Cited by 39Ocular Diseases and Behçet’s SyndromeGlaucoma and retinal disordersDrug-Induced Ocular Toxicity

Fingolimod (FTY720) as an acute rescue therapy for intraocular inflammatory disease

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Raveney, B. J. E., Copland, D. A., Nicholson, L. B., Dick, A. D.·2008·Archives of Ophthalmology

Abstract

OBJECTIVE: To examine the efficacy of the immunomodulatory drug fingolimod (FTY720) as a rescue therapy for noninfectious intraocular inflammation. METHODS: Experimental autoimmune uveoretinitis, the murine correlate of human uveitis, was induced in B10.RIII mice. The mice were treated with 2 oral doses of fingolimod daily, either during early ocular infiltration or following clinical onset of the disease. At subsequent times, retinal infiltrates were examined and enumerated using flow cytometry, and structural disease was assessed and scored using histology. RESULTS: Fingolimod treatment, administered 2 days before disease onset, prevented inflammatory cells from infiltrating the retina, with corroborative suppression of histologic disease. A single dose of fingolimod was sufficient in clearing infiltrating leukocytes from the retina within 2 hours of treatment. Furthermore, a single dose of fingolimod administered after disease onset not only abolished retinal infiltrates but also prevented disease relapse for at least 3 weeks. CONCLUSIONS: A short-term, high-dose treatment with fingolimod rapidly reduces ocular infiltrates in experimental autoimmune uveoretinitis, leading to a normal myeloid cell count within the retina. When given at the early stages of intraocular inflammation, fingolimod resolves disease. Clinical Relevance This study directly demonstrates the therapeutic potential of fingolimod and an acute rescue intervention for human noninfectious posterior-segment intraocular inflammatory disease.

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Authors
Raveney, B. J. E., Copland, D. A., Nicholson, L. B., & Dick, A. D.
Affiliations
  • National Center of Neurology and Psychiatry (JP)
  • University of Bristol (GB)
Venue
Archives of Ophthalmology
Published
2008-10-01
Volume
126
Issue
10
Pages
1390-1395
ISSN
0003-9950 (ISSN-L)
OpenAlex
W1981233703
Cited by
39
References
44
Citations by year
2026: 2 · 2025: 2 · 2021: 1 · 2020: 3 · 2018: 3 · 2016: 1 · 2015: 2 · 2014: 7 · 2013: 7 · 2012: 2
FWCI
3.04
Type
journal article
Language
en
Open access
Locations
  • Archives of Ophthalmology (publishedVersion)
  • PubMed (publishedVersion)
  • Bristol Research (University of Bristol) (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Explore Bristol Research (submittedVersion)
Topics
  • Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
  • Health Sciences › Medicine › Ophthalmology › Glaucoma and retinal disorders
  • Health Sciences › Medicine › Ophthalmology › Drug-Induced Ocular Toxicity
Keywords
fingolimod, experimental autoimmune uveoretinitis, uveitis, salvage therapy, immunomodulators, retinal infiltrates, leukocyte infiltration, relapse prevention, posterior segment inflammation, myeloid cells
MeSH terms
Fingolimod Hydrochloride, Administration, Oral, Animals, Autoimmune Diseases, Disease Models, Animal, Dose-Response Relationship, Drug, Drug Administration Schedule, Emergency Treatment, Female, Immunohistochemistry, Immunosuppressive Agents, Mice, Inbred BALB C, Propylene Glycols, Random Allocation, Reference Values, Retinitis, Sensitivity and Specificity, Sphingosine, Uveitis, Treatment Outcome, Mice

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