Department of Immunology, School of Medicine, Nantong University, 19 Qixiu Road, Nantong, Jiangsu, 226001, China.
Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, 1 East Jianshe Road, Zhengzhou, 450052, China.
Exp Eye Res. 2021 Jul;208:108618. doi: 10.1016/j.exer.2021.108618. Epub 2021 May 11.
Uveitis is a diverse group of sight-threatening intraocular inflammatory diseases usually causing eye redness, pain, blurred vision, and sometimes blindness. Although the exact pathogenesis of uveitis is not yet clear, accumulating evidences have shown that an imbalanced regulation of immune responses caused by a combination of genetic and environmental factors are implicated in the pathogenesis of this disease. As critical regulators of inflammation, inflammasomes have been assumed to play a role in the pathogenesis of uveitis. Recent studies have reported the association between a number of genetic variants in inflammasome related genes (such as NLRP3, NLRP1, NLRC4 and AIM2) with increased risk to uveitis. Mounting evidence have shown an aberrant activation of the NLRP3 inflammasome in both uveitis patients and murine models of uveitis. Some studies explored the intervention of uveitis via modulating inflammasome activity in the eye. This review aims at summarizing the main findings of these studies, proposing the possible mechanism whereby inflammasomes affect the susceptibility to develop uveitis, and giving a perspective for future studies, which may further improve our understanding about the role of inflammasomes and related cytokines in the pathogenesis of uveitis, and may hopefully lead to new therapeutics by targeting inflammasomes.
葡萄膜炎是一组威胁视力的眼内炎症性疾病,通常导致眼红、疼痛、视力模糊,有时甚至失明。尽管葡萄膜炎的确切发病机制尚不清楚,但越来越多的证据表明,遗传和环境因素共同导致的免疫反应失衡与这种疾病的发病机制有关。作为炎症的关键调节因子,炎症小体被认为在葡萄膜炎的发病机制中发挥作用。最近的研究报告了一些与炎症小体相关基因(如 NLRP3、NLRP1、NLRC4 和 AIM2)中的遗传变异与葡萄膜炎风险增加之间的关联。越来越多的证据表明,NLRP3 炎症小体在葡萄膜炎患者和葡萄膜炎小鼠模型中均存在异常激活。一些研究通过调节眼部炎症小体活性来探索葡萄膜炎的干预措施。本综述旨在总结这些研究的主要发现,提出炎症小体影响发生葡萄膜炎易感性的可能机制,并为未来的研究提供展望,这可能有助于进一步了解炎症小体及其相关细胞因子在葡萄膜炎发病机制中的作用,并可能通过靶向炎症小体为治疗提供新策略。