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Coats Disease

Coats disease is characterized by retinal telangiectasia and intraretinal or subretinal exudation, mostly seen in young males as an affected group. Protheragen's services in Coats Disease diagnostics and therapeutics development are designed to address the unique challenges posed by this rare retinal disease.

Introduction to Coats Disease

Coats Disease (also spelled Coat's disease) is an uncommon, idiopathic disease of the retina's blood vessels accompanied by defective formation of the vascular structures of the retina, which causes intraretinal and subretinal fluid accumulation. First described by George Coats in 1908, its primary victims are boys, and it usually occurs in one eye only. Its main features are retinal telangiectasia marked by dilated and irregular vessels that ooze fluids, resulting in exudative retinal detachment, macular oedema, and sometimes severe vision loss. The eye disorders may vary in severity and include mild symptoms of vascular manifestations to advanced exudative retinal detachment and neovascular glaucoma.

Retinal features of Coats disease.Fig.1 Retinal telangiectasia and subretinal exudation characteristic of Coats disease. (Sen M., et al., 2019)

Diagnostic Methods of Coats Disease

  • Subretinal Fluid Analysis: The assessment of subretinal fluid gathered during sclerotomy is valuable in demonstrating lipid-laden macrophages and cholesterol crystals, aiding diagnosis. This method is invasive and only for cases where non-invasive methods do not yield results.
  • Genetic Testing: Even though the precise genetic mechanisms underlying Coats disease are unknown, NDP, CRB1, and PANK2 genes have been analyzed for possible correlation. Identification of some pathogenic mutations is still achievable through genetic testing.

Therapeutics Development for Coats Disease

Therapeutics Targets Description Stages
Bevacizumab (Avastin) VEGF-A Bevacizumab is a monoclonal antibody that binds to VEGF-A, reducing vascular permeability and exudation. It is commonly used as an intravitreal injection to manage macular edema and exudative retinal detachment in Coats disease. Approved
Ranibizumab (Lucentis) VEGF-A Ranibizumab is another anti-VEGF agent used in the therapeutics of Coats disease. It targets VEGF-A, helping to stabilize abnormal blood vessels and reduce exudation. It is often used in combination with laser photocoagulation or cryotherapy. Approved
Conbercept VEGF-A, VEGF-B, VEGF-C, Placental Growth Factor Conbercept is a recombinant fusion protein that binds to multiple VEGF isoforms and placental growth factors. It is effective in reducing subretinal fluid and improving visual acuity when used in combination with laser photocoagulation. Approved
Triamcinolone Acetonide Inflammatory Pathways Triamcinolone is a corticosteroid used as an intravitreal injection to reduce inflammation and exudation. It is often used as an adjunct therapy to laser photocoagulation or cryotherapy to manage macular edema. Approved

Disclaimer: Protheragen focuses on providing preclinical research services. This table is for information exchange purposes only. This table is not a treatment plan recommendation. For guidance on treatment options, please visit a regular hospital.

Our Services

Understanding the distinct difficulties of Coats disease, Protheragen provides tailored services meant to address specific research requirements. Our staff works hand in hand with the clients to formulate sophisticated diagnostic and therapeutic approaches utilizing our vast experience and resources.

Diagnostics Development

  • Karyotype Analysis Service
  • Omics Analysis Service
  • Biomarker Development Service
  • Artificial Intelligence Service

Therapeutic Development

  • Small Molecule Drug
  • Cell Therapy
  • Gene Therapy
  • Therapeutic Antibody
  • Therapeutic Peptide
  • Therapeutic Protein
  • Customized Therapy Development

Disease Models

  • Transgenic Murine Models
  • Norrie Disease Models
  • Surgically Induced Retinal Telangiectasia and Exudation Models
  • Chemical Induced Retinal Vascular Abnormality Models

Preclinical Research

  • Pharmacodynamics Study Services
  • Pharmacokinetics Study Services
  • Drug Safety Evaluation Services
  • Customized Research Services

Protheragen's preclinical research services are structured to deepen the understanding of Coats Disease while formulating new therapeutics methodologies. We perform extensive research on the disease's pathogenesis with particular regard to endothelial dysfunction and abnormal pericytes as the focal point. If you are interested in our services, please feel free to contact us.

References

  • Sen, Mrittika, et al. "Coats disease: An overview of classification, management and outcomes." Indian journal of ophthalmology 67.6 (2019): 763-771.
  • Sigler, Eric J., et al. "Current management of Coats disease." Survey of ophthalmology 59.1 (2014): 30-46.