Aims/hypothesis. Plasminogen kringle 5 is an endogenous angiogenic inhibitor. The purpose of the present study was to explore the potential
application of kringle 5 in the treatment of retinal neovascularization.
Methods. Plasminogen kringle 5 was expressed in E. coli and affinity-purified. Its anti-angiogenic activity was determined in cultured
primary human capillary endothelial cells. Retinal neovascularization was induced in newborn rats by exposure to hyperoxia
and then normoxia. Kringle 5 was intravitreally injected into the rat model. Retinal neovascularization was visualized by
fluorescein angiography on flat-mounted retina and quantified by counting preretinal vascular cells.
Results. Plasminogen kringle 5 inhibited primary endothelial cells but not retinal neuronal cells, suggesting cell type-specific inhibition.
The oxygen-induced retinopathy rat model showed an over-expression of vascular endothelial growth factor, preretinal neovascularization
and haemorrhage. Intravitreal injection of kringle 5 before the development of neovascularization resulted in fewer neovascular
tufts and pre-retinal vascular cells than in control rats with PBS injection (
p < 0.01). Moreover, injection of kringle 5 after the development of neovascularization inhibited the increase in the preretinal
vascular cells (
p < 0.05). These results suggest that kringle 5 both prevents the development and arrests the progression of retinal neovascularization.
The injection of kringle 5 did not result in any detectable inflammatory response in the retina or histological toxicity to
retina neurons and pre-existing vessels.
Conclusion/interpretation. These observations suggest that intravitreal delivery of angiogenic inhibitors could have therapeutic benefits in neovascular
diseases of the retina. [Diabetologia (2001) 44: 757–765]
Keywords Angiogenesis - angiogenic inhibitor - angiostatin - diabetes - retinopathy of prematurity.
Received: 2 October 2000 and in revised form: 27 December 2001