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Fractalkine, a CX3C Chemokine, Act as a Mediator of Ocular Angiogenesis

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National Taiwan University

Status

Completed

Conditions

Angiogenesis
Proliferative Diabetic Retinopathy

Study type

Observational

Funder types

Other

Identifiers

NCT00728598
9561702008

Details and patient eligibility

About

Fractalkine (FKN) is a chemoattractant and adhesion molecule for leukocytes. Angiogenic effect of FKN also has been reported. We investigate FKN-mediated angiogenesis in ocular angiogenic disorders.

Full description

Fractalkine (FKN), the sole member of the CX3C chemokine family, is named for its fractal geometry. The CX3C motif, with three amino acids between the two terminal cysteines, makes fractalkine distinct from other chemokines.The structure of fractalkine, a membrane-bound glycoprotein with the chemokines domain atop an extended mucin-like stalk, also is unique.Membrane-bound FKN can be markedly induced on primary endothelial cells by inflammatory cytokines; this form promotes the robust adhesion of monocytes and T lymphocytes. Soluble FKN can be released by proteolysis at an efficient chemotactic activity level for monocytes and T cells. Thus, FKN is a versatile molecule regulating both cell-cell interactions in its membrane-bound form and directed-cell migration in its soluble form. The receptor of FKN, CXC3R1, is a G protein-couple protein, which expresses T lymphocytes, monocytes, natural killer (NK) cells, microglia, and neurons.Sulfation of tyrosine enhances the function of CX3CR1 in cell capture and firm adhesion. Fractalkine is expressed constitutively in the kidney, heart, lung, and brain. Fractalkine has demonstrated an important role in CNS inflammation, cardiac allograft rejection, arteriogenesis, renal disease, psoriasis, and during pregnancy. Silverman et al demonstrated the presence of FKN in normal cultured microvascular endothelial and stromal cells of iris and retina in vitro. Upon inflammatory cytokine stimulation, EC also express FKN and its receptors with FKN secretion in an autocrine manner. In addition to EC chemotaxis and tube formation, FKN is an angiogenic mediator in rheumatoid arthritis. Therefore, we hypothesize that FKN not only participates in ocular inflammatory reactions, but also plays an important role in ocular angiogenesis.

Enrollment

30 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • clinical diagnosis of proliferative diabetic retinopathy.
  • who will receive vitrectomy for treatment of disease.

Exclusion criteria

  • previous ocular surgical history.
  • history of uveitis
  • history of ocular trauma.

Trial design

30 participants in 3 patient groups

1
Description:
Proliferative diabetic retinopathy, active.
2
Description:
Proliferative diabetic retinopathy, quiescent.
3
Description:
Control group. Patients with macular hole or idiopathic epiretinal membrane receiving vitrectomy for their disease.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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