4.6 Article

Vitreous levels of placental growth factor correlate with activity of proliferative diabetic retinopathy and are not influenced by bevacizumab treatment

Journal

EYE
Volume 31, Issue 4, Pages 529-536

Publisher

NATURE PUBLISHING GROUP
DOI: 10.1038/eye.2016.246

Keywords

-

Categories

Funding

  1. KKESH/JHU-WEI grant
  2. Research to Prevent Blindness Career Development Award

Ask authors/readers for more resources

Purpose Placental growth factor (PlGF) is a member of the VEGF family that plays an important role in experimental models of diabetic retinopathy and retinal neovascularization. We aimed to investigate whether vitreous levels of PlGF correlated with proliferative diabetic retinopathy (PDR) status, VEGF levels, and bevacizumab treatment. We also analysed PDR membranes to confirm the presence of the PlGF receptor, FLT1, in endothelial cells. Methods This was a case-control study: undiluted vitreous fluid samples were obtained from 28 active PDR patients without preoperative bevacizumab treatment, 21 active PDR patients with preoperative bevacizumab treatment, 18 inactive PDR patients, and 21 control patients. PlGF and VEGF levels in samples were determined by enzyme-linked immunosorbent assay. Immunohistochemistry for FLT1 was performed on human PDR membranes. Results Compared to control, vitreous PlGF levels were higher in both active PDR without bevacizumab (P < 0.0001) and with bevacizumab (P < 0.0001). There was no significant difference in PlGF between active PDR patients without and with bevacizumab (P = 0.56). Compared to active PDR, PlGF levels were significantly reduced in inactive PDR (P = 0.004). PlGF levels were highly correlated with VEGF levels in active PDR. VEGFR1 was expressed in endothelial cells in human PDR membranes. Conclusion The strong correlation of PlGF levels with PDR disease status and expression of FLT1 in human PDR membranes suggest that PlGF has a pathogenic role in proliferative diabetic retinopathy. Therapeutic targeting of PlGF with agents like aflibercept may be beneficial.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Ophthalmology

Subretinal Hyperreflective Material (SHRM) as biomarker of activity in Exudative and Non- exudative inflammatory choroidal neovascularization

Atul Arora, Aniruddha Agarwal, Reema Bansal, Deeksha Katoch, Alessandro Marchese, Kanika Aggarwal, Rupesh Agrawal, Vishali Gupta

Summary: This study aimed to analyze the structural features and therapeutic response in patients with clinical and subclinical inflammatory choroidal neovascularization (i-CNV) using swept-source optical coherence tomography (SS-OCT) and SS-OCT angiography (SS-OCTA). The results showed that subretinal hyperreflective material (SHRM) may serve as a useful biomarker for monitoring activity and response to therapy in eyes with iCNV.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Article Ophthalmology

Multifocal Serpiginoid Choroiditis Due to Mycobacterium Mageritense following Laparoscopic Hysterectomy in an Immunocompetent Host

Shrey Maheshwari, Shweta Parakh, Shrutanjoy M. Das, Alok Ahuja, Shashi Nath Jha, Rupesh Agrawal, Vishali Gupta, Saurabh Luthra

Summary: This case report highlights the occurrence of nontubercular choroiditis caused by Mycobacterium mageritense after laparoscopic hysterectomy in an immunocompetent patient. The use of MALDI-TOF MS for specific diagnosis and the importance of aseptic precautions perioperatively during major surgeries is emphasized.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Editorial Material Ophthalmology

Recurrence of tubercular choroiditis following anti-SARS-CoV-2 vaccination

Atul Arora, Sabia Handa, Simar Rajan Singh, Aman Sharma, Reema Bansal, Rupesh Agrawal, Vishali Gupta

Summary: This study reports the recurrence of tubercular choroiditis in two patients with quiescent disease activity for more than a year following anti-SARS-CoV-2 vaccination. The findings suggest a potential role of vaccination as a trigger for disease reactivation.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2023)

Review Ophthalmology

The Next Steps in Ocular Imaging in Uveitis

Alessandro Marchese, Maria Vittoria Cicinelli, Alessia Amato, Francesco Bandello, Vishali Gupta, Elisabetta Miserocchi, Aniruddha Agarwal

Summary: This article describes the advances in ocular imaging in uveitis and highlights the potential future developments. The use of advanced imaging techniques has provided significant information for understanding disease pathogenesis and manifestations, as well as aiding diagnosis in challenging cases. Notable developments include wide-field and ultra-wide field imaging, optical coherence tomography (OCT), and intraoperative imaging.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Article Ophthalmology

Comparative Evaluation of GeneXpert MTB/RIF Ultra and GeneXpert MTB/RIF for Detecting Tuberculosis and Identifying Rifampicin Resistance in Pars Plana Vitrectomy Samples of Patients with Ocular Tuberculosis

Kusum Sharma, Megha Sharma, Nikitha Ayyadurai, Mohit Dogra, Aman Sharma, Vishali Gupta, Ramandeep Singh, Amod Gupta

Summary: This study evaluated the use of Xpert MTB/RIF Ultra on Ocular tuberculosis (OTB) samples and compared it with Xpert. The results showed that Ultra outperformed Xpert in diagnosing OTB, but the advantage of simultaneous RifR detection was lost due to the low bacterial loads in the samples.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Review Ophthalmology

Intermediate Uveitis: A Review

Andrea York Tiang Teo, Bjorn Kaijun Betzler, Keith Low Qie Hua, Elizabeth Jiahui Chen, Vishali Gupta, Rupesh Agrawal

Summary: This review provides an update on the clinical presentation, etiologies, complications, and treatment options in intermediate uveitis. It affects all age groups with no gender predominance and has varied etiologies. Various treatment options are currently used in practice.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Review Ophthalmology

Retinal and choroidal changes in AMD: A systematic review and meta-analysis of spectral-domain optical coherence tomography studies

Mohammad Amin Salehi, Soheil Mohammadi, Mahdi Gouravani, Fateme Rezagholi, J. Fernando Arevalo

Summary: Optical coherence tomography is capable of detecting biomarkers of age-related macular degeneration (AMD) that cannot be similarly recognized in conventional imaging. A meta-analysis of relevant studies revealed significant differences in retinal layer thickness between AMD patients and healthy controls.

SURVEY OF OPHTHALMOLOGY (2023)

Article Ophthalmology

Choriocapillaris Flow Deficit in Tubercular Serpiginous-Like Choroiditis with and without Paradoxical Worsening

Aniruddha Agarwal, Federico Corvi, Nitin Kumar Menia, Kanika Aggarwal, Roel J. Erckens, Tos T. J. M. Berendschot, Carroll A. B. Webers, Alessandro Invernizzi, Vishali Gupta, SriniVas Sadda

Summary: The aim of this study was to analyze the automated quantification of choriocapillaris flow deficit (CCFD) using SS-OCTA in patients with TBSLC. The results showed that SS-OCTA CCFD can serve as a useful biomarker of disease activity in eyes with TBSLC.

OCULAR IMMUNOLOGY AND INFLAMMATION (2022)

Review Ophthalmology

Uveitis Registries - A Digital Tool for Patient Care, Education, Research, and Collaboration

Zheting Zhang, Sean Ng Ming Sheng, John H. Kempen, Claudia Fabiani, Atul Arora, Vishali Gupta, Edmund Tsui, Luca Cimino, Richard J. Symes, Jennifer Dell, Robert P. Finger, Carsten Heinz, Rupesh Agrawal

Summary: This review summarizes and compares current uveitis registries, emphasizing their importance in collecting patient data and improving understanding of uveitis.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Review Ophthalmology

Endogenous Endophthalmitis-A Major Review

Cen Amy Xie, Jayanti Singh, Mudit Tyagi, Sofia Androudi, Vivek Pravin Dave, Atul Arora, Vishali Gupta, Rupesh Agrawal, Helen Mi, Alok Sen

Summary: Endogenous endophthalmitis is a rare but potentially serious ocular infection with various symptoms such as conjunctival injection, ocular pain, and reduced visual acuity. The diagnosis can be challenging and delayed, leading to poor prognosis. Blood cultures and ocular fluid samples are helpful in identifying the causative pathogen(s), and treatment involves systemic and intravitreal antibiotic therapy, with the use of steroids being controversial. Surgical options include pars plana vitrectomy. Prognosis depends on host and pathogen factors, emphasizing the importance of early diagnosis and treatment.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Editorial Material Ophthalmology

Infectious Uveitis: Conversations with the Experts

Rupesh Agrawal, Zheng Xian Thng, Amod Gupta, Brian C. Toy, Andrew A. Dick, Justine R. Smith, Soon-Phaik Chee, Vishali Gupta, Narsing A. Rao

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Article Ophthalmology

Evaluating Truenat Assay for the Diagnosis of Ocular Tuberculosis and Detection of Drug Resistance

Kusum Sharma, Megha Sharma, Nikitha Ayyadurai, Mohit Dogra, Aman Sharma, Vishali Gupta, Ramandeep Singh, Amod Gupta

Summary: The Truenat MTB Plus assay was found to be a rapid and reliable tool for diagnosing ocular tuberculosis and detecting drug resistance. It showed high sensitivity and performance compared to other methods.

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Letter Ophthalmology

Retrolental Bullous Retinal Detachment as the Presenting Feature of Vogt-Koyanagi-Harada Disease in an Elderly Indian Female: Diagnostic and Therapeutic Challenge

Nitin Kumar Menia, Reema Bansal, Vishali Gupta

Summary: This article reports an atypical case of Vogt-Koyanagi-Harada (VKH) disease with retrolental bullous retinal detachment (RD). In this case, a 67-year-old Indian woman presented with bilateral visual loss, light perception in both eyes, keratic precipitates, 2+ cells and bullous RD in the right eye (RE). Systemic investigations were unremarkable, and the patient received systemic corticosteroids as well as pars plana vitrectomy (PPV) in the left eye (LE).

OCULAR IMMUNOLOGY AND INFLAMMATION (2023)

Article Computer Science, Information Systems

Production Assessment Using a Knowledge Transfer Framework and Evidence Theory

Fernando Arevalo, Christian M. P. Alison, M. Tahasanul Ibrahim, Andreas Schwung

Summary: This paper introduces a novel approach for production assessment that formalizes tacit knowledge using a knowledge transfer framework and evidence theory, providing companies with a strategic advantage and steady operation.

IEEE ACCESS (2022)

Review Multidisciplinary Sciences

Spectral-domain OCT measurements in obesity: A systematic review and metaanalysis

Mohammad Amin Salehi, Amirali Karimi, Soheil Mohammadi, J. Fernando Arevalo

Summary: This study found that certain ocular layers are thinner in patients with higher BMI compared to normal weight individuals. These findings may be associated with adverse events related to increased body weight and have prognostic abilities.

PLOS ONE (2022)

No Data Available