Background： Retinal edema is the major complication of retinal vein occlusion and diabetic retinopathy; it can damage visual function by influencing macular region. This study was to establish a rat retinal edema mod...Background： Retinal edema is the major complication of retinal vein occlusion and diabetic retinopathy; it can damage visual function by influencing macular region. This study was to establish a rat retinal edema model and explore the related VEGF expression and observe the responses to anti-VEGF drugs in this model. Methods： A rat retinal edema model was established by inducing photochemical reaction using a 532 nm laser after the intravenous injection of Erythrosin B. Immediately after the laser treatment, models were given intravitreal injections of Ranibizumab or Conbercept to inhibit VEGF expression, and the changes of retinal thickness were measured. Retinal edema was observed using fundus photography （FP）, optical coherence tomography （OCT）, and fluoresce in fundus angiography （FFA） at 0, 1, 2, 4, 7 and 14 days after intervention. The retinal VEGF expression was measured using enzyme-linked immunosorbent assay （ELISA） and western blotting at each time point. The rat retinal edema model was also used to verify the function of anti-VEGF polypeptide ZY1. Results： Both retinal edema and vascular leakage were clearly observed at 1, 2 and 4 days after photochemical induction and the retinal thickness increased notably over the same period. The retinal VEGF expression peaked at day 1 and retina became thickening simultaneously. After the interventions, the VEGF expression of the Ranibizumab and Conbercept groups decreased at each time point compared to the edema group （26.90 ± 3.57 vs. 40.29 ± 6.68, F = 31.269 on day 1 and 22.36 ± 1.12 vs. 29.92 ± 0.93 F = 163.789 on day 2, both P 〈 0.01）; the mean RT （278 ± 4 vs. 288 ± 3, F = 134.190 on day 1 and 274 ± 7 vs. 284 ± 6, F = 64.367 on day 2, both P 〈 0.05） and vascular leakage in these groups also decreased. The same results were observed in the ZY1 group, particularly at day 2 （P 〈 0.05）. Conclusions： This retinal edema model induced by a photochemical reaction is reliable and repeatable. Induced edema increases expression of VEGF. This model can be used to test new drugs.展开更多
Objective: the experiment for the patients with branch retinal vein occlusion, and under the inspection found that the western medicine treatment of patients with macular edema, on the choice of scheme for the glass b...Objective: the experiment for the patients with branch retinal vein occlusion, and under the inspection found that the western medicine treatment of patients with macular edema, on the choice of scheme for the glass body cavity injection of compaq heap joint retinal laser photocoagulation for treatment, thus improved compared to the patient, and eyesight state changes. Methods: Patients diagnosed with branch retinal vein occlusion in our hospital and found with macular edema under examination were selected as the study subjects. The diagnosis and treatment time was from January 2018 to December 2020, and 50 patients were randomly divided into groups according to the order of treatment by drawing lots. The control group was treated with fundus laser, while the observation group was treated with intravitreal injection of Compaxerib combined with retinal laser photocoagulation, and the therapeutic effects were compared. Results: From the point of view of treatment, the BCVA index score of the best corrected visual acuity in the observation group was higher than that in the control group at one and three months, and the comparison was statistically significant. Meanwhile, in terms of CMT index of retinal thickness in macular fovea, we compared the efficacy of patients treated for one month, and it was (264.94±101.35) um in the observation group and (344.56±123.48) um in the control group, the difference was statistically significant. In terms of therapeutic efficacy, the observation group was 92.0%, which was higher than the control group's 68.0%. Therefore, it was believed that the observation group was more ideal in the improvement of the condition, and the difference was statistically significant. Conclusion: Intravitreal injection of combocipropionate combined with retinal laser photocoagulation is effective in the treatment of macular edema caused by branch retinal vein occlusion. It has high clinical feasibility and is worthy of wide application.展开更多
The aim of this study was to investigate the effects of Avastin on aquaporin4(AQP4) expression in human retinal Müller cells in vitro under hypoxia,so as to explore the mechanism of Avastin treating retinal edema...The aim of this study was to investigate the effects of Avastin on aquaporin4(AQP4) expression in human retinal Müller cells in vitro under hypoxia,so as to explore the mechanism of Avastin treating retinal edema.The human Müller cells were cultured using the enzymatic digestion method.Müller cells were identified under the transmission electron microscopy and by using immunofluorescence staining.By using semi-quantitative reverse transcription polymerase chain reaction(RT-PCR),the expression of AQP4 mRNA and VEGF mRNA in Müller cells cultured with 500 μmol/L CoCl 2 for 0,3,6,12 and 24 h,and with 0,100,300,500 and 700 μmol/L CoCl 2 for 24 h was detected.The expression of AQP4 mRNA in Müller cells cultured with 50 ng/mL exogenous vascular endothelial growth factor(VEGF) for 0,0.5,1,2 and 4 h,and with 0,25,50 and 75 ng/mL VEGF for 24 h was detected.Amplified cDNA products of AQP4 mRNA in Müller cells cultured with 500 μmol/L CoCl 2 and 200 μg/mL Avastin for 24 h were detected.The results showed that more than 95% cells displayed positive immunofluorescence reaction.Characteristic 8-10 nm intracellular filaments could be seen in the cytoplasm under the transmission electron microscopy.In the CoCl 2 experimental groups,the expression of AQP4 mRNA and VEGF mRNA in Müller cells was increased as compared with the control group.Alteration of AQP4 mRNA and VEGF mRNA levels showed a significantly positive correlation(r 2 =0.822,P<0.05).The expression of AQP4 mRNA in Müller cells was increased by VEGF.The expression of AQP4 mRNA was significantly decreased by Avastin as compared with the control group.It is suggested that Avastin can decrease the expression of AQP4 mRNA in human Müller cells under chemical hypoxic conditions partially via VEGF path,which may be one of the mechanisms of Avastin treating retinal edema.展开更多
文摘Background： Retinal edema is the major complication of retinal vein occlusion and diabetic retinopathy; it can damage visual function by influencing macular region. This study was to establish a rat retinal edema model and explore the related VEGF expression and observe the responses to anti-VEGF drugs in this model. Methods： A rat retinal edema model was established by inducing photochemical reaction using a 532 nm laser after the intravenous injection of Erythrosin B. Immediately after the laser treatment, models were given intravitreal injections of Ranibizumab or Conbercept to inhibit VEGF expression, and the changes of retinal thickness were measured. Retinal edema was observed using fundus photography （FP）, optical coherence tomography （OCT）, and fluoresce in fundus angiography （FFA） at 0, 1, 2, 4, 7 and 14 days after intervention. The retinal VEGF expression was measured using enzyme-linked immunosorbent assay （ELISA） and western blotting at each time point. The rat retinal edema model was also used to verify the function of anti-VEGF polypeptide ZY1. Results： Both retinal edema and vascular leakage were clearly observed at 1, 2 and 4 days after photochemical induction and the retinal thickness increased notably over the same period. The retinal VEGF expression peaked at day 1 and retina became thickening simultaneously. After the interventions, the VEGF expression of the Ranibizumab and Conbercept groups decreased at each time point compared to the edema group （26.90 ± 3.57 vs. 40.29 ± 6.68, F = 31.269 on day 1 and 22.36 ± 1.12 vs. 29.92 ± 0.93 F = 163.789 on day 2, both P 〈 0.01）; the mean RT （278 ± 4 vs. 288 ± 3, F = 134.190 on day 1 and 274 ± 7 vs. 284 ± 6, F = 64.367 on day 2, both P 〈 0.05） and vascular leakage in these groups also decreased. The same results were observed in the ZY1 group, particularly at day 2 （P 〈 0.05）. Conclusions： This retinal edema model induced by a photochemical reaction is reliable and repeatable. Induced edema increases expression of VEGF. This model can be used to test new drugs.
文摘Objective: the experiment for the patients with branch retinal vein occlusion, and under the inspection found that the western medicine treatment of patients with macular edema, on the choice of scheme for the glass body cavity injection of compaq heap joint retinal laser photocoagulation for treatment, thus improved compared to the patient, and eyesight state changes. Methods: Patients diagnosed with branch retinal vein occlusion in our hospital and found with macular edema under examination were selected as the study subjects. The diagnosis and treatment time was from January 2018 to December 2020, and 50 patients were randomly divided into groups according to the order of treatment by drawing lots. The control group was treated with fundus laser, while the observation group was treated with intravitreal injection of Compaxerib combined with retinal laser photocoagulation, and the therapeutic effects were compared. Results: From the point of view of treatment, the BCVA index score of the best corrected visual acuity in the observation group was higher than that in the control group at one and three months, and the comparison was statistically significant. Meanwhile, in terms of CMT index of retinal thickness in macular fovea, we compared the efficacy of patients treated for one month, and it was (264.94±101.35) um in the observation group and (344.56±123.48) um in the control group, the difference was statistically significant. In terms of therapeutic efficacy, the observation group was 92.0%, which was higher than the control group's 68.0%. Therefore, it was believed that the observation group was more ideal in the improvement of the condition, and the difference was statistically significant. Conclusion: Intravitreal injection of combocipropionate combined with retinal laser photocoagulation is effective in the treatment of macular edema caused by branch retinal vein occlusion. It has high clinical feasibility and is worthy of wide application.
文摘The aim of this study was to investigate the effects of Avastin on aquaporin4(AQP4) expression in human retinal Müller cells in vitro under hypoxia,so as to explore the mechanism of Avastin treating retinal edema.The human Müller cells were cultured using the enzymatic digestion method.Müller cells were identified under the transmission electron microscopy and by using immunofluorescence staining.By using semi-quantitative reverse transcription polymerase chain reaction(RT-PCR),the expression of AQP4 mRNA and VEGF mRNA in Müller cells cultured with 500 μmol/L CoCl 2 for 0,3,6,12 and 24 h,and with 0,100,300,500 and 700 μmol/L CoCl 2 for 24 h was detected.The expression of AQP4 mRNA in Müller cells cultured with 50 ng/mL exogenous vascular endothelial growth factor(VEGF) for 0,0.5,1,2 and 4 h,and with 0,25,50 and 75 ng/mL VEGF for 24 h was detected.Amplified cDNA products of AQP4 mRNA in Müller cells cultured with 500 μmol/L CoCl 2 and 200 μg/mL Avastin for 24 h were detected.The results showed that more than 95% cells displayed positive immunofluorescence reaction.Characteristic 8-10 nm intracellular filaments could be seen in the cytoplasm under the transmission electron microscopy.In the CoCl 2 experimental groups,the expression of AQP4 mRNA and VEGF mRNA in Müller cells was increased as compared with the control group.Alteration of AQP4 mRNA and VEGF mRNA levels showed a significantly positive correlation(r 2 =0.822,P<0.05).The expression of AQP4 mRNA in Müller cells was increased by VEGF.The expression of AQP4 mRNA was significantly decreased by Avastin as compared with the control group.It is suggested that Avastin can decrease the expression of AQP4 mRNA in human Müller cells under chemical hypoxic conditions partially via VEGF path,which may be one of the mechanisms of Avastin treating retinal edema.
