O adalimumabe (Humira®, Abbott) é um antagonista do Fator de Necrose Tumoral- alpha (TNF-alfa ). É aprovado para o tratamento de artrite reumatoide, espondilite anquilosante, doença de Crohn, psoríase crônica e artrite reumatoide juvenil. É um anticorpo monoclonal que contém apenas sequências humanas de peptídeos contra a molécula do Fator de Necrose Tumoral-alfa. Na literatura, relatos e série de casos sugerem que os antagonistas do Fator de Necrose Tumoral-alfa são úteis no tratamento da inflamação ocular, edema macular cistoide e secundário à uveíte e degeneração macular relacionada à idade. Entretanto, a administração sistêmica do adalimumabe pode gerar efeitos adversos graves. A fim de diminuir esses efeitos adversos e aumentar a concentração da medicação no segmento posterior do olho, uma possível opção é a injeção intravítrea. O objetivo do presente estudo foi avaliar a toxicidade do adalimumabe intravítreo nas diferentes doses para a retina de coelhos por meio de avaliação clínica (biomicroscopia e oftalmoscopia indireta), funcional (eletrorretinograma) e histopatológica (microscopia óptica e eletrônica). Foram utilizados 30 coelhos albinos da raça Nova Zelândia divididos em cinco grupos de seis coelhos. Injeções intravítreas foram realizadas nas seguintes concentrações de adalimumabe: 0,5mg/0,1ml, 1mg/0,1ml, 2,5mg/0,1ml, 5,0mg/0,1ml e 10mg/0,2ml e 0,1ml de solução salina balanceada (BSS) foi injetada nos olhos esquerdos dos grupos 1 e 2 para constituir o grupo controle. Foram realizadas biomicroscopia e fundoscopia e sinais de inflamação, infecção ou toxicidade foram observados durante duas semanas. O eletrorretinograma foi realizado antes do tratamento e após 14 dias da injeção intravítrea. Os animais foram sacrificados, foi feita a enucleação dos olhos, e o tecido para a avaliação histopatológica foi preparado. A injeção intravítrea de adalimumabe (Humira®) nas doses estudadas até 5mg (0,5mg, 1,0mg, 2,5mg, 5mg) não apresentou sinais clínicos, eletrorretinográficos e histopatológicos de toxicidade para a retina de coelhos a curto prazo. No grupo de 10mg, foram observados sinais inflamatórios leves em três dos seis olhos e houve diminuição da amplitude da onda a na resposta fotópica do ERG, não foram observadas alterações na microscopia óptica / Adalimumab is a fully human anti-TNF alpha monoclonal antibody consisting of 100% human sequences developed using phage display technology. It is currently FDA approved for the treatment of rheumatoid arthritis, ankylosing spondylitis, Crohns disease, moderate to severe chronic psoriasis, and juvenile idiopathic arthritis. Anti-TNF alpha drugs may be an effective therapy for cystoid macular edema associated with uveitis. Significant improvements in chronic diabetic macular edema and regression of CNV from AMD have also been documented in small published series after systemic treatment with TNF-alpha antagonists. However the systemic administration of these drugs can have serious side effects. Intravitreous injection would assure delivery of high concentrations of medication at the posterior segment with minimum side effects.The aim of this study was to evaluate the ocular toxicity of escalating doses of intravitreous adalimumab (Humira®) in the rabbit eye. Thirty New Zealand albino rabbits received intravitreous injections of 0.1ml of adalimumab 0.5 mg (6 eyes), 1mg (6 eyes), 2.5mg (6 eyes), 5mg (6 eyes) and 0.2ml was injected in the10mg (6 eyes) group. BSS (0,1ml) was injected in the left eye of the rabbits from the groups 1 and 2 to serve as control group. Slit lamp biomicroscopy, fundoscopy were carried out at baseline, day 7 and 14 following intravitreous injection while electroretinography (ERG) was carried out at baseline and day 14. Animals were euthanized on day 14 and histopathological examination of the eyes was performed. The tested doses of intravitreous adalimumab up to 5mg (0.5mg, 1.0mg, 2.5mg, 5mg) had no associated ocular short-term toxicity in rabbit eyes. The 10mg group showed mild inflammatory reaction in 3 out of 6 eyes and showed decrease in the a wave amplitude in the photopic response, light microscopy was normal

A vida é um processo dinâmico no tempo e no espaço, resultante da interação celular provida pelas junções comunicantes (JCs), canais formados por conexinas (Cxs) que permitem a passagem de moléculas de até 1kDa, e íons. O foco deste trabalho foi caracterizar a modulação de Cxs no desenvolvimento, adaptação visual e após trauma mecânico localizado na retina, através de técnicas como PCR em tempo real, western blot e imuno-histoquímica. No desenvolvimento, a Cx43 apresentou alta expressão no início (255%, P<0.01), a Cx45 teve alta expressão em todos os estágios, as Cx50 e Cx36 são pouco expressas no início (4-9%, P<0.01), mas muito expressas no final e no adulto. Na adaptação ao escuro houve regulação de 115% do RNam da Cx36 após 24h, evidenciando uma plasticidade do acoplamento frente às condições de iluminação. Na neurodegeneração, a expressão da Cx36 não variou nos diferentes tempos pós-lesão, mas a Cx43 aumentou após 7 dias. O papel do acoplamento na degeneração foi estudado utilizando bloqueadores e abridores de JCs combinados com métodos para avaliar a viabilidade celular (TUNEL, FluoroJade e LDH). Finalmente, o bloqueio das JCs diminuiu a morte celular secundária, mas a abertura gerou um efeito inicial pró-apoptótico que depois de 4h foi diluído no tecido. / Life is a dynamic process in time and space, resulting from an interaction provided by gap junctions (GJs), channels composed of connexins (Cxs) that permits the passage of molecules up to 1kDa and ions. The aim of this study was analyze the modulation of Cxs during development, dark adaptation and after local mechanical trauma in the retina using techniques like real time PCR, western blot and imunohistochemistry. In development, Cx43 was highly expressed in the beginning (255%, P<0.01), Cx45 was highly expressed during all development, Cx50 and Cx36 were virtually absent in the beginning (4-9%, P<0.01), but highly expressed in the end of development. In Dark-adaptation, Cx36 was up-regulated after 24h (115%, P < 0.05) suggesting a plasticity of the neuronal coupling in response to light conditions. In neurodegeneration, Cx36 expression didnt ranged in different days after lesion, but the Cx43 increased after 7 days. The coupling was studied by using GJ blockers and openers combined with methods to evaluating cellular viability (TUNEL, FluoroJade and LDH). Finally, blocking the cellular coupling reflects in a decrease of secondary death. GJ openers seems act allowing the spread of death in the beginning, but this effect be diluted after 4h in the tissue.

MRI can provide anatomical, functional, and physiological images at relatively high spatial resolution and is non-invasive and does not have depth limitation. However, the application of MRI to study the retina is difficult due to the very small size of the retina. This thesis details the development of MRI methods to image blood flow (BF), anatomy, and function of the retina and choroid, and their application to two diseases of the retina: diabetic retinopathy and retinal degeneration. A unique continuous arterial spin labeling technique was developed to image BF in mice and tested by imaging cerebral BF. This method was then applied to image layer-specific BF of the retina and choroid in mice, and to acquire BF functional MRI of the retina and choroid in response to hypoxic challenge. Additionally blood oxygen level dependent functional MRI of the mouse retina and choroid in response to hypoxic challenge was obtained using a balanced steady state free precession sequence which provides fast acquisition, has high signal to noise ratio, and does not have geometric distortion or signal dropout artifacts. In a mouse model of diabetic retinopathy, MRI detected reduced retinal BF in diabetic animals. Visual function in the diabetic mice, as determined by psychophysical tests, was also reduced. Finally, in a mouse model of retinal degeneration, BF and anatomical MRI detected reductions of retinal BF and the thickness of the retina. The studies detailed in this thesis demonstrate the feasibility of layer-specific MRI to study BF, anatomy, and function, in the mouse retina. Further, these methods were shown to provide a novel means of studying animal models of retinal disease in vivo.

No description available.

[Truncated abstract] Microenvironmental changes associated with apoptotic neural degeneration may instruct a proportion of newly transplanted donor cells to differentiate towards the fate of the deteriorating host cellular phenotype. In the work described in this thesis, this hypothesis was tested by inducing apoptotic retinal ganglion cell (RGC) death in neonatal and adult rats and mice, and then examining whether intravitreally grafted cells from a range of sources of donor neural tissue became incorporated into these selectively depleted retinae. Donor tissues were: a postnatal murine cerebellar-derived immortalised neural precursor cell line (C17.2); an adult rat hippocampal-derived clonal stem-like line (HCN/GFP); mouse embryonic day 14 (E14) primary dissociated retinal cells (Gt[ROSA]26); and adult mouse ciliary pigmented margin-derived primary neurospheres (Gt[ROSA]26). In neonates, rapid RGC death was induced by removal of the contralateral superior colliculus (SC), and in adults, delayed RGC death was induced by unilateral optic nerve (ON) transection. Some adult hosts received ON transection coupled with an autologous peripheral nerve (PN) graft. Donor cells were injected intravitreally 6-48 h after SC ablation (neonates) or 0, 5, 7 or 14 days after ON injury (adults). Cells were also injected into non-RGC depleted neonatal and adult retinae. At 4 or 8 weeks, transplanted cells were identified, quantified and their differentiation fate within host retinae was assessed. Transplanted male C17.2 cells were identified in host retinae using a Y-chromosome marker and in situ hybridisation, or by their expression of the lacZ reporter gene product Escherichia coli beta-galactosidase (beta-gal) using Xgal histochemistry or a beta-gal antibody. No C17.2 cells were identified in axotomised adult-injected eyes undergoing delayed RGC apoptosis (n = 16). Donor cells were, however, stably integrated within the retina in 29% (15/55) of mice that received C17.2 cell injections 24 h after neonatal SC ablation; 6-31% of surviving cells were found in the RGC layer (GCL). These NSC-like cells were also present in intact retinae, but on average there were fewer cells in GCL. In SC-ablated mice, most grafted cells did not express retinal-specific markers, although occasional donor cells in the GCL were immunopositive for beta-III tubulin (TUJ1), a protein highly iii expressed by, but not specific to, developing RGCs. Targeted rapid RGC depletion thus increased C17.2 cell incorporation into the GCL, but grafted C17.2 cells did not appear to differentiate into an RGC phenotype.

Thesis (Ph. D.)--University of Washington, 2000. / Vita. Includes bibliographical references (leaves 100-117).

A vida é um processo dinâmico no tempo e no espaço, resultante da interação celular provida pelas junções comunicantes (JCs), canais formados por conexinas (Cxs) que permitem a passagem de moléculas de até 1kDa, e íons. O foco deste trabalho foi caracterizar a modulação de Cxs no desenvolvimento, adaptação visual e após trauma mecânico localizado na retina, através de técnicas como PCR em tempo real, western blot e imuno-histoquímica. No desenvolvimento, a Cx43 apresentou alta expressão no início (255%, P<0.01), a Cx45 teve alta expressão em todos os estágios, as Cx50 e Cx36 são pouco expressas no início (4-9%, P<0.01), mas muito expressas no final e no adulto. Na adaptação ao escuro houve regulação de 115% do RNam da Cx36 após 24h, evidenciando uma plasticidade do acoplamento frente às condições de iluminação. Na neurodegeneração, a expressão da Cx36 não variou nos diferentes tempos pós-lesão, mas a Cx43 aumentou após 7 dias. O papel do acoplamento na degeneração foi estudado utilizando bloqueadores e abridores de JCs combinados com métodos para avaliar a viabilidade celular (TUNEL, FluoroJade e LDH). Finalmente, o bloqueio das JCs diminuiu a morte celular secundária, mas a abertura gerou um efeito inicial pró-apoptótico que depois de 4h foi diluído no tecido. / Life is a dynamic process in time and space, resulting from an interaction provided by gap junctions (GJs), channels composed of connexins (Cxs) that permits the passage of molecules up to 1kDa and ions. The aim of this study was analyze the modulation of Cxs during development, dark adaptation and after local mechanical trauma in the retina using techniques like real time PCR, western blot and imunohistochemistry. In development, Cx43 was highly expressed in the beginning (255%, P<0.01), Cx45 was highly expressed during all development, Cx50 and Cx36 were virtually absent in the beginning (4-9%, P<0.01), but highly expressed in the end of development. In Dark-adaptation, Cx36 was up-regulated after 24h (115%, P < 0.05) suggesting a plasticity of the neuronal coupling in response to light conditions. In neurodegeneration, Cx36 expression didnt ranged in different days after lesion, but the Cx43 increased after 7 days. The coupling was studied by using GJ blockers and openers combined with methods to evaluating cellular viability (TUNEL, FluoroJade and LDH). Finally, blocking the cellular coupling reflects in a decrease of secondary death. GJ openers seems act allowing the spread of death in the beginning, but this effect be diluted after 4h in the tissue.

Objetivo: Estudar as alterações morfométricas da retina de ratos expostos agudamente à fumaça de cigarro. Métodos: Em um estudo experimental, controlado, mascarado, foram utilizados 24 ratos Wistar machos (8 semanas de idade), sendo metade deles expostos por duas horas contínuas à fumaça de cigarro em uma câmara de inalação e a outra metade exposta a ar comprimido como grupo controle. A fumaça foi aspirada diretamente do cigarro utilizando um sistema venturi, e conduzida para a câmara. A concentração de monóxido de carbono no interior da câmara de inalação foi mantida em uma faixa constante de 45 a 55 partes por milhão, monitorada eletronicamente no interior do recipiente. Os ratos foram sacrificados imediatamente após a inalação e nos momentos 24 e 48 horas após exposição. Os olhos foram enucleados e analisados por meio da morfometria em microscópio óptico, por examinador mascarado. Resultados: Foram identificadas regiões da retina do grupo exposto que sofreram redução das estimativas morfométricas em comparação ao grupo controle, com significância estatística correspondendo às regiões dos fotorreceptores, camada nuclear interna e plexiforme interna 48 horas após a exposição. Comparando os grupos expostos entre si houve uma redução progressiva nas estimativas morfométricas das camadas retinianas com o aumento do intervalo entre o término da exposição e o sacrifício, de forma estatisticamente significante na camada nuclear interna. Conclusão: As retinas dos ratos expostos agudamente à fumaça de cigarro sofreram uma redução nas estimativas morfométricas, com uma tendência a redução progressiva nas estimativas no decorrer das primeiras 48 horas após exposição / Objective: To evaluate morphometric alterations of the retina, from rats acutely exposed do cigarette smoking. Methods: In an experimental, prospective, masked study with 24 male Wistar rats (8 weeks old), half of them were exposed during two hours continually to cigarette smoking inside an intoxicating chamber, while the other half exposed to compressed air. The smoke was aspirated directly from cigarette, using a venturi system, and conducted to the chamber. The carbon monoxide concentration was constantly kept in between 45 to 55 parts per million, electronically monitored inside de chamber. The rats were sacrificed immediately after the inhalation, 24 and 48 hours after exposition. The eyes were enucleated and analyzed trough morphometry, in an optical microscope, by a masked examiner. Results: It was identified regions of the retina in the experimental group that suffered a reduction in the morphometric estimates, comparing to control group, with statistical significance, corresponding to the photoreceptor layer, the inner nuclear and inner plexiform layers, 48 hours after exposure. Comparing the exposed groups between themselves, there was a progressive reduction in the morphometric estimates of retinal layers after an increase in time between finishing the exposure and sacrifice, with statistical significance in inner nuclear layer. Conclusion: The retina of rats acutely exposed to cigarette smoke suffered a reduction in the morphometric estimates, with a tendency to progressive reduction in the estimates during the initial 48 hours after exposure

Made available in DSpace on 2014-12-17T15:28:53Z (GMT). No. of bitstreams: 1 FabioBF_DISSERT.pdf: 6339300 bytes, checksum: d864db11d9029d4bcca9a2aaf6e2f131 (MD5) Previous issue date: 2013-08-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Processing in the visual system starts in the retina. Its complex network of cells with different properties enables for parallel encoding and transmission of visual information to the lateral geniculate nucleus (LGN) and to the cortex. In the retina, it has been shown that responses are often accompanied by fast synchronous oscillations (30 - 90 Hz) in a stimulus-dependent manner. Studies in the frog, rabbit, cat and monkey, have shown strong oscillatory responses to large stimuli which probably encode global stimulus properties, such as size and continuity (Neuenschwander and Singer, 1996; Ishikane et al., 2005). Moreover, simultaneous recordings from different levels in the visual system have demonstrated that the oscillatory patterning of retinal ganglion cell responses are transmitted to the cortex via the LGN (Castelo-Branco et al., 1998). Overall these results suggest that feedforward synchronous oscillations contribute to visual encoding. In the present study on the LGN of the anesthetized cat, we further investigate the role of retinal oscillations in visual processing by applying complex stimuli, such as natural visual scenes, light spots of varying size and contrast, and flickering checkerboards. This is a necessary step for understanding encoding mechanisms in more naturalistic conditions, as currently most data on retinal oscillations have been limited to simple, flashed and stationary stimuli. Correlation analysis of spiking responses confirmed previous results showing that oscillatory responses in the retina (observed here from the LGN responses) largely depend on the size and stationarity of the stimulus. For natural scenes (gray-level and binary movies) oscillations appeared only for brief moments probably when receptive fields were dominated by large continuous, flat-contrast surfaces. Moreover, oscillatory responses to a circle stimulus could be broken with an annular mask indicating that synchronization arises from relatively local interactions among populations of activated cells in the retina. A surprising finding in this study was that retinal oscillations are highly dependent on halothane anesthesia levels. In the absence of halothane, oscillatory activity vanished independent of the characteristics of the stimuli. The same results were obtained for isoflurane, which has similar pharmacological properties. These new and unexpected findings question whether feedfoward oscillations in the early visual system are simply due to an imbalance between excitation and inhibition in the retinal networks generated by the halogenated anesthetics. Further studies in awake behaving animals are necessary to extend these conclusions / O processamento da informa??o visual se inicia na retina. A sua complexa rede de c?lulas com diferentes propriedades permite que a informa??o visual seja codificada em canais paralelos e transmitida para o n?cleo geniculado lateral (LGN) e o c?rtex. Na retina, tais respostas est?o frequentemente acompanhadas por oscila??es sincronizadas de alta frequ?ncia (30 90 Hz) em uma maneira dependente do est?mulo. Como demonstrado em estudos na r?, coelho, gato e macaco, respostas oscilat?rias ocorrem em geral a est?mulos relativamente grandes, podendo codificar propriedades globais do est?mulo como o tamanho e continuidade (Neuenschwander and Singer, 1996; Ishikane et al., 2005). Al?m disso, registros simult?neos em diferentes n?veis do sistema visual t?m mostrado que o padr?o de oscila??o nas c?lulas ganglionares retinianas ? transmitido para o c?rtex visual via LGN (Castelo-Branco et al., 1998). De uma forma geral, esses resultados sugerem que oscila??es sincronizadas em uma maneira feedforward s?o importantes na codifica??o da informa??o visual. No presente estudo feito no LGN de gatos anestesiados, investigamos o papel das oscila??es retinianas no processamento de informa??o visual atrav?s da apresenta??o de est?mulos complexos, como cenas naturais, pixels aleat?rios no tempo e espa?o, al?m de grades em movimento. Esse ? um importante passo para o entendimento de mecanismos de codifica??o em condi??es naturais, j? que grande parte dos estudos que investigaram o papel de oscila??es retinianas utilizaram-se de est?mulos simples e estacion?rios. An?lises de correla??o de respostas neuronais (spiking responses) confirmaram resultados pr?vios mostrando que respostas oscilat?rias na retina (observadas aqui a partir de registros no LGN) dependem do tamanho e estacionariedade do est?mulo. Para filmes de cenas naturais (em escala de cinza e preto e branco) oscila??es apareceram apenas por breves momentos provavelmente quando os campos receptores foram dominados por padr?es extensos e cont?nuos (para ambas as escalas). As atividades oscilat?rias parecem ser dependentes de uma massa cr?tica de c?lulas ativadas sugerindo que esse padr?o regular de atividade surge atrav?s de intera??es horizontais na retina. Nossos resultados mostram, al?m disto, que surpreendentemente oscila??es da retina no gato s?o dependentes da anestesia mediada por halotano. Na aus?ncia deste, atividades oscilat?rias estiveram ausentes independentemente das caracter?sticas dos est?mulos visuais. Resultados semelhantes foram obtidos para o isoflurano, anest?sico com propriedades farmacol?gicas similares. Esse novo e inesperado resultado nos faz questionar se oscila??es feedforward no sistema visual n?o seriam resultado de um desequil?brio entre correntes de excita??o e inibi??o nas redes retinianas gerado pelos anest?sicos halogenados. Experimentos futuros em animais acordados ser?o necess?rios para confirmar essas conclus?es

Orientador: Vital Paulino Costa / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-09T04:54:16Z (GMT). No. of bitstreams: 1 Avelino_RodrigoRezendeGomes_M.pdf: 2930957 bytes, checksum: c66d1b04f0e830ee3e2b0a2e3897981b (MD5) Previous issue date: 2007 / Resumo: Objetivo: Avaliar o efeito da redução da pressão intra-ocular (PIO) obtido com o uso de terapia medicamentosa na espessura da camada de fibras nervosas da retina medida pela Polarimetria de Varredura a Laser (PVL) em pacientes glaucomatosos ou hipertensos oculares. Métodos: Trinta e sete olhos de 37 pacientes foram prospectivamente incluídos no estudo e avaliados com a PVL sem uso de medicação ocular hipotensora e num período entre 15 e 30 dias após a instituição de medicação ocular hipotensora, que resultou em redução da PIO de pelo menos 25%. Os parâmetros medidos pela PVL antes e após a redução da PIO foram comparados com o teste t de Student pareado. Resultados: A PIO média dos 37 pacientes diminuiu significativamente de 26,57 ± 4,23 mmHg para 16,54 ± 2,92 mmHg (p<0,05) após terapia medicamentosa. Não houve diferença estatisticamente significativa entre os valores dos 10 parâmetros do PVL medidos antes e após a administração de medicação ocular hipotensora (p>0,05). Conclusão: A redução da PIO com o uso de medicação ocular hipotensora não altera a medida da espessura da camada de fibras nervosas da retina pela PVL em pacientes com glaucoma ou hipertensão ocular / Abstract: Purpose: To evaluate changes in retinal nerve fiber layer thickness as measured by scanning laser polarimetry (SLP) after the use of medication to reduce intraocular pressure (IOP) in glaucomatous or ocular hypertensive patients. Methods: The authors prospectively enrolled 37 eyes of 37 patients in whom IOP was reduced by more than 25% after the use of medication. The images were obtained before and 15 to 30 days after the introduction of medication. The SLP parameters measured before and after the use of medication were compared using paired Student¿s t Test. Results: The mean IOP was significantly reduced from 26.57 ± 4.23 mmHg to 16.54 ± 2.92 mmHg after the use of medication (p<0.05). None of the 10 SLP analyzed parameters was significantly affected by the reduction of IOP with medication (p>0.05). Conclusion: The retinal nerve fiber layer thickness, as measured by SLP, is not affected by the reduction of IOP with medication in patients with glaucoma or ocular hypertension / Mestrado / Oftalmologia / Mestre em Ciências Médicas