PMID- 33043386 OWN - NLM STAT- MEDLINE DCOM- 20210727 LR - 20210727 IS - 1435-702X (Electronic) IS - 0721-832X (Linking) VI - 259 IP - 3 DP - 2021 Mar TI - Etanercept as a TNF-alpha inhibitor depresses experimental retinal neovascularization. PG - 661-671 LID - 10.1007/s00417-020-04956-6 [doi] AB - PURPOSE: The formation of retinal neovascularization (RNV) is the primary pathological process underlying retinopathy of prematurity (ROP). Previous studies have shown that inflammatory factors are related to the formation of RNV. Tumor necrosis factor-alpha (TNF-alpha), as an important factor in the inflammatory response, is involved in the regulation of RNV formation. However, the mechanism through which TNF-alpha inhibition reduces RNV formation is not fully clarified. Therefore, the purpose of this study was to explore the effect of etanercept, an inhibitor of TNF-alpha, on RNV, and its possible mechanism. METHODS: In vivo, an oxygen-induced retinopathy (OIR) mouse model was used to determine the effect of etanercept on the formation of RNV by performing immunostaining. The effect of etanercept on tumor necrosis factor receptor-associated factor 2 (TRAF2), pro-angiogenic-related factors, and pro/anti-inflammatory factors in OIR mice was assessed by real-time PCR and Western blotting. In vitro, the effect of etanercept on TNF-alpha-induced human retinal microvascular endothelial cell tube formation was evaluated by tube formation assays, and the potential mechanism of etanercept was explored by Western blotting. RESULTS: In vivo, etanercept reduced the area of RNV and decreased the expression of TRAF2 in the OIR mouse model. Etanercept also suppressed the expression of several pro-angiogenic factors and regulated the pro/anti-inflammatory factors. In vitro, etanercept reduced endothelial cell tube formation by inhibiting activation of the NF-kappaB signaling pathway. CONCLUSION: Etanercept can regulate pro/anti-inflammatory factors and reduce the expression of pro-angiogenic factors by inhibiting NF-kappaB phosphorylation, thereby reducing RNV formation. FAU - Yao, Yixuan AU - Yao Y AD - Department of Ophthalmology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Rr Road, Shanghai, 20025, China. FAU - Cai, Yujuan AU - Cai Y AD - Department of Ophthalmology, People's Hospital of Ningxia Hui Autonomous Region, Yinchuan, China. FAU - Sui, Ailing AU - Sui A AD - Department of Ophthalmology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Rr Road, Shanghai, 20025, China. FAU - Yao, Yiyun AU - Yao Y AD - Department of Ophthalmology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Rr Road, Shanghai, 20025, China. FAU - Su, Ting AU - Su T AD - Department of Ophthalmology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Rr Road, Shanghai, 20025, China. FAU - Zhu, Yanji AU - Zhu Y AD - Department of Ophthalmology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Rr Road, Shanghai, 20025, China. FAU - Xie, Bing AU - Xie B AUID- ORCID: 0000-0002-9405-635X AD - Department of Ophthalmology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Rr Road, Shanghai, 20025, China. brinkleybing@126.com. FAU - Shen, Xi AU - Shen X AD - Department of Ophthalmology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin Rr Road, Shanghai, 20025, China. carl_shen2005@126.com. LA - eng GR - 81570853/National Natural Science Foundation of China/ PT - Journal Article DEP - 20201012 PL - Germany TA - Graefes Arch Clin Exp Ophthalmol JT - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JID - 8205248 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Vascular Endothelial Growth Factor A) RN - OP401G7OJC (Etanercept) SB - IM MH - Animals MH - *Anti-Inflammatory Agents, Non-Steroidal/therapeutic use MH - Disease Models, Animal MH - *Etanercept/therapeutic use MH - Humans MH - Mice MH - Mice, Inbred C57BL MH - *Retinal Neovascularization/drug therapy MH - Tumor Necrosis Factor-alpha MH - Vascular Endothelial Growth Factor A OTO - NOTNLM OT - Etanercept OT - Retinal neovascularization OT - Tumor necrosis factor receptor-associated factor 2 OT - Tumor necrosis factor-alpha EDAT- 2020/10/13 06:00 MHDA- 2021/07/28 06:00 CRDT- 2020/10/12 05:34 PHST- 2020/04/17 00:00 [received] PHST- 2020/10/01 00:00 [accepted] PHST- 2020/07/07 00:00 [revised] PHST- 2020/10/13 06:00 [pubmed] PHST- 2021/07/28 06:00 [medline] PHST- 2020/10/12 05:34 [entrez] AID - 10.1007/s00417-020-04956-6 [pii] AID - 10.1007/s00417-020-04956-6 [doi] PST - ppublish SO - Graefes Arch Clin Exp Ophthalmol. 2021 Mar;259(3):661-671. doi: 10.1007/s00417-020-04956-6. Epub 2020 Oct 12.