Our research seeks to enhance the understanding and treatment of Diabetic Macular Edema (DME), a major cause of vision loss in patients with diabetes. Although anti-VEGF therapies are the standard treatment for DME, many patients continue to experience poor visual outcomes, even after years of injections. Despite improving visual acuity in many cases, approximately 30–40% of DME patients still have suboptimal results, emphasizing the need for biomarkers that can predict the effectiveness of anti-VEGF treatment.
By exploring key molecular and clinical factors in DME patients receiving anti-VEGF therapy, our goal is to identify biomarkers that are linked to treatment outcomes. We are utilizing advanced techniques such as multiplex flow cytometry, shotgun proteomics, and in vitro models of the blood-retinal barrier to uncover the underlying mechanisms of DME.
This research aims to provide deeper insights into why some patients respond more favorably to treatment than others. Ultimately, we hope to identify biomarkers that can enable personalized treatment approaches, leading to improved visual outcomes for DME patients globally.
Age-related macular degeneration (AMD) is a leading cause of irreversible blindness globally, with genetics playing a pivotal role in its development. Advances in next-generation sequencing and genetic analysis have led to comprehensive Genome-wide Association Studies (GWAS) and meta-analyses, identifying numerous AMD-associated loci and single nucleotide polymorphisms (SNPs). However, translating these genetic risk alleles into clinically meaningful outcomes for predicting and managing AMD has proven challenging. A little is known why some AMD patients experience slow disease progression, resulting in the dry form of AMD, while others develop rapidly progressing, severe disease leading to the wet form of AMD. Currently, there are no reliable indicators to predict the severity or progression of AMD.
This project aims to bridge this gap by exploring how specific combinations of risk alleles influence the clinical presentation, disease severity, progression, and outcomes in AMD patients. Our research will investigate key genetic risk factors associated with AMD development, progression, and severity. We will also explore the impact of multi-risk alleles on AMD pathophysiology, clinical phenotypes, and disease progression. The anticipated outcome is the development of a predictive model based on risk allele load for AMD severity and progression. This model could facilitate earlier diagnosis, enable more personalized treatment strategies, and improve the overall management of AMD, leading to better patient outcomes.