BACKGROUND:
To identify the effect of
infliximab,
cyclosporine A and recombinant
IL-10 in experimental autoimmune
uveitis. MATERIALS AND
METHODS:
Sixty
male rats were assigned to five groups of 12 each. All the groups (except the
control group) were administered 30 microg
retinal-S
antigen intraperitoneally. On the 14th day, after confirmation of
uveitis with histopathological study, daily
cyclosporine A injection was given in
cyclosporine A treatment group and physiological
serum in the
uveitis-induced placebo
treatment and
control groups. In the
infliximab treatment group,
infliximab was administered on the 14th, 15th, 17th, 19th and 21st days. In the recombinant
IL-10 treatment group, three doses of recombinant
IL-10 were given four hours and a half hours before and eight hours after
retinal-S
antigen administration. On the 21st day of the study, all
rats were sacrificed and vitreous
cytokine levels (
IL-1,
IL-6,
IL-8 and
TNF-alpha) were studied with
ELISA.
RESULTS:
In the
treatment groups,
cytokine levels (
IL-1,
IL-6 and
TNF-alpha) were significantly lower than the
uveitis-induced placebo
treatment group. Compared with the
control group, there was no significant difference with
respect to
TNF-alpha and
IL-8 in the
infliximab treatment group;
IL-8 in the
cyclosporine A treatment group;
IL-6 and
IL-8 in the recombinant
IL-10 treatment group. The
drugs used did not significantly differ in
respect to their effects on vitreous
IL-6,
IL-8 and
TNF-alpha levels.
CONCLUSION:
Cyclosporine A,
infliximab and recombinant
IL-10 reduce the vitreous
cytokines levels. Among these
drugs, recombinant
IL-10, which is still in its experimental phase, might be considered as a new
therapeutic agent.