Klaska Izabela P, Forrester John V
Ocular Immunology Laboratory, Section of Immunity, Infection and Inflammation, Division of Applied Medicine, Institute of Medical Sciences, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD, Scotland.
Curr Pharm Des. 2015;21(18):2453-67. doi: 10.2174/1381612821666150316122928.
Uveitis is a sight threatening intraocular inflammation accounting for approximately 10% of blindness worldwide. On the basis of aetiology, disease can be classified as infectious or non-infectious; and by anatomical localization of inflammation as anterior, posterior and panuveitis. Non-infectious uveitis is believed to be autoimmune in nature with Th1 and Th17 cells being identified as the prominent effector cell types. Numerous animal models of autoimmune uveitis were developed contributing to our understanding of this inflammatory condition. The classical peptide-induced experimental autoimmune uveoretinitis (EAU) model resembles human posterior uveitis due to the recurrent/relapsing nature of the disease; while the intraocular inflammation triggered by administration of bacterial lipopolisaccharide (endotoxin-induced uveitis, EIU) mimics closely anterior uveitis. The clinical need for novel, more targeted forms of anti-inflammatory therapy has emerged as currently available therapeutic strategies are associated with a number of adverse effects and intolerance in patients. This review summarises knowledge about existing mouse models of uveitis, discusses mechanisms driving intraocular inflammation and describes possible customised translational treatment strategies that can be potentially used in the clinic to prevent blindness in patients.
葡萄膜炎是一种威胁视力的眼内炎症,约占全球失明病例的10%。根据病因,该病可分为感染性或非感染性;根据炎症的解剖定位可分为前葡萄膜炎、后葡萄膜炎和全葡萄膜炎。非感染性葡萄膜炎被认为本质上是自身免疫性的,Th1和Th17细胞被确定为主要的效应细胞类型。人们建立了许多自身免疫性葡萄膜炎的动物模型,有助于我们对这种炎症性疾病的理解。经典的肽诱导实验性自身免疫性葡萄膜视网膜炎(EAU)模型由于疾病的复发/复发性,类似于人类后葡萄膜炎;而通过给予细菌脂多糖引发的眼内炎症(内毒素诱导的葡萄膜炎,EIU)则与前葡萄膜炎极为相似。由于目前可用的治疗策略会给患者带来一些不良反应和不耐受性,因此出现了对新型、更具针对性的抗炎治疗形式的临床需求。本综述总结了有关现有葡萄膜炎小鼠模型的知识,讨论了驱动眼内炎症的机制,并描述了可能用于临床预防患者失明的定制化转化治疗策略。