Diabetic Retinopathy: Role of Neurodegeneration and Therapeutic Perspectives

IF 3.7 3区 医学 Q1 OPHTHALMOLOGY Asia-Pacific Journal of Ophthalmology Pub Date : 2022-03-01 DOI:10.1097/APO.0000000000000510
Rafael Simó MD , Olga Simó-Servat MD , Patricia Bogdanov PhD , Cristina Hernández MD
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Abstract

Retinal neurodegeneration plays a significant role in the pathogenesis of diabetic retinopathy, the leading cause of preventable blindness. The hallmarks of diabetes-induced neurodegeneration are neural cell apoptosis and glial activation, which seem even before vascular lesions can be detected by ophthalmoscopic examination. The molecular mediators of retinal neurodegeneration include proinflamma- tory cytokines, oxidative stress, mitochondrial dysfunction, and the molecular pathways closely related to chronic hyperglycemia. In this article, an overview of the main components of neurodegeneration, its key underlying mechanisms, and the more useful experimental models for investigative purposes will be given. In addition, the results of most relevant treatments based on neuroprotection, and the research gaps that should be filled will be critically reviewed.
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糖尿病视网膜病变:神经变性的作用和治疗前景。
摘要:视网膜神经变性在糖尿病视网膜病变的发病机制中起着重要作用,而糖尿病视网膜病变是导致可预防性失明的主要原因。糖尿病诱发神经变性的标志是神经细胞凋亡和神经胶质细胞活化,甚至在眼底镜检查发现血管病变之前就已出现。视网膜神经变性的分子介质包括促炎症细胞因子、氧化应激、线粒体功能障碍以及与慢性高血糖密切相关的分子通路。本文将概述神经退行性变的主要成分、其关键的内在机制以及更有用的研究实验模型。此外,还将对基于神经保护的最相关治疗方法的结果以及应填补的研究空白进行批判性评论。
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来源期刊
CiteScore
8.10
自引率
18.20%
发文量
197
审稿时长
6 weeks
期刊介绍: The Asia-Pacific Journal of Ophthalmology, a bimonthly, peer-reviewed online scientific publication, is an official publication of the Asia-Pacific Academy of Ophthalmology (APAO), a supranational organization which is committed to research, training, learning, publication and knowledge and skill transfers in ophthalmology and visual sciences. The Asia-Pacific Journal of Ophthalmology welcomes review articles on currently hot topics, original, previously unpublished manuscripts describing clinical investigations, clinical observations and clinically relevant laboratory investigations, as well as .perspectives containing personal viewpoints on topics with broad interests. Editorials are published by invitation only. Case reports are generally not considered. The Asia-Pacific Journal of Ophthalmology covers 16 subspecialties and is freely circulated among individual members of the APAO’s member societies, which amounts to a potential readership of over 50,000.
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