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Timolol induces HSV-1 ocular shedding in the latently infected rabbit

Insights

Timolol iontophoresis can trigger herpes simplex virus type 1 (HSV-1) shedding in rabbits. Topical timolol also induced HSV-1 shedding in supersensitized eyes, but did not block epinephrine-induced shedding.

Area of Science:

  • Ophthalmology
  • Virology
  • Pharmacology

Background:

  • Herpes simplex virus type 1 (HSV-1) can establish latent infections in the eye.
  • Ocular HSV-1 reactivation leads to viral shedding and potential disease.
  • Timolol is a beta-blocker commonly used in ophthalmology.

Purpose of the Study:

  • To investigate the effect of timolol, delivered via iontophoresis and topical application, on HSV-1 shedding in latently infected rabbits.
  • To determine if timolol influences HSV-1 shedding induced by adrenergic supersensitization.

Main Methods:

  • Anodal iontophoresis of 0.01% timolol was administered to rabbit eyes.
  • Topical application of 5.0% timolol was used on eyes supersensitized with 6-hydroxydopamine (6-HD).
  • Viral shedding was assessed by detecting HSV-1 in preocular tear film.

Main Results:

  • Iontophoresis of 0.01% timolol induced HSV-1 shedding in all treated eyes (18/18) for an average of 4.3 days.
  • Topical 5.0% timolol on 6-HD supersensitized eyes caused shedding in all eyes (10/10) for 2.9 days.
  • Timolol did not prevent epinephrine-induced HSV-1 shedding in supersensitized eyes.

Conclusions:

  • Timolol, via iontophoresis or topical application to adrenergically supersensitized eyes, reliably induces HSV-1 ocular shedding.
  • Topical timolol does not inhibit HSV-1 shedding triggered by epinephrine in supersensitized eyes.

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