PMID- 25841235 OWN - NLM STAT- MEDLINE DCOM- 20151217 LR - 20150924 IS - 1468-2079 (Electronic) IS - 0007-1161 (Linking) VI - 99 IP - 10 DP - 2015 Oct TI - Six-month changes in cytokine levels after intravitreal bevacizumab injection for diabetic macular oedema and macular oedema due to central retinal vein occlusion. PG - 1334-40 LID - 10.1136/bjophthalmol-2014-306341 [doi] AB - BACKGROUND/AIMS: This study evaluated the impact of intravitreal injection of bevacizumab (IVB) on the microenvironment of the eyes of diabetic macular oedema (DMO) and macular oedema due to central retinal vein occlusion (CRVO-MO) patients. METHODS: This study comprised 136 patients, including 51 patients in the DMO group, 70 in the CRVO-MO group and 15 in the control group, who were followed for 6 months after IVB. Angiogenic cytokines, inflammatory cytokines and growth factors concentrations in the aqueous humour were measured before and after IVB using suspension array technology. We compared the levels of cytokines among DMO patients, CRVO-MO patients and control patients. We compared the levels of cytokines among groups according to the interval between the first and second injections of bevacizumab and according to the number of injections received during the 6-month follow-up period. RESULTS: Significantly higher concentrations of vascular endothelial growth factor (VEGF), transforming growth factor beta (TGF-beta), hepatocyte growth factor (HGF), interleukin 6 (IL-6), serum amyloid A (SAA) and monocyte chemoattractant protein-1 (MCP-1) were found in the aqueous humour of DMO and CRVO-MO patients compared with cataract patients. One month after IVB, the intraocular concentrations of VEGF were significantly decreased in the eyes of DMO (p=0.045) and CRVO-MO (p=0.002) patients compared with baseline. No other cytokine was significantly altered by bevacizumab therapy. CONCLUSIONS: Angiogenic, inflammatory and growth factors are involved in the development of DMO and CRVO-MO. In addition to VEGF, IVB did not cause significant differences in other inflammatory cytokines and growth factors in DMO and CRVO-MO patients. CI - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. FAU - Wen, Jing AU - Wen J AD - Department of Ophthalmology, Peking University People's Hospital, Beijing, China Key Laboratory of Vision Loss and Restoration (Peking University), Ministry of Education, Beijing, China Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing, China. FAU - Jiang, Yanrong AU - Jiang Y AD - Department of Ophthalmology, Peking University People's Hospital, Beijing, China Key Laboratory of Vision Loss and Restoration (Peking University), Ministry of Education, Beijing, China Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing, China. FAU - Zheng, Xiaoxue AU - Zheng X AD - Department of Ophthalmology, Peking University People's Hospital, Beijing, China Key Laboratory of Vision Loss and Restoration (Peking University), Ministry of Education, Beijing, China Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing, China. FAU - Zhou, Ying AU - Zhou Y AD - Department of Ophthalmology, Peking University People's Hospital, Beijing, China Key Laboratory of Vision Loss and Restoration (Peking University), Ministry of Education, Beijing, China Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150403 PL - England TA - Br J Ophthalmol JT - The British journal of ophthalmology JID - 0421041 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Cytokines) RN - 2S9ZZM9Q9V (Bevacizumab) SB - IM MH - Angiogenesis Inhibitors/administration & dosage MH - Aqueous Humor/*metabolism MH - Bevacizumab/*administration & dosage MH - Cytokines/*metabolism MH - Diabetic Retinopathy/*complications/drug therapy/metabolism MH - Female MH - Follow-Up Studies MH - Humans MH - Intravitreal Injections MH - Macular Edema/*drug therapy/etiology/metabolism MH - Male MH - Middle Aged MH - Retinal Vein Occlusion/*complications/drug therapy/metabolism MH - Retrospective Studies MH - Time Factors MH - Visual Acuity OTO - NOTNLM OT - Retina OT - Treatment Medical EDAT- 2015/04/05 06:00 MHDA- 2015/12/19 06:00 CRDT- 2015/04/05 06:00 PHST- 2014/11/04 00:00 [received] PHST- 2015/03/12 00:00 [accepted] PHST- 2015/04/05 06:00 [entrez] PHST- 2015/04/05 06:00 [pubmed] PHST- 2015/12/19 06:00 [medline] AID - bjophthalmol-2014-306341 [pii] AID - 10.1136/bjophthalmol-2014-306341 [doi] PST - ppublish SO - Br J Ophthalmol. 2015 Oct;99(10):1334-40. doi: 10.1136/bjophthalmol-2014-306341. Epub 2015 Apr 3.