Gilger Brian C
Professor of Ophthalmology, Comparative Medicine Institute, North Carolina State University, 1060 William Moore Drive, Raleigh, NC, USA.
ILAR J. 2018 Dec 31;59(3):352-362. doi: 10.1093/ilar/ily002.
Ocular inflammatory diseases, such as dry eye and uveitis, are common, painful, difficult to treat, and may result in vision loss or blindness. Ocular side effects from the use of antiinflammatory drugs (such as corticosteroids or nonsteroidal antiinflammatories) to treat ocular inflammation have prompted development of more specific and safer medications to treat inflammatory and immune-mediated diseases of the eye. To assess the efficacy and safety of these new therapeutics, appropriate immune-relevant animal models of ocular inflammation are needed. Both induced and naturally-occurring models have been described, but the most valuable for translating treatments to the human eye are the animal models of spontaneous, immunologic ocular disease, such as those with dry eye or uveitis. The purpose of this review is to describe common immune-relevant models of dry eye and uveitis with an overview of the immuno-pathogenesis of each disease and reported evaluation of models from small to large animals. We will also review a selected group of naturally-occurring large animal models, equine uveitis and canine dry eye, that have promise to translate into a better understanding and treatment of clinical immune-relevant ocular disease in man.
眼部炎性疾病,如干眼症和葡萄膜炎,很常见,会引起疼痛,难以治疗,且可能导致视力丧失或失明。使用抗炎药物(如皮质类固醇或非甾体抗炎药)治疗眼部炎症所产生的眼部副作用促使人们研发更具特异性、更安全的药物来治疗眼部的炎性和免疫介导性疾病。为评估这些新疗法的疗效和安全性,需要合适的与免疫相关的眼部炎症动物模型。诱导性模型和自然发生性模型均已被描述,但对于将治疗方法转化应用于人类眼部而言,最具价值的是自发性免疫性眼部疾病的动物模型,如干眼症或葡萄膜炎模型。本综述的目的是描述干眼症和葡萄膜炎常见的与免疫相关的模型,概述每种疾病的免疫发病机制,并报告从小型动物到大型动物模型的评估情况。我们还将综述一组选定的自然发生性大型动物模型,即马葡萄膜炎和犬干眼症模型,它们有望帮助更好地理解和治疗人类临床免疫相关的眼部疾病。