Suppressing Retinal Remodeling to Mitigate Vision Loss in Photoreceptor Degenerative Disorders.

IF 5 2区 医学 Q1 NEUROSCIENCES Annual Review of Vision Science Pub Date : 2023-09-15 DOI:10.1146/annurev-vision-112122-020957
Richard H Kramer
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引用次数: 1

Abstract

Rod and cone photoreceptors degenerate in retinitis pigmentosa and age-related macular degeneration, robbing the visual system of light-triggered signals necessary for sight. However, changes in the retina do not stop with the photoreceptors. A stereotypical set of morphological and physiological changes, known as remodeling, occur in downstream retinal neurons. Some aspects of remodeling are homeostatic, with structural or functional changes compensating for partial loss of visual inputs. However, other aspects are nonhomeostatic, corrupting retinal information processing to obscure vision mediated naturally by surviving photoreceptors or artificially by vision-restoration technologies. In this review, I consider the mechanism of remodeling and its consequences for residual and restored visual function; discuss the role of retinoic acid, a critical molecular trigger of detrimental remodeling; and discuss strategies for suppressing retinoic acid biosynthesis or signaling as therapeutic possibilities for mitigating vision loss.

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抑制视网膜重塑以减轻光受体退行性疾病的视力损失。
视网膜色素变性和年龄相关性黄斑变性患者的视杆和视锥感光细胞退化,剥夺了视觉系统视觉所需的光触发信号。然而,视网膜的变化并不会随着感光细胞而停止。视网膜下游神经元发生一系列典型的形态和生理变化,称为重塑。重塑的某些方面是稳态的,结构或功能的变化可以补偿视觉输入的部分损失。然而,其他方面是非静态的,破坏视网膜信息处理,从而模糊由存活的光感受器自然介导或由视觉恢复技术人工介导的视觉。在这篇综述中,我考虑了重塑的机制及其对残余和恢复视觉功能的影响;讨论视黄酸的作用,视黄酸是有害重塑的关键分子触发因子;并讨论抑制视黄酸生物合成或信号传导的策略,作为减轻视力损失的治疗可能性。
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来源期刊
Annual Review of Vision Science
Annual Review of Vision Science Medicine-Ophthalmology
CiteScore
11.10
自引率
1.70%
发文量
19
期刊介绍: The Annual Review of Vision Science reviews progress in the visual sciences, a cross-cutting set of disciplines which intersect psychology, neuroscience, computer science, cell biology and genetics, and clinical medicine. The journal covers a broad range of topics and techniques, including optics, retina, central visual processing, visual perception, eye movements, visual development, vision models, computer vision, and the mechanisms of visual disease, dysfunction, and sight restoration. The study of vision is central to progress in many areas of science, and this new journal will explore and expose the connections that link it to biology, behavior, computation, engineering, and medicine.
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