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基于白藜芦醇的口服营养补充剂对人类患者的结构和视觉功能产生长期有益影响。

Resveratrol based oral nutritional supplement produces long-term beneficial effects on structure and visual function in human patients.

作者信息

Richer Stuart, Patel Shana, Sockanathan Shivani, Ulanski Lawrence J, Miller Luke, Podella Carla

机构信息

Eye Clinic 112e, Captain James A Lovell Federal Health Care Center, 3001 Green Bay Rd., North Chicago, IL 60064, USA.

Chicago Medical School, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Rd., North Chicago, IL 60064, USA.

出版信息

Nutrients. 2014 Oct 17;6(10):4404-20. doi: 10.3390/nu6104404.

Abstract

BACKGROUND

Longevinex® (L/RV) is a low dose hormetic over-the-counter (OTC) oral resveratrol (RV) based matrix of red wine solids, vitamin D3 and inositol hexaphosphate (IP6) with established bioavailability, safety, and short-term efficacy against the earliest signs of human atherosclerosis, murine cardiac reperfusion injury, clinical retinal neovascularization, and stem cell survival. We previously reported our short-term findings for dry and wet age-related macular degeneration (AMD) patients. Today we report long term (two to three year) clinical efficacy.

METHODS

We treated three patients including a patient with an AMD treatment resistant variant (polypoidal retinal vasculature disease). We evaluated two clinical measures of ocular structure (fundus autofluorescent imaging and spectral domain optical coherence extended depth choroidal imaging) and qualitatively appraised changes in macular pigment volume. We further evaluated three clinical measures of visual function (Snellen visual acuity, contrast sensitivity, and glare recovery to a cone photo-stress stimulus).

RESULTS

We observed broad bilateral improvements in ocular structure and function over a long time period, opposite to what might be expected due to aging and the natural progression of the patient's pathophysiology. No side effects were observed.

CONCLUSIONS

These three cases demonstrate that application of epigenetics has long-term efficacy against AMD retinal disease, when the retinal specialist has exhausted other therapeutic modalities.

摘要

背景

Longevinex®(L/RV)是一种低剂量的具有 hormetic 效应的非处方(OTC)口服白藜芦醇(RV)制剂,其成分为红酒固体成分、维生素 D3 和肌醇六磷酸(IP6),具有确定的生物利用度、安全性,并且在对抗人类动脉粥样硬化、小鼠心脏再灌注损伤、临床视网膜新生血管形成和干细胞存活的早期迹象方面具有短期疗效。我们之前报告了针对干性和湿性年龄相关性黄斑变性(AMD)患者的短期研究结果。如今我们报告长期(两到三年)临床疗效。

方法

我们治疗了三名患者,其中一名患有对 AMD 治疗有抵抗性的变体(息肉状视网膜血管病变)。我们评估了两种眼部结构的临床测量方法(眼底自发荧光成像和光谱域光学相干深度脉络膜成像),并定性评估了黄斑色素体积的变化。我们还进一步评估了三种视觉功能的临床测量方法(Snellen 视力、对比敏感度和对锥形光应激刺激的眩光恢复)。

结果

我们观察到在很长一段时间内,眼部结构和功能出现了广泛的双侧改善,这与因衰老和患者病理生理学自然进展所预期的情况相反。未观察到副作用。

结论

这三个病例表明,当视网膜专科医生用尽其他治疗方式时,表观遗传学的应用对 AMD 视网膜疾病具有长期疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ced5/4210925/355502fec7eb/nutrients-06-04404-g001.jpg

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