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[关于年龄相关性黄斑变性的炎症起源]

[On the inflammatory origins of AMD].

作者信息

Roubeix Christophe, Sahel José-Alain, Guillonneau Xavier, Delarasse Cécile, Sennlaub Florian

机构信息

Sorbonne Université, Inserm, CNRS, Institut de la vision, 17 rue Moreau, F-75012 Paris, France.

出版信息

Med Sci (Paris). 2020 Oct;36(10):886-892. doi: 10.1051/medsci/2020159. Epub 2020 Oct 7.

Abstract

Age-related macular degeneration (AMD) is a complex, highly heritable, multifactorial disease caused by the interplay of age and genetic and environmental risk factors. No treatment has yet been found to treat the slowly progressing atrophic form of AMD. All forms of AMD are invariably associated with an accumulation of mononuclear phagocytes (MP) in the subretinal space, a family of cells that include inflammatory and resident macrophages. We here present an overview of the inflammatory process occurring in AMD and discuss the origin of MPs and the consequences of their accumulation in the subretinal space. Finally, we will review the role played by the established risk factors for AMD to promote the switch from beneficial inflammation in early stage to a deleterious inflammation in the advanced stage of the disease.

摘要

年龄相关性黄斑变性(AMD)是一种复杂的、高度可遗传的多因素疾病,由年龄与遗传和环境风险因素相互作用引起。目前尚未发现治疗AMD缓慢进展的萎缩型的方法。所有形式的AMD都始终与视网膜下间隙中单核吞噬细胞(MP)的积聚有关,MP是一类包括炎性巨噬细胞和常驻巨噬细胞的细胞家族。我们在此概述AMD中发生的炎症过程,并讨论MP的起源及其在视网膜下间隙积聚的后果。最后,我们将回顾已确定的AMD风险因素在促进疾病早期有益炎症向晚期有害炎症转变中所起的作用。

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