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新生血管性年龄相关性黄斑变性的治疗方法:目前的治疗方法和正在开发的药物制剂。

Therapies for neovascular age-related macular degeneration: current approaches and pharmacologic agents in development.

机构信息

Retinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA ; Ocular Imaging Research and Reading Center, Stanley M. Truhlsen Eye Institute, University of Nebraska Medical Center, 3902 Leavenworth Street, Omaha, NE, USA.

出版信息

Biomed Res Int. 2013;2013:830837. doi: 10.1155/2013/830837. Epub 2013 Nov 11.

DOI:10.1155/2013/830837
PMID:24319688
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3844201/
Abstract

As one of the leading causes of blindness, age-related macular degeneration (AMD) has remained at the epicenter of clinical research in ophthalmology. During the past decade, focus of researchers has ranged from understanding the role of vascular endothelial growth factor (VEGF) in the angiogenic cascades to developing new therapies for retinal vascular diseases. Anti-VEGF agents such as ranibizumab and aflibercept are becoming increasingly well-established therapies and have replaced earlier approaches such as laser photocoagulation or photodynamic therapy. Many other new therapeutic agents, which are in the early phase clinical trials, have shown promising results. The purpose of this paper is to briefly review the available treatment modalities for neovascular AMD and then focus on promising new therapies that are currently in various stages of development.

摘要

作为导致失明的主要原因之一,年龄相关性黄斑变性(AMD)一直是眼科临床研究的重点。在过去的十年中,研究人员的注意力范围从了解血管内皮生长因子(VEGF)在血管生成级联中的作用,到为视网膜血管疾病开发新的治疗方法。雷珠单抗和阿柏西普等抗 VEGF 药物已成为越来越成熟的治疗方法,并已取代了早期的治疗方法,如激光光凝或光动力疗法。许多其他处于早期临床试验阶段的新型治疗药物已显示出有前途的结果。本文旨在简要回顾新生血管性 AMD 的现有治疗方法,然后重点介绍目前处于不同开发阶段的有前途的新疗法。

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本文引用的文献

1
Emerging therapies for neovascular age-related macular degeneration: drugs in the pipeline.新兴的治疗新生血管性年龄相关性黄斑变性的方法:药物研发进展。
Ophthalmology. 2013 May;120(5 Suppl):S11-5. doi: 10.1016/j.ophtha.2013.01.061.
2
Epimacular brachytherapy for neovascular age-related macular degeneration: a randomized, controlled trial (CABERNET).脉络膜新生血管年龄相关性黄斑变性的眼后极部近距离放射治疗:一项随机对照试验(CABERNET)。
Ophthalmology. 2013 Feb;120(2):317-27. doi: 10.1016/j.ophtha.2012.07.068. Epub 2012 Nov 20.
3
Intravitreal aflibercept (VEGF trap-eye) in wet age-related macular degeneration.玻璃体内注射阿柏西普(抗 VEGF 融合蛋白)治疗湿性年龄相关性黄斑变性。
Ophthalmology. 2012 Dec;119(12):2537-48. doi: 10.1016/j.ophtha.2012.09.006. Epub 2012 Oct 17.
4
KH902 suppresses high glucose-induced migration and sprouting of human retinal endothelial cells by blocking VEGF and PIGF.KH902 通过阻断 VEGF 和 PIGF 抑制高糖诱导的人视网膜内皮细胞迁移和出芽。
Diabetes Obes Metab. 2013 Mar;15(3):224-33. doi: 10.1111/dom.12008. Epub 2012 Sep 30.
5
Evaluation of the siRNA PF-04523655 versus ranibizumab for the treatment of neovascular age-related macular degeneration (MONET Study).PF-04523655 与雷珠单抗治疗新生血管性年龄相关性黄斑变性的疗效评估(MONET 研究)。
Ophthalmology. 2012 Sep;119(9):1867-73. doi: 10.1016/j.ophtha.2012.03.043. Epub 2012 Jun 8.
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Ranibizumab versus bevacizumab to treat neovascular age-related macular degeneration: one-year findings from the IVAN randomized trial.雷珠单抗与贝伐单抗治疗新生血管性年龄相关性黄斑变性:IVAN 随机试验一年期结果。
Ophthalmology. 2012 Jul;119(7):1399-411. doi: 10.1016/j.ophtha.2012.04.015. Epub 2012 May 11.
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Ranibizumab and bevacizumab for treatment of neovascular age-related macular degeneration: two-year results.雷珠单抗和贝伐单抗治疗新生血管性年龄相关性黄斑变性:两年结果。
Ophthalmology. 2012 Jul;119(7):1388-98. doi: 10.1016/j.ophtha.2012.03.053. Epub 2012 May 1.
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Macular epiretinal brachytherapy in treated age-related macular degeneration: MERITAGE study: twelve-month safety and efficacy results.黄斑视网膜前膜短程放射疗法治疗年龄相关性黄斑变性:MERITAGE 研究:12 个月的安全性和疗效结果。
Ophthalmology. 2012 Jul;119(7):1425-31. doi: 10.1016/j.ophtha.2012.01.014. Epub 2012 Mar 30.
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Cost analysis comparing adjuvant epimacular brachytherapy with anti-VEGF monotherapy for the management of neovascular age-related macular degeneration.比较辅助后巩膜放射治疗与抗血管内皮生长因子单药治疗新生血管性年龄相关性黄斑变性的成本分析。
Eye (Lond). 2012 Apr;26(4):557-63. doi: 10.1038/eye.2011.351. Epub 2012 Jan 20.
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Ophthalmology. 2011 Jun;118(6):1098-106. doi: 10.1016/j.ophtha.2011.03.020.