Objective  To observe the inhibitory effect of intravitreal injection of triamcinolone acetonide (TA) on oxygen-induced retinal neovascularization, and to investigate its mechanism. Methods  A total of 48 C57BL/6 mice at the age of 7 days were divided into normal group (groupA,n=6), highoxygen group (group B, n=6), TA control group (group C,n=18) and TA highoxygen group (group D,n=18). The retinal neovascularization of group B and D were induced by oxygen. One eye of each mouse of group C and D received an intravitreal injection 2  mu;l (20  mu;g / mu;l) of TA, and the same volume of BSS was injected into the other eye of the mice as BSS control group (group E) and BSS highoxygen group (group F). At postnatal day 17, the retinas were collected and the number of the endothelium cell nuclei of new vessels beyond the inner limiting membrane (ILM) was counted on HE-stained paraffin retina sections. The expression level of vascular endothelial growth factor (VEGF), stromal cellderived factor 1 (SDF-1) and CD14 were measured by immunohistochemical staining. The mRNA expression of VEGF and SDF-1 were detected by real-time RT-PCR. Results  The numbers of the endothelium cell nuclei of new vessels beyond the ILM in group A - F were 0, 675, 0, 0, 110 and 688 respectively. In group A and D, it decreased than that in group B and F respectively (t=30.62, 19.532; P＜0.05). There was no difference of VEGF, SDF-1 and CD14 expression between group C and E (t=0.161, 0.284, 0.223; P＞0.05), but the differences were statistically significant between group D and F(t=-2.264, -2.358, -4.897;P＜0.05). There was no difference on mRNA level of VEGF and SDF-1 between group C and E(t=-0.497,-0.709;P＜0.05), but the differences were statistically significant between group D and F(z=-5.137,-4.411;P＜0.05). Conclusion  Intravitreal injection with TA can inhibit oxygen-induced retinal neovascularization, down-regulated expression of VEGF and SDF-1 may be the mechanism.

Citation： 陈向武,袁非,靳婧. Intravitreal injection of triamcinolone acetonide inhibits oxygen-induced retinal neovascularization. Chinese Journal of Ocular Fundus Diseases, 2011, 27(6): 561-566. doi: Copy