PMID- 33807809 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231111 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 10 IP - 5 DP - 2021 Mar 5 TI - Imbalance in the Levels of Angiogenic Factors in Patients with Acute and Chronic Central Serous Chorioretinopathy. LID - 10.3390/jcm10051087 [doi] LID - 1087 AB - BACKGROUND: The pathogenesis of central serous chorioretinopathy (CSC) remains a subject of intensive research. We aimed to determine correlations between plasma levels of selected angiogenic factors and different forms of CSC. METHODS: Eighty patients were enrolled in the study including 30 with a chronic form of CSC, 30 with acute CSC, and 20 controls. Presence of active CSC was determined by fluorescein angiography (FA), indocyanine green angiography (ICGA), and swept-source optical coherence tomography (SS-OCT). Plasma concentrations of angiopoietin-1, endostatin, fibroblast growth factor, placental growth factor (PlGF), platelet-derived growth factor (PDGF-AA), thrombospondin-2, vascular endothelial growth factor (VEGF), VEGF-D, and pigment epithelium-derived factor were measured, and the results were compared between groups. Additionally, mean choroidal thickness (CT) was measured in all patients. RESULTS: Levels of angiopoietin-1 (p = 0.008), PlGF (p = 0.045), and PDGF-AA (p = 0.033) differed significantly between the three groups. Compared with the controls, VEGF (p = 0.024), PlGF (p = 0.013), and PDGF-AA (p = 0.012) were downregulated in the whole CSC group, specifically PDGF-AA (p = 0.002) in acute CSC and angiopoietin-1 (p = 0.007) in chronic CSC. An inverse correlation between mean CT and VEGF levels was noted in CSC patients (rho = -0.27, p = 0.044). CONCLUSIONS: Downregulated angiopoietin-1, VEGF, PDGF-AA, and PlGF levels may highlight the previously unknown role of the imbalanced levels of proangiogenic and antiangiogenic factors in the pathogenesis of CSC. Moreover, downregulated VEGF levels may suggest that choroidal neovascularization in CSC is associated with arteriogenesis rather than angiogenesis. FAU - Karska-Basta, Izabella AU - Karska-Basta I AD - Department of Ophthalmology, Faculty of Medicine, Clinic of Ophthalmology and Ocular Oncology, Jagiellonian University Medical College, 31-070 Krakow, Poland. FAU - Pociej-Marciak, Weronika AU - Pociej-Marciak W AD - Department of Ophthalmology, Faculty of Medicine, Clinic of Ophthalmology and Ocular Oncology, Jagiellonian University Medical College, 31-070 Krakow, Poland. FAU - Chrzaszcz, Michal AU - Chrzaszcz M AD - Department of Ophthalmology, Faculty of Medicine, Clinic of Ophthalmology and Ocular Oncology, Jagiellonian University Medical College, 31-070 Krakow, Poland. FAU - Kubicka-Trzaska, Agnieszka AU - Kubicka-Trzaska A AUID- ORCID: 0000-0003-2859-4149 AD - Department of Ophthalmology, Faculty of Medicine, Clinic of Ophthalmology and Ocular Oncology, Jagiellonian University Medical College, 31-070 Krakow, Poland. FAU - Debicka-Kumela, Magdalena AU - Debicka-Kumela M AD - Department of Ophthalmology, Faculty of Medicine, Clinic of Ophthalmology and Ocular Oncology, Jagiellonian University Medical College, 31-070 Krakow, Poland. FAU - Gawecki, Maciej AU - Gawecki M AUID- ORCID: 0000-0003-2901-0248 AD - Dobry Wzrok Ophthalmological Clinic, 80-402 Gdansk, Poland. FAU - Romanowska-Dixon, Bozena AU - Romanowska-Dixon B AD - Department of Ophthalmology, Faculty of Medicine, Clinic of Ophthalmology and Ocular Oncology, Jagiellonian University Medical College, 31-070 Krakow, Poland. FAU - Sanak, Marek AU - Sanak M AUID- ORCID: 0000-0001-7635-8103 AD - Molecular Biology and Clinical Genetics Unit, Department of Internal Medicine, Jagiellonian University Medical College Faculty of Medicine, 31-066 Krakow, Poland. LA - eng PT - Journal Article DEP - 20210305 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC7961803 OTO - NOTNLM OT - angiogenesis OT - angiopoietin-1 OT - central serous chorioretinopathy OT - proangiogenic factors COIS- The authors declare no conflict of interest. EDAT- 2021/04/04 06:00 MHDA- 2021/04/04 06:01 PMCR- 2021/03/05 CRDT- 2021/04/03 01:27 PHST- 2021/01/21 00:00 [received] PHST- 2021/02/19 00:00 [revised] PHST- 2021/02/26 00:00 [accepted] PHST- 2021/04/03 01:27 [entrez] PHST- 2021/04/04 06:00 [pubmed] PHST- 2021/04/04 06:01 [medline] PHST- 2021/03/05 00:00 [pmc-release] AID - jcm10051087 [pii] AID - jcm-10-01087 [pii] AID - 10.3390/jcm10051087 [doi] PST - epublish SO - J Clin Med. 2021 Mar 5;10(5):1087. doi: 10.3390/jcm10051087.