IL-8 and VEGFR-2 polymorphisms modulate long-term functional response to intravitreal ranibizumab in exudative age-related macular degeneration

Author:

Lazzeri Stefano12,Orlandi Paola3,Piaggi Paolo45,Sartini Maria Sole1,Casini Giamberto1,Guidi Gianluca1,Figus Michele1,Fioravanti Anna3,Di Desidero Teresa3,Ripandelli Guido2,Parravano Mariacristina2,Varano Monica2,Nardi Marco1,Bocci Guido3

Affiliation:

1. Ophthalmology Unit, University of Pisa, Pisa, Italy

2. Fondazione G. B. Bietti, IRCCS Rome, Italy

3. Division of Pharmacology, Department of Clinical & Experimental Medicine, University of Pisa, Pisa, Italy

4. Department of Endocrinology & Metabolism, University of Pisa, Pisa, Italy

5. Department of Energy & Systems Engineering, University of Pisa, Pisa, Italy

Abstract

Aim: To investigate possible associations between VEGFR-2 and IL-8 gene SNPs and 1-year response to intravitreal ranibizumab for exudative age-related macular degeneration. Materials & methods: Sixty-four eyes underwent a loading phase of three monthly intravitreal injections of ranibizumab 0.5 mg/0.05 ml followed by Pro Re Nata retreatment. VEGFR-2 rs2071559 (-604 A/G) and IL-8 rs4073 (-251 A/T) were analyzed. Results: Ranibizumab was significantly more effective as measured by visual acuity in patients harboring the IL-8 rs4073 TT genotype (p = 0.045), whereas patients carrying the VEGFR-2 rs2071559 CC genotype revealed better functional response as measured by mean retinal sensitivity (p = 0.034). Conclusion: IL-8 rs4073 and VEGFR-2 rs2071559 genotypes may represent important molecular determinants to modulate final outcomes in neovascular age-related macular degeneration patients.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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