Wilmer Eye Institute, Johns Hopkins University, Baltimore, 21287, MD, USA.
Department of Ophthalmology, Duke University Medical Center, Durham, 27708, NC, USA.
Nat Commun. 2019 Jul 26;10(1):3347. doi: 10.1038/s41467-019-11262-1.
Age-related macular degeneration (AMD) is the most common cause of blindness among the elderly in the developed world. While treatment is effective for the neovascular or "wet" form of AMD, no therapy is successful for the non-neovascular or "dry" form. Here we discuss the current knowledge on dry AMD pathobiology and propose future research directions that would expedite the development of new treatments. In our view, these should emphasize system biology approaches that integrate omic, pharmacological, and clinical data into mathematical models that can predict disease onset and progression, identify biomarkers, establish disease causing mechanisms, and monitor response to therapy.
年龄相关性黄斑变性(AMD)是发达国家老年人失明的最常见原因。虽然治疗对于新生血管或“湿性”AMD 形式是有效的,但对于非新生血管或“干性”AMD 形式则没有成功的治疗方法。在这里,我们讨论干性 AMD 病理生物学的现有知识,并提出将加速新疗法开发的未来研究方向。在我们看来,这些应该强调系统生物学方法,将组学、药理学和临床数据整合到数学模型中,这些模型可以预测疾病的发病和进展,识别生物标志物,确定疾病的发病机制,并监测对治疗的反应。