Zusammenfassung
Hintergrund
Es sollte untersucht werden, inwiefern nach der intravitrealen Injektion von Avastin® der VEGF-Antikörper Bevacizumab in der Lage ist, die Retina von Primaten zu durchdringen.
Material und Methoden
Affen (Macaca fascicularis) wurden intravitreal mit radioaktiv markiertem und freiem Avastin® injiziert. Die Tiere wurden an den Tagen 1, 4, 7 bzw. 14 nach der Injektion getötet, um die Augen histologisch und immunhistochemisch zu untersuchen. Außerdem wurden an mehreren Tagen Blutproben entnommen.
Ergebnisse
In den funduskopischen Aufnahmen konnten keine pathologischen Änderungen während der Laufzeit der Versuche festgestellt werden. Mittels der Immunhistochemie konnte Bevacizumab bereits einen Tag nach der Injektion in der Aderhaut und in den inneren Schichten der Retina nachgewiesen werden. In der Fovea konnte Bevacizumab schneller eindringen als in der übrigen Netzhaut. Bevacizumab war auch in den Photorezeptoren und in den Blutgefäßen anzutreffen. Bei der Verwendung von mit 125I markiertem Avastin konnte bereits 1 Tag nach der Injektion Radioaktivität im Blutserum festgestellt werden.
Schlussfolgerung
Die Ergebnisse zeigen, dass das Bevacizumab-Molekül nach der intravitrealen Injektion von Avastin® die Retina durchdringen kann. Dabei findet eine aktive Aufnahme in die retinalen Zellen statt.
Abstract
Background
The aim was to investigate to what extent the vascular endothelial growth factor (VEGF) antibody bevacizumab is able to penetrate the retina in primates after an intravitreal injection of Avastin.
Material and Methods
Monkeys (Macaca fascicularis) were injected intravitreally with radioactively labelled and free Avastin. The animals were sacrificed 1, 4, 7, or 14 days after the injection, and the eyes were examined histologically and immunohistochemically. Blood samples were also taken on several days.
Results
In the fundoscopic images, no pathologic changes could be found during the experiment. Using immunohistochemistry, bevacizumab was found in the choroid and the inner layers of the retina 1 day after the injection. Bevacizumab penetrated more quickly in the fovea than in the rest of the retina. It was also encountered in the photoreceptors and blood vessels. When 125I-labelled Avastin was used, radioactivity could be determined in the blood serum 1 day after the injection.
Conclusion
The results show that the bevacizumab molecule can penetrate the retina after intravitreal injection of Avastin. However, there is an active uptake in the retinal cells.
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Schraermeyer, U., Heiduschka, P. & Bartz-Schmidt, K. Lokalisation von Bevacizumab in der Netzhaut von Affen nach einer intravitrealen Bevacizumab-Injektion. Ophthalmologe 106, 619–624 (2009). https://doi.org/10.1007/s00347-008-1835-7
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DOI: https://doi.org/10.1007/s00347-008-1835-7