Review Article

Inflammatory Mediators and Angiogenic Factors in Choroidal Neovascularization: Pathogenetic Interactions and Therapeutic Implications

Table 1

Therapeutic approaches for choroidal neovascularization.

Therapies directed against the vascular component of choroidal neovascularization.

AgentClassMolecular target

Pegaptanib sodiumaptamerVEGF-165

Ranibizumabmonoclonal antibody fragmentall VEGF isoforms

Bevacizumabfull-length monoclonal antibodyall VEGF isoforms

VEGF-trapdecoy receptorall VEGF isoforms and PlGF

Pazopanibtyrosine kinase inhibitorsVEGFR-1, VEGFR-2, VEGFR-3, PDGFR-a/β, and c-kit
TG100801
TG101095
Vatalanib
AL39324

BevasiranibsiRNAVEGF mRNA

E10030aptamerPDGF

Combretastat in A4 phosphatevascularVE-cadherin, beta-catenin/AKT

Therapies directed against the extra-vascular component of choroidal neovascularization

AgentClassMolecular target

Anecortave acetatecorticosteroiduPA, stromelysin (MMP-3)

JSM6427integrins antagonistα5β1 integrin

sirolimusimmunosuppressantmTORC1

infliximabMonoclonal antibodyTNF α

VEGF, vascular endothelial growth factor; VEGFR, vascular endothelial growth factor receptor; PlGF, placenta growth factor; PDGFR, platelet-derived growth factor receptor; PDGF, platelet-derived growth factor; uPA, urokinase plasminogen activator; MMP, matrix metalloproteinase; mTORC1, mammalian target of rapamycin complex 1.