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Biomarkers as Predictive Factors of Anti-VEGF Response

Title: Biomarkers as Predictive Factors of Anti-VEGF Response
Authors: Miriam Bobadilla; Ana Pariente; Ana I. Oca; Rafael Peláez; Álvaro Pérez-Sala; Ignacio M. Larráyoz
Source: Biomedicines, Vol 10, Iss 1003, p 1003 (2022)
Publisher Information: MDPI AG
Publication Year: 2022
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: age-related macular degeneration; ranibizumab; aflibercept; brolucizumab; anti-VEGF; SNPs; Biology (General); QH301-705.5
Description: Age-related macular degeneration is the main cause of irreversible vision in developed countries, and intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections are the current gold standard treatment today. Although anti-VEGF treatment results in important improvements in the course of this disease, there is a considerable number of patients not responding to the standardized protocols. The knowledge of how a patient will respond or how frequently retreatment might be required would be vital in planning treatment schedules, saving both resource utilization and financial costs, but today, there is not an ideal biomarker to use as a predictive response to ranibizumab therapy. Whole blood and blood mononuclear cells are the samples most studied; however, few reports are available on other important biofluid samples for studying this disease, such as aqueous humor. Moreover, the great majority of studies carried out to date were focused on the search for SNPs in genes related to AMD risk factors, but miRNAs, proteomic and metabolomics studies have rarely been conducted in anti-VEGF-treated samples. Here, we propose that genomic, proteomic and/or metabolomic markers could be used not alone but in combination with other methods, such as specific clinic characteristics, to identify patients with a poor response to anti-VEGF treatment to establish patient-specific treatment plans.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.mdpi.com/2227-9059/10/5/1003; https://doaj.org/toc/2227-9059; https://doaj.org/article/ccb920266fe5400785cb7ea14f9df006
DOI: 10.3390/biomedicines10051003
Availability: https://doi.org/10.3390/biomedicines10051003; https://doaj.org/article/ccb920266fe5400785cb7ea14f9df006
Accession Number: edsbas.20902CBF
Database: BASE