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炎症在眼内炎中的作用。

Role of inflammation in endophthalmitis.

机构信息

Ophthalmology Department, Istituto Clinico Humanitas, Rozzano, Milan, Italy.

出版信息

Mediators Inflamm. 2012;2012:196094. doi: 10.1155/2012/196094. Epub 2012 Sep 2.

DOI:10.1155/2012/196094
PMID:22973073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3438776/
Abstract

Inflammation originating from infection of the vitreous cavity is called endophthalmitis. Attention has been focused on the epidemiologic, microbiologic reports, and treatment options; unfortunately, the role of the host immune reaction in the visual function damage is still not well understood. Endophthalmitis occurs most frequently after cataract surgery. In this paper we review the published literature regarding inflammatory mediators and apoptosis during the course of endophthalmitis. Toll-like receptors, cytokines, high-mobility group box 1 proteins, aB-crystallin and apoptosis have been studied during clinical and experimental cases of endophthalmitis. Further understanding of the host-immune reaction to vitreous infection is essential for the development of new therapies. The use of intravitreal antibiotics and corticosteroids, vitrectomy and systemic antibiotics for the preservation of visual function is still discouraging.

摘要

源于玻璃体腔感染的炎症称为眼内炎。人们关注的重点是流行病学、微生物学报告和治疗方案;不幸的是,宿主免疫反应在视力损害中的作用仍未得到很好的理解。眼内炎最常发生在白内障手术后。本文综述了有关眼内炎过程中炎症介质和细胞凋亡的文献。在眼内炎的临床和实验病例中,已经研究了 Toll 样受体、细胞因子、高迁移率族蛋白 1 蛋白、aB- 晶体蛋白和细胞凋亡。进一步了解宿主对玻璃体感染的免疫反应对于开发新疗法至关重要。为了保持视力,仍在使用玻璃体内抗生素和皮质类固醇、玻璃体切除术和全身抗生素,但效果并不理想。

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本文引用的文献

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Toll-like receptor 2 ligand pretreatment attenuates retinal microglial inflammatory response but enhances phagocytic activity toward Staphylococcus aureus.Toll 样受体 2 配体预处理可减轻视网膜小胶质细胞的炎症反应,但增强其对金黄色葡萄球菌的吞噬活性。
Infect Immun. 2012 Jun;80(6):2076-88. doi: 10.1128/IAI.00149-12. Epub 2012 Mar 19.
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Retinal Muller glia initiate innate response to infectious stimuli via toll-like receptor signaling.视网膜 Muller 胶质细胞通过 Toll 样受体信号通路对感染性刺激物产生固有反应。
PLoS One. 2012;7(1):e29830. doi: 10.1371/journal.pone.0029830. Epub 2012 Jan 9.
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Klebsiella pneumoniae induces an inflammatory response in human retinal-pigmented epithelial cells.肺炎克雷伯菌可诱导人视网膜色素上皮细胞发生炎症反应。
Biochem Biophys Res Commun. 2012 Feb 3;418(1):33-7. doi: 10.1016/j.bbrc.2011.12.102. Epub 2011 Dec 27.
4
An outbreak of acute post-cataract surgery Pseudomonas sp. endophthalmitis caused by contaminated hydrophilic intraocular lens solution.一起由污染的亲水性眼内透镜溶液引起的白内障术后急性眼内假单胞菌属感染爆发。
Ophthalmology. 2012 Mar;119(3):564-70. doi: 10.1016/j.ophtha.2011.09.031. Epub 2012 Jan 3.
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Role of Toll-like receptor (TLR) 2 in experimental Bacillus cereus endophthalmitis.Toll 样受体 2 在实验性蜡样芽孢杆菌眼内炎中的作用。
PLoS One. 2011;6(12):e28619. doi: 10.1371/journal.pone.0028619. Epub 2011 Dec 6.
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Br J Ophthalmol. 2011 Oct;95(10):1385-8. doi: 10.1136/bjo.2010.187963. Epub 2011 Feb 2.
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Am J Ophthalmol. 2010 Mar;149(3):482-7.e1-2. doi: 10.1016/j.ajo.2009.09.021. Epub 2010 Jan 6.
8
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J Infect Dis. 2010 Jan 15;201(2):255-63. doi: 10.1086/649589.
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Clin Ophthalmol. 2008 Mar;2(1):139-45. doi: 10.2147/opth.s2128.
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