Increased circulating PEDF and low sICAM-1 are associated with sickle cell retinopathy

Autor(es):Mostrar menos -

Cruz, P. R. S. ^[1] ; Lira, R. P. C. ^[2] ; Pereira Filho, S. A. C. ^[2] ; Souza, B. B. ^[1] ; Mitsuushi, F. N. ^[2] ; Menaa, F. ^[1] ; Fertrin, K. Y. ^[3] ; Vasconcellos, J. P. C. ^[2] ; Conran, N. ^[3] ; Costa, F. F. ^[3] ; Melo, M. B. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Campinas UNICAMP, Ctr Mol Biol & Genet Engn CBMEG, Lab Human Mol Genet, BR-13083875 Campinas, SP - Brazil

^[2] Univ Campinas UNICAMP, Fac Med Sci, Dept Ophthalmol, BR-13083875 Campinas, SP - Brazil

^[3] Univ Estadual Campinas, Hematol & Hemotherapy Ctr, Campinas, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: BLOOD CELLS MOLECULES AND DISEASES; v. 54, n. 1, p. 33-37, JAN 2015.
• Citações Web of Science: 8

Resumo

Sickle cell retinopathy (SCR) develops in up to 30% of sickle cell disease patients (SCD) during the second decade of life. Treatment for this affection remains palliative, so studies on its pathophysiology may contribute to the future development of novel therapies. SCR is more frequently observed in hemoglobin SC disease and derives from vaso-occlusion in the microvasculature of the retina leading to neovascularization and, eventually, to blindness. Circulating inflammatory cytokines, angiogenic factors, and their interaction may contribute to the pathophysiology of this complication. Angiopoietin (Ang)-1, Ang-2, soluble vascular cell adhesion molecule-1, intercellular adhesion molecule (ICAM)-1, E-selectin, P-selectin, IL1-beta, TNF-alpha, pigment epithelium derived factor (PEDF) and vascular endothelial growth factor plasmatic levels were determined in 37 SCD patients with retinopathy, 34 without retinopathy, and healthy controls. We observed that sICAM-1 is significantly decreased, whereas PEDF is elevated in HbSC patients with retinopathy (P = 0.012 and P = 0.031, respectively). Ang-1, Ang-2 and IL1-beta, levels were elevated in SCD patients (P = 0.001, P < 0.001 and P = 0.001, respectively), compared to controls, and HbSS patients presented higher levels of Ang-2 compared to HbSC (P < 0.001). Our study supports the possible influence of sICAM-1 and PEDF on the pathophysiology of retinal neovascularization in SCD patients. (C) 2014 Elsevier Inc. All rights reserved. (AU)

• Processo FAPESP: 09/15219-2 - Análise bioquímica e genética das vias de adesão celular e crescimento vascular: associação com o desenvolvimento de retinopatia falciforme
• Beneficiário: Pedro Rodrigues Sousa da Cruz
• Modalidade de apoio: Bolsas no Brasil - Mestrado
• Processo FAPESP: 08/57441-0 - Alterações clínicas, celulares e moleculares nas hemoglobinopatias e em outras anemias hemolíticas hereditárias
• Beneficiário: Fernando Ferreira Costa
• Modalidade de apoio: Auxílio à Pesquisa - Temático