PMID- 19787603 OWN - NLM STAT- MEDLINE DCOM- 20091103 LR - 20220310 IS - 1120-6721 (Print) IS - 1120-6721 (Linking) VI - 19 IP - 5 DP - 2009 Sep-Oct TI - Intravitreal infliximab in experimental endotoxin-induced uveitis. PG - 818-23 LID - 7C3B4E16-FDB6-4A88-B9C7-AA3055D2095F [pii] AB - PURPOSE: Tumor necrosis factor-alpha (TNF-alpha) plays a central role in the pathogenesis of ocular inflammation and the level of TNF-alpha is increased in ocular fluids of patients with uveitis. Intravenous infliximab, a monoclonal antibody against TNF-alpha, has been used for the treatment of uveitis with promising preliminary results. The aim of this study was to evaluate the effect of intravitreal injection of infliximab on experimental uveitis. METHODS: Thirty-three white New Zealand rabbits were divided randomly into three groups. Group 1 (n=5) received intravitreal injection of 1 mg/0.1 cc infliximab plus 0.1 cc normal saline, group 2 (n=14) received intravitreal injection of 2 microg Salmonella typhimurium endotoxin plus 1 mg/0.1 cc infliximab, and group 3 (n=14) animals received intravitreal endotoxin 2 microg/0.1 cc plus normal saline 0.1 cc. Inflammation was evaluated by clinical examinations on days 1, 3, 5, and 7 after the injections; measuring the protein concentration and inflammatory cell content of the aqueous humor; and histopathologic examination. RESULTS: No inflammation occurred in group 1 animals. There was a statistically significant difference between group 2 and 3 animals with regard to clinical examination on the third, fifth, and seventh postinjection days. The differences between groups 2 and 3 were significant with regard to aqueous cell counts and protein content at day 7 (p=0.02 and p=0.001, respectively). Histopathologic examination results showed less inflammation in group 2 animals compared to group 3 animals (p=0.009). CONCLUSIONS: The results provide evidence that intravitreal injection of infliximab suppresses ocular inflammation in a rabbit model of severe endotoxin-induced uveitis. FAU - Hosseini, Hamid AU - Hosseini H AD - Department of Ophthalmology, Poostchi Ophthalmic Research Center, Shiraz University of Medical Sciences, Shiraz - Iran. hosseini.hamid@gmail.com FAU - Safaei, Akbar AU - Safaei A FAU - Khalili, Mohammad R AU - Khalili MR FAU - Nowroozizadeh, Behdokht AU - Nowroozizadeh B FAU - Eghtedari, Masoometh AU - Eghtedari M FAU - Farvardin, Mohsen AU - Farvardin M FAU - Nowroozizadeh, Sarah AU - Nowroozizadeh S FAU - Tolide-Ie, Hamid R AU - Tolide-Ie HR LA - eng PT - Journal Article PL - United States TA - Eur J Ophthalmol JT - European journal of ophthalmology JID - 9110772 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Antibodies, Monoclonal) RN - 0 (Eye Proteins) RN - 0 (Lipopolysaccharides) RN - 0 (Tumor Necrosis Factor-alpha) RN - B72HH48FLU (Infliximab) SB - IM MH - Animals MH - Anti-Inflammatory Agents/*administration & dosage MH - Antibodies, Monoclonal/*administration & dosage MH - Aqueous Humor/cytology/metabolism MH - *Disease Models, Animal MH - Eye Proteins/metabolism MH - Infliximab MH - Injections MH - Lipopolysaccharides MH - Rabbits MH - Salmonella typhimurium MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors MH - Uveitis/chemically induced/*drug therapy/pathology MH - Vitreous Body EDAT- 2009/09/30 06:00 MHDA- 2009/11/05 06:00 CRDT- 2009/09/30 06:00 PHST- 2009/09/30 06:00 [entrez] PHST- 2009/09/30 06:00 [pubmed] PHST- 2009/11/05 06:00 [medline] AID - 7C3B4E16-FDB6-4A88-B9C7-AA3055D2095F [pii] AID - 10.1177/112067210901900521 [doi] PST - ppublish SO - Eur J Ophthalmol. 2009 Sep-Oct;19(5):818-23. doi: 10.1177/112067210901900521.