Retinal Inhibition of CCR3 Induces Retinal Cell Death in a Murine Model of Choroidal Neovascularization

PLoS One. 2016 Jun 16;11(6):e0157748. doi: 10.1371/journal.pone.0157748. eCollection 2016.

Abstract

Inhibition of chemokine C-C motif receptor 3 (CCR3) signaling has been considered as treatment for neovascular age-related macular degeneration (AMD). However, CCR3 is expressed in neural retina from aged human donor eyes. Therefore, broad CCR3 inhibition may be harmful to the retina. We assessed the effects of CCR3 inhibition on retina and choroidal endothelial cells (CECs) that develop into choroidal neovascularization (CNV). In adult murine eyes, CCR3 colocalized with glutamine-synthetase labeled Műller cells. In a murine laser-induced CNV model, CCR3 immunolocalized not only to lectin-stained cells in CNV lesions but also to the retina. Compared to non-lasered controls, CCR3 mRNA was significantly increased in laser-treated retina. An intravitreal injection of a CCR3 inhibitor (CCR3i) significantly reduced CNV compared to DMSO or PBS controls. Both CCR3i and a neutralizing antibody to CCR3 increased TUNEL+ retinal cells overlying CNV, compared to controls. There was no difference in cleaved caspase-3 in laser-induced CNV lesions or in overlying retina between CCR3i- or control-treated eyes. Following CCR3i, apoptotic inducible factor (AIF) was significantly increased and anti-apoptotic factor BCL2 decreased in the retina; there were no differences in retinal vascular endothelial growth factor (VEGF). In cultured human Műller cells exposed to eotaxin (CCL11) and VEGF, CCR3i significantly increased TUNEL+ cells and AIF but decreased BCL2 and brain derived neurotrophic factor, without affecting caspase-3 activity or VEGF. CCR3i significantly decreased AIF in RPE/choroids and immunostaining of phosphorylated VEGF receptor 2 (p-VEGFR2) in CNV with a trend toward reduced VEGF. In cultured CECs treated with CCL11 and/or VEGF, CCR3i decreased p-VEGFR2 and increased BCL2 without increasing TUNEL+ cells and AIF. These findings suggest that inhibition of retinal CCR3 causes retinal cell death and that targeted inhibition of CCR3 in CECs may be a safer if CCR3 inhibition is considered as a therapy for neovascular AMD.

MeSH terms

  • Animals
  • Antibodies, Neutralizing / pharmacology
  • Apoptosis / drug effects*
  • Apoptosis Inducing Factor / genetics
  • Apoptosis Inducing Factor / metabolism
  • Caspase 3 / genetics
  • Caspase 3 / metabolism
  • Cell Line
  • Chemokine CCL11 / pharmacology
  • Choroid / blood supply
  • Choroid / drug effects
  • Choroid / metabolism
  • Choroid / pathology
  • Choroidal Neovascularization / etiology
  • Choroidal Neovascularization / genetics*
  • Choroidal Neovascularization / pathology
  • Endothelial Cells / cytology
  • Endothelial Cells / drug effects
  • Endothelial Cells / metabolism
  • Ependymoglial Cells / cytology
  • Ependymoglial Cells / drug effects
  • Ependymoglial Cells / metabolism
  • Female
  • Gene Expression Regulation
  • Humans
  • Intravitreal Injections
  • Lasers / adverse effects
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Phenylalanine / analogs & derivatives
  • Phenylalanine / pharmacology*
  • Primary Cell Culture
  • Proto-Oncogene Proteins c-bcl-2 / genetics
  • Proto-Oncogene Proteins c-bcl-2 / metabolism
  • RNA, Messenger / antagonists & inhibitors*
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Receptors, CCR3 / antagonists & inhibitors*
  • Receptors, CCR3 / genetics
  • Receptors, CCR3 / metabolism
  • Retina / drug effects
  • Retina / metabolism
  • Retina / pathology
  • Signal Transduction
  • Vascular Endothelial Growth Factor A / pharmacology
  • Vascular Endothelial Growth Factor Receptor-2 / genetics
  • Vascular Endothelial Growth Factor Receptor-2 / metabolism

Substances

  • Antibodies, Neutralizing
  • Apoptosis Inducing Factor
  • Ccl11 protein, mouse
  • Ccr3 protein, mouse
  • Chemokine CCL11
  • AIFM1 protein, mouse
  • Proto-Oncogene Proteins c-bcl-2
  • RNA, Messenger
  • Receptors, CCR3
  • Vascular Endothelial Growth Factor A
  • vascular endothelial growth factor A, mouse
  • Bcl2 protein, mouse
  • Phenylalanine
  • Kdr protein, mouse
  • Vascular Endothelial Growth Factor Receptor-2
  • Casp3 protein, mouse
  • Caspase 3