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血管生成:眼睛和内耳之间可能存在的相似性。

Angiogenesis: possible analogies between the eye and the inner ear.

机构信息

Department of Specialist Surgical and Anesthesiological Sciences, University of Bologna, Italy.

出版信息

Med Hypotheses. 2012 May;78(5):644-5. doi: 10.1016/j.mehy.2012.01.045. Epub 2012 Feb 19.

Abstract

Angiogenesis is a phenomenon concerning both physiological conditions linked to development and pathological conditions; in the latter it is aimed at providing an enhancement in blood supply to tumours, on one hand, and to restore the circulation in peripheral arterial and ischemic diseases, on the other hand, thus resulting in a controversial effect depending on the circumstances. When occurring in the eye, angiogenesis clearly proved to represent a threaten, whereas an univocal interpretation of the action of angiogenesis on the inner ear homeostasis is still lacking despite the morphologic and functional analogies between eye and labyrinth. These analogies can raise same doubt on the supposed role of angiogenesis in terms of preserving the function of a threatened inner ear: even this organ could be further damaged by microvascular disorders and/or mechanical changes able to jeopardize its architecture and consequently its function. If a parallelism between ear and eye is extendable to this aspect, this could open new perspectives in the treatment of certain affections of the inner ear by borrowing therapeutic strategies that have given appreciable and consolidate responses in the treatment of degenerative retinopathy.

摘要

血管生成是一种与发育相关的生理状态和与疾病相关的病理状态都有关的现象;在后一种情况下,它旨在为肿瘤提供血液供应的增强,另一方面,为恢复外周动脉和缺血性疾病的循环,因此,根据具体情况,其效果存在争议。当血管生成发生在眼睛中时,显然表明这是一种威胁,而尽管眼睛和迷路之间存在形态和功能上的相似性,但对于血管生成对内耳稳态的作用仍然缺乏明确的解释。这些相似性可能会对血管生成在保护受威胁的内耳功能方面的作用产生同样的怀疑:即使是这个器官也可能会受到微血管紊乱和/或机械变化的进一步损害,这些变化可能会危及内耳的结构及其功能。如果耳朵和眼睛之间的这种平行关系可以扩展到这一方面,那么这可能会为治疗某些内耳疾病开辟新的前景,通过借鉴在治疗退行性视网膜病变方面已经取得明显和巩固效果的治疗策略。

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