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新西兰白化兔视网膜玻璃体内联合及复合应用抗真菌药物的超微结构和免疫组织化学研究:一项实验方案

Ultrastructural and Immunohistochemical Study of Double and Combined Intravitreal Administration of Antifungal Agents in the Retina of New Zealand Albino Rabbits: An Experimental Protocol.

作者信息

Karachrysafi Sofia, Kourti Maria, Tsokkou Sophia, Ioannou Despoina, Kofidou Evangelia, Delis Georgios, Sotiriou Sotiris, Karamitsos Athanasios, Xioteli Maria, Dori Ioanna, Anastasiadou Penelope, Konstantinidis Ioannis, Kavvadas Dimitrios, Chatzinikolaou Fotios, Komnenou Anastasia, Karampatakis Vasileios, Sioga Antonia, Papamitsou Theodora

机构信息

Research Team "Histologistas", Interinstitutional Postgraduate Program "Health and Environmental Factors", Department of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

Laboratory of Histology-Embryology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

出版信息

J Fungi (Basel). 2025 Jul 29;11(8):564. doi: 10.3390/jof11080564.

DOI:10.3390/jof11080564
PMID:
40863515
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12387355/
Abstract

INTRODUCTION

Fungal endophthalmitis (FE) is a rare but serious intraocular inflammatory disorder, resulting from an infection of the vitreous cavity from either endogenous or exogenous components that ultimately results in blindness. This current research study aims to elucidate the histological effects of the intravitreal injection of the maximum safe dosage of voriconazole and micafungin on the retina and investigate potential histological alterations after the double and combined administration of voriconazole and micafungin.

METHODOLOGY

Nine New Zealand Albino Rabbits were randomly assigned into three groups (V2, M2, and VM), and in each, voriconazole, micafungin, and a combination of the two medications were administered respectively. After the administration of the antifungal agents, the animals were sacrificed and their retinas were retrieved and studied under optical and electron microscopes. The immunohistochemical markers TNF-a and IL6 were also studied.

RESULTS

TNF-a was positive in the VM group, as it was found to be mildly positive in the presence of apoptotic cells in the ganglion cell layer.

CONCLUSIONS

This study revealed voriconazole has a greater toxicity in a multi-dosage administration. However, micafungin revealed a greater toxicity than voriconazole from the extent of the lesions observed.

摘要

引言

真菌性眼内炎(FE)是一种罕见但严重的眼内炎症性疾病,由内源性或外源性成分感染玻璃体腔引起,最终可导致失明。本研究旨在阐明玻璃体内注射伏立康唑和米卡芬净最大安全剂量对视网膜的组织学影响,并研究伏立康唑和米卡芬净联合及合并给药后的潜在组织学改变。

方法

将9只新西兰白化兔随机分为三组(V2、M2和VM),每组分别给予伏立康唑、米卡芬净以及两种药物的组合。给予抗真菌药物后,处死动物,取出视网膜,在光学显微镜和电子显微镜下进行研究。还研究了免疫组化标志物肿瘤坏死因子-α(TNF-α)和白细胞介素6(IL6)。

结果

VM组中TNF-α呈阳性,因为在神经节细胞层存在凋亡细胞时发现其呈轻度阳性。

结论

本研究表明,多剂量给药时伏立康唑具有更大的毒性。然而,从观察到的病变程度来看,米卡芬净显示出比伏立康唑更大的毒性。

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The Diagnosis and Treatment of Fungal Endophthalmitis: An Update.真菌性眼内炎的诊断与治疗:最新进展
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Histological Effects of Intravitreal Injection of Antifungal Agents in New Zealand White Rabbits: An Electron Microscopic and Immunohistochemical Study.玻璃体内注射抗真菌药物对新西兰白兔的组织学影响:一项电子显微镜和免疫组织化学研究。
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