Cell-specific Systemic Immune Signatures Associated with Treatment Burden in Neovascular Age-related Macular Degeneration.
Ophthalmol Sci
; 4(2): 100410, 2024.
Article
en En
| MEDLINE
| ID: mdl-38524380
ABSTRACT
Purpose:
Choroidal neovascularization (CNV) accounts for the majority of severe vision loss in neovascular age-related macular degeneration (AMD). Despite therapies that target VEGF, patients are often under-responsive, require frequent eye injections to control disease, and eventually lose some vision despite chronic therapy implicating a multifactorial etiology in treatment response. Genetic studies implicate systemic immunity in AMD and systemic immune cells accumulate within CNV lesions, yet a role for these cells in anti-VEGF response remains undetermined. The purpose of this study was to identify transcriptional signatures of circulating immune cells that are associated with high anti-VEGF treatment burden.Design:
Experimental pilot study.Participants:
Patients with neovascular AMD seen at Washington University School of Medicine in St. Louis and BJC Health System.Methods:
We profiled by single cell RNA sequencing the peripheral blood mononuclear cells of 27 treatment-experienced patients with wet AMD. We stratified this cohort into 2 groups with low and high treatment burden (≤ 5 or ≥ 6 injections in the past 12 months, respectively). Main OutcomeMeasures:
Identification of immune cells associated with high treatment burden.Results:
Gene expression signature of CD16+ monocytes may be associated with high treatment burden.Conclusions:
These studies delineate potential signatures of circulating immune cells that may be associated with high treatment burden in neovascular AMD, potentially informing the development of diagnostic predictors of anti-VEGF response and new precision medicine-based approaches to complement anti-VEGF therapies. Financial Disclosures Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
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Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Ophthalmol Sci
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Países Bajos