PMID- 29610861 OWN - NLM STAT- MEDLINE DCOM- 20190128 LR - 20211204 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 59 IP - 5 DP - 2018 Apr 1 TI - Integrin-Linked Kinase Controls Choroidal Neovascularization by Recruitment of Endothelial Progenitor Cells. PG - 1779-1789 LID - 10.1167/iovs.17-22931 [doi] AB - PURPOSE: Vasculogenesis has been shown to contribute to the formation of choroidal neovascularization (CNV). However, the mechanism behind the recruitment of endothelial progenitor cells (EPC) to CNV is not well understood. Therefore, we were interested to know whether integrin-linked kinase (ILK) plays a role in recruiting EPC to CNV, and its possible mechanism. METHODS: We investigated the effect of hypoxia on retinal pigment epithelium (RPE) cells expressing ILK, hypoxia-inducible factor 1alpha (HIF-1alpha), stromal-derived factor-1 (SDF-1), and vascular endothelial growth factor (VEGF), and we further examined the effect of ILK small interfering RNA (siRNA) on their expression. The function of ILK expressed by RPE on EPC in vitro with regard to angiogenic effect was also studied. In vivo, we determined the expression levels of the above factors in CNV. We also examined the role of ILK on their expression, on EPC recruiting, and on the growth of CNV. RESULTS: We found that hypoxia strongly induced the expression of ILK, HIF-1alpha, SDF-1, and VEGF. Moreover, the silencing of ILK attenuated their expression. It also decreased the phosphorylation of protein kinase B (PKB/AKT) and extracellular regulated protein kinases (ERK) and nearly abolished the proliferation, migration, and adhesion of EPC to RPE cells. In vivo, we showed that these factors were upregulated in CNV. Inhibiting the expression of ILK prohibited the "homing" of EPC to CNV lesions and attenuated the growth of CNV. CONCLUSIONS: We demonstrate that ILK controls the development of CNV by regulating the recruitment of EPC to CNV lesions, possibly through ILK-dependent expression of SDF-1 and VEGF in RPE. FAU - Yang, Xiu-Mei AU - Yang XM AD - Department of Ophthalmology, PLA Army General Hospital, Beijing, China. AD - Department of Ophthalmology, Eye Institute of Ophthalmology of Chinese PLA, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China. FAU - Duan, Chun-Guang AU - Duan CG AD - Department of Orthopaedics, Shenzhen University General Hospital, Shenzhen, Guangzhou Province, China. FAU - Zhang, Jian AU - Zhang J AD - Department of Biochemistry and Molecular Biology, Fourth Military Medical University, Xi'an, Shaanxi Province, China. FAU - Qu, Xiao-Jie AU - Qu XJ AD - Department of Ophthalmology, Eye Institute of Ophthalmology of Chinese PLA, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China. FAU - Wang, Yu-Sheng AU - Wang YS AD - Department of Ophthalmology, Eye Institute of Ophthalmology of Chinese PLA, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (CXCL12 protein, human) RN - 0 (Chemokine CXCL12) RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (RNA, Small Interfering) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 2.7.1.- (integrin-linked kinase) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) SB - IM MH - Animals MH - Blotting, Western MH - Cell Movement/physiology MH - Cell Proliferation/physiology MH - Cells, Cultured MH - Chemokine CXCL12/metabolism MH - Choroidal Neovascularization/*enzymology MH - Endothelial Progenitor Cells/*metabolism MH - Enzyme-Linked Immunosorbent Assay MH - Extracellular Signal-Regulated MAP Kinases/metabolism MH - Fluorescein Angiography MH - Fluorescent Antibody Technique, Indirect MH - Humans MH - Hypoxia/metabolism MH - Hypoxia-Inducible Factor 1, alpha Subunit/metabolism MH - Phosphorylation MH - Protein Serine-Threonine Kinases/*physiology MH - Proto-Oncogene Proteins c-akt/metabolism MH - RNA, Small Interfering/genetics MH - Rats MH - Rats, Inbred BN MH - Retinal Pigment Epithelium/cytology/enzymology MH - Signal Transduction MH - Up-Regulation MH - Vascular Endothelial Growth Factor A/metabolism EDAT- 2018/04/04 06:00 MHDA- 2019/01/29 06:00 CRDT- 2018/04/04 06:00 PHST- 2018/04/04 06:00 [entrez] PHST- 2018/04/04 06:00 [pubmed] PHST- 2019/01/29 06:00 [medline] AID - 2677991 [pii] AID - 10.1167/iovs.17-22931 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2018 Apr 1;59(5):1779-1789. doi: 10.1167/iovs.17-22931.