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非增生性糖尿病性视网膜病变伴糖尿病性黄斑水肿中的脑源性神经营养因子。

Brain-derived neurotrophic factor in non-proliferative diabetic retinopathy with diabetic macular edema.

机构信息

Department of Anatomy, School of Medicine, Chosun University, Gwangju, Republic of Korea.

Department of Ophthalmology, School of Medicine, Chosun University, Gwangju, Republic of Korea.

出版信息

Eur J Ophthalmol. 2021 Jul;31(4):1915-1919. doi: 10.1177/1120672120944801. Epub 2020 Jul 18.

DOI:10.1177/1120672120944801
PMID:32686489
Abstract

PURPOSE

To investigate aqueous humor (AH) and serum levels of brain-derived neurotrophic factor (BDNF) in non-proliferative diabetic retinopathy (NPDR) patients with diabetic macular edema (DME).

METHODS

The prospective study consists of 20 patients with DME NPDR, 20 patients with no-DME NPDR, and 20 healthy control subjects. Serum and AH samples were obtained during cataract surgery and intravitreal injection. Serum and AH levels of BDNF were measured by enzyme-linked immunosorbent assay.

RESULTS

The mean serum levels of BDNF were lower in both NPDR groups compared to the control group (DME NPDR group,  = 0.015; no-DME NPDR group,  = 0.024). Furthermore, the mean serum level of BDNF was lower in the DME NPDR group compared to the no-DME NPDR group ( = 0.041). The mean AH levels of BDNF were significantly reduced in both NPDR groups compared to the control group (DME NPDR group,  < 0.001; no-DME NPDR group,  = 0.006). Further, the mean AH level of BDNF was significantly lower in the DME NPDR group compared to the no-DME NPDR group ( = 0.037).

CONCLUSION

Serum and AH levels of BDNF were reduced in NPDR patients with DME than without DME.

摘要

目的

研究糖尿病性黄斑水肿(DME)伴非增生性糖尿病性视网膜病变(NPDR)患者房水中和血清中脑源性神经营养因子(BDNF)的水平。

方法

本前瞻性研究纳入了 20 名 DME-NPDR 患者、20 名无 DME-NPDR 患者和 20 名健康对照者。在白内障手术和玻璃体内注射期间采集血清和房水样本。采用酶联免疫吸附试验测定血清和房水中 BDNF 的水平。

结果

与对照组相比,两组 NPDR 患者的血清 BDNF 平均水平均较低(DME-NPDR 组, = 0.015;无 DME-NPDR 组, = 0.024)。此外,DME-NPDR 组的血清 BDNF 平均水平较无 DME-NPDR 组更低( = 0.041)。与对照组相比,两组 NPDR 患者的房水中 BDNF 平均水平均显著降低(DME-NPDR 组, < 0.001;无 DME-NPDR 组, = 0.006)。此外,DME-NPDR 组的房水中 BDNF 平均水平显著低于无 DME-NPDR 组( = 0.037)。

结论

与无 DME-NPDR 患者相比,DME 伴 NPDR 患者的血清和房水中 BDNF 水平降低。

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