rabbits

兔子
  • 文章类型: Journal Article
    螺旋状梭菌与自发性和抗生素相关的肠道疾病有关(C.螺旋体相关肠道疾病,CSAED)在兔子中,临床特征是厌食症,腹泻,或者突然死亡。诊断通常基于肉眼和显微镜下的病变,再加上在肠道涂片中发现特征性的盘绕细菌。螺旋状梭菌的分离通常具有挑战性,并且已经开发了PCR协议。我们回顾了提交给戴维斯医院尸检的32例CSAED,Tulare,1992年至2019年期间,CAHFS的Turlock实验室。报告的总体结果弄脏了会阴,尾巴,和/或后腿腹泻(32个中的16个);胃(32个中的16个),小肠(32个中的6个),盲肠(32个中的15个),和/或结肠(32个中的4个)扩张,棕色至绿色,水含量;盲肠中的浆膜出血(32个中的15个)。最常见的镜下发现是坏死性肠炎(19/32),其次是盲肠粘膜或粘膜下水肿(32个中的8个),坏死性或细胞性伤寒(32个中的6个),坏死性或异嗜性斑点炎(32个中的6个),和盲肠透壁出血(32个中的5个)。在所有32只兔子中,典型的螺旋盘绕,在粪便或肠涂片中观察到革兰氏阳性杆菌。从24只兔子中的2只的肠道内容物中分离出螺旋状梭菌,并通过PCR测定法在8只兔子中的8只中进行检测。
    Clostridium spiroforme has been associated with spontaneous and antibiotic-associated enteric disease (C. spiroforme-associated enteric disease, CSAED) in rabbits, which is clinically characterized by anorexia, diarrhea, or sudden death. Diagnosis is usually based on gross and microscopic lesions, coupled with finding the characteristic coiled bacteria in intestinal smears. Isolation of C. spiroforme is often challenging, and a PCR protocol has been developed. We reviewed 32 cases of CSAED submitted for autopsy to the Davis, Tulare, and Turlock laboratories of CAHFS between 1992 and 2019. The reported gross findings were soiling of the perineum, tail, and/or hind legs with diarrhea (16 of 32); gastric (16 of 32), small intestinal (6 of 32), cecal (15 of 32), and/or colonic (4 of 32) distention with brown-to-green, watery content; and serosal hemorrhages in the cecum (15 of 32). The most common microscopic finding was necrotizing enteritis (19 of 32), followed by cecal mucosal or submucosal edema (8 of 32), necrotizing or pleocellular typhlitis (6 of 32), necrotizing or heterophilic typhlocolitis (6 of 32), and cecal transmural hemorrhages (5 of 32). In all 32 rabbits, typical helically coiled, gram-positive bacilli were observed in fecal or intestinal smears. C. spiroforme was isolated from the intestinal content of 2 of 24 rabbits and detected by PCR assay in 8 of 8 rabbits.
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  • 文章类型: Journal Article
    背景和目的:本研究综述了脂肪组织来源的可注射治疗骨关节炎(OA)动物模型的最新趋势,专注于最低限度地操纵或轻度处理的脂肪组织。通过评估和检查在不同的动物OA模型中研究这些疗法的特定背景,这篇综述旨在提供有价值的见解,这些见解将为未来的研究和临床应用提供信息和指导,以持续寻求骨关节炎的有效治疗方法。材料和方法:本研究对PubMed和Embase进行了全面的文献综述,以确定使用动物模型研究的骨关节炎的最小操作脂肪组织来源的可注射疗法的研究。主要搜索找到530个结果。在排除关注自发性骨关节炎的文章后;在转染时,预处理,培养,或共培养的脂肪干细胞;以及全文不可用的文章,我们在评论中包含了11篇文章。结果:所检查的疗法包括通过胶原酶消化和离心获得的机械微破碎脂肪组织(MFAT)和基质血管部分(SVF)。这些干预措施在各种动物模型中进行了评估,包括老鼠,老鼠,兔子,和诱发OA的绵羊。值得注意的是,更多的研究集中在手术诱导的OA,而不是化学诱导的OA。对这些疗法的评估集中在阐明其保护性免疫调节,抗炎,和软骨再生潜力通过综合评估,包括宏观评估,组织学分析,免疫组织化学检查,和生化化验。结论:这篇综述提供了对不同动物模型中脂肪组织来源的骨关节炎可注射疗法的综合分析。在揭示潜在好处和见解的同时,数据的异质性和研究数量有限,突出表明需要进一步研究,为临床应用制定结论性建议.
    Background and Objectives: This scoping review investigates recent trends in adipose tissue-derived injectable therapies for osteoarthritis (OA) in animal models, focusing on minimally manipulated or lightly processed adipose tissue. By evaluating and examining the specific context in which these therapies were investigated across diverse animal OA models, this review aims to provide valuable insights that will inform and guide future research and clinical applications in the ongoing pursuit of effective treatments for osteoarthritis. Materials and Methods: This research conducted a comprehensive literature review of PubMed and Embase to determine studies about minimally manipulated adipose tissue-derived injectable therapies for osteoarthritis investigated using animal models. The primary search found 530 results. After excluding articles that focused on spontaneous osteoarthritis; on transfected, preconditioned, cultured, or co-cultured adipose-derived stem cells; and articles with unavailable full text, we included 11 articles in our review. Results: The examined therapies encompassed mechanical micro-fragmented adipose tissue (MFAT) and stromal vascular fraction (SVF) obtained via collagenase digestion and centrifugation. These interventions were evaluated across various animal models, including mice, rats, rabbits, and sheep with induced OA. Notably, more studies concentrated on surgically induced OA rather than chemically induced OA. The assessment of these therapies focused on elucidating their protective immunomodulatory, anti-inflammatory, and chondroregenerative potential through comprehensive evaluations, including macroscopic assessments, histological analyses, immunohistochemical examinations, and biochemical assays. Conclusions: This review provides a comprehensive analysis of adipose tissue-derived injectable therapies for osteoarthritis across diverse animal models. While revealing potential benefits and insights, the heterogeneity of data and the limited number of studies highlight the need for further research to formulate conclusive recommendations for clinical applications.
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  • 文章类型: Journal Article
    Orofacial masses or swellings are a common presenting complaint in lagomorphs. Similar gross appearances of the masses can complicate clinical interpretation, and histologic review often provides the final diagnosis. Underlying causes vary from infectious to neoplastic. Although inflammatory changes are most commonly reported, various neoplasms occur, although the prevalence of specific tumor types is relatively unknown. We reviewed retrospectively 120 cases (87.5% biopsy, 12.5% autopsy) of neoplastic and non-neoplastic orofacial masses received from January 2000-February 2023 at 2 institutions: University of Guelph, Canada (Animal Health Laboratory and Department of Pathobiology), and Finn Pathologists, United Kingdom. All final diagnoses were achieved through histologic assessment. We included masses or mass-like swellings from the oral cavity, including the mandible and maxilla, and surrounding skin and soft tissues of the oral cavity and jaw. Submissions included pet and commercial (meat and fur) rabbits. Neoplastic lesions were most common (60%), including trichoblastomas, papillomas, melanocytic neoplasms, sarcomas, round-cell tumors, carcinomas (including squamous cell carcinoma), lipomas, odontogenic neoplasms, polyps, osteoma, neuroma, peripheral keratinizing ameloblastoma, and apocrine adenoma. Inflammatory diagnoses (30%) included abscesses, osteomyelitis, dermatitis, and sialadenitis. Other diagnoses (7%) included cysts, as well as hyperplastic skin and proliferative bone lesions. Three cases had no definitive diagnosis. The importance of histologic assessment in diagnosing orofacial \"masses\" in rabbits is highlighted, given that the most common diagnostic category overall was neoplasia.
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  • 文章类型: Meta-Analysis
    背景:这项研究评估了涉及可注射水凝胶的联合方案治疗实验性心肌梗塞的有效性。
    方法:心肌梗死是一种对生活质量产生负面影响并增加死亡率的急性疾病。心肌梗死的实验模型可以通过允许开发有效管理疾病进展和促进组织修复的疗法来帮助疾病研究。
    方法:采用左冠状动脉前降支(LAD)结扎法建立心肌梗死实验动物模型。
    方法:心内注射水凝胶的疗效,结合细胞,毒品,细胞因子,细胞外囊泡,或者核酸疗法,评估通过联合水凝胶方案实现的梗死后心脏的功能和形态学改善。
    结果:使用PubMed进行了文献综述,WebofScience,Scopus,和Cochrane数据库。共83篇论文,包括对1332只实验动物(大鼠,老鼠,兔子,绵羊,和猪),根据纳入和排除标准纳入荟萃分析.在接受联合水凝胶治疗的组中观察到的总体效果大小,与单独接受水凝胶治疗的组相比,在大鼠模型中,射血分数(EF)改善8.87%[95%置信区间(CI):7.53,10.21],缩短分数(FS)改善6.31%[95%CI:5.94,6.67],而在小鼠模型中,EF改善为16.45%[95%CI:11.29,21.61],FS改善为5.68%[95%CI:5.15,6.22].当使用细胞外囊泡治疗时,观察到EF(大鼠:MD=9.63%[95%CI:4.02,15.23];小鼠:MD=23.93%[95%CI:17.52,30.84])和FS(大鼠:MD=8.55%[95%CI:2.54,14.56];小鼠:MD=5.68%[95%CI:5.15,6.22])的最显著改善。虽然在大型动物实验中取得了显著成果,在这一领域进行的研究数量有限。
    结论:本研究表明,水凝胶与其他疗法的结合可有效改善心脏功能和形态。使用大型动物模型的进一步临床前研究对于额外的研究和验证是必要的。
    BACKGROUND: This study evaluates the effectiveness of a combined regimen involving injectable hydrogels for the treatment of experimental myocardial infarction.
    METHODS: Myocardial infarction is an acute illness that negatively affects quality of life and increases mortality rates. Experimental models of myocardial infarction can aid in disease research by allowing for the development of therapies that effectively manage disease progression and promote tissue repair.
    METHODS: Experimental animal models of myocardial infarction were established using the ligation method on the anterior descending branch of the left coronary artery (LAD).
    METHODS: The efficacy of intracardiac injection of hydrogels, combined with cells, drugs, cytokines, extracellular vesicles, or nucleic acid therapies, was evaluated to assess the functional and morphological improvements in the post-infarction heart achieved through the combined hydrogel regimen.
    RESULTS: A literature review was conducted using PubMed, Web of Science, Scopus, and Cochrane databases. A total of 83 papers, including studies on 1332 experimental animals (rats, mice, rabbits, sheep, and pigs), were included in the meta-analysis based on the inclusion and exclusion criteria. The overall effect size observed in the group receiving combined hydrogel therapy, compared to the group receiving hydrogel treatment alone, resulted in an ejection fraction (EF) improvement of 8.87% [95% confidence interval (CI): 7.53, 10.21] and a fractional shortening (FS) improvement of 6.31% [95% CI: 5.94, 6.67] in rat models, while in mice models, the improvements were 16.45% [95% CI: 11.29, 21.61] for EF and 5.68% [95% CI: 5.15, 6.22] for FS. The most significant improvements in EF (rats: MD = 9.63% [95% CI: 4.02, 15.23]; mice: MD = 23.93% [95% CI: 17.52, 30.84]) and FS (rats: MD = 8.55% [95% CI: 2.54, 14.56]; mice: MD = 5.68% [95% CI: 5.15, 6.22]) were observed when extracellular vesicle therapy was used. Although there have been significant results in large animal experiments, the number of studies conducted in this area is limited.
    CONCLUSIONS: The present study demonstrates that combining hydrogel with other therapies effectively improves heart function and morphology. Further preclinical research using large animal models is necessary for additional study and validation.
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  • 文章类型: Systematic Review
    我们旨在总结血管内皮生长因子(VEGF)在外眼疾病中的最新证据,并确定血清和血浆VEGF水平是否与泪液和眼表组织相关。在2022年10月至2023年11月期间,使用PRISMA指南对PUBMED和EMBASE进行了系统搜索,对语言或出版日期没有限制。搜索词包括相关的MESH术语。这些研究进行了质量评估,并对偏倚风险进行了评估。然后通过相关表格或数字直观地表示提取的数据。最初的文献检索从PUBMED获得了777项研究,来自EMBASE的944项研究,和手动搜索的10项研究。从2000年至2023年发表的289篇文章中确定了14项符合条件的研究,这些文章以英语或英语翻译。包括兔子模型,鼠模型,和人类来源的样本。大多数研究是回顾性研究和病例对照研究。各种常见的外眼病,如干眼症(DED)和过敏性眼病进行了调查。尽管存在局限性和样本量小,研究人员发现血管化角膜中VEGF的组织水平升高,尤其是在动物模型中,但是没有证据表明DED和过敏性眼病中泪液VEGF浓度有明显变化。泪液VEGF与角膜血管形成有关。抗VEGF疗法可能具有控制此类病症的潜力。
    We aim to summarize the current evidence of Vascular endothelial growth factors (VEGF)s in external eye diseases and determine whether serum and plasma VEGF levels are associated with tear and ocular surface tissues. A systematic search of PUBMED and EMBASE was conducted using PRISMA guidelines between October 2022 and November 2023, with no restriction on language or publication date. Search terms included relevant MESH terms. These studies were evaluated for quality, and an assessment of the risk of bias was also carried out. Extracted data were then visually represented through relevant tables or figures. The initial literature search yielded 777 studies from PUBMED, 944 studies from EMBASE, and 10 studies from manual searches. Fourteen eligible studies were identified from 289 articles published from 2000 to 2023 in the English language or with English translations, including rabbit models, murine models, and human-derived samples. Most studies were retrospective in nature and case-control studies. Various common external eye diseases, such as dry eye disease (DED) and allergic eye disease were investigated. Despite limitations and small sample sizes, researchers have found elevated tissue levels of the VEGF in the vascularized cornea, especially in animal models, but there is no evidence of clear changes in the tear concentrations of VEGF in DED and allergic eye disease. Tear VEGF is associated with corneal vascularization. Anti-VEGF therapies may have the potential to manage such conditions.
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  • 文章类型: Journal Article
    在女性中,旁肾(顺:穆勒)导管产生子宫管,子宫,子宫颈,阴道的一部分.在包括猪在内的一系列物种中,已经报道了由肾旁导管异常引起的节段性子宫发育不全。犬科动物,Felids,equids,骆驼,还有Lagomorphs.在这里,我们记录了新西兰白兔的左肾旁导管的节段性发育不全。左子宫管的近端70毫米存在并终止于脂肪组织中。存在10×2×1-mm的乳膏组织标签,由脂肪组织和平滑肌流组成,但除此之外,没有证据显示左子宫角,支持单侧子宫发育不全(子宫独角)的诊断,类似于“无角”亚型的人类II类(单角子宫)病变。此外,我们的病例并发子宫管菌毛囊肿,左肾的小囊肿,乳腺增生具有分泌活性。我们建议采用专门针对lagomorph子宫异常的统一分类系统。记录此类病变患病率的大规模多中心研究将有助于识别侧向趋势和其他因素。
    In females, the paramesonephric (syn: Müllerian) duct gives rise to the uterine tubes, uterus, cervix, and part of the vagina. Segmental uterine aplasia resulting from a paramesonephric duct abnormality has been reported in a range of species including bovids, canids, felids, equids, camelids, and lagomorphs. Here we document segmental aplasia of the left paramesonephric duct in a New Zealand white rabbit. The proximal 70 mm of the left uterine tube was present and terminated in adipose tissue. A 10 × 2 × 1-mm tag of cream tissue was present and was composed of sheets of adipose tissue and streams of smooth muscle, but otherwise, there was no evidence of the left uterine horn, supporting a diagnosis of unilateral uterine aplasia (uterus unicornis) analogous to a human class II (unicornuate uterus) lesion of the \"no horn\" subtype. In addition, our case had a concurrent uterine tube fimbrial cyst, minor cysts in the left kidney, and mammary gland hyperplasia with secretory activity. We suggest the adoption of a uniform classification system specifically for lagomorph uterine anomalies. Large-scale multi-center studies documenting prevalence of such lesions would facilitate identification of trends in laterality and other factors.
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  • 文章类型: Journal Article
    本系统综述提供了伴侣动物中自然SARS-CoV-2感染的全面概述。研究结果表明,这些感染相对罕见。在被检查的狗中,只有1.32%的人对SARS-CoV-2检测呈阳性,而对猫来说,率为1.55%。兔子和雪貂的感染甚至更不常见,不到1%。这些结果支持先前的研究,表明伴侣动物自然感染的频率不高。该评论还包括涉及各种宠物的最新研究,比如猫,狗,雪貂,还有兔子.分析的大多数研究主要涉及到兽医诊所的宠物筛查,无论他们是否显示出SARS-CoV-2感染的任何具体迹象。只有数量有限的研究调查了怀疑与主人或其他患有COVID-19或表现出症状的动物接触的动物的感染情况。在审查的研究中,SARS-CoV-2变体中最常见的变体是B.1.1.7(α),其次是B.1.617.2(三角洲),B.1.526(Iota),和其他人。这些变体的出现引起了人们对它们增加可传播性和毒力的潜力的担忧,强调持续监测人和动物SARS-CoV-2感染的重要性。此外,大多数审查的研究表明,受感染的宠物要么没有症状,要么症状轻微。这与以前的报道一致,表明与人类相比,感染SARS-CoV-2的动物通常具有不太严重的疾病。然而,必须认识到动物严重疾病或死亡的可能性,特别是那些有潜在健康状况的人。持续监测伴侣动物的SARS-CoV-2感染对于更好地了解病毒在动物中的流行病学和制定保护动物和人类健康的有效策略至关重要。
    This systematic review provides a comprehensive overview of natural SARS-CoV-2 infections in companion animals. The findings show that these infections are relatively rare. Among the examined dogs, only 1.32% tested positive for SARS-CoV-2, while for cats, the rate was 1.55%. Infections in rabbits and ferrets were even less common, at less than 1%. These results support previous research indicating the infrequency of natural infections in companion animals. The review also includes updated studies that involved various pets, such as cats, dogs, ferrets, and rabbits. The majority of the studies analyzed were primarily concerned with screening pets that visited veterinary clinics, regardless of whether they showed any specific signs of SARS-CoV-2 infection. Only a limited number of studies investigated infections in animals suspected of being in contact with owners or other animals that had COVID-19 or were exhibiting symptoms. The most common variant identified among the SARS-CoV-2 variants in the reviewed studies was B.1.1.7 (alpha), followed by B.1.617.2 (delta), B.1.526 (Iota), and others. The emergence of these variants raises concerns about their potential for increased transmissibility and virulence, highlighting the importance of ongoing monitoring of SARS-CoV-2 infections in both humans and animals. Furthermore, most of the reviewed studies indicated that infected pets either showed no symptoms or experienced mild symptoms. This aligns with previous reports suggesting that animals infected with SARS-CoV-2 generally have less severe illness compared to humans. However, it is essential to recognize the possibility of severe illness or death in animals, particularly those with underlying health conditions. Continuous surveillance of SARS-CoV-2 infections in companion animals is crucial for better understanding the virus\'s epidemiology in animals and developing effective strategies to protect both animal and human health.
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  • 文章类型: Journal Article
    在健美运动员的饮食中,蛋白质在支持肌肉生长和修复受损肌肉组织中起着至关重要的作用。这些人通过将膳食来源与补充剂结合来满足他们的蛋白质需求。基于动物的蛋白质通常优于基于植物的蛋白质,因为它们被认为更好地支持肌肉蛋白质合成。这篇综述探讨了健美运动员和高级肉类消费者的肉类消费模式,专注于兔子,牛肉,鸡肉,土耳其,还有羔羊.我们描述和比较肉类健美运动员通常消费的类型,并提供蛋白质补充剂的概述,包括肉类的选择,基于植物的替代品,和基于乳清的产品。我们的目标是深入了解健美运动员和高级肉类消费者的饮食偏好,考虑到它们的营养需求和对肉类行业的潜在影响。我们在各种数据库中进行了广泛的搜索,包括Scopus,WebofScience,PubMed,谷歌学者。我们发现,个人的选择因态度等因素而异,信任,味道,纹理,营养成分,伦理考虑,和文化影响。营养因素,包括蛋白质含量,氨基酸概况,和脂肪水平,显著影响健美运动员和高级肉类消费者的偏好。然而,通过加入其他必需营养素如碳水化合物来保持平衡是至关重要的,健康脂肪,维生素,和矿物质,以确保完整和均衡的饮食。这项审查的结果可以为针对健美运动员和挑剔的肉类爱好者的需求量身定制的战略和产品开发计划提供信息。
    In bodybuilders\' diets, protein plays a crucial role in supporting muscle growth and repairing damaged muscle tissue. These individuals meet their protein needs by combining dietary sources with supplements. Animal-based proteins are often preferred over plant-based proteins because they are believed to better support muscle protein synthesis. This review explores the meat consumption patterns of bodybuilders and high-level meat consumers, focusing on rabbit, beef, chicken, turkey, and lamb. We describe and compare the types of meat bodybuilders commonly consume and provide an overview of protein supplements, including meat-based options, plant-based alternatives, and whey-based products. Our aim is to gain insight into the dietary preferences of bodybuilders and high-level meat consumers, considering their nutritional requirements and the potential effect on the meat industry. We conducted an extensive search across various databases, including Scopus, Web of Science, PubMed, and Google Scholar. We found that individual choices vary based on factors such as attitudes, trust, taste, texture, nutritional content, ethical considerations, and cultural influences. Nutritional factors, including protein content, amino acid profiles, and fat levels, significantly influence the preferences of bodybuilders and high-level meat consumers. However, it is crucial to maintain a balance by incorporating other essential nutrients such as carbohydrates, healthy fats, vitamins, and minerals to ensure a complete and balanced diet. The findings from this review can inform strategies and product development initiatives tailored to the needs of bodybuilders and discerning meat enthusiasts.
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  • 文章类型: Journal Article
    断奶兔子使用两种饲料限制(FR)方案,包括定量FR(数量限制的饲料或时间限制的饲料进入)和定性FR(饮食含量,尤其是蛋白质和能量的调节)。使用断奶后FR可能有助于预防断奶后消化系统疾病,刺激补偿性增长,提高饲料效率,减少胴体脂肪含量。有趣的是,FR可能通过调节肌纤维的形态和生化特性来改变肉的化学成分及其物理品质属性。此外,FR可以促进胃肠道发育,它的组织形态学,提高饲料的消化率和吸收能力。此外,FR方案涉及建立肠道微生物平衡和增强宿主免疫应答。可以得出结论,断奶后FR参与影响生长兔的生理和免疫方面。可能有记录表明,轻度FR(即,80-90%AL),早期(即,在断奶后的前2周),持续时间相对较短(即,2-3周)对活体重没有负面影响,与随意兔相比,切断FR可降低活体重。
    Two feed restriction (FR) regimens are utilized with weaned rabbits including a quantitative FR (amount-limited feed or time-restricted admission to feed) and a qualitative FR (modulation of diet content especially protein and energy). The use of post-weaning FR may help in preventing post-weaning digestive disorders, stimulating compensating growth, improving feed efficiency, and decreasing carcass fat content. Interestingly, FR may contribute to changing meat\'s chemical composition and its physical quality attributes by regulating the morphological and biochemical characteristics of muscle fibers. Also, FR could enhance the gastrointestinal tract development, its histomorphology, and improve feed digestibility and absorption. Furthermore, FR regimens are involved in establishing gut microbial balance and enhancing the host immunological response. It might be concluded that post-weaning FR is involved in influencing the physiological and immunological aspects of growing rabbits. It might be documented that light to mild FR (i.e., 80-90% AL), early (i.e., at the first 2 weeks post-weaning), and relatively short in duration (i.e., for 2-3 weeks) had no negative effects on live body weight, while severing FR reduced live body weight in comparison with ad libitum rabbits.
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  • 文章类型: Review
    干眼症(DED)是最常见的眼表疾病之一。所有DED都涉及泪液产生和蒸发之间的不平衡。大多数DED病例是由过度蒸发驱动的,这通常与睑板腺功能障碍(MGD)有关。在蒸发DED中,缺乏的泪膜脂质层被认为会导致泪液蒸发增加,炎症,和眼表损伤。大多数DED的处方治疗通过针对泪液产生和/或炎症来解决体征和症状,但他们不解决过度蒸发。全氟己基辛烷(PFHO)眼用溶液(MIEBO™;Bausch+Lomb)是一种无水,单一成分,不含防腐剂的处方滴眼液,直接针对泪液蒸发,并被FDA批准用于治疗DED的体征和症状。临床前研究结果表明,PFHO具有较高的携氧能力,可以减少闪烁时的摩擦,并在泪膜表面迅速扩散,形成抑制蒸发的单层。这些作用可导致泪膜的稳定以促进眼表面愈合。Further,在一项兔药代动力学研究中,在眼泪中检测到至少6小时的PFHO,结果表明,它可以改善脂质层的厚度和质量。在患有DED和MGD临床体征的患者的2个关键3期试验中(GOBI[NCT04139798]和MOJAVE[NCT04567329]),PFHO治疗始终满足与DED体征和症状相关的主要疗效终点(总角膜荧光素染色和眼睛干燥,分别)和耐受性良好。与使用低渗盐溶液相比,早在2周内,PFHO的滴注导致体征和症状的显着改善。从长远来看,开放标签安全扩展研究,PFHO的疗效持续超过12个月,安全性与之前的研究一致.临床试验结果表明,用PFHO治疗可有效且一致地减少DED的体征和症状。
    Dry eye disease (DED) is one of the most common ocular surface disorders. All DED involves an imbalance between tear production and evaporation. Most cases of DED are driven by excessive evaporation, which is often associated with meibomian gland dysfunction (MGD). In evaporative DED, a deficient tear film lipid layer is believed to lead to increased tear evaporation, inflammation, and ocular surface damage. Most prescription treatments for DED address signs and symptoms by targeting tear production and/or inflammation, but they do not address excessive evaporation. Perfluorohexyloctane (PFHO) ophthalmic solution (MIEBO™; Bausch + Lomb) is a water-free, single-ingredient, preservative-free prescription eye drop that directly targets tear evaporation and is approved by the FDA to treat the signs and symptoms of DED. Results from preclinical studies indicate that PFHO has a high oxygen carrying capacity, may reduce friction on blinking, and spreads quickly over the tear film surface to form a monolayer that inhibits evaporation. These effects can lead to stabilization of the tear film to promote ocular surface healing. Further, PFHO was detected in tears for at least 6 hours in a rabbit pharmacokinetic study, and results indicate that it may improve lipid layer thickness and quality. In 2 pivotal phase 3 trials in patients with DED and clinical signs of MGD (GOBI [NCT04139798] and MOJAVE [NCT04567329]), treatment with PFHO consistently met primary efficacy end points related to DED signs and symptoms (total corneal fluorescein staining and eye dryness, respectively) and was well tolerated. Compared with use of hypotonic saline solution, instillation of PFHO led to significant improvements in signs and symptoms in as early as 2 weeks. In a long-term, open-label safety extension study, efficacy of PFHO was sustained over 12 months, and the safety profile was consistent with those of previous studies. Clinical trial results indicate that treatment with PFHO effectively and consistently reduces the signs and symptoms of DED.
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