Differential expression of angioregulatory factors in normal and CNV-derived human retinal pigment epithelium

Graefes Arch Clin Exp Ophthalmol. 2004 Apr;242(4):321-6. doi: 10.1007/s00417-003-0838-y. Epub 2004 Jan 14.


Background: Choroidal neovascularization (CNV) causes loss of vision in age-related macular degeneration (AMD). In CNV, choroidal capillaries penetrate Bruch's membrane and the retinal pigment epithelium (RPE). Angiogenic factors produced by RPE cells are suspected as major contributors to CNV development. We therefore studied the differential expression of angioregulatory factors in normal and CNV-derived RPE.

Methods: Cultures of normal (ARPE-19) and CNV-derived RPE (CNV-RPE) were compared by quantitative PCR. Differential expression was verified on the protein level by immunohistochemistry in tissue samples.

Results: The angioregulatory factors VEGF-A, VEGF-B, VEGF-C, Angiopoietin-1 (Ang-1) and Angiopoietin-2, Semaphorin-3A, PEDF, HIF-1, FGF-2, and the receptors VEGF-R2, Neuropilin-1 and Neuropilin-2 were detected in both, ARPE-19 and CNV-RPE. Transcription of PEDF, FGF-2, Neuropilin-2, Ang-1 and Ang-2 was significantly upregulated in CNV-RPE. EphA7, VEGF-R1 and leptin were transcribed exclusively in CNV-RPE and Eph-A7 and VEGF-R1 proteins were present exclusively in CNV specimens.

Conclusions: A set of common factors controlling angiogenesis was detected in both, ARPE-19 cells and CNV-RPE cells. Surprisingly, PEDF and other factors inhibiting angiogenesis are strongly upregulated in CNV-RPE; thus, at least in later stages, the RPE has a potential to control angiogenesis in age-related macular degeneration.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiogenic Proteins / genetics*
  • Angiogenic Proteins / metabolism
  • Cells, Cultured
  • Choroidal Neovascularization / metabolism*
  • Choroidal Neovascularization / pathology
  • DNA Primers / chemistry
  • Gene Expression Regulation / physiology*
  • Growth Substances / genetics*
  • Growth Substances / metabolism
  • Humans
  • Immunohistochemistry
  • Pigment Epithelium of Eye / metabolism*
  • Pigment Epithelium of Eye / pathology
  • Polymerase Chain Reaction
  • Up-Regulation


  • Angiogenic Proteins
  • DNA Primers
  • Growth Substances