Lu Bing-Wen, Xie Li-Ke
Department of Ophthalmology, Eye Hospital, China Academy of Chinese Medical Sciences, Beijing 100400, China.
Int J Ophthalmol. 2019 Nov 18;12(11):1793-1800. doi: 10.18240/ijo.2019.11.20. eCollection 2019.
Artemisinin, also named , is a family of sesquiterpene trioxane lactone originally derived from the sweet wormwood plant (), which is a traditional Chinese herb that has been universally used as anti-malarial agents for many years. Evidence has accumulated during the past few years which demonstrated the protective effects of artemisinin and its derivatives (artemisinins) in several other diseases beyond malaria, including cancers, autoimmune disorders, inflammatory diseases, viral and other parasite-related infections. Recently, this long-considered anti-malarial agent has been proved to possess anti-oxidant, anti-inflammatory, anti-apoptotic and anti-excitotoxic properties, which make it a potential treatment option for the ocular environment. In this review, we first described the overview of artemisinins, highlighting the activity of artemisinins to other diseases beyond malaria and the mechanisms of these actions. We then emphasized the main points of published results of using artemisinins in targeting ocular disorders, including uveitis, retinoblastoma, retinal neurodegenerative diseases and ocular neovascularization. To conclude, we believe that artemisinins could also be used as a promising therapeutic drug for ocular diseases, especially retinal vascular diseases in the near future.
青蒿素,也被称为 ,是一类倍半萜三氧烷内酯,最初从青蒿植物( )中提取,青蒿是一种传统的中草药,多年来一直被广泛用作抗疟药物。在过去几年中积累的证据表明,青蒿素及其衍生物(青蒿素类)在疟疾以外的其他几种疾病中具有保护作用,包括癌症、自身免疫性疾病、炎症性疾病、病毒感染和其他寄生虫相关感染。最近,这种长期以来被认为是抗疟药物的物质已被证明具有抗氧化、抗炎、抗凋亡和抗兴奋毒性特性,这使其成为眼部疾病潜在的治疗选择。在这篇综述中,我们首先描述了青蒿素类的概述,重点介绍了青蒿素类对疟疾以外其他疾病的活性及其作用机制。然后,我们强调了使用青蒿素类治疗眼部疾病(包括葡萄膜炎、视网膜母细胞瘤、视网膜神经退行性疾病和眼部新生血管形成)已发表结果的要点。总之,我们相信在不久的将来,青蒿素类也可作为一种有前景的治疗眼部疾病的药物,尤其是视网膜血管疾病。