Histologic studies of the intraocular toxicity of imatinib mesylate in rabbits

A S Kitzmann1, K H Baratz, B G Mohney

  • 1Department of Ophthalmology, Mayo Clinic College of Medicine, Rochester, MN, USA.

Eye (London, England)
|February 2, 2008
PubMed
Abstract

Insights

High-dose imatinib mesylate (1.65 mg) caused significant retinal toxicity in rabbit eyes. Lower doses showed no toxicity but may be linked to retinal edema, indicating a dose-dependent effect of this protein tyrosine kinase inhibitor.

Area of Science:

  • Ophthalmology
  • Pharmacology
  • Toxicology

Background:

  • Imatinib mesylate is a protein tyrosine kinase inhibitor used in cancer therapy.
  • Understanding its ocular toxicity is crucial for patient safety.

Purpose of the Study:

  • To evaluate the histologic signs of ocular toxicity of imatinib mesylate in a rabbit model.
  • To determine the dose-dependent toxicity of intravitreally administered imatinib mesylate.

Main Methods:

  • Dutch-belted rabbits received intravitreal injections of imatinib mesylate at varying doses (16.5 microg to 1.65 mg).
  • Eyes were enucleated 1 week and 1 month post-injection for histological examination.
  • Standard hematoxylin and eosin staining was used for microscopic analysis.

Main Results:

  • The highest dose (1.65 mg) resulted in extensive ocular toxicity in all treated eyes.
  • Lower doses (165 microg and 825 microg) showed no toxicity at both 1-week and 1-month follow-ups.
  • One eye at 16.5 microg exhibited signs suggestive of retinal edema.

Conclusions:

  • A high dose of imatinib mesylate (1.65 mg) is toxic to rabbit retina.
  • Lower doses of imatinib mesylate appear safe for ocular tissues.
  • Potential for retinal edema at lower doses warrants further investigation.

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