Adhesion Molecule Targeted Therapy for Non-Infectious Uveitis

Int J Mol Sci. 2022 Jan 3;23(1):503. doi: 10.3390/ijms23010503.

Abstract

Non-infectious uveitis (NIU) is an inflammatory eye disease initiated via CD4+ T-cell activation and transmigration, resulting in focal retinal tissue damage and visual acuity disturbance. Cell adhesion molecules (CAMs) are activated during the inflammatory process to facilitate the leukocyte recruitment cascade. Our review focused on CAM-targeted therapies in experimental autoimmune uveitis (EAU) and NIU. We concluded that CAM-based therapies have demonstrated benefits for controlling EAU severity with decreases in immune cell migration, especially via ICAM-1/LFA-1 and VCAM-1/VLA-4 (integrin) pathways. P-selectin and E-selectin are more involved specifically in uveitis related to vasculitis. These therapies have potential clinical applications for the development of a more personalized and specific treatment. Localized therapies are the future direction to avoid serious systemic side effects.

Keywords: adhesion molecule; experimental autoimmune uveitis; integrin; intercellular cell adhesion molecule-1 (ICAM-1); lymphocyte function-associated antigen-1 (LFA-1); non-infectious uveitis; selectin; uveitis; vascular cell adhesion protein 1 (VCAM-1); very late antigen-4 (VLA-4).

Publication types

  • Review

MeSH terms

  • Cell Adhesion Molecules*
  • Humans
  • Inflammation
  • Molecular Targeted Therapy*
  • Uveitis / metabolism
  • Uveitis / therapy*

Substances

  • Cell Adhesion Molecules