PMID- 23490191 OWN - NLM STAT- MEDLINE DCOM- 20130717 LR - 20131121 IS - 1879-1891 (Electronic) IS - 0002-9394 (Linking) VI - 155 IP - 6 DP - 2013 Jun TI - Intraocular concentrations of cytokines and chemokines in rhegmatogenous retinal detachment and the effect of intravitreal triamcinolone acetonide. PG - 1028-1037.e1 LID - S0002-9394(13)00069-X [pii] LID - 10.1016/j.ajo.2013.01.013 [doi] AB - PURPOSE: To investigate the role of intravitreal injection of triamcinolone acetonide (IVTA) in preventing photoreceptor apoptosis in eyes with rhegmatogenous retinal detachment (RRD) by measuring cytokine levels in the aqueous humor before and after IVTA. DESIGN: Prospective, nonrandomized, interventional case series. METHODS: setting: Institutional. patients: Nineteen eyes of 19 consecutive patients with RRD. intervention: All 19 eyes underwent IVTA 1 day before 25-gauge vitrectomy. Seventeen eyes free of retinal vascular disease served as controls. main outcome measure: Both baseline and 1 day post-IVTA measurements were made of the relative concentrations of 15 soluble factors (3 cytokines, 7 chemokines, and 5 growth factors). The associations with clinical findings, including macular status, were then analyzed. RESULTS: Elevated monocyte chemotactic protein 1 (MCP-1), macrophage inflammatory protein 1beta (MIP-1beta), and interferon gamma-induced protein 10 (IP-10) in eyes with RRD were significantly reduced after IVTA. MCP-1 levels were significantly correlated with MIP-1beta and IP-10 before and after IVTA. The decreases in MCP-1, MIP-1beta, and IP-10 were also closely correlated to each other. Both before and after IVTA, MCP-1 was higher in eyes with macula-off RRD than in eyes with macula-on RRD. CONCLUSIONS: IVTA suppressed elevated levels of intraocular MCP-1, MIP-1beta, and IP-10 in eyes with RRD. The decrease in the aqueous levels of each of these factors was significantly correlated with the others. In addition to MCP-1, MIP-1beta and IP-10 might potentially be additional target molecules for RRD therapy. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Kunikata, Hiroshi AU - Kunikata H AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan. kunikata@oph.med.tohoku.ac.jp FAU - Yasuda, Masayuki AU - Yasuda M FAU - Aizawa, Naoko AU - Aizawa N FAU - Tanaka, Yuji AU - Tanaka Y FAU - Abe, Toshiaki AU - Abe T FAU - Nakazawa, Toru AU - Nakazawa T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130312 PL - United States TA - Am J Ophthalmol JT - American journal of ophthalmology JID - 0370500 RN - 0 (CCL2 protein, human) RN - 0 (CCL4 protein, human) RN - 0 (CXCL10 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CCL4) RN - 0 (Chemokine CXCL10) RN - 0 (Chemokines) RN - 0 (Cytokines) RN - 0 (Glucocorticoids) RN - F446C597KA (Triamcinolone Acetonide) SB - IM MH - Adult MH - Aged MH - Chemokine CCL2/metabolism MH - Chemokine CCL4/metabolism MH - Chemokine CXCL10/metabolism MH - Chemokines/metabolism MH - Cytokines/*metabolism MH - Female MH - Glucocorticoids/*therapeutic use MH - Humans MH - Intravitreal Injections MH - Male MH - Middle Aged MH - Prospective Studies MH - Retinal Detachment/*drug therapy/*metabolism MH - Triamcinolone Acetonide/*therapeutic use MH - Visual Acuity/physiology MH - Vitreous Body/*metabolism EDAT- 2013/03/16 06:00 MHDA- 2013/07/19 06:00 CRDT- 2013/03/16 06:00 PHST- 2012/06/23 00:00 [received] PHST- 2013/01/08 00:00 [revised] PHST- 2013/01/08 00:00 [accepted] PHST- 2013/03/16 06:00 [entrez] PHST- 2013/03/16 06:00 [pubmed] PHST- 2013/07/19 06:00 [medline] AID - S0002-9394(13)00069-X [pii] AID - 10.1016/j.ajo.2013.01.013 [doi] PST - ppublish SO - Am J Ophthalmol. 2013 Jun;155(6):1028-1037.e1. doi: 10.1016/j.ajo.2013.01.013. Epub 2013 Mar 12.