PURPOSE.Retinal neovascularization (NV) is a major cause of blindness. Recent research suggests that factors other than VEGF participate in this process. This study aimed to determine the role of ephrin-A4 in retinal NV.
METHODS.The expression and effect of ephrin-A4 was investigated in a mouse model of oxygen-induced retinopathy (OIR) and the RF/6A retina endothelial cell line. Ephrin-A4 expression and VEGF signaling pathway phosphorylation were determined by PCR, immunohistochemistry, and western blot analyses. ShRNA was used to silence ephrin-A4 in vitro and in vivo. Retinal flat mounts and tube formation assays were performed to evaluate ephrin-A4 function in the NV process in vivo and in vitro.RESULTS. Ephrin-A4 was overexpressed in the retina of OIR mice and in RF/6A and RPE cells after CoCl 2 stimulation. In vitro, Ephrin-A4/Fc treatment significantly increased the tube number of RF/6A cells on a membrane preparation and the phosphorylation levels of VEGR2, Akt1, and ERK1/2 in RF/6A cells. Moreover, ephrin-A4 knockout markedly suppressed pathologic neovascularization in vivo and inhibited the proliferation and tube formation capacity of RF/6A cells in vitro. Furthermore, in the absence of ephrin-A4, the phosphorylation of VEGFR2, Akt1, and ERK1/2 was defective under VEGF 165 stimulation, and the proangiogenic function of VEGF 165 was also compromised.CONCLUSIONS. This study suggests that ephrin-A4 plays an important role in retinal NV and is a potential target against retinal NV. The proangiogenic function of ephrin-A4 may be linked to its crucial role in the VEGF signaling pathway. (Invest Ophthalmol Vis Sci. 2012;53:1990-1998) DOI:10.1167/ iovs.11-8788 R etinal neovascularization (NV) is characteristic of retinopathy of prematurity (ROP). In phase I of ROP, relative hyperoxia leads to the suppression of oxygen-regulated growth factors, such as vascular endothelial growth factor (VEGF), which causes a loss of preestablished vessels and cessation of normal retina vessel development. In phase II, a group of overexpressed growth factors from ischemic retina induces pathologic retinal NV. Research and clinical trials have confirmed that VEGF is the principal mediator of retinal NV. However, laboratory and clinical observations suggest that factors other than VEGF are also involved in both normal retinal vasculogenesis and retinal NV. 1,2 It is possible that further investigations of other factors and pathways may yield new therapeutic options.Significant progress has been made in recent years to identify factors promoting pathologic retinal NV, such as the Eph/ephrin signaling pathway. Eph receptors include EphA and EphB, and ephrin ligands include ephrin-A and transmembranous ephrin-B. Eph/ephrin molecules are critical regulators of cell contact-dependent signaling and patterning. Eph receptors and their ephrin ligands form an important cell communication system with widespread roles in normal physiology and disease pathogenesis, controlling cell migration and cytoskeletal organization.3-6 Ephrin-B2, EphB4...