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DCLRE1 downregulated by SYVN1-mediated ubiquitination and degradation, weakening mitochondrial homeostasis protection in ARC formation DCLRE1被syvn1介导的泛素化和降解下调,削弱了ARC形成过程中线粒体稳态保护。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-18 DOI: 10.1016/j.exer.2025.110811
Tianyu Cheng , Pengfei Li , Jiancen Tang , Hongping Cui , Jierui Jia , Lu Wang , Qian Li
DNA oxidative damage of lens epithelium cells (LECs) has been proved to be significantly related to age-related cataract (ARC). DCLRE1A, as a member of the DNA interstrand cross-links pathway, can repair damaged DNA. However, DCLRE1A has not been addressed in maintaining mitochondrial healthy. Our findings demonstrated that DCLRE1A alleviated mtDNA oxidative damage and mitochondrial dysfunction. Besides, the E3 ubiquitin ligase SYVN1 interacts with DCLRE1A and promotes its ubiquitination and degradation. Furthermore, SYVN1 knockdown exacerbated H2O2-induced lens opacity in both ex-vitro rat lenses and ARC mouse. Together, these results underscore the pivotal role of DCLRE1A ubiquitination in modulating mitochondrial homeostasis, offering novel insights into ARC pathogenesis. The E3 ubiquitin ligase SYVN1, related to DNA damage repair, offers a promising avenue for treating cataracts with antioxidative.
晶状体上皮细胞(LECs) DNA氧化损伤与老年性白内障(ARC)有显著关系。DCLRE1A作为DNA链间交联通路的一员,可以修复受损的DNA。然而,DCLRE1A在维持线粒体健康方面尚未得到解决。我们的研究结果表明,DCLRE1A减轻了mtDNA氧化损伤和线粒体功能障碍。此外,E3泛素连接酶SYVN1与DCLRE1A相互作用,促进其泛素化和降解。此外,SYVN1敲除加重了h2o2诱导的离体大鼠晶状体和ARC小鼠晶状体混浊。总之,这些结果强调了DCLRE1A泛素化在调节线粒体稳态中的关键作用,为ARC的发病机制提供了新的见解。E3泛素连接酶SYVN1与DNA损伤修复有关,为抗氧化治疗白内障提供了一条有希望的途径。
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引用次数: 0
Comment on “Synergistic neuroprotective effects of the ROCK inhibitor Y27632 and atorvastatin in optineurin-E50K-mutant mice through inhibition of scleral fibroblast transdifferentiation” “ROCK抑制剂Y27632和阿托伐他汀通过抑制巩膜成纤维细胞转分化对opopineurin - e50k突变小鼠的协同神经保护作用”评论
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-18 DOI: 10.1016/j.exer.2025.110818
Bhumesh Tyagi , Leelabati Toppo , Aishwarya Biradar
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引用次数: 0
Single cell RNA-seq characterization of non-fibrotic stromal wound repopulation in the rabbit 兔非纤维化间质伤口再生的单细胞RNA-seq表征。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-18 DOI: 10.1016/j.exer.2025.110816
Katherine Borner , Ze Yu , Chao Xing , W. Matthew Petroll
Following injury or surgery, quiescent stromal keratocytes can transition into fibroblasts or myofibroblasts leading to either transient or protracted corneal haze. In this study, we investigate the transcriptional changes associated with non-fibrotic wound healing using a transcorneal freeze injury (FI) in the rabbit, which induces full-thickness stromal cell loss without inducing keratocyte-myofibroblast transformation.
In control corneas, scRNA-seq revealed multiple clusters expressing markers associated with keratocyte identity (e.g. KERA, LUM, DCN, and ALDH1A1), suggesting heterogeneity in stromal keratocytes in the uninjured stroma. On day 7 after FI, in vivo imaging revealed elongated cells with increased backscatter, consistent with fibroblast migration into the wounded region. Using scRNA-seq, two additional clusters expressing fibroblast markers were also identified. These clusters retained many markers consistent with keratocyte identity, and trajectory analysis demonstrated a continuous progression from quiescent keratocytes to fibroblasts. Both fibroblast clusters had elevated expression genes encoding tenascin C (TNC), claudin 5 (CLDN5), developmental proteoglycans (e.g., BGN, ASPN, VCAN), and cytoskeletal genes (MYL9, MYH10, CDH11), but did not express markers of myofibroblast transformation. Together these genes suggest a mechanically active but non-fibrotic phenotype. One of the two fibroblast clusters also expressed genes related to cell proliferation. By day 28, fibroblastic gene expression was reduced, consistent with resolution of wound healing.
These findings define the transcriptional dynamics of intrastromal cell migration following FI and reveal a transient fibroblastic state that supports wound repopulation without fibrosis. Understanding this non-fibrotic repair mechanism could inform strategies to prevent scarring following corneal surgery or injury.
在受伤或手术后,静止的间质角质细胞可转化为成纤维细胞或肌成纤维细胞,导致短暂或长期的角膜薄雾。在这项研究中,我们利用兔经角膜冷冻损伤(FI)研究了与非纤维化伤口愈合相关的转录变化,这种损伤诱导全层间质细胞损失,而不诱导角化细胞向肌成纤维细胞转化。在对照角膜中,scRNA-seq显示了多个表达与角质细胞同一性相关标记的簇(如KERA、LUM、DCN和ALDH1A1),表明未损伤基质中基质角质细胞存在异质性。FI后第7天,体内成像显示细胞呈细长状,后向散射增加,与成纤维细胞向损伤区域迁移一致。使用scRNA-seq,还鉴定了另外两个表达成纤维细胞标记的簇。这些集群保留了许多与角化细胞身份一致的标记,轨迹分析表明从静止的角化细胞到成纤维细胞的持续进展。两个成纤维细胞簇编码腱素C (TNC)、克audin 5 (CLDN5)、发育蛋白聚糖(如BGN、ASPN、VCAN)和细胞骨架基因(MYL9、MYH10、CDH11)的基因表达均升高,但不表达肌成纤维细胞转化的标志物。这些基因共同表明一种机械活性但非纤维化的表型。两个成纤维细胞簇中的一个也表达与细胞增殖相关的基因。到第28天,成纤维细胞基因表达减少,与伤口愈合的消退一致。这些发现定义了FI后基质内细胞迁移的转录动力学,并揭示了一种短暂的成纤维状态,支持无纤维化的伤口再生。了解这种非纤维化修复机制可以为预防角膜手术或损伤后瘢痕形成提供策略。
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引用次数: 0
Retinal microvascular biomarkers for cardiovascular risk stratification: Insights from OCTA and AI 心血管风险分层的视网膜微血管生物标志物:来自OCTA和AI的见解
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-18 DOI: 10.1016/j.exer.2025.110815
Ting Wang, Hongyu Li, Chuyao Wang, Xiuyun Li, Aijun Deng, Xinwei Jiao
Cardiovascular disease (CVD) remains a major global burden, and retinal microvascular imaging offers a noninvasive means to capture systemic microvascular status. Evidence from prospective cohorts shows that arteriolar narrowing and venular widening predict incident coronary heart disease, with pooled adjusted hazard ratios approximately 1.20 (95 % CI 1.13–1.27). Network-level metrics, including reduced fractal dimension and increased tortuosity, further reflect microvascular remodeling and have been associated with higher risks of CVD and heart failure. In diabetes, both the presence and severity of diabetic retinopathy, as well as an AI-derived retinal age gap, correlate with elevated rates of cardiovascular events, kidney disease progression, and all-cause mortality. OCTA studies demonstrate that vessel-density loss and foveal avascular zone alterations occur in hypertension, coronary disease, heart failure, and stroke; longitudinal data indicate that sustained reductions in vessel density of several percentage points are associated with increased major adverse cardiovascular events. AI models trained on retinal images, particularly when integrated with clinical variables, achieve discrimination comparable to or exceeding traditional risk scores, with reported AUC improvements of up to ∼0.07. Despite these advances, most studies remain cross-sectional, OCTA metrics vary significantly across devices, and AI models often lack external validation and explicit assessment of incremental predictive value. Priority areas include prospective multi-ethnic cohorts with standardized imaging protocols, harmonized OCTA acquisition and analysis, and interpretable, externally validated AI systems capable of demonstrating measurable clinical benefit before retinal biomarkers can be incorporated into routine cardiovascular risk stratification.
心血管疾病(CVD)仍然是一个主要的全球负担,视网膜微血管成像提供了一种非侵入性手段来捕获系统微血管状态。来自前瞻性队列的证据显示,小动脉狭窄和静脉扩大预测冠心病的发生,合并校正风险比约为1.20 (95% CI 1.13-1.27)。网络级指标,包括分形维数降低和弯曲度增加,进一步反映微血管重塑,并与心血管疾病和心力衰竭的高风险相关。在糖尿病中,糖尿病视网膜病变的存在和严重程度,以及人工智能引发的视网膜年龄差距,都与心血管事件、肾脏疾病进展和全因死亡率升高相关。OCTA研究表明,高血压、冠心病、心力衰竭和中风患者会出现血管密度下降和中央凹无血管区改变;纵向数据表明,血管密度持续降低几个百分点与主要不良心血管事件的增加有关。在视网膜图像上训练的人工智能模型,特别是当与临床变量相结合时,实现了与传统风险评分相当或超过传统风险评分的识别,据报道AUC改善高达0.07。尽管取得了这些进展,但大多数研究仍然是横向的,不同设备的OCTA指标差异很大,而且人工智能模型往往缺乏外部验证和对增量预测价值的明确评估。优先领域包括具有标准化成像方案的前瞻性多民族队列,协调的OCTA采集和分析,以及可解释的,外部验证的AI系统,能够在将视网膜生物标志物纳入常规心血管风险分层之前展示可测量的临床益处。
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引用次数: 0
Comment on “Synergistic neuroprotective effects of the ROCK inhibitor Y27632 and atorvastatin in optineurin-E50K-mutant mice through inhibition of scleral fibroblast transdifferentiation” by Zhu et al. 对Zhu等人“ROCK抑制剂Y27632和阿托伐他汀通过抑制巩膜成纤维细胞转分化对opopineurin - e50k突变小鼠的协同神经保护作用”的评论。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-18 DOI: 10.1016/j.exer.2025.110813
Bin Li , Liping Yan
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引用次数: 0
Investigating the effect of alpha-lipoic acid and retinoic acid eye drops on re-epithelialization, inflammation, and angiogenesis in a rabbit model of corneal wound healing through ICAM-1 and MMP-9 pathways 研究α -硫辛酸和维甲酸滴眼液通过ICAM-1和MMP-9途径对兔角膜创面愈合模型中再上皮化、炎症和血管生成的影响
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-18 DOI: 10.1016/j.exer.2025.110808
Iliya Sharifipanah , Zohreh Abdolmaleki , Mohammad Abarkar
Corneal wound healing poses a significant clinical challenge involving cell death, migration, proliferation, and extracellular matrix remodeling. This study explores the effects of alpha-lipoic acid (LA) and retinoic acid (RA) eye drops on re-epithelialization, inflammation, and angiogenesis in a rabbit model of corneal wound healing, focusing on ICAM-1 (Intercellular Adhesion Molecule-1) and MMP-9 (Matrix Metalloroteinase-9) pathways. After an ocular examination of twelve New Zealand rabbits, a vertical linear wound was induced under anesthesia and confirmed by fluorescein staining. They were divided into four groups: control (isotonic saline), LA 1 %, RA 0.05 %, and a combination of both (RA + LA), administered twice daily for seven days. Clinical parameters and histological evaluations using H&E staining were conducted. Gene expression levels of ICAM-1, MMP-9, PDGFRα (Platelet-Derived Growth Factor Receptor α), and TGF-β (Transforming Growth Factor β) were measured by real-time PCR, with keratocan analyzed through immunohistochemistry. All treatment groups demonstrated significantly improved corneal healing compared to the control, with the RA + LA group showing the best histological repair. Real-time PCR results revealed significantly higher gene expression levels in the combination group than in the control and RA groups, and keratocan expression was significantly elevated in all treatment groups. In conclusion, LA and RA eye drops effectively enhance corneal healing by reducing inflammation and promoting re-epithelialization and angiogenesis, with the combined treatment showing the most pronounced effects.
角膜创面愈合是一个重大的临床挑战,涉及细胞死亡、迁移、增殖和细胞外基质重塑。本研究探讨α -硫辛酸(LA)和维甲酸(RA)滴眼液对兔角膜创面愈合模型中再上皮化、炎症和血管生成的影响,重点关注ICAM-1(细胞间粘附分子-1)和MMP-9(基质金属蛋白酶-9)途径。12只新西兰兔眼部检查后,麻醉下诱导垂直线状创面,荧光素染色证实。将患者分为4组:对照组(等渗盐水)、RA 1%、RA 0.05%和两者联合(RA + LA),每日2次,连用7天。采用H&;E染色进行临床参数和组织学评价。实时荧光定量PCR检测ICAM-1、MMP-9、PDGFRα(血小板源性生长因子受体α)、TGF-β(转化生长因子β)基因表达水平,免疫组织化学分析角质蛋白。与对照组相比,所有治疗组均表现出明显的角膜愈合改善,RA + LA组表现出最好的组织学修复。Real-time PCR结果显示,联合用药组的基因表达水平明显高于对照组和RA组,且各治疗组的角蛋白表达均显著升高。综上所述,LA和RA滴眼液通过减少炎症、促进再上皮化和血管生成等方式有效促进角膜愈合,其中联合治疗效果最为显著。
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引用次数: 0
Short-term high-dose nicotinamide treatment across glaucoma subtypes reveals increased mtDNA content and minimal metabolomic change in blood 短期高剂量烟酰胺治疗青光眼亚型显示mtDNA含量增加,血液代谢组学变化最小。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-16 DOI: 10.1016/j.exer.2025.110807
Antoni Vallbona-Garcia , James R. Tribble , Simon T. Gustavsson , Birke J. Benedikter , Patrick J. Lindsey , Carroll AB. Webers , Hubert JM. Smeets , Gauti Jóhannesson , Theo GMF. Gorgels , Pete A. Williams
In glaucoma, retinal ganglion cell degeneration has been linked to declining mitochondrial metabolic capacity. Nicotinamide (NAM) supplementation has emerged as a potential treatment for this. We assessed the effects of a 2-week NAM supplementation on blood buffy coat mitochondrial content (qPCR to assess mtDNA amount per cell) and the plasma metabolome (small-molecular-weight high-resolution mass spectrometry) in 90 glaucoma subjects from 3 different glaucoma subtypes (high tension glaucoma (HTG), normal tension glaucoma (NTG), and pseudoexfoliative glaucoma (PEXG), n = 30 per group), and 30 healthy controls with similar age and sex distribution. At baseline (pre-NAM), only ethylmalonic acid, a compound related to defects in β-oxidation and mitochondrial dysfunction, was found to be modestly increased in the 3 glaucoma subtypes in comparison to controls. All groups showed a similar metabolome response to treatment with a specific increase in NAM and related species (1-methylnicotinamide, 6-hydroxynicotinamide, N1-methyl-2-pyridone-5-carboxamide), increased 5-methylcytosine, and decreased 4-pyridoxic acid. Between groups, only sarcosine had a different response, with a small reduction in HTG and NTG post-treatment. NAM treatment resulted in a significant but slight within-group increase in blood mtDNA amount in controls and HTG (12 % and 17 %, respectively). This study suggests that NAM treatment leads to similar plasma metabolome changes between glaucoma groups and controls, which predominantly reflect increased NAM metabolites and intermediates, with minimal effects on the wider metabolome, and a modest increase in mtDNA amount in HTG and controls. As this was observed in a short-term accelerated dosing context, long-term and larger studies with additional timepoints and greater adjustment for systemic metabolic factors will be required to provide more information on the long-term effects of oral NAM supplementation.
在青光眼中,视网膜神经节细胞变性与线粒体代谢能力下降有关。烟酰胺(NAM)补充剂已成为一种潜在的治疗方法。我们评估了补充2周NAM对90名青光眼患者(来自3种不同青光眼亚型(高压性青光眼(HTG)、正常压性青光眼(NTG)和假脱落性青光眼(PEXG),每组n = 30人)血液中白皮线粒体含量(qPCR评估每个细胞mtDNA数量)和血浆代谢组(小分子高分辨率质谱)的影响,以及30名年龄和性别分布相似的健康对照。在基线(nam前),与对照组相比,只有乙基丙二酸(一种与β-氧化缺陷和线粒体功能障碍相关的化合物)在3种青光眼亚型中略有增加。所有组对治疗均表现出相似的代谢组反应,NAM和相关物种(1-甲基烟酰胺、6-羟基烟酰胺、n1 -甲基-2-吡酮-5-羧酰胺)特异性增加,5-甲基胞嘧啶增加,4-吡哆酸减少。各组间只有肌氨酸有不同的反应,治疗后HTG和NTG均有小幅下降。NAM治疗导致对照组和HTG的血液mtDNA量显著但轻微增加(分别为12%和17%)。这项研究表明,不结盟运动治疗导致青光眼组和对照组之间类似的血浆代谢组变化,主要反映了不结盟运动代谢物和中间体的增加,对更广泛的代谢组的影响很小,HTG和对照组的mtDNA量适度增加。由于这是在短期加速给药的情况下观察到的,因此需要长期和更大规模的研究,包括额外的时间点和对全身代谢因素的更大调整,以提供关于口服NAM补充的长期影响的更多信息。
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引用次数: 0
Honokiol (HNK) accelerates corneal epithelial wound healing by promoting HMGCS2-mediated mitochondrial metabolic homeostasis 本木酚(HNK)通过促进hmgcs2介导的线粒体代谢稳态来加速角膜上皮伤口愈合。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-10 DOI: 10.1016/j.exer.2025.110805
Xiao Wang , Jiaxin Chen , Xi Chen , Yuke Huang , Yan Li , Jin Qiu , Haoting Chen , Qingqing Mu , Jiejie Zhuang , Yiqi Luo , Taiwei Chen , Na Yu , Pei Chen , Ying Yang , Lai Wei , Jing Zhuang
Corneal epithelial regeneration is critical for restoring ocular surface function after injury. This study investigated the therapeutic potential and molecular mechanism of honokiol (HNK) in promoting corneal epithelial repair. Using a murine corneal epithelial debridement model, we observed that HNK accelerated wound healing and upregulated KRT12 and Ki67 expression in injured corneas. In vitro, HNK significantly enhanced proliferation and migration of human corneal epithelial cells (HCE-T), as demonstrated by CCK-8 and scratch assays. Bulk RNA sequencing identified differentially expressed genes following HNK treatment, and subsequent bioinformatics analysis highlighted the mitochondrial enzyme 3-hydroxymethylglutaryl CoA synthetase 2 (HMGCS2) as a key mediator. HMGCS2, the mitochondrial isoform of 3-hydroxy-3-methylglutaryl-CoA synthase, serves as a critical regulatory node in lipid-derived ATP production and ketogenesis. Gene interference and mitochondrial activity assays confirmed that HNK promotes corneal epithelial repair by targeting HMGCS2 and enhancing mitochondrial function. These findings suggest that HNK facilitates corneal wound healing through a mitochondria-dependent mechanism, offering a potential therapeutic strategy for ocular surface regeneration.
角膜上皮再生是损伤后眼表功能恢复的关键。本研究探讨了厚朴酚(HNK)促进角膜上皮修复的治疗潜力和分子机制。通过小鼠角膜上皮清创模型,我们观察到HNK加速了损伤角膜的伤口愈合,上调了KRT12和Ki67的表达。CCK-8和划痕实验表明,HNK在体外显著增强人角膜上皮细胞(HCE-T)的增殖和迁移。大量RNA测序鉴定了HNK处理后的差异表达基因,随后的生物信息学分析强调了线粒体酶3-羟甲基戊二酰辅酶a合成酶2 (HMGCS2)是一个关键的中介。HMGCS2是3-羟基-3-甲基戊二酰辅酶a合成酶的线粒体异构体,在脂质来源的ATP产生和生酮过程中起着关键的调节作用。基因干扰和线粒体活性实验证实,HNK通过靶向HMGCS2和增强线粒体功能促进角膜上皮修复。这些发现表明,HNK通过线粒体依赖机制促进角膜伤口愈合,为眼表再生提供了一种潜在的治疗策略。
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引用次数: 0
A congenic C57BL/6J rd1 mouse model for retinal degeneration research 基因C57BL/ 6rd1小鼠视网膜变性模型研究
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-09 DOI: 10.1016/j.exer.2025.110804
Laurel C. Chandler , Apolonia Gardner , Constance L. Cepko
Retinitis pigmentosa is an inherited retinal disease caused by thousands of mutations in over 100 different genes. The most widely used mouse model for retinitis pigmentosa has the retinal degeneration 1 (rd1) mutation in the Pde6b gene, which elicits rapid retinal degeneration and vision loss. A major limitation of these models is that these rd1 strains are not congenic, which prevents the use of appropriate controls. Furthermore, many strains have mutations in other genes which introduces genetic variability and may confound results. To address this issue, we backcrossed the rd1 allele from FVB mice onto a C57BL/6J genetic background over many generations, producing a C57BL/6J.Pde6brd1 strain that was confirmed to be congenic to C57BL/6J mice. We show that this strain recapitulates the electroretinogram and optomotor results expected for mouse strains containing the rd1 mutation. Examination of retinal structure in cross sections of eyes isolated from C57BL/6J.Pde6brd1 mice show a degree of thinning of the outer nuclear layer expected for a rd1 mutation, resulting in nearly complete loss of the outer nuclear layer by postnatal day 35. We anticipate that this C57BL/6J.Pde6brd1 strain could become an asset for the field of retinitis pigmentosa research.
色素性视网膜炎是一种遗传性视网膜疾病,由100多种不同基因的数千种突变引起。应用最广泛的色素性视网膜炎小鼠模型Pde6b基因发生视网膜变性1 (rd1)突变,导致视网膜快速变性和视力丧失。这些模型的一个主要限制是这些rd1菌株不是同源的,这妨碍了适当控制的使用。此外,许多菌株在其他基因中有突变,这引入了遗传变异并可能混淆结果。为了解决这个问题,我们将FVB小鼠的rd1等位基因回交到C57BL/6J遗传背景上,经过许多代,产生了C57BL/6J。Pde6brd1菌株被证实与C57BL/6J小鼠同源。我们发现该菌株重现了含有rd1突变的小鼠菌株所期望的视网膜电图和视动结果。C57BL/6J离体眼视网膜结构的横切面检查。Pde6brd1小鼠显示出一定程度的外核层变薄,这是由于rd1突变导致的,在出生后35天几乎完全失去了外核层。我们预计这是C57BL/6J。Pde6brd1菌株可能成为视网膜色素变性研究领域的宝贵资源。
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引用次数: 0
Autophagy and mitophagy in diabetic retinopathy: The effects and mechanism of action on the neurovascular unit 糖尿病视网膜病变中的自噬和线粒体自噬:对神经血管单元的影响及其作用机制。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-09 DOI: 10.1016/j.exer.2025.110802
Yuyan Ren , Huazhi Zhang , Qingping Lan , Jingwen Tang , Yilan Li , Ziying Wang , Yapeng Wang
While diabetic retinopathy (DR) is the primary cause of vision impairment and blindness in people with diabetes, current treatments fail to target early pathogenic mechanisms to halt disease progression. The development of DR involves complex cellular stress responses associated with metabolic dysregulation. Recent studies have highlighted the critical functions of autophagy, particularly mitophagy, in DR and how it contributes to the malfunction of the retinal neurovascular unit (NVU) and disease progression. Emerging insights have elucidated the interplay between autophagy, ER stress, and regulatory genes such as DRAM2, with pivotal roles for mitophagy-related pathways, including PINK1/Parkin and BNIP3/NIX-FUNDC1. This review systematically organizes and analyzes recent advances in research on how autophagy and mitophagy regulate ER stress, mitochondrial homeostasis, and the function of diverse NVU cell types. We present evidence that dysregulation of these processes compromises NVU integrity and accelerates DR progression. By clarifying the molecular links between autophagy, mitophagy, and NVU dysfunction, this review offers new insights for developing precision interventions and innovative therapies for early intervention of DR.
虽然糖尿病视网膜病变(DR)是糖尿病患者视力损害和失明的主要原因,但目前的治疗未能针对早期致病机制来阻止疾病进展。DR的发展涉及与代谢失调相关的复杂细胞应激反应。最近的研究强调了自噬的关键功能,特别是自噬在DR中的作用,以及它如何导致视网膜神经血管单元(NVU)功能障碍和疾病进展。新的见解已经阐明了自噬、内质网应激和调控基因(如DRAM2)之间的相互作用,并在有丝分裂相关途径中起关键作用,包括PINK1/Parkin和BNIP3/NIX-FUNDC1。本文系统梳理和分析了自噬和自噬如何调节内质网应激、线粒体稳态和不同NVU细胞类型功能的最新研究进展。我们提供的证据表明,这些过程的失调会损害NVU的完整性并加速DR的进展。通过阐明自噬、有丝自噬和NVU功能障碍之间的分子联系,本综述为DR早期干预的精准干预和创新治疗提供了新的见解。
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引用次数: 0
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Experimental eye research
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