title: Acute effects of the skeletal muscle-specific immunotoxin ricin-mAb 35 on extraocular muscles of rabbits.
abstract: OBJECTIVE
  To determine the acute histologic and ultrastructural effects of a recently developed muscle-specific immunotoxin, ricin-mAb 35.
  
  
  METHODS
  Graduated doses of ricin-mAb 35, composed of ricin conjugated to a monoclonal antibody against the nicotinic acetylcholine receptor of skeletal muscle, were injected into one superior rectus muscle in rabbits. After 3, 7, and 14 days, both superior rectus muscles were removed and prepared for electron microscopy and histologic examination, by using a number of immunohistochemical markers to identify inflammatory cell infiltration, muscle fiber loss, and muscle regeneration.
  
  
  RESULTS
  Myotoxicity of the ricin-mAb 35 was focal and dose related. At the highest dose tested, there was substantial inflammatory cell infiltrate by 3 days, which largely disappeared by 7 days. Significant muscle loss was apparent by 7 days after ricin-mAb 35 treatment. Both the inflammatory reaction and muscle fiber loss were confined to the immediate injection site. Surrounding muscle appeared to be normal. At 14 days after treatment, early signs of muscle regeneration were evident within the tissue sections. No evidence of orbital or systemic toxicity was seen in any animal.
  
  
  CONCLUSIONS
  Direct injection of ricin-mAb 35 into the extraocular muscles of rabbits results in a dose-related focal injury to the muscles, with a self-limited inflammatory component and significant muscle fiber loss. This novel immunotoxin may be useful in the treatment of strabismus if chronic studies show a sustained histologic and electrophysiologic effect.
authors.affiliation: Department of Ophthalmology, University of Minnesota, Minneapolis 55455, USA.
authors.forename: S P
authors.initials: SP
authors.lastname: Christiansen
authors.forename: A
authors.initials: A
authors.lastname: Sandnas
authors.forename: R
authors.initials: R
authors.lastname: Prill
authors.forename: R J
authors.initials: RJ
authors.lastname: Youle
authors.forename: L K
authors.initials: LK
authors.lastname: McLoon
mesh_terms: D000818:Animals; D000911:Antibodies, Monoclonal / Q000494:pharmacology; D004305:Dose-Response Relationship, Drug; D000922:Immunotoxins / Q000494:pharmacology*; D007267:Injections; D008264:Macrophages / Q000473:pathology; D009000:Monocytes / Q000473:pathology; D018485:Muscle Fibers, Skeletal / Q000187:drug effects / Q000473:pathology / Q000648:ultrastructure; D018482:Muscle, Skeletal / Q000276:immunology; D009504:Neutrophils / Q000473:pathology; D009801:Oculomotor Muscles / Q000187:drug effects* / Q000473:pathology / Q000648:ultrastructure; D011817:Rabbits; D011978:Receptors, Nicotinic / Q000276:immunology; D012276:Ricin / Q000494:pharmacology*
chemical_list: D000911:Antibodies, Monoclonal; D000922:Immunotoxins; D011978:Receptors, Nicotinic; D012276:Ricin