Assessment and in vivo scoring of murine experimental autoimmune uveoretinitis using optical coherence tomography.

Despite advances in clinical imaging and grading our understanding of retinal immune responses and their morphological correlates in experimental autoimmune uveoretinitis (EAU), has been hindered by the requirement for post-mortem histology. To date, monitoring changes occurring during EAU disease p...

Full description

Saved in:
Bibliographic Details
Main Authors: Colin J Chu, Philipp Herrmann, Livia S Carvalho, Sidath E Liyanage, James W B Bainbridge, Robin R Ali, Andrew D Dick, Ulrich F O Luhmann
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0063002&type=printable
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849434547273334784
author Colin J Chu
Philipp Herrmann
Livia S Carvalho
Sidath E Liyanage
James W B Bainbridge
Robin R Ali
Andrew D Dick
Ulrich F O Luhmann
author_facet Colin J Chu
Philipp Herrmann
Livia S Carvalho
Sidath E Liyanage
James W B Bainbridge
Robin R Ali
Andrew D Dick
Ulrich F O Luhmann
author_sort Colin J Chu
collection DOAJ
description Despite advances in clinical imaging and grading our understanding of retinal immune responses and their morphological correlates in experimental autoimmune uveoretinitis (EAU), has been hindered by the requirement for post-mortem histology. To date, monitoring changes occurring during EAU disease progression and evaluating the effect of therapeutic intervention in real time has not been possible. We wanted to establish whether optical coherence tomography (OCT) could detect intraretinal changes during inflammation and to determine its utility as a tool for accurate scoring of EAU. EAU was induced in C57BL/6J mice and animals evaluated after 15, 26, 36 and 60 days. At each time-point, contemporaneous Spectralis-OCT scanning, topical endoscopic fundal imaging (TEFI), fundus fluorescein angiography (FFA) and CD45-immunolabelled histology were performed. OCT features were further characterised on retinal flat-mounts using immunohistochemistry and 3D reconstruction. Optic disc swelling and vitreous opacities detected by OCT corresponded to CD45+ cell infiltration on histology. Vasculitis identified by FFA and OCT matched perivascular myeloid and T-cell infiltrates and could be differentiated from unaffected vessels. Evolution of these changes could be followed over time in the same eye. Retinal folds were visible and found to encapsulate mixed populations of activated myeloid cells, T-cells and microglia. Using these features, an OCT-based EAU scoring system was developed, with significant correlation to validated histological (Pearson r(2) = 0.6392, P<0.0001, n = 31 eyes) and TEFI based scoring systems (r(2) = 0.6784, P<0.0001). OCT distinguishes the fundamental features of murine EAU in vivo, permits dynamic assessment of intraretinal changes and can be used to score disease severity. As a result, it allows tissue synchronisation with subsequent cellular and functional assessment and greater efficiency of animal usage. By relating OCT signals with immunohistochemistry in EAU, our findings offer the opportunity to inform the interpretation of OCT changes in human uveitis.
format Article
id doaj-art-963d4aa2a71f46a690fe754e0b54e13b
institution Kabale University
issn 1932-6203
language English
publishDate 2013-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-963d4aa2a71f46a690fe754e0b54e13b2025-08-20T03:26:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0185e6300210.1371/journal.pone.0063002Assessment and in vivo scoring of murine experimental autoimmune uveoretinitis using optical coherence tomography.Colin J ChuPhilipp HerrmannLivia S CarvalhoSidath E LiyanageJames W B BainbridgeRobin R AliAndrew D DickUlrich F O LuhmannDespite advances in clinical imaging and grading our understanding of retinal immune responses and their morphological correlates in experimental autoimmune uveoretinitis (EAU), has been hindered by the requirement for post-mortem histology. To date, monitoring changes occurring during EAU disease progression and evaluating the effect of therapeutic intervention in real time has not been possible. We wanted to establish whether optical coherence tomography (OCT) could detect intraretinal changes during inflammation and to determine its utility as a tool for accurate scoring of EAU. EAU was induced in C57BL/6J mice and animals evaluated after 15, 26, 36 and 60 days. At each time-point, contemporaneous Spectralis-OCT scanning, topical endoscopic fundal imaging (TEFI), fundus fluorescein angiography (FFA) and CD45-immunolabelled histology were performed. OCT features were further characterised on retinal flat-mounts using immunohistochemistry and 3D reconstruction. Optic disc swelling and vitreous opacities detected by OCT corresponded to CD45+ cell infiltration on histology. Vasculitis identified by FFA and OCT matched perivascular myeloid and T-cell infiltrates and could be differentiated from unaffected vessels. Evolution of these changes could be followed over time in the same eye. Retinal folds were visible and found to encapsulate mixed populations of activated myeloid cells, T-cells and microglia. Using these features, an OCT-based EAU scoring system was developed, with significant correlation to validated histological (Pearson r(2) = 0.6392, P<0.0001, n = 31 eyes) and TEFI based scoring systems (r(2) = 0.6784, P<0.0001). OCT distinguishes the fundamental features of murine EAU in vivo, permits dynamic assessment of intraretinal changes and can be used to score disease severity. As a result, it allows tissue synchronisation with subsequent cellular and functional assessment and greater efficiency of animal usage. By relating OCT signals with immunohistochemistry in EAU, our findings offer the opportunity to inform the interpretation of OCT changes in human uveitis.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0063002&type=printable
spellingShingle Colin J Chu
Philipp Herrmann
Livia S Carvalho
Sidath E Liyanage
James W B Bainbridge
Robin R Ali
Andrew D Dick
Ulrich F O Luhmann
Assessment and in vivo scoring of murine experimental autoimmune uveoretinitis using optical coherence tomography.
PLoS ONE
title Assessment and in vivo scoring of murine experimental autoimmune uveoretinitis using optical coherence tomography.
title_full Assessment and in vivo scoring of murine experimental autoimmune uveoretinitis using optical coherence tomography.
title_fullStr Assessment and in vivo scoring of murine experimental autoimmune uveoretinitis using optical coherence tomography.
title_full_unstemmed Assessment and in vivo scoring of murine experimental autoimmune uveoretinitis using optical coherence tomography.
title_short Assessment and in vivo scoring of murine experimental autoimmune uveoretinitis using optical coherence tomography.
title_sort assessment and in vivo scoring of murine experimental autoimmune uveoretinitis using optical coherence tomography
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0063002&type=printable
work_keys_str_mv AT colinjchu assessmentandinvivoscoringofmurineexperimentalautoimmuneuveoretinitisusingopticalcoherencetomography
AT philippherrmann assessmentandinvivoscoringofmurineexperimentalautoimmuneuveoretinitisusingopticalcoherencetomography
AT liviascarvalho assessmentandinvivoscoringofmurineexperimentalautoimmuneuveoretinitisusingopticalcoherencetomography
AT sidatheliyanage assessmentandinvivoscoringofmurineexperimentalautoimmuneuveoretinitisusingopticalcoherencetomography
AT jameswbbainbridge assessmentandinvivoscoringofmurineexperimentalautoimmuneuveoretinitisusingopticalcoherencetomography
AT robinrali assessmentandinvivoscoringofmurineexperimentalautoimmuneuveoretinitisusingopticalcoherencetomography
AT andrewddick assessmentandinvivoscoringofmurineexperimentalautoimmuneuveoretinitisusingopticalcoherencetomography
AT ulrichfoluhmann assessmentandinvivoscoringofmurineexperimentalautoimmuneuveoretinitisusingopticalcoherencetomography