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Method for simulating diabetic macular neovascularisation. RU patent 2504844.

IPC classes for russian patent Method for simulating diabetic macular neovascularisation. RU patent 2504844. (RU 2504844):

G09B23/28 - for medicine
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FIELD: medicine.

SUBSTANCE: diabetes mellitus is simulated in rats by intraperitoneal introduction of alloxan 15.0 mg/100 g of body weight. Murine VEGF 164 is introduced into a vitreous body from an intravitreal approach 6.5 weeks later on the 1st, 3rd and 7th day in a dose of 1 mcg with a total dose of 3 mcg.

EFFECT: method provides macular neovascularisation specific for diabetes mellitus that enables the further study of the therapeutic effectiveness and applicability in the given disease.

1 ex

 

Invention refers to medicine, in particular to ophthalmology, and can be used to create a model of the pathological process neovascularization of the macular zone of the retina against diabetes in experimental ophthalmology.

There is a method of creation of experimental model of diabetes mellitus by a single intraperitoneal injection of hydrate experimental animals in a dose of 170 mg/kg used in the modeling of diabetes, generates toxic free radicals, damaging cells of the islets of Langerhans cells of the kidney, liver, lung, and adipocytes (Szkudelski T. The mechanism of alloxan end streptozotocin action in The cells of the rat pancreas // Physiol. Res. - 2001. - №50. - P.536-546.). When diabetes occurs oxidative stress in adipose tissue, characterized by increase of the content, products of lipid peroxidation, in violation of exchange. Activation of lipid peroxidation and decrease in antioxidant potential of glutathione system in adipose tissue of rats with experimental diabetes can lead to stimulation of spontaneous lipolysis in adipocytes and the emergence of insulin resistance (Ivanov V.V. and other lipid peroxidation and the glutathione system in adipose tissue of rats with diabetes /the Bulletin of the Russian Academy of medical Sciences. - 2010. - 30, №6. - P.101-104.). When modeling of diabetes mellitus in the experiment, pathological changes in the fundus not appear, because activates blood aqueous barrier. In addition, for the emergence of the process of proliferation in the vitreous body against diabetes requires up to 2 years, which makes it difficult to conduct experiments. These factors lead to the need for additional impact on the retina against the backdrop of systemic diabetes.

The closest analogue of the invention is a method of modelling of neovascularization of the retina and optic nerve in rabbits, which consists in the fact that rabbits spend intravitreal injections of water solution of recombinant human vascular endothelial growth factor in the amount of 0,05-0,1 ml, and the dose of the specified funds injected fractional: 1 and 3 days of the experiment dose of 3 mg, 7 and 11 of the day - 1.5 mcg, by day 15 - 1.0 mg and 24 day - to 5.0 mcg [patent RU 2408083, 2010]. The method provides a consequence of changes in the fundus with a clear depending on the input dose, which allows us to trace all the stages of the pathological process that leads to a neoplasm of blood vessels posterior of the eye. However, changes in the retina associated with damage on the local level. This model is the etiological for modelling of pathologic process, associated with the violation of General exchange, hyperglycemia.

Object of the invention is development of a reliable, technically simple in execution of the method of modeling the defeat of the macular area with retina against the background of experimental diabetes.

Technical result in the use of the invention is development of diabetic neovascularization, pathological changes in the fundus with common endocrine disorders.

This technical result is achieved by the method of modeling of diabetic neovascularization of the macular region of the retina, which includes introduction into the vitreous body of the eye experimental animal as a toxic agent Vascular endothelial growth factor (VEGF) fractional on the 1st, 3rd and 7th day, according to the invention as an experimental animal use a rat, and previously in the abdominal cavity dose of 15.0 mg/100 g weight through a 6.5 weeks after the introduction of and development of an experimental diabetes as VEGF enter 1 mcg rat VEGF 164 in a total dose of 3 mg.

The choice of this kind of animals is due to the fact that blood flow to the retina rats closer to people than the blood circulation in the eye of a rabbit and it is also more economical model. Introduction of rat VEGF 164 through 6.5 weeks after the development of an experimental diabetes provides formation of the model of diabetic neovascularization, pathological changes in the fundus with common endocrine disorders. Thus, the combination in a single model of two factors (experimental diabetes and intravitreal injection VEGF 164) gives the development of resistant diabetic neovascularization. Fragmentation introduction provides a consequence of changes in the fundus.

The proposed method of modelling of diabetic neovascularization is preliminary modeling of diabetes and subsequent introduction into the vitreous body of a rat VEGF (Vascular endothelial growth factor) 164 methodology intravitreal access. Diabetes reproduce after 24 hours of fasting by intraperitoneal injection of dose of 15.0 mg/100 g weight. Through 6.5 weeks after the introduction of and development of an experimental diabetes each animal under ether anaesthesia perform intravitreal injections: through the flat part of the ciliary body at a distance of 1 mm from the limbus in the lower outer sector impose rat VEGF 164 in a total dose of 3 mg, the fractional 1 microgram on the 1st, 3rd and 7th day. To control indirect ophthalmoscopy on the 3rd, 7th and 14th day after the injection under conditions of drug (installation S.Tropicamidi 1%) and histological studies of 1-, 3-, 7-, 14-th day. The method was tested on 112 rats-males breed Wistar weighing 200 g of Animals were taken from the experiment method of air embolism after the introduction of anaesthesia at the 3rd, 7th and 14th day, eyes (according to the order of Ministry of higher education of USSR №724 of 13.11.1984). For morphological study on microtome prepared serial sections of 7-10 mkm. Colouring of histological sections carried out -eosin.

As a result of combining models of diabetes and retinal neovascularization with edema development determines the appearance of a new pathogenetic parallel with the development of nosology, identical to the pathology of retina in case of diabetes. In contrast to the local influence of VEGF without systemic disorders, the proposed model defines macular region, typical for diabetes that allows further to determine the appropriateness of therapy.

The proposed method is illustrated by the following example: 3 rats-males breed Wistar, 200 gram play diabetes after 24 hours of fasting by intraperitoneal injection of dose of 15.0 mg/100 g weight. Through 6.5 weeks after the introduction of and development of an experimental diabetes animal under ether anaesthesia through the flat part of the ciliary body was administered rat VEGF 164 at a distance of 1 mm from the limbus in the lower outer sector. Conducted 3 injections of the drug on the 1-St, 3 and 7 days of experiment were injected with 1 mg of VEGF. The total dose of VEGF was 3 . data of instrumental and pathomorphological studies after the first injection of 1 mcg VEGF was observed expansion and tortuosity of the retinal vessels. Introduction 2 mcg VEGF (two injections of 1 microgram) caused emergence of multiple retinal hemorrhages, enrichment retinal vascular network by opening not normally functioning capillaries. On the 14th day after the beginning of the experiment the result of 3 injections of 1 microgram VEGF pointed to the emergence of massive retinal hemorrhages and newly formed vessels. The animals were sacrificed experiment method of air embolism after the introduction of anaesthesia on the 3rd, 7th and 14th day (according to the order of Ministry of higher education of USSR №724 of 13.11.1984). Histologically, it was revealed that the newly formed blood vessels appeared in the retina and part of the optic nerve, germinated on their inner surfaces and the contiguous zone of the vitreous body in the form of the kidneys, which consist of proliferating newly formed vessels. Was also determined plethora of vessels in the choroid with the regional state of the formed elements of blood. In the zone of photoreceptor layer visualized cysts, the Druze, the newly formed blood vessels that defines the appearance of neovascularization and diabetic macular edema simultaneously.

A method of modelling of diabetic neovascularization of the macular region of the retina, comprising an introduction into the vitreous body of the eye of an experimental animal as a toxic agent Vascular endothelial growth factor (VEGF) fractional on 1, 3 and 7 of the day, characterized in that in the capacity of an experimental animal use a rat, and previously in the abdominal cavity dose of 15.0 mg/100 g weight through a 6.5 weeks after the introduction of and development of an experimental diabetes as VEGF enter 1 mcg rat VEGF 164 in a total dose of 3 mg.

 

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