Advances in Age-related Macular Degeneration Understanding and Therapy.

Joan W Miller, Saghar Bagheri, Demetrios G Vavvas
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引用次数: 54

Abstract

While the development of anti-vascular endothelial growth factor (anti-VEGF) as a therapy for neovascular age-related macular degeneration (AMD) was a great success, the pathologic processes underlying dry AMD that eventually leads to photoreceptor dysfunction, death, and vision loss remain elusive to date, with a lack of effective therapies and increasing prevalence of the disease. There is an overwhelming need to improve the classification system of AMD, to increase our understanding of cell death mechanisms involved in both neovascular and non-neovascular AMD, and to develop better biomarkers and clinical endpoints to eventually be able to identify better therapeutic targets-especially early in the disease process. There is no doubt that it is a matter of time before progress will be made and better therapies will be developed for non-neovascular AMD.

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老年性黄斑变性的认识与治疗进展。
虽然抗血管内皮生长因子(anti-VEGF)作为一种治疗新生血管性年龄相关性黄斑变性(AMD)的疗法取得了巨大成功,但干性AMD的病理过程最终导致光感受器功能障碍、死亡和视力丧失,迄今为止仍然难以捉摸,缺乏有效的治疗方法,且该疾病的患病率不断上升。我们迫切需要改进AMD的分类系统,增加我们对新血管性和非血管性AMD的细胞死亡机制的理解,并开发更好的生物标志物和临床终点,最终能够确定更好的治疗靶点,特别是在疾病过程的早期。毫无疑问,在取得进展和开发出更好的治疗非血管性AMD的方法之前,这只是时间问题。
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