视网膜色素变性中与氧化应激相关的分子机制
Molecular Mechanisms Related to Oxidative Stress in Retinitis Pigmentosa.
作者信息
Gallenga Carla Enrica, Lonardi Maria, Pacetti Sofia, Violanti Sara Silvia, Tassinari Paolo, Di Virgilio Francesco, Tognon Mauro, Perri Paolo
机构信息
Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy.
Department of Specialized Surgery, Section of Ophthalmology, Sant'Anna University Hospital, 44121 Ferrara, Italy.
出版信息
Antioxidants (Basel). 2021 May 26;10(6):848. doi: 10.3390/antiox10060848.
Retinitis pigmentosa (RP) is an inherited retinopathy. Nevertheless, non-genetic biological factors play a central role in its pathogenesis and progression, including inflammation, autophagy and oxidative stress. The retina is particularly affected by oxidative stress due to its high metabolic rate and oxygen consumption as well as photosensitizer molecules inside the photoreceptors being constantly subjected to light/oxidative stress, which induces accumulation of ROS in RPE, caused by damaged photoreceptor's daily recycling. Oxidative DNA damage is a key regulator of microglial activation and photoreceptor degeneration in RP, as well as mutations in endogenous antioxidant pathways involved in DNA repair, oxidative stress protection and activation of antioxidant enzymes (, and genes, respectively). Moreover, exposure to oxidative stress alters the expression of micro-RNA (miRNAs) and of long non-codingRNA (lncRNAs), which might be implicated in RP etiopathogenesis and progression, modifying gene expression and cellular response to oxidative stress. The upregulation of the receptor (P2X7R) also seems to be involved, causing pro-inflammatory cytokines and ROS release by macrophages and microglia, contributing to neuroinflammatory and neurodegenerative progression in RP. The multiple pathways analysed demonstrate that oxidative microglial activation may trigger the vicious cycle of non-resolved neuroinflammation and degeneration, suggesting that microglia may be a key therapy target of oxidative stress in RP.
视网膜色素变性(RP)是一种遗传性视网膜病变。然而,非遗传生物学因素在其发病机制和进展中起着核心作用,包括炎症、自噬和氧化应激。视网膜因其高代谢率和氧消耗,以及光感受器内的光敏剂分子不断受到光/氧化应激的影响而特别容易受到氧化应激的损害,这种应激会导致视网膜色素上皮(RPE)中活性氧(ROS)的积累,这是由受损光感受器的日常循环所引起的。氧化DNA损伤是RP中微胶质细胞激活和光感受器退化的关键调节因子,以及参与DNA修复、氧化应激保护和抗氧化酶激活的内源性抗氧化途径中的突变(分别为 、 和 基因)。此外,暴露于氧化应激会改变微小RNA(miRNA)和长链非编码RNA(lncRNA)的表达,这可能与RP的病因和进展有关,改变基因表达和细胞对氧化应激的反应。 受体(P2X7R)的上调似乎也参与其中,导致巨噬细胞和小胶质细胞释放促炎细胞因子和ROS,促进RP中的神经炎症和神经退行性进展。所分析的多种途径表明,氧化应激引起的微胶质细胞激活可能触发未解决的神经炎症和退化的恶性循环,这表明小胶质细胞可能是RP中氧化应激的关键治疗靶点。