Department of Ophthalmology, Dean McGee Eye Institute.
Front Biosci (Landmark Ed). 2012 Jan 1;17(5):1976-95. doi: 10.2741/4033.
Age-related macular degeneration (AMD) is the leading cause of blindness among adults in the developed countries. It is characterized by the progressive loss of central vision. AMD is classified into two forms: dry and wet. Dry AMD involves the accumulation of deposits in the RPE and Bruch's membrane; Wet AMD is characterized by neovascularization in the choroid. Whether the two forms of AMD share the same mechanism for the disease development is presently not clear. Oxidative stress, inflammation, and ER-stress are the common modes for the pathogenesis of AMD. In addition, other risk factors and several signaling pathways have been implicated as causative factors of AMD. In this paper, the mechanisms underlying AMD, risk factors involved in the pathology, representative animal models, and therapeutic treatment strategies are reviewed.
年龄相关性黄斑变性(AMD)是发达国家成年人致盲的主要原因。其特征是中心视力逐渐丧失。AMD 分为两种形式:干性和湿性。干性 AMD 涉及 RPE 和布鲁赫膜中沉积物的积累;湿性 AMD 的特征是脉络膜新生血管形成。目前尚不清楚这两种形式的 AMD 是否具有相同的疾病发展机制。氧化应激、炎症和 ER 应激是 AMD 发病机制的常见模式。此外,其他风险因素和几种信号通路也被认为是 AMD 的致病因素。本文综述了 AMD 的发病机制、参与发病的危险因素、代表性动物模型和治疗策略。