Arg-Leu-Tyr-Glu Suppresses Retinal Endothelial Permeability and Choroidal Neovascularization by Inhibiting the VEGF Receptor 2 Signaling Pathway
	    		
		   		
		   			
		   		
	    	
    	 
    	10.4062/biomolther.2019.041
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Wonjin PARK
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Yi Yong BAEK
			        		
			        		;
		        		
		        		
		        		
			        		Joohwan KIM
			        		
			        		;
		        		
		        		
		        		
			        		Dong Hyun JO
			        		
			        		;
		        		
		        		
		        		
			        		Seunghwan CHOI
			        		
			        		;
		        		
		        		
		        		
			        		Jin Hyoung KIM
			        		
			        		;
		        		
		        		
		        		
			        		Taesam KIM
			        		
			        		;
		        		
		        		
		        		
			        		Suji KIM
			        		
			        		;
		        		
		        		
		        		
			        		Minsik PARK
			        		
			        		;
		        		
		        		
		        		
			        		Ji Yoon KIM
			        		
			        		;
		        		
		        		
		        		
			        		Moo Ho WON
			        		
			        		;
		        		
		        		
		        		
			        		Kwon Soo HA
			        		
			        		;
		        		
		        		
		        		
			        		Jeong Hun KIM
			        		
			        		;
		        		
		        		
		        		
			        		Young Guen KWON
			        		
			        		;
		        		
		        		
		        		
			        		Young Myeong KIM
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Molecular and Cellular Biochemistry, School of Medicine, Kangwon National University, Chuncheon 24341, Republic of Korea. ymkim@kangwon.ac.kr
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		VEGF;
			        		
			        		
			        		
				        		VEGFR2;
			        		
			        		
			        		
				        		Choroidal neovascularization;
			        		
			        		
			        		
				        		Macular degeneration;
			        		
			        		
			        		
				        		Vascular leakage;
			        		
			        		
			        		
				        		Permeability
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Actins;
				        		
			        		
				        		
					        		Animals;
				        		
			        		
				        		
					        		Capillary Permeability;
				        		
			        		
				        		
					        		Choroid;
				        		
			        		
				        		
					        		Choroidal Neovascularization;
				        		
			        		
				        		
					        		Claudin-5;
				        		
			        		
				        		
					        		Endothelial Cells;
				        		
			        		
				        		
					        		Endothelium;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Macular Degeneration;
				        		
			        		
				        		
					        		Mice;
				        		
			        		
				        		
					        		Nitric Oxide Synthase Type III;
				        		
			        		
				        		
					        		Permeability;
				        		
			        		
				        		
					        		Phosphorylation;
				        		
			        		
				        		
					        		Receptors, Vascular Endothelial Growth Factor;
				        		
			        		
				        		
					        		Retinaldehyde;
				        		
			        		
				        		
					        		Vascular Endothelial Growth Factor A
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Biomolecules & Therapeutics
	            		
	            		 2019;27(5):474-483
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Vascular endothelial growth factor (VEGF) plays a pivotal role in pathologic ocular neovascularization and vascular leakage via activation of VEGF receptor 2 (VEGFR2). This study was undertaken to evaluate the therapeutic mechanisms and effects of the tetrapeptide Arg-Leu-Tyr-Glu (RLYE), a VEGFR2 inhibitor, in the development of vascular permeability and choroidal neovascularization (CNV). In cultured human retinal microvascular endothelial cells (HRMECs), treatment with RLYE blocked VEGF-A-induced phosphorylation of VEGFR2, Akt, ERK, and endothelial nitric oxide synthase (eNOS), leading to suppression of VEGF-A-mediated hyper-production of NO. Treatment with RLYE also inhibited VEGF-A-stimulated angiogenic processes (migration, proliferation, and tube formation) and the hyperpermeability of HRMECs, in addition to attenuating VEGF-A-induced angiogenesis and vascular permeability in mice. The anti-vascular permeability activity of RLYE was correlated with enhanced stability and positioning of the junction proteins VE-cadherin, β-catenin, claudin-5, and ZO-1, critical components of the cortical actin ring structure and retinal endothelial barrier, at the boundary between HRMECs stimulated with VEGF-A. Furthermore, intravitreally injected RLYE bound to retinal microvascular endothelium and inhibited laser-induced CNV in mice. These findings suggest that RLYE has potential as a therapeutic drug for the treatment of CNV by preventing VEGFR2-mediated vascular leakage and angiogenesis.