Aj. Augustin et al., Effects of systemically applied allopurinol and prednisolone on experimental autoimmune uveitis, GR ARCH CL, 237(6), 1999, pp. 508-512
Citations number
26
Categorie Soggetti
Optalmology
Journal title
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
Purpose: To compare the effects of allopurinol to those of prednisolone on
the oxidative tissue damage and inflammatory response in experimental autoi
mmune uveitis (EAU).
Methods: Experiments were performed using 27 male Lewis rats. EAU was induc
ed by means of crude retina extract, Found's adjuvant and pertussis toxin.
One group of animals served as controls and two groups were treated systemi
cally, one with allopurinol and one with prednisolone. At the end of the ex
periments lipid peroxides (LPO), myeloperoxidase activity (MPO), and histol
ogical changes were determined in the retinal tissue. LPO were measured by
two different methods [thiobarbituric acid reactive substances (TBARS) and
malondialdehyde-like substances].
Results: Allopurinol led to a significant reduction in LPO and MPO levels.
The steroid treatment also resulted in a significant reduction in MPO activ
ity but LPO were significantly reduced only when measured as TEARS. Histolo
gical changes were significantly reduced by allopurinol only.
Discussion: Allopurinol is more effective than prednisolone in treating EAU
. Its efficacy can be explained by the antioxidative/antiinflammatory and p
robably immunological action. The antiinflammatory effects of prednisolone
are not sufficient to reduce the tissue damage. Allopurinol promises to be
a useful alternative to steroids in the treatment of uveitis.