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缺血性视神经病变作为神经退行性疾病的模型:轴突退变的致病机制及神经保护作用综述

Ischemic optic neuropathy as a model of neurodegenerative disorder: A review of pathogenic mechanism of axonal degeneration and the role of neuroprotection.

作者信息

Khalilpour Saba, Latifi Shahrzad, Behnammanesh Ghazaleh, Majid Amin Malik Shah Abdul, Majid Aman Shah Abdul, Tamayol Ali

机构信息

Department of Pharmacological and Biomolecular Sciences, University of Milan, Via Balzaretti 9, 20133 Milan, Italy.

Department of Neurology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.

出版信息

J Neurol Sci. 2017 Apr 15;375:430-441. doi: 10.1016/j.jns.2016.12.044. Epub 2016 Dec 26.

Abstract

Optic neuropathy is a neurodegenerative disease which involves optic nerve injury. It is caused by acute or intermittent insults leading to visual dysfunction. There are number of factors, responsible for optic neuropathy, and the optic nerve axon is affected in all type which causes the loss of retinal ganglion cells. In this review we will highlight various mechanisms involved in the cell loss cascades during axonal degeneration as well as ischemic optic neuropathy. These mechanisms include oxidative stress, excitotoxicity, angiogenesis, neuroinflammation and apoptosis following retinal ischemia. We will also discuss the effect of neuroprotective agents in attenuation of the negative effect of factors involve in the disease occurrence and progression.

摘要

视神经病变是一种涉及视神经损伤的神经退行性疾病。它由急性或间歇性损伤引起,导致视觉功能障碍。导致视神经病变的因素众多,所有类型的病变都会影响视神经轴突,进而导致视网膜神经节细胞的丧失。在本综述中,我们将重点介绍轴突变性以及缺血性视神经病变过程中细胞丢失级联反应所涉及的各种机制。这些机制包括氧化应激、兴奋性毒性、血管生成、神经炎症以及视网膜缺血后的细胞凋亡。我们还将讨论神经保护剂在减轻疾病发生和发展过程中所涉及因素的负面影响方面的作用。

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