# In Vivo Molecular Imaging of Vascular Disease of the Retina

> **NIH NIH R01** · VANDERBILT UNIVERSITY MEDICAL CENTER · 2020 · $417,067

## Abstract

PROJECT SUMMARY
Neovascularization (NV) is a common complication in age-related macular degeneration (AMD), diabetic
retinopathy (DR), retinopathy of prematurity (ROP) and retinal vein occlusion (RVO). Retinal hypoxia plays an
important role during NV development and progression. Thus, in vivo molecular imaging of retinal hypoxia at
an early stage could be an important predictive tool assessing the risk of NV development and progression. To
this end, the PI has developed HYPOX-4, a highly sensitive molecular imaging probe capable of detecting
retinal hypoxia in vivo in animal models of ROP and RVO. In this proposed study, quantitative assessment of
HYPOX-4 fluorescence intensities measured by computational methods, correlating with levels of retinal
hypoxia will be assessed to create a predictive tool for retinal NV development and progression. Current
methods for the measurement of tissue oxygen tension include nuclear magnetic resonance, retinal oximetry,
phosphorescence lifetime imaging, doppler optical coherence tomography (D-OCT), and visible-light OCT.
Although their application has provided a clearer understanding of the vascular oxygen supply and metabolism
in the retina, none of these imaging methods have been used successfully to measure retinal hypoxia in vivo
within avascular retina or in ischemic tissues. Pimonidazole-adduct immunohistochemistry is the common
method to study tissue hypoxia, but this technique is limited by it's exclusive ex vivo method of examination.
Thus, it is not useful for ophthalmic clinical in vivo applications. To this end, HYPOX-4 (developed by the
applicant) will be used to address the limitations of indirect or invasive hypoxia detection technologies. In Aim
1 and 2, HYPOX-4 will be tested to determine graded levels and temporal profiles of retinal hypoxia depicting
the onset, evolution and resolution of NV in mouse model of oxygen-induced retinopathy (OIR) in vivo as well
as ex vivo. Hypoxia profiles will be further correlated with the expression of hypoxia-associated biomarkers
including HIF-1α, CAIX and VEGFR2. The standard pimonidazole-adduct ex vivo immunostaining and
phosphorescence lifetime imaging will be performed in parallel experiments to confirm the temporal and
graded retinal-hypoxia profiles and tissue oxygen pressures. In Aim 3, HYPOX-4 will be evaluated for
biodistribution, safety and toxicity in this mouse OIR and room air (RA) control animals. In this proposal, the
applicant (Dr. Uddin), experts in molecular imaging methods in the context of retinal vascular diseases and
other types of vascular dysfunction, will collaborate with Dr. John Penn, Dr. Manaz Shahidi and Dr. Marnett,
experts in biology of animal models and ocular angiogenesis to demonstrate the utility of this new hypoxia
sensitive probe for the early detection of retinal hypoxia. These studies have significant potentials for
advancing the implementation of molecular imaging technologies in preclinical and clinical settings, an...

## Key facts

- **NIH application ID:** 9857610
- **Project number:** 5R01EY029693-02
- **Recipient organization:** VANDERBILT UNIVERSITY MEDICAL CENTER
- **Principal Investigator:** MD IMAM UDDIN
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $417,067
- **Award type:** 5
- **Project period:** 2019-03-01 → 2024-02-29

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9857610

## Citation

> US National Institutes of Health, RePORTER application 9857610, In Vivo Molecular Imaging of Vascular Disease of the Retina (5R01EY029693-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/9857610. Licensed CC0.

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