On the retinal toxicity of intraocular glucocorticoids.

Détails

ID Serval
serval:BIB_D71DBC61DD5D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
On the retinal toxicity of intraocular glucocorticoids.
Périodique
Biochemical Pharmacology
Auteur⸱e⸱s
Torriglia A., Valamanesh F., Behar-Cohen F.
ISSN
1873-2968 (Electronic)
ISSN-L
0006-2952
Statut éditorial
Publié
Date de publication
2010
Peer-reviewed
Oui
Volume
80
Numéro
12
Pages
1878-1886
Langue
anglais
Notes
Publication types: Journal Article ; ReviewPublication Status: ppublish
Résumé
Corticosteroids are hormones involved in many physiological responses such as stress, immune modulation, protein catabolism and water homeostasis. The subfamily of glucocorticoids is used systemically in the treatment of inflammatory diseases or allergic reactions. In the eye, glucocorticoides are used to treat macular edema, inflammation and neovascularization. The most commonly used glucocorticoid is triamcinolone acetonide (TA). The pharmaceutical formulation of TA is not adapted for intravitreal administration but has been selected by ophthalmologists because its very low intraocular solubility provides sustained effect. Visual benefits of intraocular TA do not clearly correlate with morpho-anatomical improvements, suggesting potential toxicity. We therefore studied, non-common, but deleterious effects of glucocorticoids on the retina. We found that the intravitreal administration of TA is beneficial in the treatment of neovascularization because it triggers cell death of endothelial cells of neovessels by a caspase-independent mechanism. However, this treatment is toxic for the retina because it induces a non-apoptotic, caspase-independent cell death related to paraptosis, mostly in the retinal pigmented epithelium cells and the Müller cells.
Mots-clé
Animals, Anti-Inflammatory Agents/administration & dosage, Anti-Inflammatory Agents/adverse effects, Cell Death, Choroidal Neovascularization/drug therapy, Endothelium, Vascular/drug effects, Endothelium, Vascular/pathology, Glucocorticoids/administration & dosage, Glucocorticoids/adverse effects, Humans, Intravitreal Injections, Macular Edema/drug therapy, Retina/drug effects, Retina/pathology, Retinal Diseases/chemically induced, Retinal Diseases/pathology, Retinal Neovascularization/drug therapy, Triamcinolone Acetonide/administration & dosage, Triamcinolone Acetonide/adverse effects
Pubmed
Web of science
Création de la notice
23/08/2013 8:38
Dernière modification de la notice
20/08/2019 16:56
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