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使用黄葵治疗化学性眼表损伤后的急性角膜修复:一项临床、组织病理学和毒遗传学研究。

Use of Copaifera multijuga for acute corneal repair after chemical injury: A clinical, histopathological and toxicogenetic study.

机构信息

University of Franca, Avenida Dr. Armando Salles de Oliveira 201, 14404-600, Franca, São Paulo, Brazil.

School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Avenida Café s/n, 14040-903, Ribeirão Preto, São Paulo, Brazil.

出版信息

Biomed Pharmacother. 2017 Dec;96:1193-1198. doi: 10.1016/j.biopha.2017.11.099. Epub 2017 Nov 21.

Abstract

Copaiba oil is widely used in medicine, but there are no reports regarding its application in ophthalmology. Therefore, the objective of this study was to evaluate the clinical, histopathological and toxicogenetic effects of eye drops containing 0.1 and 0.5% of Copaifera multijuga Hayne oil on superficial corneal ulcers induced with alkali in the left eye of rats. For histological analysis, the percent reduction in ulcers and thickness of the corneal epithelium and stroma were evaluated 48 and 72 h after ulcer induction. Additionally, neovascularization and polymorphonuclear infiltration were classified in the stroma. The bone marrow micronucleus test was used for toxicogenetic assessment. None of the animals exhibited clinical signs of immediate ocular discomfort after instillation and the eye drops were harmless to the ocular surface. There was a significant difference in percent ulcer reduction and corneal stroma thickness between animals treated with the C. multijuga eye drops and untreated animals with corneal injury and the negative control, respectively, suggesting a healing effect of the oleoresin. Analysis of the thickness of the corneal epithelium at the two time points showed that the eye drops formulated did not significantly reduce the damage caused by alkali. The same was observed for the treatments with the reference drugs. No difference in stromal neovascularization or inflammatory infiltration was observed between the treated groups. The toxicogenetic results revealed the absence of cytotoxicity and genotoxicity of the treatments. In conclusion, the C. multijuga eye drops did not cause damage to the ocular surface under the present experimental conditions and corneal epithelization was similar to the conventional treatments. These results indicate that eye drops containing C. multijuga oleoresin are a promising option for the treatment of superficial keratitis.

摘要

库帕亚油在医学中被广泛应用,但尚未见其在眼科方面应用的报道。因此,本研究旨在评估 0.1%和 0.5%浓度的 Copaifera multijuga Hayne 油滴眼剂对左眼碱诱导的浅层角膜溃疡的临床、组织病理学和遗传毒性作用。组织学分析评估溃疡诱导后 48 和 72 小时的溃疡减少百分比和角膜上皮及基质厚度。此外,还对基质中的血管新生和多形核细胞浸润进行了分类。骨髓微核试验用于遗传毒性评估。滴注后,所有动物均未表现出即刻眼部不适的临床症状,滴眼剂对眼表无损害。与角膜损伤和阴性对照组未治疗的动物相比,用 C. multijuga 滴眼剂治疗的动物的溃疡减少百分比和角膜基质厚度均有显著差异,提示油树脂具有愈合作用。分析两个时间点的角膜上皮厚度表明,所制备的滴眼剂并未显著减轻碱引起的损伤。参考药物的治疗效果也如此。治疗组之间的基质血管新生或炎症浸润无差异。遗传毒性结果表明,治疗无细胞毒性和遗传毒性。总之,在本实验条件下,C. multijuga 滴眼剂未对眼表造成损害,角膜上皮化与常规治疗相似。这些结果表明,含有 C. multijuga 油树脂的滴眼剂可能是治疗浅层角膜炎的一种有前途的选择。

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