Stage-Specific WNT Modulation for Retinal Neovascularization
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Solution Overview
Problem
Existing treatments for retinopathies, such as diabetic retinopathy and familial exudative vitreoretinopathy, fail to effectively modulate WNT signaling to address aberrant vascular development and neovascularization, leading to retinal ischemia, hemorrhage, and vision loss.
Innovation Solution
Administration of engineered WNT signaling modulators, including agonists and antagonists, that bind to Fzd, LRP, or Tspan12 receptors, optionally combined with VEGF or Ang2 antagonists, to regulate vascular formation at different stages of retinopathy.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If WNT signaling is activated to promote vascular development, then retinal vascularization is improved, but aberrant neovascularization and vascular damage occur
Solution Approach 1:
The patent applies dynamics by transitioning from static WNT signaling activation to dynamic, stage-specific modulation. WNT agonists are administered in early stages to promote vascularization, while WNT antagonists are administered in late stages to suppress aberrant neovascularization. This temporal differentiation of signaling modulation resolves the contradiction between promoting vascular development and preventing harmful neovascularization.
Solution Approach 2:
The treatment protocol segments the WNT signaling modulation into distinct phases: early retinopathy stage (pro-vascularization with WNT agonists) and late retinopathy stage (anti-neovascularization with WNT antagonists). This segmentation allows targeted intervention at different disease stages, simultaneously achieving vascularization promotion and aberrant growth suppression.
2Reliability
If WNT agonists are used to treat early retinopathy, then vascular development is promoted, but treatment complexity increases
Solution Approach 1:
The treatment protocol is segmented into two distinct phases based on disease stage: early retinopathy treatment with WNT agonists and late retinopathy treatment with WNT antagonists. Each phase has specific indications and treatment objectives, which simplifies the overall treatment strategy by providing clear stage-specific guidance rather than a single complex universal protocol.
3Object-generated harmful factors
If WNT antagonists are used to suppress neovascularization, then aberrant vascular growth is reduced, but retinal ischemia worsens
Solution Approach 1:
The patent applies dynamics by implementing stage-specific WNT signaling modulation: WNT agonists are used in early stages when vascularization is deficient, while WNT antagonists are used in late stages when aberrant neovascularization is the primary problem. This temporal differentiation ensures that ischemia is not exacerbated by antagonist treatment, as it is administered only after adequate vascularization has occurred.
Solution Approach 2:
WNT agonist treatment is administered as a preliminary action in early retinopathy stages to establish adequate retinal vascularization before WNT antagonist treatment begins in late stages. This preliminary vascularization ensures that the retina has sufficient blood supply before suppressing neovascularization, preventing the exacerbation of retinal ischemia.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
Regulating WNT signaling through agonists and antagonists helps control aberrant vascular growth, reducing neovascularization and associated retinal damage, potentially improving treatment outcomes for retinopathies like diabetic retinopathy and FEVR.
Implementation Method 1
WNT signaling has been implicated as an important pathway for the vascular development in retina. Growing genetic evidences from human and rodent studies further support the importance of WNT signaling in retinal vasculature
Implementation Method 2
Norrin, WNT signal ligand, transmits a signal to the endothelial cells through a receptor complex composed of Fzd4/Lrp5/Tspan12 for normal retinal vascularization in eye
Implementation Method 3
The ischemic condition induces the production of vascular endothelial growth factor (VEGF) and angiopoietin2 (Ang2), leading to neovascularization and vascular tuft formation
Data Source
AI summary
The present invention provides methods of treating ocular disorders with modulators of the WNT signaling pathway. In particular the ocular disorders are retinopathies. Also provided are methods of dosing and pharmaceutical compositions.


