Hegde Shylaja, Srivastava Om
Department of Optometry and Vision Science, University of Alabama at Birmingham, Birmingham, AL 35294, United States.
Department of Optometry and Vision Science, University of Alabama at Birmingham, Birmingham, AL 35294, United States.
Life Sci. 2017 Feb 15;171:30-38. doi: 10.1016/j.lfs.2016.12.019. Epub 2016 Dec 27.
Persistent fetal vasculature (PFV) occurs as a result of a failure of fetal vasculature to undergo normal programmed involution. During development, before the formation of retinal vessels, the lens and the inner retina are nourished by the hyaloid vasculature. Hyaloid vessels extend from the optic nerve and run through the vitreous to encapsulate the lens. As fetal retinal vessels develop, hyaloid vasculature naturally regresses. Failure of regression of the hyaloid artery has been shown to lead to severe congenital pathologies. Studies on childhood blindness and visual impairment in the United States have shown that PFV accounts for 4.8% of total blindness. Although PFV is a serious developmental disease affecting the normal visual development pathway, the exact regulatory mechanism responsible for the regression of the hyaloid artery is still unknown. In this review, we have summarized the cellular defects associated with different knockout models that manifest features of persistent fetal vasculature. Based on similar cellular defects observed in different knockouts (KO)s such as altered migration, increased proliferation and decreased apoptosis and, the known role of integrins in the regulation of these cellular behaviors, we propose here that integrins may play a significant role in the pathophysiology of persistent fetal vasculature disease.
持续性胎儿血管系统(PFV)是由于胎儿血管系统未能进行正常的程序性退化而出现的。在发育过程中,在视网膜血管形成之前,晶状体和视网膜内层由玻璃体血管系统滋养。玻璃体血管从视神经延伸并穿过玻璃体以包裹晶状体。随着胎儿视网膜血管的发育,玻璃体血管系统自然退化。已证明玻璃体动脉退化失败会导致严重的先天性病理。美国关于儿童失明和视力损害的研究表明,PFV占总失明的4.8%。尽管PFV是一种影响正常视觉发育途径的严重发育性疾病,但负责玻璃体动脉退化的确切调节机制仍然未知。在本综述中,我们总结了与表现出持续性胎儿血管系统特征的不同基因敲除模型相关的细胞缺陷。基于在不同基因敲除(KO)中观察到的类似细胞缺陷,如迁移改变、增殖增加和凋亡减少,以及整合素在调节这些细胞行为中的已知作用,我们在此提出整合素可能在持续性胎儿血管系统疾病的病理生理学中起重要作用。