PMID- 29863233 OWN - NLM STAT- MEDLINE DCOM- 20191114 LR - 20191114 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 22 IP - 10 DP - 2018 May TI - Safety evaluation of subretinal injection of trypan blue in rats. PG - 2923-2933 LID - 15046 [pii] LID - 10.26355/eurrev_201805_15046 [doi] AB - OBJECTIVE: To determine the appropriate concentration of trypan blue (TB) for subretinal injection in a rat model and to provide a safety profile that limits retinal toxicity while maintaining dye visibility. MATERIALS AND METHODS: Adult rats were subretinally injected with various concentrations of either TB or phosphate-buffered saline (PBS); rats which received sham injections served as an additional control. The injected areas were visualized under a surgical microscope. Electroretinography (ERG) was performed to measure retinal function. Animals were then sacrificed, and the eyes were sectioned and examined by light microscopy. Terminal deoxynucleotidy1 transferase dUTP nick-end labeling (TUNEL) was applied to determine retinal apoptosis. RESULTS: One day after the subretinal injection, TB stains were visible under the surgical microscope in the 0.2%, 0.08%, and 0.04% TB-injected groups, but not in the 0.02% TB-injected group. TB stain was detectable in the retina and sclera of the 0.2%, 0.08%, and 0.04% TB-injected groups for over 2 weeks after injection. However, the amplitudes of ERGa- and b-waves were affected and became significantly lower in the 0.2% TB-injected group than the amplitudes in the PBS-, or sham-injected group. Moreover, TUNEL+ cells appeared in the outer nuclear layer (ONL), ganglion cell layer (GCL), and retinal pigment epithelium (RPE) layer of the 0.2% and 0.08% TB-injected groups at 1 and 7 days after subretinal injection. In contrast, very few TUNEL+ cells were found in the 0.04% TB- or PBS-injected group. Two weeks after injection, the ONL was significantly thinner in the 0.2% TB-injected group than in the 0.04% TB-, PBS- or sham-injected group. CONCLUSIONS: TB injection induces a dose-dependent neurotoxic effect on retinal cells. Subretinal injection of 0.04% TB is relatively safe and effective for subretinal staining. FAU - Fang, Y AU - Fang Y AD - Department of Ophthalmology and Visual Science, Eye & ENT Hospital of Fudan University, Shanghai, China. xhsun@shmu.edu.cn. FAU - Yao, X-Q AU - Yao XQ FAU - Niu, L-L AU - Niu LL FAU - Wu, J-H AU - Wu JH FAU - Thee, E F AU - Thee EF FAU - Chen, D-F AU - Chen DF FAU - Chen, J-Y AU - Chen JY FAU - Sun, X-H AU - Sun XH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - I2ZWO3LS3M (Trypan Blue) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Electroretinography/*methods MH - In Situ Nick-End Labeling MH - Injections MH - Rats MH - Retina/*drug effects/pathology MH - Staining and Labeling MH - Trypan Blue/administration & dosage/*adverse effects EDAT- 2018/06/05 06:00 MHDA- 2019/11/15 06:00 CRDT- 2018/06/05 06:00 PHST- 2018/06/05 06:00 [entrez] PHST- 2018/06/05 06:00 [pubmed] PHST- 2019/11/15 06:00 [medline] AID - 15046 [pii] AID - 10.26355/eurrev_201805_15046 [doi] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2018 May;22(10):2923-2933. doi: 10.26355/eurrev_201805_15046.