitution of 5 amino acid residues in combination with the use of an oxime linker for dimerization increased the solubility and chemical stability of the dimeric CXCL14(51–77).
Kosuke Tanegashima - One of the best experts on this subject based on the ideXlab platform.
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a novel function of a cxc type chemokine CXCL14 as a specific carrier of cpg dna into dendritic cells for activating toll like receptor 9 mediated adaptive immunity
2016Co-Authors: Naoto Naruse, Akira Shigenaga, Takahiko Hara, Kosuke Tanegashima, Kohei Tsuji, Rena Takahashi, Hideko Nuriya, Akira OtakaAbstract:CXCL14 is a primordial CXC-type chemokine that induces migration of immature dendritic cells (DCs), tissue resident macrophages, and natural killer cells. It has been reported that CXCL14 plays multiple roles in tumor suppression, exacerbation of autoimmune arthritis, and induction of obesity-associated insulin resistance. However, underlying molecular mechanisms of these phenomena remain to be elucidated. Although CXCL14 binds to the CXCL12 receptor CXCR4 with high affinity, chemoattractive activity of CXCL14 is much weaker than CXCL12. In this study, we newly discovered that CXCL14 specifically binds to CpG DNA and activates Toll-like receptor 9 (TLR9), thereby inducing inflammatory cytokines such as IL-6, IL-12 p40, and TNFa in mouse bone marrow-derived dendritic cells (BMDCs). Cell surface expression levels of MHC class-II and CD86 in BMDCs were also enhanced by the combination of CpG DNA and CXCL14. In this experimental setting, CXCL14 interacted with certain classes of CpG DNA, but not with RNA ligands for TLR3 and TLR8. In addition, this CpG DNA-cooperative activity was not present in CXCL8 and CXCL12, excluding a nonspecific interaction between CpG DNA and an alkaline chemokine. In BMDCs and inguinal lymph node DCs, intracellular transport of a low concentration of CpG DNA was greatly enhanced by the addition of CXCL14. Confocal microscopical analyses revealed that CpG DNA and CXCL14 mainly co-localized in EEA1+ endosome and LAMP1+ lysosomal compartments where TLR9 is present. Furthermore, we demonstrated that CXCL14 binds to CpG DNA in vitro in the neutral pH condition with high affinity (Kd=9.8 nM). This interaction was completely dissociated in pH 6.0, implying that CpG DNA can be released and passed to TLR9 in the endosome and lysosome. Consistent with our hypothesis, induction of IL-12 p40, MHC class-II, and CD86 by the combination of CpG DNA and CXCL14 was not observed in BMDCs derived from TLR9 knockout (KO) mice. Moreover, after systemic administration of CpG DNA, plasma concentration of IL-12 p40 and frequency of MHC-class II+CD11c+CD8+DCs in spleen were significantly decreased in CXCL14-deficient mice when compared to littermate control mice. Taken together, these results demonstrated that CXCL14 serves as a specific carrier for CpG DNA into conventional DCs for activating TLR9-mediated adaptive immune system. This is also the first demonstration of a DNA sensing function of chemokine. The combination of CXCL14 and CpG DNA would be a promising vaccine adjuvant for enhancing immnunosurveillance against pathogens and malignant cancers. Disclosures Tanegashima:Tokyo Metropolitan Institute of Medical Science: Patents & Royalties. Takahashi:Tokyo Metropolitan Institute of Medical Science: Patents & Royalties. Tsuji:Tokushima University: Patents & Royalties. Shigenaga:Tokushima University: Patents & Royalties. Otaka:Tokushima University: Patents & Royalties.
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efficient one pot synthesis of CXCL14 and its derivative using an n sulfanylethylanilide peptide as a peptide thioester equivalent and their biological evaluation
2015Co-Authors: Kohei Tsuji, Akira Shigenaga, Takahiko Hara, Kosuke Tanegashima, Kohei Sato, Ken Sakamoto, Tsubasa Inokuma, Akira OtakaAbstract:CXCL14 is a CXC-type chemokine that exhibits chemotactic activity for immature dendritic cells, activated macrophages, and activated natural killer cells. However, its specific receptor and signaling pathway remain obscure. Recently, it was reported that CXCL14 binds to CXCR4 with high affinity and inhibits CXCL12-mediated chemotaxis. Furthermore, the CXCL14 C-terminal α-helical region is important for binding to its receptor. In this context, we chemically synthesized CXCL14 and its derivative with a one-pot method using N-sulfanylethylanilide peptide as a thioester equivalent. The synthetic CXCL14 proteins possessed inhibitory activities to CXCL12-mediated chemotaxis comparable with that of recombinant CXCL14. Moreover, we proved that chemically biotinylated CXCL14 binds to CXCR4 on cells by flow cytometry analysis.
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CXCL14 antagonizes the cxcl12 cxcr4 signaling axis
2014Co-Authors: Takahiko Hara, Kosuke TanegashimaAbstract:CXCL12 and CXCL14 are evolutionarily conserved members of the CXC-type chemokine family. CXCL12 binds specifically to the G-protein-coupled receptor CXCR4 to induce the migration of primordial germ cells, hematopoietic stem cells, and inflammation-associated immune cells. In addition, CXCL12-CXCR4 signaling is often enhanced in malignant tumor cells and facilitates increased proliferation as well as metastasis. Although macrophage migration inhibitory factor and extracellular ubiquitin interact with CXCR4 as agonistic factors, CXCL12 was believed to be the sole chemokine ligand for CXCR4. However, a very recent report revealed that CXCL14 binds to CXCR4 with high affinity and efficiently inhibits CXCL12-mediated chemotaxis of hematopoietic progenitor and leukemia-derived cells. CXCL14 does not directly cross-compete with CXCL12 for the CXCR4 binding but instead inactivates CXCR4 via receptor internalization. Because both CXCL12 and CXCL14 are expressed during embryogenesis and brain development in mice, these two chemokines could function in an interactive fashion. We propose that the CXCL14 gene has been conserved from fish to man due to its role in fine-tuning the strength of CXCL12-mediated signal transduction. In addition to its biological implications, the above finding will be important for designing anti-cancer compounds targeting the CXCL12-CXCR4 signaling axis. In fact, a stabilized dimeric peptide containing the C-terminal 51-77 amino acid residues of CXCL14 has been shown to have stronger CXCL12 antagonistic activity than full-length CXCL14.
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dimeric peptides of the c terminal region of CXCL14 function as cxcl12 inhibitors
2013Co-Authors: Kosuke Tanegashima, Akira Shigenaga, Akira Otaka, Kenji Suzuki, Kohei Tsuji, Takahiko HaraAbstract:We recently reported that CXCL14 binds to CXCR4 with high affinity and inhibits CXCL12-mediated chemotaxis. Here we found that the C-terminal 51–77 amino acid residues of CXCL14 are responsible for CXCR4 binding. A disulfide dimer peptide of CXCL14(51–77) bound to CXCR4 with comparable affinity to full length CXCL14, and exhibited CXCL12 inhibitor activity. CXCR4 was efficiently internalized upon binding of dimeric CXCL14(51–77), thereby being reduced on the cell surface. Substitution of 5 amino acid residues in combination with the use of an oxime linker for dimerization increased the solubility and chemical stability of the dimeric CXCL14(51–77).
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CXCL14 is a natural inhibitor of the cxcl12 cxcr4 signaling axis
2013Co-Authors: Kosuke Tanegashima, Akira Shigenaga, Akira Otaka, Kenji Suzuki, Yuki Nakayama, Kohei Tsuji, Takahiko HaraAbstract:Activation of the CXCL12-CXCR4 pathway is crucial for the migration of hematopoietic stem cells, various immune cells, and malignant tumor cells. Here, we show that another CXC chemokine, CXCL14, specifically binds to CXCR4 with high affinity and inhibits the CXCL12-mediated chemotaxis of human leukemia-derived cell lines and CD34(+) hematopoietic progenitor cells. Thus, CXCL14 functions as a natural inhibitor of CXCL12. Our observations suggest that CXCL14 represents, along with CXCR7, molecules that co-evolved with the CXCL12-CXCR4 axis to modulate important physiological processes in development, stem cell maintenance, and immune responses.
Takashi Matsuo - One of the best experts on this subject based on the ideXlab platform.
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tnfsf14 coordinately enhances cxcl10 and cxcl11 productions from ifn γ stimulated human gingival fibroblasts
2010Co-Authors: Yoshitaka Hosokawa, Hideaki Nakae, Ikuko Hosokawa, Kazumi Ozaki, Takashi MatsuoAbstract:Abstract TNFSF14 is involved in the pathogenesis of some inflammatory diseases such as arthritis. CXCL10 and CXCL11 recruit Th1 cells, and the productions of these chemokines are related to the exacerbation of some inflammatory diseases including arthritis and periodontal disease. We examined in vitro effects of TNFSF14 on IFN-γ-induced CXCL10 and CXCL11 production in human gingival fibroblasts (HGFs). HGFs constitutively expressed TNFSF14 receptors, LTβR and HVEM. TNFSF14 enhanced IFN-γ-induced secretion of CXCL10 and CXCL11 from HGFs. IFN-γ treatment increased HVEM expression on HGFs. TNFSF14 in combination with IFN-γ resulted in increased activation of p38 MAPK, ERK and IκB-α compared with TNFSF14 or IFN-γ alone. Moreover, inhibitors of p38 MAPK, ERK and NF-κB abolished the CXCL10 and CXCL11 productions from TNFSF14 with IFN-γ-stimulated HGFs. These effects of TNFSF14 may promote the infiltration of Th1 cells into lesions with inflammatory diseases. TNFSF14 might act as a proinflammatory cytokine in some inflammatory diseases thus is a candidate therapeutic target.
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tnfsf14 coordinately enhances cxcl10 and cxcl11 productions from ifn γ stimulated human gingival fibroblasts
2010Co-Authors: Yoshitaka Hosokawa, Hideaki Nakae, Ikuko Hosokawa, Kazumi Ozaki, Takashi MatsuoAbstract:TNFSF14 is involved in the pathogenesis of some inflammatory diseases such as arthritis. CXCL10 and CXCL11 recruit Th1 cells, and the productions of these chemokines are related to the exacerbation of some inflammatory diseases including arthritis and periodontal disease. We examined in vitro effects of TNFSF14 on IFN-gamma-induced CXCL10 and CXCL11 production in human gingival fibroblasts (HGFs). HGFs constitutively expressed TNFSF14 receptors, LTbetaR and HVEM. TNFSF14 enhanced IFN-gamma-induced secretion of CXCL10 and CXCL11 from HGFs. IFN-gamma treatment increased HVEM expression on HGFs. TNFSF14 in combination with IFN-gamma resulted in increased activation of p38 MAPK, ERK and IkappaB-alpha compared with TNFSF14 or IFN-gamma alone. Moreover, inhibitors of p38 MAPK, ERK and NF-kappaB abolished the CXCL10 and CXCL11 productions from TNFSF14 with IFN-gamma-stimulated HGFs. These effects of TNFSF14 may promote the infiltration of Th1 cells into lesions with inflammatory diseases. TNFSF14 might act as a proinflammatory cytokine in some inflammatory diseases thus is a candidate therapeutic target.
Yasuo Yanagi - One of the best experts on this subject based on the ideXlab platform.
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aqueous humour proteins and treatment outcomes of anti vegf therapy in neovascular age related macular degeneration
2020Co-Authors: Yusuke Arai, Satoru Inoda, Yujiro Fujino, Hidetoshi Kawashima, Shinichi Sakamoto, Yuji Inoue, Hidenori Takahashi, Yasuo YanagiAbstract:We aimed to construct a better model for predicting treatment outcomes of anti-vascular endothelial growth factor therapy for neovascular age-related macular degeneration (nAMD) using the concentrations of aqueous humour proteins at baseline and during treatment. From the data of 48 treatment-naive nAMD eyes that received intravitreal ranibizumab pro re nata for up to 12 months, we used the aqueous humour concentrations of C-X-C motif chemokine ligand 1 (CXCL1), CXCL12, CXCL13, interferon-gamma-induced protein 10, monocyte chemoattractant protein 1 (MCP-1), C-C motif chemokine ligand 11, interleukin 6 (IL-6), IL-10, and matrix metalloproteinase 9 (MMP-9). After stepwise regression, multivariate analysis was performed to identify which predictors were significantly associated with best-corrected visual acuity (BCVA) changes and the number of injections. The results demonstrated that besides male sex (beta coefficient = -0.088, P = 0.040) and central retinal thickness (beta coefficient = 0.00051 per mum, P = 0.027), MCP-1 (beta coefficient = 0.44, P < 0.001) and IL-10 (beta coefficient = -0.16, P = 0.033) were significantly correlated with baseline BCVA. Additionally, high MCP-1 at baseline (beta coefficient = -0.20, P = 0.015) and low CXCL13 at baseline (beta coefficient = 0.10, P = 0.0054) were independently associated with better BCVA change at 12 months. High MMP-9 at the first injection (beta coefficient = 0.56, P = 0.01), CXCL12 at the third injection (beta coefficient = 0.10, P = 0.0002), and IL-10 at the third injection (beta coefficient = 1.3, P = 0.001) were predictor variables associated with the increased number of injections. In conclusion, aqueous humour protein concentrations may have predictive abilities of BCVA change over 12 months and the number of injections in pro re nata treatment of exudative nAMD.
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changes in multiple cytokine concentrations in the aqueous humour of neovascular age related macular degeneration after 2 months of ranibizumab therapy
2017Co-Authors: Shinichi Sakamoto, Yujiro Fujino, Yoko Nomura, Hidetoshi Kawashima, Yuji Inoue, Yusuke Arai, Hidenori Takahashi, Yasuo YanagiAbstract:Purpose To determine changes in multiple cytokine concentrations in the anterior chamber during the induction phase of ranibizumab treatment in patients with neovascular age-related macular degeneration (AMD). Methods This prospective study included 48 treatment-naive neovascular AMD eyes of 48 patients who received three consecutive monthly injections of ranibizumab at the Japan Community Health Care Organization Tokyo Shinjuku Medical Center between November 2010 and August 2012. We collected ~0.2 mL aqueous humour before the first and third (2 months later) injections. Controls were 80 eyes with cataracts without retinal disease. The cytokines C-X-C motif chemokine ligand 1 (CXCL1), interferon-γ-induced protein 10 (IP-10), C-X-C motif chemokine ligand 12 (CXCL12), C-X-C motif chemokine ligand 13 (CXCL13), monocyte chemoattractant protein 1 (MCP-1), CCL11, C-C motif chemokine ligand 11 (CCL11), interleukin-6 (IL-6), interleukin-10 (IL-10) and matrix metalloproteinase 9 (MMP-9) were analysed using multiplex cytokine assays. Results Mean ages of the patients with AMD and controls were 73 and 75 years, respectively, and 31 (65%) and 37 (46%) subjects were men, respectively. Polypoidal choroidal vasculopathy was found in 27 eyes (56%). Mean concentrations of cytokines in aqueous humour in patients with neovascular AMD before the first and third ranibizumab injections were as follows (in pg/mL): CXCL1, 8.4 and 3.3; IP-10, 110 and 55; CXCL12, 480 and 240; CXCL13, 9.2 and 2.6; MCP-1, 620 and 220; CCL11, 7.1 and 2.8; IL-6, 5.9 and 1.6; IL-10, 0.15 and 0.015 (all p Conclusions After two monthly consecutive antivascular endothelial growth factor injections, inflammatory cytokine levels in the aqueous humour of the eyes with AMD were strongly suppressed, while MMP-9 levels increased.
Yuji Inoue - One of the best experts on this subject based on the ideXlab platform.
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aqueous humour proteins and treatment outcomes of anti vegf therapy in neovascular age related macular degeneration
2020Co-Authors: Yusuke Arai, Satoru Inoda, Yujiro Fujino, Hidetoshi Kawashima, Shinichi Sakamoto, Yuji Inoue, Hidenori Takahashi, Yasuo YanagiAbstract:We aimed to construct a better model for predicting treatment outcomes of anti-vascular endothelial growth factor therapy for neovascular age-related macular degeneration (nAMD) using the concentrations of aqueous humour proteins at baseline and during treatment. From the data of 48 treatment-naive nAMD eyes that received intravitreal ranibizumab pro re nata for up to 12 months, we used the aqueous humour concentrations of C-X-C motif chemokine ligand 1 (CXCL1), CXCL12, CXCL13, interferon-gamma-induced protein 10, monocyte chemoattractant protein 1 (MCP-1), C-C motif chemokine ligand 11, interleukin 6 (IL-6), IL-10, and matrix metalloproteinase 9 (MMP-9). After stepwise regression, multivariate analysis was performed to identify which predictors were significantly associated with best-corrected visual acuity (BCVA) changes and the number of injections. The results demonstrated that besides male sex (beta coefficient = -0.088, P = 0.040) and central retinal thickness (beta coefficient = 0.00051 per mum, P = 0.027), MCP-1 (beta coefficient = 0.44, P < 0.001) and IL-10 (beta coefficient = -0.16, P = 0.033) were significantly correlated with baseline BCVA. Additionally, high MCP-1 at baseline (beta coefficient = -0.20, P = 0.015) and low CXCL13 at baseline (beta coefficient = 0.10, P = 0.0054) were independently associated with better BCVA change at 12 months. High MMP-9 at the first injection (beta coefficient = 0.56, P = 0.01), CXCL12 at the third injection (beta coefficient = 0.10, P = 0.0002), and IL-10 at the third injection (beta coefficient = 1.3, P = 0.001) were predictor variables associated with the increased number of injections. In conclusion, aqueous humour protein concentrations may have predictive abilities of BCVA change over 12 months and the number of injections in pro re nata treatment of exudative nAMD.
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changes in multiple cytokine concentrations in the aqueous humour of neovascular age related macular degeneration after 2 months of ranibizumab therapy
2017Co-Authors: Shinichi Sakamoto, Yujiro Fujino, Yoko Nomura, Hidetoshi Kawashima, Yuji Inoue, Yusuke Arai, Hidenori Takahashi, Yasuo YanagiAbstract:Purpose To determine changes in multiple cytokine concentrations in the anterior chamber during the induction phase of ranibizumab treatment in patients with neovascular age-related macular degeneration (AMD). Methods This prospective study included 48 treatment-naive neovascular AMD eyes of 48 patients who received three consecutive monthly injections of ranibizumab at the Japan Community Health Care Organization Tokyo Shinjuku Medical Center between November 2010 and August 2012. We collected ~0.2 mL aqueous humour before the first and third (2 months later) injections. Controls were 80 eyes with cataracts without retinal disease. The cytokines C-X-C motif chemokine ligand 1 (CXCL1), interferon-γ-induced protein 10 (IP-10), C-X-C motif chemokine ligand 12 (CXCL12), C-X-C motif chemokine ligand 13 (CXCL13), monocyte chemoattractant protein 1 (MCP-1), CCL11, C-C motif chemokine ligand 11 (CCL11), interleukin-6 (IL-6), interleukin-10 (IL-10) and matrix metalloproteinase 9 (MMP-9) were analysed using multiplex cytokine assays. Results Mean ages of the patients with AMD and controls were 73 and 75 years, respectively, and 31 (65%) and 37 (46%) subjects were men, respectively. Polypoidal choroidal vasculopathy was found in 27 eyes (56%). Mean concentrations of cytokines in aqueous humour in patients with neovascular AMD before the first and third ranibizumab injections were as follows (in pg/mL): CXCL1, 8.4 and 3.3; IP-10, 110 and 55; CXCL12, 480 and 240; CXCL13, 9.2 and 2.6; MCP-1, 620 and 220; CCL11, 7.1 and 2.8; IL-6, 5.9 and 1.6; IL-10, 0.15 and 0.015 (all p Conclusions After two monthly consecutive antivascular endothelial growth factor injections, inflammatory cytokine levels in the aqueous humour of the eyes with AMD were strongly suppressed, while MMP-9 levels increased.
