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Role of IL-4 in bone marrow driven dysregulated angiogenesis and age-related macular degeneration.

Takashi Baba | Dai Miyazaki | Kodai Inata | Ryu Uotani | Hitomi Miyake | Shin-Ichi Sasaki | Yumiko Shimizu | Yoshitsugu Inoue | Kazuomi Nakamura
eLife | 2020

Age-associated sterile inflammation can cause dysregulated choroidal neovascularization (CNV) as age-related macular degeneration (AMD). Intraocular fluid screening of 234 AMD patients identified high levels of IL-4. The purpose of this study was to determine the functional role of IL-4 in CNV formation using murine CNV model. Our results indicate that the IL-4/IL-4 receptors (IL4Rs) controlled tube formation and global proangiogenic responses of bone marrow cells. CCR2+ bone marrow cells were recruited to form very early CNV lesions. IL-4 rapidly induces CCL2, which enhances recruitment of CCR2+ bone marrow cells. This in vivo communication, like quorum-sensing, was followed by the induction of IL-4 by the bone marrow cells during the formation of mature CNVs. For CNV development, IL-4 in bone marrow cells are critically required, and IL-4 directly promotes CNV formation mainly by IL-4R. The IL-4/IL-4Rα axis contributes to pathological angiogenesis through communications with bone marrow cells leading to retinal degeneration.

Pubmed ID: 32366355 RIS Download

Associated grants

  • Agency: Japan Society for the Promotion of Science, International
    Id: JP16K15733
  • Agency: Japan Society for the Promotion of Science, International
    Id: JP25670733

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