Anti-retinal IgG antibodies in patients with early and advanced type 2 macular telangiectasia.

Abstract

Type 2 idiopathic macular telangiectasia (MacTel-2) is a progressive adult-onset macular disease associated with bilateral perifoveal vascular changes, Muller cell degeneration and increased blood-retinal barrier permeability. The pathophysiological mechanisms of MacTel-2 remain unclear, however it was previously reported that anti-retinal antibodies in MacTel-2 patients are a significant feature of the disease. In this study, we aimed to compare the prevalence of anti-retinal antibodies in patients MacTel-2, healthy controls and patients with other retinal diseases. MacTel-2 patients diagnosed with multimodal imaging were enrolled and their disease severities were graded using spectral-domain optical coherence tomography. For comparison, patients with age-related macular degeneration (AMD), inherited retinal diseases (IRDs) or no retinal disease (healthy controls) were recruited as controls. Blood serum samples were screened for immunoglobulin G anti-retinal antibodies by western blotting, followed by densitometry analysis. Odds ratios (OR) with 95% confidence intervals (CI) were calculated and p < 0.05 considered statistically significant. Overall, anti-retinal antibody-positive cases were older (64 ± 15 vs 53 ± 17 years, p < 0.001) and females were more likely to develop anti-retinal antibodies (OR: 2.41, CI: 1.12-5.18). The frequency of anti-retinal antibody detection in MacTel-2 patients (n = 42, 36%) was not significantly different from healthy controls (n = 52, 25%) or IRD patients (n = 18, 25%) and the majority of MacTel-2 patients had no anti-retinal antibodies. In contrast, the frequency of anti-retinal antibody detection was significantly higher in patients with AMD (n = 15, 73%, p < 0.001). The lack of a greater anti-retinal antibody frequency or specificity in the MacTel-2 cohort suggests that antibody mediated immunological mechanisms may play a less significant role in MacTel-2 disease pathogenesis.

• Authors: Samuel McLenachan, Chandrakumar Balaratnasingam, Rachael C Heath Jeffery, Shang-Chih Chen, Dan Zhang, Geoffrey Chan, Rosa Dolz-Marco, Tommaso Bacci, Johnny Lo, Steven Wiffen, Lawrence A Yannuzzi, Fred K Chen
• Journal: Experimental eye research (Exp Eye Res) Vol. 218 Pg. 109024 (05 2022) ISSN: 1096-0007 [Electronic] England
• PMID: 35271830 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.

Chemical References

• Immunoglobulin G

Topics

• Adult
• Diabetic Retinopathy (pathology)
• Female
• Humans
• Immunoglobulin G
• Macular Degeneration (pathology)
• Retina (pathology)
• Retinal Telangiectasis (diagnosis, pathology)
• Tomography, Optical Coherence (methods)