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Biocides: Characterization of the Allergenic Hazard of Methylisothiazolinone 杀菌剂:甲基异噻唑啉酮致敏危险的表征
Pub Date : 2003-01-01 DOI: 10.1081/CUS-120026299
D. Basketter, N. Gilmour, Z. Wright, T. Walters, A. Boman, C. Lidén
Biocides used in many every day products often are able to act as haptens and so may cause allergic reactions in the skin. In addition, where exposure of the respiratory tract may occur, they should also be evaluated for their ability to cause respiratory allergy. Here we have used local lymph node assay (LLNA) data to compare the relative potency of four biocides together with cytokine profiling to determine whether these biocides can induce skin and/or respiratory allergy. Formaldehyde, glutaraldehyde, 5‐chloro‐2‐methyl‐4‐isothiazolin‐3‐one and 2‐methyl‐2H‐isothiazol‐3‐one mix (3:1) (CMI/MI), and 2‐methyl‐2H‐isothiazol‐3‐one alone (MI) were tested in the LLNA in two vehicles [acetone:olive oil (AOO) and propylene glycol (PG)]. Their relative allergenic potency was measured by derivation of the EC3 value (the estimated concentration that will induce a stimulation index of 3 following topical application of chemical). In AOO, the EC3 value for the chemicals were ranked as follows: formaldehyde = MI < glutaraldehyde < CMI/MI, CMI/MI thus being the most potent allergen as it has the lowest EC3 figure. In PG, a similar rank order of biocides was achieved but the estimated potency in PG was at least 1 log lower than that in AOO. Data are available indicating that while formaldehyde is a contact allergen, glutaraldehyde is both a contact and respiratory allergen. Cytokine profiling was carried out to determine whether CMI/MI and MI also have the potential to cause sensitization of the respiratory tract. The data obtained for CMI/MI were consistent with behavior as a contact sensitizer. The MI is less strongly sensitizing than CMI/MI, being comparable to formaldehyde, and due to this weaker response it has not been possible to evaluate fully its cytokine profile, an outcome indicating it is unlikely to be a significant chemical respiratory allergen.
许多日常用品中使用的杀菌剂通常可以作为半抗原,因此可能引起皮肤过敏反应。此外,在可能发生呼吸道暴露的地方,也应评估其引起呼吸道过敏的能力。在这里,我们使用局部淋巴结测定(LLNA)数据来比较四种杀菌剂的相对效力以及细胞因子谱,以确定这些杀菌剂是否会引起皮肤和/或呼吸道过敏。甲醛、戊二醛、5‐氯‐2‐甲基‐4‐异噻唑啉‐3‐1和2‐甲基‐2H‐异噻唑‐3‐1混合物(3:1)(CMI/MI)和单独2‐甲基‐2H‐异噻唑‐3‐1 (MI)在两种载体[丙酮:橄榄油(AOO)和丙二醇(PG)]的LLNA中进行了测试。它们的相对致敏效力是通过推导EC3值来测量的(局部应用化学物质后将诱导刺激指数为3的估计浓度)。在AOO中,化学物质的EC3值排名如下:甲醛= MI <戊二醛< CMI/MI, CMI/MI因此是最有效的过敏原,因为它具有最低的EC3值。在PG中,获得了类似的杀菌剂等级顺序,但PG的估计效价至少比AOO低1 log。现有数据表明,虽然甲醛是一种接触性过敏原,但戊二醛既是接触性过敏原,也是呼吸道过敏原。进行细胞因子谱分析以确定CMI/MI和MI是否也有可能引起呼吸道致敏。CMI/MI获得的数据与作为接触敏化剂的行为一致。MI的致敏性不如CMI/MI强,与甲醛相当,由于这种较弱的反应,无法全面评估其细胞因子谱,结果表明它不太可能是一种重要的化学呼吸道过敏原。
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引用次数: 37
In Vitro Percutaneous Absorption of Nonylphenol (NP) and Nonylphenol Ethoxylates (NPE-4 and NPE-9) in Isolated Perfused Skin 壬基酚(NP)和壬基酚乙氧基酸酯(NPE-4和NPE-9)在离体灌注皮肤中的体外经皮吸收
Pub Date : 2003-01-01 DOI: 10.1081/CUS-120019325
N. Monteiro-Riviere, J. V. Van Miller, G. Simon, R. Joiner, J. Brooks, J. Riviere
Skin contact with nonylphenol ethoxylates (NPE), a group of widely used surfactants, is the primary source of human exposure. Previous studies have shown that the absorption of NPE through human and animal skin in vitro is limited (<1% over 8 hr) [Monteiro-Riviere et al. Toxicol Indust Health 2000; 16:49–57]. The purpose of this study was to examine the percutaneous absorption of NPE and the chemical precursor, nonylphenol (NP), in the isolated perfused porcine skin flap (IPPSF) model for comparison to the in vitro porcine skin flow through (PSFT) diffusion studies. The IPPSF model is considered to accurately predict absorption of chemicals through human skin. The IPPSF was dosed with 100 μl of 1% 14C ring-labeled NP, 14C ring-labeled NPE-4, or 14C ring-labeled NPE-9 in aqueous polyethylene glycol (PEG-400) solution and perfused for 8 hr. All three chemicals were minimally absorbed, with only approximately 0.1% of the applied dose found in the perfusate over the 8-hr collection. This absorbed material represents the systemic exposure expected following skin contact in humans. In addition, less than 1% of the applied dose penetrated into the stratum corneum and underlying dermis, but remained within the skin and did not go through to the perfusate. Thus, the overall potential systemic exposure to these chemicals from skin contact, using a model considered similar to human skin in vivo, is less than 1%. The absorption results of this study were consistent with previous studies in the PSFT model. The penetration of NPEs and NP in the IPPSF was less than the PSFT and is probably more predictive of in vivo human absorption as this model is physiologically closer to human skin. This suggests that the overall potential for skin absorption of these chemicals in humans is even lower than previous estimates.
壬基酚聚氧乙烯酯(NPE)是一组广泛使用的表面活性剂,皮肤接触是人类暴露的主要来源。先前的研究表明,NPE在体外通过人和动物皮肤的吸收是有限的(在8小时内<1%)[Monteiro-Riviere等]。毒物工业卫生2000;16:49-57]。本研究的目的是研究NPE及其化学前体壬基酚(NP)在离体灌注猪皮瓣(IPPSF)模型中的经皮吸收,并与体外猪皮肤流动(PSFT)扩散研究进行比较。IPPSF模型被认为可以准确地预测化学物质通过人体皮肤的吸收。将100 μl 1% 14C环标记NP、14C环标记NPE-4或14C环标记NPE-9分别加入聚乙二醇(PEG-400)水溶液中,灌胃8小时。所有三种化学物质都被最低限度地吸收,在8小时的收集过程中,灌注液中仅发现约0.1%的施加剂量。这种吸收的物质代表人体皮肤接触后预期的全身暴露。此外,只有不到1%的剂量能穿透角质层和真皮,但仍停留在皮肤内,没有进入灌注液。因此,使用被认为与体内人体皮肤相似的模型,皮肤接触这些化学物质的总体潜在全身暴露量小于1%。本研究的吸收结果与前人在PSFT模型中的研究结果一致。NPEs和NP在IPPSF中的渗透比PSFT少,可能更能预测体内人体吸收,因为该模型在生理上更接近人体皮肤。这表明人类皮肤吸收这些化学物质的总体潜力甚至比以前的估计还要低。
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引用次数: 4
A 7‐Day Mouse Model to Assess Protection from Sulfur Mustard (SM) Skin Injury 硫芥(SM)皮肤损伤7天小鼠模型研究
Pub Date : 2003-01-01 DOI: 10.1081/CUS-120026302
Michael C. Babin, K. M. Ricketts, R. C. Kiser, M. Gazaway, Nathaniel Krogel, L. W. Mitcheltree, Danielle M. Moore, K. Skvorak, R. Sweeney, I. Koplovitz, R. Casillas
The mouse ear vesicant model (MEVM) is a screening tool used to identify protective compounds against acute sulfur mustard (SM)‐induced skin injury. It provides endpoints of edema and histopathology 24 h following a topical SM exposure to assess protection against inflammation and tissue damage. To further evaluate successful compounds, the MEVM was modified for use as a 7‐day model. Dose response studies were conducted with SM to select an optimal challenge dose for the new model. Due to severity of SM‐induced tissue damage by Day 7, edema and histopathology were determined unreliable endpoints. Therefore, a modified Draize scoring system (no damage to extensive necrosis) was incorporated as an endpoint to evaluate tissue damage out to Day 7. To aid in optimal SM dose selection, retro synthetic capsaicin (RSCAP), a protective compound in the MEVM, was evaluated as a treatment 15 min before exposure to 0.06, 0.08, and 0.16 mg SM. The RSCAP compound provided similar significant protection at Day 7 against the 0.06‐ (42% reduction) and 0.08‐mg doses (32% reduction), but was not effective against the severely necrotizing 0.16‐mg SM dose. Based on these results, an optimum SM dose of 0.08 mg was selected. Retro synthetic capsaicin and two pharmacologically inactive analogs were tested as topical treatments 15 min prior to SM challenge. The RSCAP compound significantly reduced injury, whereas the inactive analogs had no protective effect. The RSCAP also significantly reduced SM injury when administered topically 10 min after SM challenge. These data support the use of the 7‐day mouse ear vesicant treatment model (MEVTM) in evaluating candidate antivesicant compounds.
小鼠耳泡剂模型(MEVM)是一种筛选工具,用于鉴定抗急性硫芥(SM)诱导的皮肤损伤的保护性化合物。它提供了局部SM暴露24小时后水肿和组织病理学的终点,以评估对炎症和组织损伤的保护。为了进一步评估成功的化合物,MEVM被修改为7天的模型。用SM进行剂量反应研究,以选择新模型的最佳激发剂量。由于SM诱导的组织损伤在第7天的严重程度,水肿和组织病理学被确定为不可靠的终点。因此,采用改良的Draize评分系统(无大面积坏死损伤)作为评估第7天组织损伤的终点。为了帮助选择最佳的SM剂量,在暴露于0.06、0.08和0.16 mg SM前15分钟评估了MEVM中的保护性化合物retro synthetic capsaicin (RSCAP)。在第7天,RSCAP化合物对0.06‐(减少42%)和0.08‐mg剂量(减少32%)提供了类似的显著保护,但对严重坏死性0.16‐mg SM剂量无效。在此基础上,确定了SM的最佳剂量为0.08 mg。复古合成辣椒素和两种药理上无活性的类似物在SM攻击前15分钟作为局部治疗进行测试。RSCAP化合物显著减轻损伤,而无活性类似物无保护作用。在SM攻击后10分钟局部施用RSCAP也能显著减少SM损伤。这些数据支持使用7天小鼠耳泡剂治疗模型(MEVTM)来评估候选抗泡剂化合物。
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引用次数: 5
Cutaneous Cytokine Expression: Induction by Chemical Allergen and Paracrine Regulation 皮肤细胞因子表达:化学变应原诱导及旁分泌调节
Pub Date : 2003-01-01 DOI: 10.1081/CUS-120020313
R. Dearman, M. Cumberbatch, I. Kimber
There is increasing evidence that epidermal cytokines play an essential role during the induction of cutaneous immune responses. In the current investigations, we have compared the pattern of cytokines provoked by exposure to allergen with that stimulated by epidermal cytokines and paracrine regulation of cytokine expression. The kinetics of cytokine-induced changes in cutaneous expression of the cytokines interleukin (IL)-1β, tumor necrosis factor α (TNF-α), and IL-6 have been measured at the protein level. These data confirm that exposure to chemical allergen results in the sequential up-regulation of epidermal cytokines, with a rapid and relatively transient induction of TNF-α protein expression, followed by a more sustained increase in IL-6 production. Intradermal administration of recombinant murine TNF-α and IL-1β each stimulated increases in cutaneous IL-6 protein, although with different tempos. Treatment with TNF-α provoked a rapid (within 2 h) increase in IL-6 expression, whereas IL-1β-induced changes in IL-6 had a more delayed tempo. IL-1β-induced IL-6 production was dependent upon expression of TNF-α such that systemic pretreatment of mice with neutralizing anti-TNF-α antibody markedly inhibited the subsequent induction of cutaneous IL-6 induced by intradermal injection of IL-1β. Thus, intradermal administration of IL-1β apparently induces a similar sequence of events in the skin to that provoked by topical exposure to allergen: up-regulation of IL-6 in a TNF-α-dependent manner. However, treatment with neither allergen nor TNF-α affected the total cumulative levels of cutaneous IL-1β. These data demonstrate that topical exposure to allergen results in the ordered expression of key epidermal cytokines and that the increased bioavailability of each cytokine in turn regulates subsequent cytokine expression. Furthermore, these data suggest that it is the availability of bioactive IL-1β, not changes in total IL-1β expression in the skin, that is the critical factor in IL-1β-dependent events occurring following topical exposure to allergen.
越来越多的证据表明,表皮细胞因子在皮肤免疫反应的诱导过程中起着重要作用。在目前的研究中,我们比较了暴露于过敏原引起的细胞因子模式与表皮细胞因子刺激的细胞因子模式以及细胞因子表达的旁分泌调节。细胞因子诱导的皮肤细胞因子白介素(IL)-1β、肿瘤坏死因子α (TNF-α)和IL-6表达变化的动力学在蛋白水平上进行了测量。这些数据证实,暴露于化学过敏原会导致表皮细胞因子的顺序上调,伴随着TNF-α蛋白表达的快速和相对短暂的诱导,随后是IL-6产生的更持续的增加。重组小鼠TNF-α和IL-1β皮内给药均刺激皮肤IL-6蛋白的升高,尽管其速度不同。TNF-α治疗引起IL-6表达的快速(2小时内)增加,而il -1β诱导的IL-6的变化具有更延迟的速度。IL-1β诱导的IL-6的产生依赖于TNF-α的表达,因此,用中和抗TNF-α抗体对小鼠进行全身预处理可显著抑制随后皮内注射IL-1β诱导的皮肤IL-6的诱导。因此,皮内给药IL-1β在皮肤中明显诱导了与局部暴露于过敏原引起的相似的一系列事件:IL-6以TNF-α依赖的方式上调。然而,用过敏原和TNF-α治疗均不影响皮肤IL-1β的总累积水平。这些数据表明,局部暴露于过敏原会导致关键表皮细胞因子的有序表达,并且每种细胞因子的生物利用度增加反过来调节随后的细胞因子表达。此外,这些数据表明,皮肤中生物活性IL-1β的可用性,而不是IL-1β总表达的变化,是局部暴露于过敏原后发生IL-1β依赖事件的关键因素。
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引用次数: 6
Use of SIRC Rabbit Corneal Cell Lines Grown on Polycarbonate- or Polyester-Based Filters to Assess the In Vitro Corneal Transport/Toxicity Screening Using Pilocarpine With or Without Benzalkonium Chloride 在聚碳酸酯或聚酯滤清器上生长的SIRC兔角膜细胞系的应用评估匹洛卡平加或不加苯扎氯铵的体外角膜转运/毒性筛选
Pub Date : 2003-01-01 DOI: 10.1081/CUS-120020383
Christine M. Hutak, Marie E. Kavanagh, V. Agarwal, M. Afouna, M. Khan, I. Reddy
The objective of this study was to assess and compare the morphologic and permeability characteristics of SIRC rabbit corneal cells grown on two filter types, polycarbonate-based Costar Transwell and polyester-based Costar Transwell Clear using pilocarpine in presence and absence of benzalkonium chloride. Technically, the microwell inserts were seeded with SIRC rabbit corneal cells and suspended in growth medium. The inserts were covered and kept in a humidified incubator for 10 days. The inserts were rinsed with Dulbecco's phosphate buffered saline at pH 7.3 and placed into microwell plates containing buffer at the same pH. Formulations containing pilocarpine with and without benzalkonium chloride were inoculated into each insert. The inserts were covered and incubated for the predetermined time period. The cell lines were examined with a light microscope using hematoxylin and eosin-stained cross-sections. The permeabilities of pilocarpine across the SIRC cell layers grown on the two filters were quantitatively determined. The results of these experiments show no significant differences in the morphological characteristics between the two filters exposed to either pilocarpine alone or to pilocarpine with benzalkonium chloride. The apparent permeability coefficient values for pilocarpine from both formulations across Costar Transwell-grown SIRC cell layers were relatively higher than that with Costar Transwell Clear-grown layers, and the flux enhancement ratios in the presence of benzalkonium chloride across the two filter types were comparable. These results revealed that the morphologic and the permeability data of SIRC rabbit corneal cells grown on the two filters are comparable for the compounds tested, suggesting their interchangeable use in assessment of the in vitro corneal drug transport and toxicity screening studies for ophthalmic drugs and additives.
本研究的目的是评估和比较两种滤光片(聚碳酸酯基Costar Transwell和聚酯基Costar Transwell Clear)上生长的SIRC兔角膜细胞的形态学和通透性特征,并在存在和不存在苯扎氯铵的情况下使用pilocarpine。从技术上讲,微孔植入物是用SIRC兔角膜细胞播种并悬浮在生长培养基中。将插入物盖上并在加湿的培养箱中保存10天。将插入物用pH为7.3的Dulbecco磷酸盐缓冲盐水冲洗,并置于pH相同的含有缓冲液的微孔板中。将含有匹罗卡品和不含苯扎氯铵的配方接种到每个插入物中。将插入物覆盖并在预定的时间内孵育。用苏木精和伊红染色的横断面在光镜下检查细胞系。定量测定了毛罗卡品在两种滤膜上生长的sic细胞层间的通透性。这些实验结果表明,无论是单独暴露于匹罗卡品还是暴露于匹罗卡品与苯扎氯铵之间,两种过滤器的形态特征没有显著差异。两种配方的毛罗卡品在Costar Transwell生长的SIRC细胞层中的表观渗透系数值相对高于Costar Transwell Clear-grown细胞层,并且在苯扎氯铵存在下,两种过滤器类型的通量增强率相当。这些结果表明,两种滤光片上生长的SIRC兔角膜细胞的形态学和通透性数据与所测试的化合物具有可比性,表明它们在体外角膜药物转运评估和眼科药物和添加剂的毒性筛选研究中具有互换性。
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引用次数: 2
In Vitro Skin Absorption of the Topically Applied Metal Ion-Chelating Agent Diethylenetriaminepenta-acetic Acid 外用金属离子螯合剂二乙烯三胺五乙酸的体外皮肤吸收
Pub Date : 2003-01-01 DOI: 10.1081/CUS-120022752
R. Pendlington, E. J. Brown, D. Sanders, H. Minter, S. Hyde, M. Snow, C. K. Smith Pease
Diethylenetriaminepenta-acetic acid (DTPA) is a metal ion-chelating agent that has antimicrobial properties and potential therapeutic properties against metal-induced toxicities such as nickel allergy. In this study, the absorption properties of DTPA applied topically to rat skin are investigated in vitro, using a flow-through diffusion skin absorption model. [14C]DTPA was applied in solution in 60% ethanol (pH 6). Overall skin penetration into receptor fluid resulting from a topical dose of 0.13 mg/cm2 DTPA for 24 h was low at 1.27%. The local tissue distribution of DTPA was investigated using microautoradiography, and effects on the tissue were assessed by histology. Diethylenetriaminepenta-acetic acid was primarily associated with the stratum corneum and upper layers of the skin; minimal levels were observed in the dermis.
二乙烯三胺五乙酸(DTPA)是一种金属离子螯合剂,具有抗菌性能和治疗镍过敏等金属毒性的潜在性能。本研究采用体外流动扩散皮肤吸收模型,对大鼠皮肤外用DTPA的吸收特性进行了研究。[14C]将DTPA应用于60%乙醇(pH 6)的溶液中。局部剂量为0.13 mg/cm2的DTPA持续24小时后,皮肤对受体液的整体渗透较低,为1.27%。应用显微放射自显影术研究DTPA的局部组织分布,并用组织学方法评估其对组织的影响。二乙烯三胺五乙酸主要与角质层和皮肤上层有关;在真皮中观察到最低水平。
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引用次数: 0
Quantifying Minor Irritancy to the Human Corneal Surface 对人角膜表面轻微刺激的量化
Pub Date : 2002-12-01 DOI: 10.1081/CUS-120022755
Ying Guo, Debra Renner, C. Begley, G. Wilson
Purpose. To assess the response of human corneas to minor irritancy using cell counts from contact lens cytology. Methods. Three potential irritants were investigated: 0.01% benzalkonium chloride (BAC), surface exposure produced by voluntarily holding the eye open (EXP), and irrigation of the corneal surface (IRR). One of the two eyes was randomly selected to be tested and the other eye served as a control. Following the treatment corneal surface cells were collected from soft contact lenses with four insertions and removals. Cells were counted using fluorescent staining of acridine orange and Hoechst. Ten normal human subjects took part in each experiment. Results. Nucleated cell counts increased significantly (p<0.05) with both BAC and EXP, but not with IRR (p>0.05). Cell structures without nuclei were always present (cell ghosts), and they were counted separately. These structures showed green fluorescent staining from acridine orange, but no nuclear staining with Hoechst. The number of cell ghosts increased with EXP (p<0.05), but not with BAC or IRR (p>0.05). No correlation was found between the number of cell ghosts and nucleated cells in the same eye. Conclusions. Both BAC and exposure increased nucleated cell counts. The finding that BAC affects nucleated cells and cell ghosts differently suggests separate mechanisms for the two pathways of cell shedding. The noninvasive technique of cell collection and cell counting may be useful for assessing minor irritancy to the corneal surface of human eyes.
目的。利用隐形眼镜细胞学的细胞计数来评估人类角膜对轻微刺激的反应。方法。研究了三种潜在的刺激物:0.01%的苯扎氯铵(BAC)、自愿闭眼产生的表面暴露(EXP)和角膜表面冲洗(IRR)。随机选择两只眼睛中的一只进行测试,另一只眼睛作为对照。治疗后,从软性隐形眼镜上收集角膜表面细胞,并进行4次插入和取出。用吖啶橙和赫斯特荧光染色法计数细胞。每个实验有10名正常人参加。结果。有核细胞计数显著升高(p0.05)。没有细胞核的细胞结构总是存在(细胞幽灵),它们是分开计算的。这些结构在吖啶橙染色下显示绿色荧光,但在赫斯特染色下没有核染色。细胞鬼数随EXP增加而增加(p0.05)。在同一只眼睛中,细胞鬼影数与有核细胞数之间没有相关性。结论。BAC和暴露都增加了有核细胞计数。BAC对有核细胞和细胞幽灵的影响不同,这一发现表明两种细胞脱落途径的不同机制。无创细胞收集和细胞计数技术可用于评估人眼角膜表面的轻微刺激。
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引用次数: 3
PROTEIN ALLERGENS: THE IMPORTANCE OF SKIN AS A ROUTE OF EXPOSURE 蛋白质过敏原:皮肤作为暴露途径的重要性
Pub Date : 2002-01-01 DOI: 10.1081/CUS-120013038
C. K. Smith Pease, I. White, D. Basketter
Protein contact with skin is associated with a number of clinical conditions, including protein contact dermatitis and immunologic contact urticaria. This article reviews the clinical, in vivo, and in vitro evidence that proteinaceous materials penetrate skin. It is concluded that while penetration of intact proteins through normal skin is extremely low and normally without consequence, any damage to the skin barrier may allow penetration. As a result, risk assessment for contact of protein with skin must take into account potential barrier impairment and thus the possibility of both the induction and the elicitation of allergic skin reactions.
蛋白质与皮肤接触与许多临床疾病有关,包括蛋白质接触性皮炎和免疫性接触性荨麻疹。本文综述了蛋白质物质穿透皮肤的临床、体内和体外证据。结论是,虽然完整的蛋白质通过正常皮肤的渗透极低,通常没有后果,但对皮肤屏障的任何损伤都可能允许渗透。因此,对蛋白质与皮肤接触的风险评估必须考虑到潜在的屏障损伤,从而考虑到诱发和引发皮肤过敏反应的可能性。
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引用次数: 0
HEAVY IRIDOCORNEAL ANGLE HYPERPIGMENTATION AND GLAUCOMA ASSOCIATED WITH FLUOROSIS 重度虹膜角膜角色素沉着和青光眼与氟中毒有关
Pub Date : 2002-01-01 DOI: 10.1081/CUS-120014093
E. Aytuluner, E. Mensiz
Endemic fluorosis is a chronic crippling skeletal and dental disease caused by ingestion or inhalation of large amounts of fluoride. Although the prevalence of this disease has decreased considerably, it still occurs in some parts of the world. Our province Isparta is a naturally occurring endemic fluorosis area. The aim of this study is to investigate the ocular manifestations of the disorder in a group of patients with fluorosis. Fifty (32 F, 18 M) consecutive patients, ages ranging between 29 and 74 years (54.44±12.28), with endemic fluorosis constituted the study group. Age and sex matched fifty consecutive patients without clinical findings of fluorosis were selected as controls. Patients with and without fluorosis underwent a routine ophthalmologic examination. To assess the levels of hyperpigmentation in anterior chamber angle, we constituted a grading system (from 1 to 4) based on selected brownish colors from Pantone® Color Formula Guide. The differences between two groups with respect to serum, urine, and water fluoride levels are statistically significant (for all p<0.001). With respect to iridocorneal angle hyperpigmentation (ICA HP) grades, the difference between fluorosis and control group was statistically significant (p<0.001). In the fluorosis group, we observed eight cases (16%) of open angle glaucoma (OAG). Remarkably, ICA HP grade was 4+ in six out of eight cases; this finding was statistically significant (p<0.001). The remaining two showed grade 1+ ICA HP. Difference between number of cataracts or previous cataract operations of the two groups [fluorosis group: 15 cases (30%), controls: 12 cases (24%)] was not statistically significant (p>0.05). We suggest that heavy trabecular hyperpigmentation appearance may be a feature of endemic fluorosis. This disorder should be kept in mind in differential diagnosis of pathologic trabecular hyperpigmentation in patients with fluorosis and without the causes and symptoms of iris pigment dispersion. We also propose that endemic fluorosis may lead or augment the severity of glaucoma. Further studies are warranted in order to comprehend the exact mechanism of trabecular changes in patients with endemic fluorosis.
地方性氟中毒是一种慢性致残骨骼和牙齿疾病,由摄入或吸入大量氟化物引起。虽然这种疾病的流行率已大大下降,但在世界某些地区仍时有发生。我省伊斯帕塔省是一个自然发生的地方性氟中毒地区。本研究的目的是探讨一组氟中毒患者的眼部表现。研究对象为50例(32例F, 18例M),年龄29 ~ 74岁(54.44±12.28),均为地方性氟中毒患者。选择年龄和性别匹配的连续50例无氟中毒临床表现的患者作为对照。氟中毒患者和不氟中毒患者均行常规眼科检查。为了评估前房角色素沉着的程度,我们根据Pantone®颜色配方指南中选择的棕色组成了一个评分系统(从1到4)。两组在血清、尿液和水中氟化物水平方面的差异具有统计学意义(均p0.05)。我们认为重度小梁色素沉着可能是地方性氟中毒的一个特征。在没有虹膜色素分散的病因和症状的氟中毒患者的病理性小梁色素沉着的鉴别诊断中,应牢记这种疾病。我们还提出地方性氟中毒可能导致或加重青光眼的严重程度。为了了解地方性氟中毒患者小梁改变的确切机制,需要进一步的研究。
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引用次数: 2
THE MOUSE EAR AS A MODEL FOR CUTANEOUS IRRITATION 小鼠耳作为皮肤刺激模型
Pub Date : 2002-01-01 DOI: 10.1081/CUS-120013039
M. Gábor
In the past two decades, a number of papers and monographs have dealt with different aspects of inflammation. These include laboratory models for the testing of anti-inflammatory drugs, experimental models of inflammation, etc. Many models of inflammation have been developed, but those that involve the skin offer a particular advantage. In particular for the screening of new drugs for the topical treatment of inflammatory skin diseases, strong emphasis should be placed on mouse ear models. In the following I shall deal with skin irritants, with mouse ear edema, and with the different types of mouse ear inflammation models, including irritation induced with croton oil, 12-O-tetradecanoylphorbol-13-acetate (TPA), cantharidin, mustard oil, arachidonic acid, dithranol (anthralin), capsaicin, ethyl phenylpropiolate (EPP), interleukin-1 (IL-1), zymosan, or carrageenin.
在过去的二十年里,许多论文和专著都涉及了炎症的不同方面。其中包括抗炎药物试验的实验室模型、炎症实验模型等。许多炎症模型已经被开发出来,但那些涉及皮肤的模型提供了一个特别的优势。特别是对于外用治疗炎症性皮肤病的新药的筛选,应重点关注小鼠耳模型。下面我将讨论皮肤刺激物、小鼠耳部水肿以及不同类型的小鼠耳部炎症模型,包括巴豆油、12- o -十四烷醇-13-乙酸酯(TPA)、斑斑素、芥菜油、花生四烯酸、二糖醇(炭疽素)、辣椒素、苯基丙酸乙酯(EPP)、白细胞介素-1 (IL-1)、酶生蛋白或角叉菜素引起的刺激。
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引用次数: 11
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Journal of Toxicology-cutaneous and Ocular Toxicology
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