Subscribe to RSS
DOI: 10.1055/s-2008-1027131
© Georg Thieme Verlag KG Stuttgart · New York
Antiangiogene Therapie am Auge - bewährte und neue Therapieansätze
Anti-Angiogenic Therapy in Ocular Disease - Current and Future StrategiesPublication History
Eingegangen: 30.11.2007
Angenommen: 7.1.2008
Publication Date:
31 January 2008 (online)

Zusammenfassung
Aus der Onkologie kommend hat die antiangiogene Therapie die Augenheilkunde in den letzten Jahren verändert. Sie eröffnet neue Optionen für die Behandlung der altersabhängigen Makuladegeneration, des diabetischen Makulaödems, nach Venenverschlüssen und möglicherweise auch von Erkrankungen der Hornhaut mit starker Blut- und Gefäßneubildung. In dieser Arbeit soll ein Überblick über neue medikamentöse therapeutische Strategien gegeben werden, die sich derzeit in der klinischen Erprobung oder Anwendung befinden.
Abstract
Originating from therapeutic concepts in oncology, angioinhibitory strategies have changed the way ophthalmological patients are treated for a variety of diseases like age-related macular degeneration, diabetic retinopathy or retinal vein occlusion. It is likely that these therapeutic options will not be limited to retinal disease, but will also prove useful for corneal disorders associated with lymph- or angiogenesis. This review is intended to provide a concise overview of the current options investigated in clinical trials.
Schlüsselwörter
Pharmakologie - Retina - Kornea
Key words
retina - pharmacology - cornea
Literatur
- 1
Campochiaro P A.
Reduction of diabetic macular edema by oral administration of the kinase inhibitor
PKC412.
Invest Ophthalmol Vis Sci.
2004;
45
922-931
Reference Ris Wihthout Link
- 2
Campochiaro P A, Nguyen Q D, Shah S M. et al .
Adenoviral vector-delivered pigment epithelium-derived factor for neovascular age-related
macular degeneration: results of a phase I clinical trial.
Hum Gene Ther.
2006;
17
167-176
Reference Ris Wihthout Link
- 3
Connolly B, Desai A, Garcia C A. et al .
Squalamine lactate for exudative age-related macular degeneration.
Ophthalmol Clin North Am.
2006;
19
381-91
Reference Ris Wihthout Link
- 4
Cursiefen C, Cao J, Chen L. et al .
Inhibition of hemangiogenesis and lymphangiogenesis after normal-risk corneal transplantation
by neutralizing VEGF promotes graft survival.
Invest Ophthalmol Vis Sci.
2004;
45
2666-2673
Reference Ris Wihthout Link
- 5
Cursiefen C, Chen L, Saint-Geniez M. et al .
Nonvascular VEGF receptor 3 expression by corneal epithelium maintains avascularity
and vision.
Proc Natl Acad Sci USA.
2006;
103
11 405-11 410
Reference Ris Wihthout Link
- 6
Cursiefen C, Rummelt C, Junemann A. et al .
Absence of blood and lymphatic vessels in the developing human cornea.
Cornea.
2006;
25
722-726
Reference Ris Wihthout Link
- 7
D’Amico D J, Goldberg M F, Hudson H. et al .
Anecortave acetate as monotherapy for treatment of subfoveal neovascularization in
age-related macular degeneration: twelve-month clinical outcomes.
Ophthalmology.
2003;
110
2372-2383
Reference Ris Wihthout Link
- 8
Fiedler U, Reiss Y, Scharpfenecker M. et al .
Angiopoietin-2 sensitizes endothelial cells to TNF-alpha and has a crucial role in
the induction of inflammation.
Nat Med.
2006;
12
235-239
Reference Ris Wihthout Link
- 9
Folkman J.
Tumor angiogenesis: therapeutic implications.
N Engl J Med.
1971;
285
1182-1186
Reference Ris Wihthout Link
- 10
Gragoudas E S, Adamis A P, Cunningham E T. et al .
Pegaptanib for neovascular age-related macular degeneration.
N Engl J Med.
2004;
351
2805-2816
Reference Ris Wihthout Link
- 11
Jonas J B, Schlichtenbrede Jr F.
Visual acuity and intraocular pressure after high-dose intravitreal triamcinolone
acetonide in selected ocular diseases.
Eye.
2007;
E-pub.
Reference Ris Wihthout Link
- 12
Junker B, Schmidt D, Agostini H T.
Angiomatosis retinae.
Ophthalmologe.
2007;
104
107-113
Reference Ris Wihthout Link
- 13
Kaushik S, Gupta V, Gupta A. et al .
Intractable glaucoma following intravitreal triamcinolone in central retinal vein
occlusion.
Am J Ophthalmol.
2004;
137
758-760
Reference Ris Wihthout Link
- 14
Kube T, Sutter M, Trittler R. et al .
Carboxymethylcellulose as a new carrier substance for intravitreal injection of reproducible
amounts of triamcinolone.
Graefes Arch Clin Exp Ophthalmol.
2006;
244
1385-1390
Reference Ris Wihthout Link
- 15
Ladomery M R, Harper S J, Bates D O.
Alternative splicing in angiogenesis: the vascular endothelial growth factor paradigm.
Cancer Lett.
2007;
249
133-142
Reference Ris Wihthout Link
- 16
Lynch S S, Cheng C M.
Bevacizumab for neovascular ocular diseases.
Ann Pharmacother.
2007;
41
614-625
Reference Ris Wihthout Link
- 17
Maier P, Unsoeld A S, Junker B. et al .
Intravitreal injection of specific receptor tyrosine kinase inhibitor PTK787 /ZK222
584 improves ischemia-induced retinopathy in mice.
Graefes Arch Clin Exp Ophthalmol.
2005;
243
593-600
Reference Ris Wihthout Link
- 18
Martin G, Schlunck G, Hansen L L. et al .
Differential expression of angioregulatory factors in normal and CNV-derived human
retinal pigment epithelium.
Graefes Arch Clin Exp Ophthalmol.
2004;
242
321-326
Reference Ris Wihthout Link
- 19
Michaelson I C.
.
Trans Ophthalmol Soc UK.
1948;
68
137-180
Reference Ris Wihthout Link
- 20 Michels S, Agostini H AT. Inhibition der Angiogenese in der Augenheilkunde. Bremen; Uni-Med Verlag 2007
Reference Ris Wihthout Link
- 21 Mross K. Angiogeneseinhibitoren in der Onkologie. Bremen; Uni-Med Verlag 2007
Reference Ris Wihthout Link
- 22
Ng Y S, Krilleke D, Shima D T.
VEGF function in vascular pathogenesis.
Exp Cell Res.
2006;
312
527-537
Reference Ris Wihthout Link
- 23
Nguyen Q D, Shah S M, Hafiz G. et al .
A phase I trial of an IV-administered vascular endothelial growth factor trap for
treatment in patients with choroidal neovascularization due to age-related macular
degeneration.
Ophthalmology.
2006;
113
1522
Reference Ris Wihthout Link
- 24
Perrin R M, Konopatskaya O, Qiu Y. et al .
Diabetic retinopathy is associated with a switch in splicing from anti- to pro-angiogenic
isoforms of vascular endothelial growth factor.
Diabetologia.
2005;
48
2422-2427
Reference Ris Wihthout Link
- 25
Rosenfeld P J, Brown D M, Heier J S. et al .
Ranibizumab for neovascular age-related macular degeneration.
N Engl J Med.
2006;
355
1419-1431
Reference Ris Wihthout Link
- 26
Stahl A, Agostini H, Hansen L L. et al .
Bevacizumab in retinal vein occlusion-results of a prospective case series.
Graefes Arch Clin Exp Ophthalmol.
2007;
245
1429-1436
Reference Ris Wihthout Link
- 27
Umeda N, Kachi S, Akiyama H. et al .
Suppression and regression of choroidal neovascularization by systemic administration
of an alpha5beta1 integrin antagonist.
Mol Pharmacol.
2006;
69
1820-1828
Reference Ris Wihthout Link
- 28
Wood J M, Bold G, Buchdunger E. et al .
PTK787 /ZK 222 584, a novel and potent inhibitor of vascular endothelial growth factor
receptor tyrosine kinases, impairs vascular endothelial growth factor-induced responses
and tumor growth after oral administration.
Cancer Research.
2000;
60
2178-2189
Reference Ris Wihthout Link
PD Hansjürgen Agostini
Augenklinik, Uniklinik Freiburg
Killianstr.5
79106 Freiburg
Phone: ++ 49/7 61/2 70 40 46
Fax: ++ 49/7 61/2 70 41 74
Email: hansjuergen.agostini@uniklinik-freiburg.de
