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Development and Evaluation of Therapeutics for Resolution of Pathological Vascularization-Associated Diseases. Timothy P. Foster*1, Charles Nichols2 and Daniel Kapusta2. Departments of Microbiology, Immunology and Parasitology1 and Pharmacology2, Louisiana State University Health Sciences Center, New Orleans, LA. Background and Objective: Physiological angiogenesis and neovascularization are required for embryonic development, tissue remodeling and wound healing. However, in certain tissues and diseases, dysregulation of these tightly controlled processes can result in vascularizationmediated pathological conditions. In ocular and dermal diseases, as well as cancers, vascularization of normally avascular tissue feeds a cascade of host-mediated responses that exacerbates the pathological processes and worsens the prognosis of disease resolution. Methods: We have developed several pharmaceutical preparations that target and disrupt pathways associated with disease promoting vascularization processes. The effects of these drug preparations were assessed on primary human vascular endothelial cells by whole genome computational approaches, as well as through in vitro, ex vivo and in vivo angiogenesis and disease models. Results: Two target compounds were identified that exhibited strong anti-neovascularization and anti-angiogenic properties. Computational characterization of global effects on vascular endothelium indicated that these compounds would prevent angiogenesis by inhibiting multiple pathways/processes. These predictions were confirmed through in vitro and ex vivo angiogenesis assays. In two ocular disease models, treatment with these compounds exhibited strong inhibition of pathological vascularization processes and prevented subsequent disease development. Conclusions: Unlike current single process targeted angiopreventatives, which limits their therapeutic applications, our lead compounds suppressed multiple processes associated with pathological vascularization enabling broader range of treatment for vascularizaiton-associated diseases. This research was supported by P30GM106392.