Placenta Growth Factor in Eyes with Neovascular Glaucoma Is Decreased after Intravitreal Ranibizumab Injection

To evaluate changes in the concentrations of placental growth factor (PlGF) and vascular endothelial growth factor-A (VEGF-A) in aqueous humor of patients with neovascular glaucoma (NVG) before and after an intravitreal injection of ranibizumab (IVR) and to determine the underlying correlation betwe...

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Veröffentlicht in:PloS one 2016-01, Vol.11 (1), p.e0146993-e0146993
Hauptverfasser: Zhou, Minwen, Wang, Jiawei, Wang, Wei, Huang, Wenbin, Ding, Xiaoyan, Zhang, Xiulan
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Wang, Jiawei
Wang, Wei
Huang, Wenbin
Ding, Xiaoyan
Zhang, Xiulan
description To evaluate changes in the concentrations of placental growth factor (PlGF) and vascular endothelial growth factor-A (VEGF-A) in aqueous humor of patients with neovascular glaucoma (NVG) before and after an intravitreal injection of ranibizumab (IVR) and to determine the underlying correlation between the levels. The prospective interventional comparative study involved 20 eyes of 20 patients with surgery-required advanced NVG and 20 control subjects from January 2013 to November 2013. The NVG eyes received the IVR treatment before glaucoma surgery. Aqueous humor was collected at the time of the IVR injection (pre- IVR) and at the time of antiglaucomatous surgery (post-IVR). Aqueous humor was also collected at the time of cataract surgery in normal control. Aqueous humor and plasma VEGF-A and PlGF levels were measured with an enzyme-linked immunosorbent assay methods, respectively. The mean aqueous humor PlGF and VEGF-A concentrations in the pre-IVR eyes were significantly higher than in those of the control subjects (p
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The prospective interventional comparative study involved 20 eyes of 20 patients with surgery-required advanced NVG and 20 control subjects from January 2013 to November 2013. The NVG eyes received the IVR treatment before glaucoma surgery. Aqueous humor was collected at the time of the IVR injection (pre- IVR) and at the time of antiglaucomatous surgery (post-IVR). Aqueous humor was also collected at the time of cataract surgery in normal control. Aqueous humor and plasma VEGF-A and PlGF levels were measured with an enzyme-linked immunosorbent assay methods, respectively. The mean aqueous humor PlGF and VEGF-A concentrations in the pre-IVR eyes were significantly higher than in those of the control subjects (p&lt;0.001), whereas the plasma levels showed no significant difference. There was a statistically significant correlation between the aqueous humor PlGF and the VEGF-A concentration (r = 0.612, p = 0.003). 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The prospective interventional comparative study involved 20 eyes of 20 patients with surgery-required advanced NVG and 20 control subjects from January 2013 to November 2013. The NVG eyes received the IVR treatment before glaucoma surgery. Aqueous humor was collected at the time of the IVR injection (pre- IVR) and at the time of antiglaucomatous surgery (post-IVR). Aqueous humor was also collected at the time of cataract surgery in normal control. Aqueous humor and plasma VEGF-A and PlGF levels were measured with an enzyme-linked immunosorbent assay methods, respectively. The mean aqueous humor PlGF and VEGF-A concentrations in the pre-IVR eyes were significantly higher than in those of the control subjects (p&lt;0.001), whereas the plasma levels showed no significant difference. There was a statistically significant correlation between the aqueous humor PlGF and the VEGF-A concentration (r = 0.612, p = 0.003). The mean aqueous humor PlGF in the post-IVR eyes dramatically decreased from 1078.36 ± 755.83 to 177.64 ± 151.73 pg/mL (p&lt;0.001). The VEGF-A level showed a similar trend from 3697.64 ± 2104.47 pg/mL to 183.54 ± 130.35 pg/mL (p&lt;0.001). Aqueous humor concentrations of VEGF-A and PlGF were significantly elevated in the eyes with NVG, and there was a positive correlation between the levels. After an IVR treatment, VEGF-A and PlGF were significantly decreased in NVG eyes.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26785251</pmid><doi>10.1371/journal.pone.0146993</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Age
Aged
Angiogenesis
Aqueous Humor - metabolism
Biology and Life Sciences
Care and treatment
Cataract Extraction
Cataracts
Comparative studies
Correlation
Diabetes
Diabetic retinopathy
Disease
Dosage and administration
Enzyme-linked immunosorbent assay
Eye
Eye surgery
Female
Glaucoma
Glaucoma, Neovascular - drug therapy
Glaucoma, Neovascular - metabolism
Glaucoma, Neovascular - surgery
Growth factors
Health aspects
Homeostasis
Humans
Hypertension
Hypoxia
Immunotherapy
Injection
Intravitreal Injections
Laboratories
Macular degeneration
Male
Medicine and Health Sciences
Middle Aged
Monoclonal antibodies
Patient outcomes
Patients
Physiological aspects
Placenta
Placenta Growth Factor
Plasma levels
Pregnancy Proteins - blood
Pregnancy Proteins - metabolism
Prospective Studies
Ranibizumab
Ranibizumab - administration & dosage
Ranibizumab - pharmacology
Statistical analysis
Studies
Surgery
Vascular endothelial growth factor
Vascular Endothelial Growth Factor A - blood
Vascular Endothelial Growth Factor A - metabolism
title Placenta Growth Factor in Eyes with Neovascular Glaucoma Is Decreased after Intravitreal Ranibizumab Injection
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