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Офтальмохирургия. 2013; : 78-84

АНТИЦИТОКИНОВАЯ (АНТИ-ФНО-α) ТЕРАПИЯ В ОФТАЛЬМОЛОГИИ (ОБЗОР ЛИТЕРАТУРЫ)

Гаврилова Н. А., Лукина Г. В., Гаджиева Н. С., Широков В. Е., Федоров А. В.

https://doi.org/undefined

Аннотация

Анализ литературных источников по антицитокиновой терапии демонстрирует эффективность этой терапии в сравнении с традиционной клюкокортикостероидной и иммуносупрессивной терапией. Препараты с антицитокиновым механизмом действия являются претендентами для применения в офтальмологии в качестве ингибиторов ангиогенеза при неоваскуляризации и противовоспалительной терапии при увеитах. Ингибиторы ФНО-α применяют системно, пути введения при этом разные – внутривенно и подкожно. Применяться они могут как в качестве монотерапии, так и совместно с клюкокортикостероидной и иммуносупрессивной терапией. Из литературных источников очевидно, что эффект при использовании этой группы препаратов – дозозависимый; может быть положительным (антиангиогенным и противовоспалительным) и отрицательным – токсичным. Как показывают исследования в сравнительном аспекте, более выраженным противовоспалительным эффектом обладает имфлискимаб. В то же время при его использовании чаще встречаются побочные эффекты и осложнения. По данным разных авторов дозы, вызывающие побочные эффекты, не сопоставимы. По-видимому, играет роль локализация воспалительного процесса в сосудистом тракте глаза (спереди, сзади), этиологический фактор, вызвавший воспаление и, конечно, интенсивность цитокиновой реакции. Поэтому остается открытым вопрос, насколько эффективность и переносимость антицитокиновых препаратов являются дозозависимыми и существуют ли другие факторы, влияющие на успех лечения. Для ответа на эти вопросы требуются детальные исследования, направленные на изучение влияния препаратов этой группы на ткани глаза, процессы патологического ангиогенеза в зависимости от препарата, дозы и условий его применения, а также отработку оптимальных дозировок препаратов для исключения побочных эффектов.

Список литературы

1. Accorinti M., Paroli M. et al. AntiTNF-a – therapy for Behchet diseas // J. Clin. Exp. Rheum.– 2004.– Vol. 34.– P. 18.

2. Adán A., Hernandez V., Ortiz S. et al. Effects of infliximab in the treatment of refractory posterior uveitis of Behçet's disease after withdrawal of infusions // Int. Ophthalmol.– 2010.– Vol. 5.– P. 577-78. 3. Arias L., Caminal J.M., Badia M.B. et al. Intravitreal infliximab in patients with macular degeneration who are nonresponders to antivascular endothelial growth factor therapy // Retina.– 2010.– Vol. 30 (10).– P. 1601-1608.

3. Avunduk M.C., Avunduk A.M., Oztekin E., et al. Etanercept treatment in the endotoxin-induced uveitis of rats // Exp. Eye Res.– 2004.– Vol. 79.– P. 357-365.

4. Bakri S.J., Snyder M.R., Reid J.M. et al. Pharmacokinetics of intravitreal bevacizumab (Avastin) // Ophthalmology.– 2007.– Vol. 114 (5).– P. 855-859.

5. Benitez-del-Castillo J.M., Martinez-de-la-Casa J.M., Pato-Cour E. Longterm treatment of refractory posterior uveitis with anti-TNF-a (infliximab) // Eye 2005.– Vol. 19 (8).– P. 841-845.

6. Biester S., Deuter C., Michels H. et al. Adalimumab in the therapy of uveitis in childhood // Br. J. Ophthalmology.– 2007.– Vol. 91 (3).– P. 319-324.

7. Braun J., Baraliakos X., Listing J. Decreased incidence of anterior uveitis in patients with ankylosing spondylitis treated with the anti-tumor necrosis factor agents infliximab and etanercept // Arthr. Rheum.– 2005.– Vol. 52 (8).– P. 2447- 2451.

8. Callizo J., Agostini H.T. siRNA bei Nakuladegeneration // Ophthalmology.– 2010.– Vol. 107.– P. 1077-1080.

9. Clinical Trials. gov Identifier NCT00695682. Intravitreal Infliximab for Diabetic Macular Edema (DME) and Choroidal Neovascularization (CNV).

10. Diaz-Llopis M., García-Delpech S., Salom D et al. Adalimumab therapy for refractory uveitis: A pilot study // J. Ocul. Pharmacol. Ther.– 2008.– Vol. 24.– P. 351- 361.

11. El-Shabrawi Y., Hermann J. Anti-tumor necrosis factor-alpha therapy with infliximab as an alternative to corticosteroids in the treatment of human leucocyte antigen B27-associated acute anterior uveitis // Ophthalmol.– 2002.– Vol. 12.– P. 2342-2346.

12. Fabrizio G., Matteo R., Lorenzo V. et al. A Pilot Study on Ocular Safety of Intravitreal Infliximab in a Rabbit Model // Invest. Ophthalmol. Vis. Sci.– 2008.– Vol. 49 (3).– P. 1151-1156.

13. Fabrizio G., Matteo R., Matteo G. Et al. Intravitreal Infliximab Clearance in a Rabbit Model: Different Sampling Methods and Assay Techniques // Invest. Ophthalmol. Vis. Sci.– 2009.– Vol. 50.– № 11.– P. 5328-5335.

14. Falappone P.C., Iannone F., Scioscia C. The treatment of recurrent uveitis with TNF-α inhibitors // Reumatismo.– 2004.– Vol. 56 (3).– P. 185-189.

15. Farvardin M., Afarid M., Mehryar M., Hosseini H. Intravitreal Infliximab for the Treatment of Sight-Threatening Chronic Noninfectious Uveitis // Retina.– 2010.– Vol. 30, Is. 9.– P. 1530-1535.

16. Galor A., Perez V.L., Hammel J.P., Lowder C.Y. Differential effectiveness of etanercept and infliximab in the treatment of ocular inflammation // Ophthalmology.– 2006.– Vol. 113 (12).– P. 2317- 2323.

17. Guignard S., Gossec L., Salliot C. et al. Efficacy of tumour necrosis factor blockers in reducing uveitis flares in patients with spondylarthropathy: a retrospective study // Ann. Rheum. Dis.– 2006.– Vol. 65 (12).– P. 1631-1634.

18. Hale S., Lightman S. Anti-TNF therapies in management of acute and chronic uveitis // Cytokine.– 2006.– Vol. 33 (4).– P. 231-237.

19. Huynh N., Cervantes-Castaneda R.A., Bhat P. et al. Biologic response modifier therapy for psoriatic ocular inflammatory disease // Ocul. Immunol. Inflamm.– 2008.– May-Jun.– Vol. 16 (3).– P. 89-93.

20. Jan G., Dohlman C., Stephen Foster, Claes H. Dohlman Boston Keratoprosthesis in Stevens- Johnson Syndrome: A case of using infliximab to prevent tissue necrosis // Digital J. of Opthalmology.– 2009.– Vol. 15, № 1.

21. Joseph A., Raj D., Dua H.S. et al. Infliximab in the treatment of refractory posterior uveitis // Ophthalmology.– 2003.– Vol. 110 (7).– P. 1449-1453.

22. Kahn P., Weiss M., Imundo L.F., Levy D.M. Favorable response to high-dose infliximab for refractory childhood uveitis // Ophthalmology.– 2006.– Vol. 113 (5).– P. 864.

23. Koizumi K., Poulaki V., Doehmen S. et al. Contribution of TNF-α to leukocyte adhesion, vascular leakage, and apoptotic cell death in endotoxin-induced uveitis in vivo // Invest. Ophthalmol. Vis. Sci.– 2003.– Vol. 44.– P. 2184-2191

24. Lichtlen P., Lam T.T., Nork T.M. et al. Relative contribution of VEGF and TNF-alpha in the cynomolgus laser-induced CNV model: comparing the efficacy of bevacizumab, adalimumab, and ESBA105 // Invest. Ophthalmol. Vis. Sci.– 2010.– Vol. 51 (9).– P. 4738-4745.

25. Lindstedt E.W., Baarsma G.S., RWAM Kuijpers. Anti-TNF-α therapy for sight threatening uveitis // Br. J. Ophthalmol.– 2005.– Vol. 89.– P. 533-536.

26. Murphy C., Ayliffe W., Booth A. et al. Tumor necrosis factor alpha blockade with infliximab for refractory uveitis and scleritis // Ophthalmology.– 2004.– Vol. 111 (2).– P. 352-356

27. Mushtaq B., Saeed T., Situnayake R.D., Murray P.I. Adalimumab for sight-threatening uveitis in Behçet’s disease // Eye.– 2007.– Vol. 21.– P. 824-825.

28. Niccoli L., Nannini C., Benucci M. et al. Long-term efficacy of infliximab in refractory posterior uveitis of Behçet's disease: a 24-month follow-up study // Oxford J. Medicine Rheumatology.– 2007.– Vol. 46, Is. 7.– P. 1161-1164.

29. Odorcic S., Keystone E.C., Ma J.J. Infliximab for the treatment of refractory progressive sterile peripheral ulcerative keratitis associated with late corneal perforation: 3-year follow-up // Cornea. 2009.– Vol. 28(1).– P. 89-92.

30. Ohno S., Nakamura S., Hori S. Efficacy, safety and pharmacokinetics of multiple administration of infliximab in Behchet diseas with refractory uveoretinitis // J. Rhem.– 2004.– Vol. 31 (7).– P. 1362- 1368.

31. Okada A.A. Cytokine therapy in eye disease // Arch. Ophthalmol.– 1998.– Vol. 116.– P. 1514-1516.

32. Olson J., Jackson C., Naresh M. Intravitreal Infliximab and Choroidal Neovascularization in an Animal Model // Arch. Ophthalmol. 2007.– Vol. 125 (9).– P. 1221-1224.

33. Panagiotis G. Theodossiadis, Vasilios S. et al. Intravitreal administration of the anti-TNF monoclonal antibody Infliximab in the rabbit // Graefes Arch. Clin. Exp. Ophthalmol.– 2009.– Vol. 247 (2).– P. 273-281.

34. Pirjo T., Päivi L., Visa H. et al. Infliximab and etanercept in the treatment of chronic uveitis associated with refractory juvenile idiopathic arthritis // Ann. Rheum. Dis.– 2007.– Vol. 66.– P. 548- 550.

35. Prendiville C., O’Doherty M., Moriarty P., Cassidy L. The use of infliximab in ocular inflammation // Br. J. Ophthalmol.– 2008.– Vol. 92.– P. 823-825.

36. Rajaraman R.T., Kimura Y., Li S., Haines K., Chu D.S. Retrospective case review of pediatric patients with uveitis treated with infliximab // Ophthalmology.– 2006.– Vol. 113 (2).– P. 308-314.

37. Regatieri C.V., Dreyfuss J.L., Melo G.B. et al. Dual role of intravitreous infliximab in experimental choroidal neovascularization: effect on the expression of sulfated glycosaminoglycans // Invest. Ophthalmol. Vis. Sci.– 2009.– Vol. 50 (11).– P. 5487-5494.

38. Reiff A., Takei S., Sadeghi S. et al. Etanercept therapy in children with treatment-resistant uveitis // Arthritis Rheum. 2001.– Vol. 44.– P. 1411-1415.

39. Richards J.C., Tay-Kearney M.L., Murray K. Infliximab for juvenile idiopathic arthritis-associated uveitis. Clin. Exp. Ophthalmol. 2005.– Vol. 33 (5).– P. 461-468.

40. Roberta P.A. Manzano, Gholam A. Peyman, Petros E. Carvounis, et al. Ocular toxicity of intravitreous adalimumab (Humira) in the rabbit // Graefes Arch. Clin. Exp. Ophthalmol. 2008.– Vol. 246 (6).– P. 907-911.

41. Rudwaleit M., Rødevand E., Holck P. et al. Adalimumab effectively reduce the rate of anterior uveitis flares in patients with active ankylosing spondylitis: Results of a prospective open-label study // Ann. Rheum. Dis.– 2009.– Vol. 68.– P. 696-701.

42. Saurenmann R.K., Levin A.V., Rose J.B. et al. Tumour necrosis factor α inhibitors in the treatment of childhood uveitis // Oxford J. Medicine Rheumatology.– 2006.– Vol. 45, Is. 8.– P. 982-989.

43. Schmeling H., Horneff G. Etanercept and uveitis in patients with juvenile idiopathic arthritis.– Rheumathology (Oxford).– 2005.– Vol. 44 (8).– P. 1008- 1011.

44. Sfikakis P., Theodossiadis P., Katasiari C. Effect of infliximab in sight-treatening panuveitis in Behchet diseas // Lancet.– 2001.– Vol. 358 (9278).– P. 295-296.

45. Suhler E.B., Smith J.R., Wertheim M.S. A prospective trial of infliximab therapy for refractory uveitis: preliminary safety and efficacy outcomes // Arch. Ophthalmol.– 2005.– Vol. 123 (7).– P. 903-912. 47. Taban M., Dupps W.J., Mandell B. Etanercept-associated inflammatory eye diseas: case report and review of the literature // Ocul. Immunol. Inflamm.– 2006.– Vol. 14 (3).– P. 145-150.

46. Takase K., Ohno S., Ideguchi H. et al. Successful switching to adalimumab in an infliximab-allergic patient with severe Behçet disease-related uveitis // Rheumatol. Int.– 2011.– Vol. 31 (2).– P. 243-245.

47. Theodossiadis P., Liarakos V., Sfikakis P. et al. Intravitreal administration of the anti-tumor necrosis factor agent infliximab for neovascular age-related macular degeneration // Am. J. Ophthalmol.– 2009.– Vol. 147 (5).– P. 825-830.

48. Theodossiadis P., Markomichelakis N., Sfikakis P. Tumor necrosis factor antagonists: preliminary evidence for an emerging approach in the treatment of ocular inflammation // Retina. 2007.– Vol. 27 (4).– P. 399-413.

49. Tynjälä P., Kotaniemi K., Lindahl P. et al. Adalimumab in juvenile idiopathic arthritis-associated chronic anterior uveitis // Rheumatology (Oxford).– 2008.– Vol. 47.– P. 339-344.

50. Wechsler B., Sable-Fourtassou R., Bodaghi B. Infliximab in refractory uveitis due to Behchet diseas // J. Clin. Exp. Rheum.– 2004.– Vol. 34.– P. 14-16.

Fyodorov Journal of Ophthalmic Surgery. 2013; : 78-84

ANTI-CYTOKINE (ANTI-TNF-ALPHA) THERAPY IN OPHTHALMOLOGY (REVIEW OF LITERATURE)

Gavrilopva N. A., Lukina G. V., Gadjiyeva N. S., Shirokov V. E., Fyodorov A. V.

https://doi.org/undefined

Abstract

Analysis of the literature on anti-cytokine therapy demonstrates the effectiveness of this therapy, compared with conventional glucocorticosteroid and immunosuppressive therapy. Drugs with anti-cytokine mechanism of action can be used in Ophthalmology, as inhibitors of angiogenesis in neovascularization and anti-inflammatory therapy in uveitis. Route of administration of TNF inhibitors are intravenous and subcutaneous. They can be used as monotherapy or with the glucocorticosteroid and immunosuppressive therapy. From the literature it is obvious, that the effect of the use of this group of drugs are dose-dependent and they can be positive (anti-angiogenic and anti-inflammatory) and negative – toxic. In a comparative aspects, studies show, that Infliximab has more pronounced anti-inflammatory effect, but at the same time, use of Infliximab is more often with side effects and complications. According to different authors, doses that cause side effects, are not comparable. It seems that, localization of inflammatory process plays a role in the vascular tract of the eye (front, rear), etiologic factor, causing the inflammation and, of course, the intensity of cytokine responses. Therefore, the question, the efficacy and tolerability of anti-cytokine drugs are dose-dependent, and whether, there are other factors that influence on the success of treatment -remains open. To answer these questions is required a detailed study, investigating the influence of this group of drugs on the eye tissues, pathological angiogenesis processes depending on the drug, the dose and the conditions of its application, and testing of optimal dosage of drugs to avoid side effects
References

1. Accorinti M., Paroli M. et al. AntiTNF-a – therapy for Behchet diseas // J. Clin. Exp. Rheum.– 2004.– Vol. 34.– P. 18.

2. Adán A., Hernandez V., Ortiz S. et al. Effects of infliximab in the treatment of refractory posterior uveitis of Behçet's disease after withdrawal of infusions // Int. Ophthalmol.– 2010.– Vol. 5.– P. 577-78. 3. Arias L., Caminal J.M., Badia M.B. et al. Intravitreal infliximab in patients with macular degeneration who are nonresponders to antivascular endothelial growth factor therapy // Retina.– 2010.– Vol. 30 (10).– P. 1601-1608.

3. Avunduk M.C., Avunduk A.M., Oztekin E., et al. Etanercept treatment in the endotoxin-induced uveitis of rats // Exp. Eye Res.– 2004.– Vol. 79.– P. 357-365.

4. Bakri S.J., Snyder M.R., Reid J.M. et al. Pharmacokinetics of intravitreal bevacizumab (Avastin) // Ophthalmology.– 2007.– Vol. 114 (5).– P. 855-859.

5. Benitez-del-Castillo J.M., Martinez-de-la-Casa J.M., Pato-Cour E. Longterm treatment of refractory posterior uveitis with anti-TNF-a (infliximab) // Eye 2005.– Vol. 19 (8).– P. 841-845.

6. Biester S., Deuter C., Michels H. et al. Adalimumab in the therapy of uveitis in childhood // Br. J. Ophthalmology.– 2007.– Vol. 91 (3).– P. 319-324.

7. Braun J., Baraliakos X., Listing J. Decreased incidence of anterior uveitis in patients with ankylosing spondylitis treated with the anti-tumor necrosis factor agents infliximab and etanercept // Arthr. Rheum.– 2005.– Vol. 52 (8).– P. 2447- 2451.

8. Callizo J., Agostini H.T. siRNA bei Nakuladegeneration // Ophthalmology.– 2010.– Vol. 107.– P. 1077-1080.

9. Clinical Trials. gov Identifier NCT00695682. Intravitreal Infliximab for Diabetic Macular Edema (DME) and Choroidal Neovascularization (CNV).

10. Diaz-Llopis M., García-Delpech S., Salom D et al. Adalimumab therapy for refractory uveitis: A pilot study // J. Ocul. Pharmacol. Ther.– 2008.– Vol. 24.– P. 351- 361.

11. El-Shabrawi Y., Hermann J. Anti-tumor necrosis factor-alpha therapy with infliximab as an alternative to corticosteroids in the treatment of human leucocyte antigen B27-associated acute anterior uveitis // Ophthalmol.– 2002.– Vol. 12.– P. 2342-2346.

12. Fabrizio G., Matteo R., Lorenzo V. et al. A Pilot Study on Ocular Safety of Intravitreal Infliximab in a Rabbit Model // Invest. Ophthalmol. Vis. Sci.– 2008.– Vol. 49 (3).– P. 1151-1156.

13. Fabrizio G., Matteo R., Matteo G. Et al. Intravitreal Infliximab Clearance in a Rabbit Model: Different Sampling Methods and Assay Techniques // Invest. Ophthalmol. Vis. Sci.– 2009.– Vol. 50.– № 11.– P. 5328-5335.

14. Falappone P.C., Iannone F., Scioscia C. The treatment of recurrent uveitis with TNF-α inhibitors // Reumatismo.– 2004.– Vol. 56 (3).– P. 185-189.

15. Farvardin M., Afarid M., Mehryar M., Hosseini H. Intravitreal Infliximab for the Treatment of Sight-Threatening Chronic Noninfectious Uveitis // Retina.– 2010.– Vol. 30, Is. 9.– P. 1530-1535.

16. Galor A., Perez V.L., Hammel J.P., Lowder C.Y. Differential effectiveness of etanercept and infliximab in the treatment of ocular inflammation // Ophthalmology.– 2006.– Vol. 113 (12).– P. 2317- 2323.

17. Guignard S., Gossec L., Salliot C. et al. Efficacy of tumour necrosis factor blockers in reducing uveitis flares in patients with spondylarthropathy: a retrospective study // Ann. Rheum. Dis.– 2006.– Vol. 65 (12).– P. 1631-1634.

18. Hale S., Lightman S. Anti-TNF therapies in management of acute and chronic uveitis // Cytokine.– 2006.– Vol. 33 (4).– P. 231-237.

19. Huynh N., Cervantes-Castaneda R.A., Bhat P. et al. Biologic response modifier therapy for psoriatic ocular inflammatory disease // Ocul. Immunol. Inflamm.– 2008.– May-Jun.– Vol. 16 (3).– P. 89-93.

20. Jan G., Dohlman C., Stephen Foster, Claes H. Dohlman Boston Keratoprosthesis in Stevens- Johnson Syndrome: A case of using infliximab to prevent tissue necrosis // Digital J. of Opthalmology.– 2009.– Vol. 15, № 1.

21. Joseph A., Raj D., Dua H.S. et al. Infliximab in the treatment of refractory posterior uveitis // Ophthalmology.– 2003.– Vol. 110 (7).– P. 1449-1453.

22. Kahn P., Weiss M., Imundo L.F., Levy D.M. Favorable response to high-dose infliximab for refractory childhood uveitis // Ophthalmology.– 2006.– Vol. 113 (5).– P. 864.

23. Koizumi K., Poulaki V., Doehmen S. et al. Contribution of TNF-α to leukocyte adhesion, vascular leakage, and apoptotic cell death in endotoxin-induced uveitis in vivo // Invest. Ophthalmol. Vis. Sci.– 2003.– Vol. 44.– P. 2184-2191

24. Lichtlen P., Lam T.T., Nork T.M. et al. Relative contribution of VEGF and TNF-alpha in the cynomolgus laser-induced CNV model: comparing the efficacy of bevacizumab, adalimumab, and ESBA105 // Invest. Ophthalmol. Vis. Sci.– 2010.– Vol. 51 (9).– P. 4738-4745.

25. Lindstedt E.W., Baarsma G.S., RWAM Kuijpers. Anti-TNF-α therapy for sight threatening uveitis // Br. J. Ophthalmol.– 2005.– Vol. 89.– P. 533-536.

26. Murphy C., Ayliffe W., Booth A. et al. Tumor necrosis factor alpha blockade with infliximab for refractory uveitis and scleritis // Ophthalmology.– 2004.– Vol. 111 (2).– P. 352-356

27. Mushtaq B., Saeed T., Situnayake R.D., Murray P.I. Adalimumab for sight-threatening uveitis in Behçet’s disease // Eye.– 2007.– Vol. 21.– P. 824-825.

28. Niccoli L., Nannini C., Benucci M. et al. Long-term efficacy of infliximab in refractory posterior uveitis of Behçet's disease: a 24-month follow-up study // Oxford J. Medicine Rheumatology.– 2007.– Vol. 46, Is. 7.– P. 1161-1164.

29. Odorcic S., Keystone E.C., Ma J.J. Infliximab for the treatment of refractory progressive sterile peripheral ulcerative keratitis associated with late corneal perforation: 3-year follow-up // Cornea. 2009.– Vol. 28(1).– P. 89-92.

30. Ohno S., Nakamura S., Hori S. Efficacy, safety and pharmacokinetics of multiple administration of infliximab in Behchet diseas with refractory uveoretinitis // J. Rhem.– 2004.– Vol. 31 (7).– P. 1362- 1368.

31. Okada A.A. Cytokine therapy in eye disease // Arch. Ophthalmol.– 1998.– Vol. 116.– P. 1514-1516.

32. Olson J., Jackson C., Naresh M. Intravitreal Infliximab and Choroidal Neovascularization in an Animal Model // Arch. Ophthalmol. 2007.– Vol. 125 (9).– P. 1221-1224.

33. Panagiotis G. Theodossiadis, Vasilios S. et al. Intravitreal administration of the anti-TNF monoclonal antibody Infliximab in the rabbit // Graefes Arch. Clin. Exp. Ophthalmol.– 2009.– Vol. 247 (2).– P. 273-281.

34. Pirjo T., Päivi L., Visa H. et al. Infliximab and etanercept in the treatment of chronic uveitis associated with refractory juvenile idiopathic arthritis // Ann. Rheum. Dis.– 2007.– Vol. 66.– P. 548- 550.

35. Prendiville C., O’Doherty M., Moriarty P., Cassidy L. The use of infliximab in ocular inflammation // Br. J. Ophthalmol.– 2008.– Vol. 92.– P. 823-825.

36. Rajaraman R.T., Kimura Y., Li S., Haines K., Chu D.S. Retrospective case review of pediatric patients with uveitis treated with infliximab // Ophthalmology.– 2006.– Vol. 113 (2).– P. 308-314.

37. Regatieri C.V., Dreyfuss J.L., Melo G.B. et al. Dual role of intravitreous infliximab in experimental choroidal neovascularization: effect on the expression of sulfated glycosaminoglycans // Invest. Ophthalmol. Vis. Sci.– 2009.– Vol. 50 (11).– P. 5487-5494.

38. Reiff A., Takei S., Sadeghi S. et al. Etanercept therapy in children with treatment-resistant uveitis // Arthritis Rheum. 2001.– Vol. 44.– P. 1411-1415.

39. Richards J.C., Tay-Kearney M.L., Murray K. Infliximab for juvenile idiopathic arthritis-associated uveitis. Clin. Exp. Ophthalmol. 2005.– Vol. 33 (5).– P. 461-468.

40. Roberta P.A. Manzano, Gholam A. Peyman, Petros E. Carvounis, et al. Ocular toxicity of intravitreous adalimumab (Humira) in the rabbit // Graefes Arch. Clin. Exp. Ophthalmol. 2008.– Vol. 246 (6).– P. 907-911.

41. Rudwaleit M., Rødevand E., Holck P. et al. Adalimumab effectively reduce the rate of anterior uveitis flares in patients with active ankylosing spondylitis: Results of a prospective open-label study // Ann. Rheum. Dis.– 2009.– Vol. 68.– P. 696-701.

42. Saurenmann R.K., Levin A.V., Rose J.B. et al. Tumour necrosis factor α inhibitors in the treatment of childhood uveitis // Oxford J. Medicine Rheumatology.– 2006.– Vol. 45, Is. 8.– P. 982-989.

43. Schmeling H., Horneff G. Etanercept and uveitis in patients with juvenile idiopathic arthritis.– Rheumathology (Oxford).– 2005.– Vol. 44 (8).– P. 1008- 1011.

44. Sfikakis P., Theodossiadis P., Katasiari C. Effect of infliximab in sight-treatening panuveitis in Behchet diseas // Lancet.– 2001.– Vol. 358 (9278).– P. 295-296.

45. Suhler E.B., Smith J.R., Wertheim M.S. A prospective trial of infliximab therapy for refractory uveitis: preliminary safety and efficacy outcomes // Arch. Ophthalmol.– 2005.– Vol. 123 (7).– P. 903-912. 47. Taban M., Dupps W.J., Mandell B. Etanercept-associated inflammatory eye diseas: case report and review of the literature // Ocul. Immunol. Inflamm.– 2006.– Vol. 14 (3).– P. 145-150.

46. Takase K., Ohno S., Ideguchi H. et al. Successful switching to adalimumab in an infliximab-allergic patient with severe Behçet disease-related uveitis // Rheumatol. Int.– 2011.– Vol. 31 (2).– P. 243-245.

47. Theodossiadis P., Liarakos V., Sfikakis P. et al. Intravitreal administration of the anti-tumor necrosis factor agent infliximab for neovascular age-related macular degeneration // Am. J. Ophthalmol.– 2009.– Vol. 147 (5).– P. 825-830.

48. Theodossiadis P., Markomichelakis N., Sfikakis P. Tumor necrosis factor antagonists: preliminary evidence for an emerging approach in the treatment of ocular inflammation // Retina. 2007.– Vol. 27 (4).– P. 399-413.

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