PMID- 24515951 OWN - NLM STAT- MEDLINE DCOM- 20140721 LR - 20211021 IS - 1097-4652 (Electronic) IS - 0021-9541 (Print) IS - 0021-9541 (Linking) VI - 229 IP - 8 DP - 2014 Aug TI - Interleukin-18 has antipermeablity and antiangiogenic activities in the eye: reciprocal suppression with VEGF. PG - 974-83 LID - 10.1002/jcp.24575 [doi] AB - Interleukin-18 (IL-18) is increased along with IL-1beta by activation of the inflammasome and has been implicated in inflammatory and autoimmune diseases, but its role in the eye is uncertain. In patients with macular edema due to retinal vein occlusion, intraocular IL-18 levels increased significantly (P < 0.001) after treatment with ranibizumab particularly in patients with high baseline IL-18 which correlated with good visual outcome (P < 0.05). In mice with ischemic retinopathy, suppression of VEGF caused an increase in IL18 mRNA due to an increase in IL-18-positive myeloid cells. VEGF significantly and specifically inhibited IL-18 production by myeloid cells stimulated with lipopolysaccharide (P < 0.001). Intraocular injection of IL-18 reduced VEGF-induced leakage and neovascularization, and reversed VEGF-induced suppression of Claudin5 expression and Claudin 5 labeling of vascular tight junctions. Injection of IL-18 also increased expression of Thrombospondin 1 and reduced ischemia-induced retinal neovascularization relevant to diabetic retinopathy and subretinal neovascularization relevant to neovascular age-related macular degeneration. Thus, VEGF and IL-18 suppress each other's production and effects on the vasculature suggesting that IL-18 may provide benefit in multiple retinal/choroidal vascular diseases. CI - (c) 2014 Wiley Periodicals, Inc. FAU - Shen, Jikui AU - Shen J AD - Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, Maryland. FAU - Choy, David F AU - Choy DF FAU - Yoshida, Tsunehiko AU - Yoshida T FAU - Iwase, Takeshi AU - Iwase T FAU - Hafiz, Gulnar AU - Hafiz G FAU - Xie, Bing AU - Xie B FAU - Hackett, Sean F AU - Hackett SF FAU - Arron, Joseph R AU - Arron JR FAU - Campochiaro, Peter A AU - Campochiaro PA LA - eng GR - R01 EY005951/EY/NEI NIH HHS/United States GR - R01 EY012609/EY/NEI NIH HHS/United States GR - EY012609/EY/NEI NIH HHS/United States PT - Editorial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Cell Physiol JT - Journal of cellular physiology JID - 0050222 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Claudin-5) RN - 0 (Cldn5 protein, mouse) RN - 0 (Cytokines) RN - 0 (Interleukin-18) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (vascular endothelial growth factor A, mouse) RN - ZL1R02VT79 (Ranibizumab) SB - IM MH - Animals MH - Antibodies, Monoclonal, Humanized/pharmacology MH - Claudin-5/genetics/metabolism MH - Cytokines/genetics/metabolism MH - Eye/*blood supply/*metabolism MH - Gene Expression Regulation/physiology MH - Interleukin-18/genetics/*metabolism MH - Mice MH - Neovascularization, Pathologic/genetics/*metabolism MH - Permeability MH - Ranibizumab MH - Retinal Vessels/physiology MH - Tight Junctions/physiology MH - Vascular Endothelial Growth Factor A/genetics/*metabolism PMC - PMC4364659 MID - NIHMS668271 EDAT- 2014/02/12 06:00 MHDA- 2014/07/22 06:00 PMCR- 2015/08/01 CRDT- 2014/02/12 06:00 PHST- 2013/12/05 00:00 [received] PHST- 2014/02/06 00:00 [accepted] PHST- 2014/02/12 06:00 [entrez] PHST- 2014/02/12 06:00 [pubmed] PHST- 2014/07/22 06:00 [medline] PHST- 2015/08/01 00:00 [pmc-release] AID - 10.1002/jcp.24575 [doi] PST - ppublish SO - J Cell Physiol. 2014 Aug;229(8):974-83. doi: 10.1002/jcp.24575.