Jiang Qi, Li Zhaohuai, Tao Tianyu, Duan Runping, Wang Xianggui, Su Wenru
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
Eye Center of Xiangya Hospital, Central South University, Changsha, China.
Front Pharmacol. 2021 Nov 2;12:740057. doi: 10.3389/fphar.2021.740057. eCollection 2021.
Uveitis is an inflammation of the iris, ciliary body, vitreous, retina, or choroid, which has been shown to be the first manifestation of numerous systemic diseases. Studies about the immunopathogenesis and treatment of uveitis are helpful to comprehend systemic autoimmune diseases, and delay the progression of systemic autoimmune diseases, respectively. Tumor necrosis factor-alpha (TNF-α), a pleiotropic cytokine, plays a pivotal role in intraocular inflammation based on experimental and clinical data. Evidence of the feasibility of using anti-TNF-α agents for uveitis management has increased. Although there are numerous studies on TNF-α in various autoimmune diseases, the pathological mechanism and research progress of TNF-α in uveitis have not been reviewed. Therefore, the objective of this review is to provide a background on the role of TNF-α in the immunopathogenesis of uveitis, as well as from bench to clinical research progress, to better guide TNF-α-based therapeutics for uveitis.
葡萄膜炎是虹膜、睫状体、玻璃体、视网膜或脉络膜的炎症,已被证明是多种全身性疾病的首发表现。关于葡萄膜炎免疫发病机制和治疗的研究分别有助于理解全身性自身免疫性疾病,并延缓全身性自身免疫性疾病的进展。肿瘤坏死因子-α(TNF-α)是一种多效性细胞因子,基于实验和临床数据,它在眼内炎症中起关键作用。使用抗TNF-α药物治疗葡萄膜炎的可行性证据有所增加。尽管在各种自身免疫性疾病中对TNF-α有大量研究,但TNF-α在葡萄膜炎中的病理机制和研究进展尚未得到综述。因此,本综述的目的是提供TNF-α在葡萄膜炎免疫发病机制中的作用背景,以及从基础研究到临床研究的进展,以更好地指导基于TNF-α的葡萄膜炎治疗。