1. Adenosine diphosphate stimulates VEGF-independent choroidal endothelial cell proliferation: A potential escape from anti-VEGF therapy.
- Author
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Biswas N, Mori T, Ragava Chetty Nagaraj NK, Xin H, Diemer T, Li P, Su Y, Piermarocchi C, and Ferrara N
- Subjects
- Animals, Humans, Mice, Cattle, Receptors, Purinergic P2Y1 metabolism, Phosphorylation drug effects, Adenosine Diphosphate metabolism, Adenosine Diphosphate pharmacology, Cell Proliferation drug effects, Endothelial Cells metabolism, Endothelial Cells drug effects, Vascular Endothelial Growth Factor A metabolism, Choroid metabolism, Choroid drug effects, Choroidal Neovascularization metabolism, Choroidal Neovascularization drug therapy, Choroidal Neovascularization pathology
- Abstract
We hypothesized that a strategy employing tissue-specific endothelial cells (EC) might facilitate the identification of tissue- or organ-specific vascular functions of ubiquitous metabolites. An unbiased approach was employed to identify water-soluble small molecules with mitogenic activity on choroidal EC. We identified adenosine diphosphate (ADP) as a candidate, following biochemical purification from mouse EL4 lymphoma extracts. ADP stimulated the growth of bovine choroidal EC (BCEC) and other bovine or human eye-derived EC. ADP induced rapid phosphorylation of extracellular signal-regulated kinase in a dose- and time-dependent manner. ADP-induced BCEC proliferation could be blocked by pretreatment with specific antagonists of the purinergic receptor P2Y1 but not with a vascular endothelial growth factor (VEGF) inhibitor, indicating that the EC mitogenic effects of ADP are not mediated by stimulation of the VEGF pathway. Intravitreal administration of ADP expanded the neovascular area in a mouse model of choroidal neovascularization. Single-cell transcriptomics from human choroidal datasets show the expression of P2RY1, but not other ADP receptors, in EC with a pattern similar to VEGFR2. Although ADP has been reported to be a growth inhibitor for vascular EC, here we describe its growth-stimulating effects for BCEC and other eye-derived EC., Competing Interests: Competing interests statement:The authors declare no competing interest.
- Published
- 2025
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