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使用实验性自身免疫性葡萄膜炎模型对眼部炎性疾病进行临床和功能评估

Clinical and Functional Evaluation of Ocular Inflammatory Disease Using the Model of Experimental Autoimmune Uveitis.

作者信息

Chen Jun, Caspi Rachel R

机构信息

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.

Immunoregulation Section, Laboratory of Immunology, National Eye Institute, NEI, NIH, Bethesda, MD, USA.

出版信息

Methods Mol Biol. 2019;1899:211-227. doi: 10.1007/978-1-4939-8938-6_15.

Abstract

Non-infections uveitis in humans is an autoimmune disease of the retina and uvea that can be blinding if untreated. Its laboratory equivalent is experimental autoimmune uveitis (EAU) induced in susceptible rodents by immunization with retinal antigens and described elsewhere in this series (Agarwal et al., Methods Mol Biol, 900:443-469, 2012). Evaluation and quantitation of the disease is usually performed by fundus examination and/or histopathology, which provide limited information on structural and no information on functional changes as disease progresses. Here, we describe methods for systematic evaluation of disease using noninvasive clinical assessments by fundus examination and photography, optical coherence tomography, and functional evaluation by electroretinography, which are then compared to histopathology. Using these methodologies, we demonstrate that clinical variants of disease can be accurately evaluated both clinically and functionally, facilitating longitudinal follow-up and providing information that cannot be obtained by fundoscopy and histology alone. These methodologies can be useful to obtain additional information and to evaluate effects of therapeutic modalities under investigation.

摘要

人类非感染性葡萄膜炎是一种视网膜和葡萄膜的自身免疫性疾病,若不治疗可能导致失明。其在实验室中的等效病症是实验性自身免疫性葡萄膜炎(EAU),通过用视网膜抗原免疫易感啮齿动物诱导产生,本系列其他地方已有描述(Agarwal等人,《分子生物学方法》,900:443 - 469,2012年)。疾病的评估和定量通常通过眼底检查和/或组织病理学进行,随着疾病进展,这些方法提供的关于结构的信息有限,且没有关于功能变化的信息。在这里,我们描述了通过眼底检查和摄影、光学相干断层扫描进行非侵入性临床评估以及通过视网膜电图进行功能评估来系统评估疾病的方法,然后将这些方法与组织病理学进行比较。使用这些方法,我们证明疾病的临床变体可以在临床和功能上得到准确评估,有助于纵向随访,并提供仅通过眼底镜检查和组织学无法获得的信息。这些方法对于获取额外信息以及评估正在研究的治疗方式的效果可能有用。

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