PEDF, a protein with many functions, has been suggested to play a clinical role in dry eye, choroidal neovascularization, cardiovascular disease, diabetes, diabetic macular edema, osteogenesis imperfecta and cancer. As an antiangiogenic protein, PEDF may help suppress unwanted neovascularization of the eye. Molecules that shift the balance towards PEDF and away from VEGF may prove useful tools in both choroidal neovascularization and preventing cancer
metastasis formation.
Glaucoma and zinc-mediated modulation Recent work suggests that extracellular
zinc ions directly binds PEDF at multiple high-affinity sites, inducing reversible
oligomerization and decreasing its negative surface charge. This conformational change is reported to mask functional epitopes required for PEDF’s neurotrophic and anti-angiogenic activities and for collagen binding. In samples from patients with primary open-angle
glaucoma, zinc levels in the
aqueous humor were approximately twofold higher than in controls. In
retinal cell models, zinc stress increased PEDF secretion but impaired its ability to activate its receptor PEDF-R/PNPLA2, attenuating axogenic, differentiative and pro-survival effects. Together, these findings support a mechanism in which excess extracellular zinc inhibits PEDF signaling during glaucomatous
neurodegeneration and identify the PEDF–zinc complex as a potential neuroprotective target. == References ==