PMID- 22066978 OWN - NLM STAT- MEDLINE DCOM- 20130130 LR - 20151119 IS - 1755-3768 (Electronic) IS - 1755-375X (Linking) VI - 90 IP - 2 DP - 2012 Mar TI - Comparison of cytokine levels from undiluted vitreous of untreated patients with retinal vein occlusion. PG - e98-e103 LID - 10.1111/j.1755-3768.2011.02292.x [doi] AB - PURPOSE: To compare cytokines in undiluted vitreous of treatment-naive patients with macular oedema without vitreomacular traction secondary to branch (BRVO), central (CRVO) and hemi-central (H-CRVO) retinal vein occlusion. METHODS: Ninety-four patients (median age 72 years, 42 men) underwent an intravitreal combination therapy, including a single-site 23-gauge core vitrectomy and the application of bevacizumab and dexamethasone due to vision-decreasing macular oedema. Among these were 43 patients with BRVO, 35 with CRVO and 16 patients with hemi-CRVO, which were distributed in a fresh or old retinal vein occlusion type (seven or more months after onset). Undiluted vitreous samples were analysed for interleukin 6 (IL-6), monocyte chemoattractant protein-1 (MCP-1) and vascular endothelial growth factor (VEGF-A) with cytometric BEAD assay. Vitreous samples from patients with idiopathic epiretinal membrane served as controls (n = 14). RESULTS: The mean cytokine values were highest in the CRVO group with IL-6 = 64.7 pg/ml (SD +/- 115.8), MCP-1 = 1015.8 pg/ml (+/-970.1) and VEGF-A = 278.4 pg/ml (+/-512.8), followed by the H-CRVO group with IL-6 = 59.9 pg/ml (SD +/- 97.5), MCP-1 = 938.8 pg/ml (+/-561.1) and VEGF-A = 211.5 pg/ml (+/-232.4). The BRVO group had IL-6 = 23.2 pg/ml (SD +/- 48.8), MCP-1 = 602.6 g/ml (+/-490.3) and VEGF-A = 161.8 pg/ml (+/-314.4). The values of MCP-1 and VEGF-A were significantly different for CRVO or H-CRVO versus BRVO. All values were significantly higher than in the control samples, which had 6.2 +/- 3.4 pg/ml (IL-6), 253 +/- 74 pg/ml (MCP-1) and 7 +/- 4.9 pg/ml (VEGF-A). Within the old RVO type, only MCP-1 was significantly different for CRVO or H-CRVO versus BRVO. CONCLUSIONS: Both inflammatory markers and VEGF-A were higher in CRVO and H-CRVO than in BRVO undiluted vitreous samples. It seems that monocyte recruitment to the vessel wall, which might underlie the importance of eosinophils in tissue remodelling after RVO, is of special interest owing to the significant difference in MCP-1 in the older RVO types. CI - (c) 2011 The Authors. Acta Ophthalmologica (c) 2011 Acta Ophthalmologica Scandinavica Foundation. FAU - Koss, Michael J AU - Koss MJ AD - Department of Ophthalmology, Section of Vitreo-Retinal Surgery, Goethe University, 60590 Frankfurt am Main, Germany. Michael.Koss@me.com FAU - Pfister, Marcel AU - Pfister M FAU - Rothweiler, Florian AU - Rothweiler F FAU - Michaelis, Martin AU - Michaelis M FAU - Cinatl, Jindrich AU - Cinatl J FAU - Schubert, Ralf AU - Schubert R FAU - Koch, Frank H AU - Koch FH LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111108 PL - England TA - Acta Ophthalmol JT - Acta ophthalmologica JID - 101468102 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Glucocorticoids) RN - 0 (IL6 protein, human) RN - 0 (Interleukin-6) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - 2S9ZZM9Q9V (Bevacizumab) RN - 7S5I7G3JQL (Dexamethasone) SB - IM MH - Aged MH - Angiogenesis Inhibitors/therapeutic use MH - Antibodies, Monoclonal, Humanized/therapeutic use MH - Bevacizumab MH - Chemokine CCL2/*metabolism MH - Dexamethasone/therapeutic use MH - Drug Therapy, Combination MH - Female MH - Flow Cytometry MH - Fluorescein Angiography MH - Glucocorticoids/therapeutic use MH - Humans MH - Interleukin-6/*metabolism MH - Intravitreal Injections MH - Macular Edema/drug therapy/etiology/*metabolism MH - Male MH - Retinal Vein Occlusion/complications/drug therapy/*metabolism MH - Vascular Endothelial Growth Factor A/*metabolism MH - Vitrectomy MH - Vitreous Body/*metabolism EDAT- 2011/11/10 06:00 MHDA- 2013/01/31 06:00 CRDT- 2011/11/10 06:00 PHST- 2011/11/10 06:00 [entrez] PHST- 2011/11/10 06:00 [pubmed] PHST- 2013/01/31 06:00 [medline] AID - 10.1111/j.1755-3768.2011.02292.x [doi] PST - ppublish SO - Acta Ophthalmol. 2012 Mar;90(2):e98-e103. doi: 10.1111/j.1755-3768.2011.02292.x. Epub 2011 Nov 8.