Abstract 99. Jahrestagung der DOG, 29. 9. - 2. 10. 01 im ICC, Berlin

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Functional and morphological changes after chronic treatment with chloroquine in the retina of mice

Bredehorn T., Duncker G.

Department of Ophthalmology of the Martin-Luther-Universität Halle- Wittenberg, Magdeburger Str. 8 ,06097 Halle/Saale, Germany

Objective: A series of dicationic amphiphilic drugs are known to induce generalized lipidosis. The present study deals with the cytological effects of the antimalariadrug chloroquine upon the retina of mice.
Methods: The animals were treated orally with chloroquine for a periods up to 16 weeks at a dose range of 60-90 mg/kg of body weight, and the retinae were examined by light and electron microcopy. Erg-measurements were done initially and after 16 weeks of treatment.
Results: All types of retinal cells developed abnormal cytoplasmic vacuoles which represented the ultrastructural counterpart of lysosomal storage. The retinal pigment epithelium and the ganglian cells were most prominently affected. After treatment of 16 weeks, the a-and b-wave in Erg was reduced compared with the controls.
Conclusions: The present results suggest that the retinal pigment epithelium and ganglian cells must be engaged in lysosomal storage of chloroquine. We suppose that the severe storage of lipid-drug complexes caused secondary cellular disturbance responsible for the functional changes shown by electroretinography.




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