Aqueous humour concentrations of TGF‐β, PLGF and FGF‐1 and total retinal blood flow in patients with early non‐proliferative diabetic retinopathy

Purpose To correlate angiogenic cytokines in the aqueous humour with total retinal blood flow in subjects with type 2 diabetes with non‐proliferative diabetic retinopathy (NPDR). Methods A total of 17 controls and 16 NPDR patients were recruited into the study. Aqueous humour was collected at the st...

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Veröffentlicht in:Acta ophthalmologica (Oxford, England) England), 2017-05, Vol.95 (3), p.e206-e211
Hauptverfasser: Khuu, Lee‐Anne, Tayyari, Faryan, Sivak, Jeremy M., Flanagan, John G., Singer, Shaun, Brent, Michael H., Huang, David, Tan, Ou, Hudson, Christopher
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container_title Acta ophthalmologica (Oxford, England)
container_volume 95
creator Khuu, Lee‐Anne
Tayyari, Faryan
Sivak, Jeremy M.
Flanagan, John G.
Singer, Shaun
Brent, Michael H.
Huang, David
Tan, Ou
Hudson, Christopher
description Purpose To correlate angiogenic cytokines in the aqueous humour with total retinal blood flow in subjects with type 2 diabetes with non‐proliferative diabetic retinopathy (NPDR). Methods A total of 17 controls and 16 NPDR patients were recruited into the study. Aqueous humour was collected at the start of cataract surgery to assess the concentration of 14 angiogenic cytokines. Aqueous humour was analysed using the suspension array method. Six images were acquired to assess total retinal blood flow (TRBF) using the prototype RTVue™ Doppler Fourier domain optical coherence tomography (Doppler FD‐OCT) (Optovue, Inc., Fremont, CA) using a double circular scan protocol, 1 month postsurgery. At the same visit, forearm blood was collected to determine glycosylated haemoglobin (A1c). Results Transforming growth factor beta (TGF‐β1, TGF‐β2) and PLGF were increased while FGF‐1 was reduced in NPDR compared to controls (Bonferroni corrected, p 
doi_str_mv 10.1111/aos.13230
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Methods A total of 17 controls and 16 NPDR patients were recruited into the study. Aqueous humour was collected at the start of cataract surgery to assess the concentration of 14 angiogenic cytokines. Aqueous humour was analysed using the suspension array method. Six images were acquired to assess total retinal blood flow (TRBF) using the prototype RTVue™ Doppler Fourier domain optical coherence tomography (Doppler FD‐OCT) (Optovue, Inc., Fremont, CA) using a double circular scan protocol, 1 month postsurgery. At the same visit, forearm blood was collected to determine glycosylated haemoglobin (A1c). Results Transforming growth factor beta (TGF‐β1, TGF‐β2) and PLGF were increased while FGF‐1 was reduced in NPDR compared to controls (Bonferroni corrected, p &lt; 0.003 for all). Total retinal blood flow (TRBF) was significantly reduced in the NPDR group compared to controls (33.1 ± 9.9 versus 43.3 ± 5.3 μl/min, p = 0.002). Aqueous FGF‐1 significantly correlated with TRBF in the NPDR group (r = 0.71, p = 0.01; r2 = 0.51). In a multiple regression analysis, A1c was found to be a significant predictor of aqueous TGF‐β1 and FGF‐1 (p = 0.018 and p = 0.020, respectively). Conclusion Aqueous angiogenic cytokines (TGF‐β1, TGF‐β2 and PLGF) were elevated in conjunction with a reduction in TRBF in patients with NPDR compared to controls. Non‐invasive measurement of TRBF may be useful for predicting aqueous FGF‐1 levels and severity of vasculopathy in DR.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/aos.13230</identifier><identifier>PMID: 27678201</identifier><language>eng</language><publisher>England</publisher><subject>Aged ; angiogenesis ; Aqueous Humor - metabolism ; aqueous humour cytokines ; Biomarkers - metabolism ; Diabetes Mellitus, Type 2 - metabolism ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetic Retinopathy - diagnosis ; Diabetic Retinopathy - metabolism ; Diabetic Retinopathy - physiopathology ; Female ; fibroblast growth factor ; Fibroblast Growth Factor 1 - metabolism ; Humans ; Male ; non‐proliferative diabetic retinopathy ; optical coherence tomography ; Placenta Growth Factor - metabolism ; Regional Blood Flow - physiology ; retinal blood flow ; Retinal Vessels - diagnostic imaging ; Retinal Vessels - physiopathology ; Tomography, Optical Coherence - methods ; Transforming Growth Factor beta - metabolism ; type 2 diabetes mellitus ; vasoregulatory</subject><ispartof>Acta ophthalmologica (Oxford, England), 2017-05, Vol.95 (3), p.e206-e211</ispartof><rights>2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley &amp; Sons Ltd</rights><rights>2016 Acta Ophthalmologica Scandinavica Foundation. 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Methods A total of 17 controls and 16 NPDR patients were recruited into the study. Aqueous humour was collected at the start of cataract surgery to assess the concentration of 14 angiogenic cytokines. Aqueous humour was analysed using the suspension array method. Six images were acquired to assess total retinal blood flow (TRBF) using the prototype RTVue™ Doppler Fourier domain optical coherence tomography (Doppler FD‐OCT) (Optovue, Inc., Fremont, CA) using a double circular scan protocol, 1 month postsurgery. At the same visit, forearm blood was collected to determine glycosylated haemoglobin (A1c). Results Transforming growth factor beta (TGF‐β1, TGF‐β2) and PLGF were increased while FGF‐1 was reduced in NPDR compared to controls (Bonferroni corrected, p &lt; 0.003 for all). Total retinal blood flow (TRBF) was significantly reduced in the NPDR group compared to controls (33.1 ± 9.9 versus 43.3 ± 5.3 μl/min, p = 0.002). Aqueous FGF‐1 significantly correlated with TRBF in the NPDR group (r = 0.71, p = 0.01; r2 = 0.51). In a multiple regression analysis, A1c was found to be a significant predictor of aqueous TGF‐β1 and FGF‐1 (p = 0.018 and p = 0.020, respectively). Conclusion Aqueous angiogenic cytokines (TGF‐β1, TGF‐β2 and PLGF) were elevated in conjunction with a reduction in TRBF in patients with NPDR compared to controls. Non‐invasive measurement of TRBF may be useful for predicting aqueous FGF‐1 levels and severity of vasculopathy in DR.</description><subject>Aged</subject><subject>angiogenesis</subject><subject>Aqueous Humor - metabolism</subject><subject>aqueous humour cytokines</subject><subject>Biomarkers - metabolism</subject><subject>Diabetes Mellitus, Type 2 - metabolism</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diabetic Retinopathy - diagnosis</subject><subject>Diabetic Retinopathy - metabolism</subject><subject>Diabetic Retinopathy - physiopathology</subject><subject>Female</subject><subject>fibroblast growth factor</subject><subject>Fibroblast Growth Factor 1 - metabolism</subject><subject>Humans</subject><subject>Male</subject><subject>non‐proliferative diabetic retinopathy</subject><subject>optical coherence tomography</subject><subject>Placenta Growth Factor - metabolism</subject><subject>Regional Blood Flow - physiology</subject><subject>retinal blood flow</subject><subject>Retinal Vessels - diagnostic imaging</subject><subject>Retinal Vessels - physiopathology</subject><subject>Tomography, Optical Coherence - methods</subject><subject>Transforming Growth Factor beta - metabolism</subject><subject>type 2 diabetes mellitus</subject><subject>vasoregulatory</subject><issn>1755-375X</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc9uEzEQxq0K1JbCoS-AfKQSaf1nbe9ekKKKBKRIRaJI3CzHazeuHDvYu41y4xE48hw8CA_Bk-BkS0QPlerLjOxvfuOZD4BTjM5xORcq5nNMCUUH4BgLxkZU8PrZPmdfj8CLnG8R4pjz6hAcEcFFTRA-Bj_H33oT-wwX_TL2CeoYtAldUp2LIcNo4fV08uf7j9-_3sJPs-kEqtDCye4K7_IudsrDZDoXSpz7GFtofVxDF-CqUAosw7XrFtCo5DcwxFBqVyl6Z822zZ2BrVPzAtADJpayxeYleG6Vz-bVfTwBXybvry8_jGZX04-X49lIU07RqNKiEZhyxpqmJQKzmllLCGo055YgXSlEKkNMqxi1FiujrBXYCIobahhV9AS8G7irfr407TC8l6vkliptZFROPnwJbiFv4p1kVNCGogJ4cw9Isewyd3Lpsjbeq7BdrMR1g-uaC149QVphTASqttKzQapTzDkZu_8RRnJruiymy53pRfv6_xH2yn8uF8HFIFg7bzaPk-T46vOA_AsMcLw9</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Khuu, Lee‐Anne</creator><creator>Tayyari, Faryan</creator><creator>Sivak, Jeremy M.</creator><creator>Flanagan, John G.</creator><creator>Singer, Shaun</creator><creator>Brent, Michael H.</creator><creator>Huang, David</creator><creator>Tan, Ou</creator><creator>Hudson, Christopher</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope><scope>5PM</scope></search><sort><creationdate>201705</creationdate><title>Aqueous humour concentrations of TGF‐β, PLGF and FGF‐1 and total retinal blood flow in patients with early non‐proliferative diabetic retinopathy</title><author>Khuu, Lee‐Anne ; 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Methods A total of 17 controls and 16 NPDR patients were recruited into the study. Aqueous humour was collected at the start of cataract surgery to assess the concentration of 14 angiogenic cytokines. Aqueous humour was analysed using the suspension array method. Six images were acquired to assess total retinal blood flow (TRBF) using the prototype RTVue™ Doppler Fourier domain optical coherence tomography (Doppler FD‐OCT) (Optovue, Inc., Fremont, CA) using a double circular scan protocol, 1 month postsurgery. At the same visit, forearm blood was collected to determine glycosylated haemoglobin (A1c). Results Transforming growth factor beta (TGF‐β1, TGF‐β2) and PLGF were increased while FGF‐1 was reduced in NPDR compared to controls (Bonferroni corrected, p &lt; 0.003 for all). Total retinal blood flow (TRBF) was significantly reduced in the NPDR group compared to controls (33.1 ± 9.9 versus 43.3 ± 5.3 μl/min, p = 0.002). Aqueous FGF‐1 significantly correlated with TRBF in the NPDR group (r = 0.71, p = 0.01; r2 = 0.51). In a multiple regression analysis, A1c was found to be a significant predictor of aqueous TGF‐β1 and FGF‐1 (p = 0.018 and p = 0.020, respectively). Conclusion Aqueous angiogenic cytokines (TGF‐β1, TGF‐β2 and PLGF) were elevated in conjunction with a reduction in TRBF in patients with NPDR compared to controls. Non‐invasive measurement of TRBF may be useful for predicting aqueous FGF‐1 levels and severity of vasculopathy in DR.</abstract><cop>England</cop><pmid>27678201</pmid><doi>10.1111/aos.13230</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
angiogenesis
Aqueous Humor - metabolism
aqueous humour cytokines
Biomarkers - metabolism
Diabetes Mellitus, Type 2 - metabolism
Diabetes Mellitus, Type 2 - physiopathology
Diabetic Retinopathy - diagnosis
Diabetic Retinopathy - metabolism
Diabetic Retinopathy - physiopathology
Female
fibroblast growth factor
Fibroblast Growth Factor 1 - metabolism
Humans
Male
non‐proliferative diabetic retinopathy
optical coherence tomography
Placenta Growth Factor - metabolism
Regional Blood Flow - physiology
retinal blood flow
Retinal Vessels - diagnostic imaging
Retinal Vessels - physiopathology
Tomography, Optical Coherence - methods
Transforming Growth Factor beta - metabolism
type 2 diabetes mellitus
vasoregulatory
title Aqueous humour concentrations of TGF‐β, PLGF and FGF‐1 and total retinal blood flow in patients with early non‐proliferative diabetic retinopathy
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