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兔角膜炎症模型的临床和组织病理学评估。

Clinical and Histopathological Evaluation of a Rabbit Model for Keratitis.

机构信息

Cornea and Anterior Segment Services, L V Prasad Eye Institute, Hyderabad, India.

Jhaveri Microbiology Centre, Brien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, India.

出版信息

Curr Eye Res. 2020 May;45(5):542-549. doi: 10.1080/02713683.2019.1676911. Epub 2020 Mar 2.

Abstract

: To describe the clinical characteristics and histopathological features in a rabbit model of keratitis.: Zoospores of isolated from a patient with microbial keratitis were used for inoculation of the right eye of 48 rabbits in either low (LD) or high dose (HD). Apart from variable dosage the rabbits were grouped (6 rabbits per group) based on route of inoculation (topical on abraded cornea or intracorneal) and immunosuppression (subconjunctival steroid or no steroid). Left eye received phosphate buffered saline via route similar to the right eye. Daily clinical examination of the eye was done, the corneas were harvested on day 3, 7 and 9 and part of the cornea was preserved in 10% neutral buffered formalin for histopathological examination.: Left eye of all rabbits were clinically normal. Eyes with intracorneal injection of zoospores developed infection irrespective of dose of inoculation and administration of steroids. One of the consistent early signs of infection was ring like infiltrate in the peripheral cornea. On day 2, rabbits receiving HD developed significantly greater inflammation compared to LD [median clinical score in HD- 11 (IQR = 10-12), versus 9 (IQR = 8-9) in LD ( = 0.004)]. The density of inflammation showed temporal correlation (increase with time) when the inoculum was low. Of the rabbits that received topical inoculation one rabbit cornea showed mild infiltrate in steroid group while no eye was infected in the group without steroid. Sparsely septate to aseptate branching filaments were noted in the stroma of all infected corneas.: We describe the first animal model of keratitis that holds promise for future studies. While topical inoculation of zoospores was unsuccessful in causing infection intracorneal inoculation without immunosuppression was sufficient to develop clinically severe keratitis in rabbits.

摘要

描述兔角膜炎模型的临床特征和组织病理学特征。

从微生物角膜炎患者中分离出游动孢子,用于接种 48 只兔子的右眼,分为低剂量(LD)和高剂量(HD)组。除了剂量不同外,兔子还根据接种途径(角膜划痕表面滴注或角膜内注射)和免疫抑制(结膜下皮质类固醇或无皮质类固醇)进行分组(每组 6 只兔子)。左眼通过与右眼相似的途径接受磷酸盐缓冲盐水。每天对眼睛进行临床检查,第 3、7 和 9 天采集角膜,并将部分角膜保存在 10%中性缓冲福尔马林溶液中进行组织病理学检查。

所有兔子的左眼均临床正常。无论接种剂量和皮质类固醇的使用如何,角膜内注射游动孢子的眼睛都会发生感染。感染的一个早期一致迹象是周边角膜呈环状浸润。第 2 天,接受 HD 接种的兔子与 LD 相比,炎症明显更严重[HD 组的中位数临床评分 11(IQR=10-12),而 LD 组为 9(IQR=8-9),= 0.004]。当接种物较低时,炎症密度呈时间相关性(随时间增加)。接受表面接种的兔子中,一只兔子的角膜在皮质类固醇组中显示出轻度浸润,而在没有皮质类固醇的组中没有眼睛感染。所有感染角膜的基质中都可见稀疏分隔至无隔分枝丝状。

我们描述了第一个有希望用于未来研究的兔角膜炎模型。虽然游动孢子的表面接种未能引起感染,但无免疫抑制的角膜内接种足以在兔子中引起临床上严重的角膜炎。

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