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近视中的氧化应激

Oxidative stress in myopia.

作者信息

Francisco Bosch-Morell, Salvador Mérida, Amparo Navea

机构信息

Instituto de Ciencias Biomédicas, Universidad CEU Cardenal Herrera, Avenida del Seminario s/n, Moncada, 46313 Valencia, Spain ; FISABIO, Oftalmología Médica, Bifurcación Pío Baroja-general Aviles, S/N, 46015 Valencia, Spain.

Instituto de Ciencias Biomédicas, Universidad CEU Cardenal Herrera, Avenida del Seminario s/n, Moncada, 46313 Valencia, Spain.

出版信息

Oxid Med Cell Longev. 2015;2015:750637. doi: 10.1155/2015/750637. Epub 2015 Apr 1.

Abstract

Myopia affected approximately 1.6 billion people worldwide in 2000, and it is expected to increase to 2.5 billion by 2020. Although optical problems can be corrected by optics or surgical procedures, normal myopia and high myopia are still an unsolved medical problem. They frequently predispose people who have them to suffer from other eye pathologies: retinal detachment, glaucoma, macular hemorrhage, cataracts, and so on being one of the main causes of visual deterioration and blindness. Genetic and environmental factors have been associated with myopia. Nevertheless, lack of knowledge in the underlying physiopathological molecular mechanisms has not permitted an adequate diagnosis, prevention, or treatment to be found. Nowadays several pieces of evidence indicate that oxidative stress may help explain the altered regulatory pathways in myopia and the appearance of associated eye diseases. On the one hand, oxidative damage associated with hypoxia myopic can alter the neuromodulation that nitric oxide and dopamine have in eye growth. On the other hand, radical superoxide or peroxynitrite production damage retina, vitreous, lens, and so on contributing to the appearance of retinopathies, retinal detachment, cataracts and so on. The objective of this review is to suggest that oxidative stress is one of the key pieces that can help solve this complex eye problem.

摘要

2000年,全球约有16亿人受近视影响,预计到2020年这一数字将增至25亿。尽管光学问题可通过配镜或手术矫正,但普通近视和高度近视仍是尚未解决的医学难题。它们常使患者易患其他眼部疾病,如视网膜脱离、青光眼、黄斑出血、白内障等,这些都是视力恶化和失明的主要原因之一。遗传和环境因素都与近视有关。然而,由于对潜在生理病理分子机制缺乏了解,尚未找到合适的诊断、预防或治疗方法。如今,有多项证据表明氧化应激可能有助于解释近视中改变的调节途径以及相关眼部疾病的出现。一方面,与缺氧性近视相关的氧化损伤可改变一氧化氮和多巴胺对眼球生长的神经调节作用。另一方面,超氧自由基或过氧亚硝酸盐的产生会损害视网膜、玻璃体、晶状体等,导致视网膜病变、视网膜脱离、白内障等疾病的出现。本综述的目的是表明氧化应激是有助于解决这一复杂眼部问题的关键因素之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dea3/4397465/4a0d1f180c72/OMCL2015-750637.001.jpg

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