炎症在视网膜神经退行性变和退行性疾病中的作用。
The Role of Inflammation in Retinal Neurodegeneration and Degenerative Diseases.
机构信息
Integrative Biosciences Center, Wayne State University, Detroit, MI 48202, USA.
Department of Ophthalmology, Visual and Anatomical Sciences, Wayne State University School of Medicine, Detroit, MI 48202, USA.
出版信息
Int J Mol Sci. 2021 Dec 30;23(1):386. doi: 10.3390/ijms23010386.
Retinal neurodegeneration is predominantly reported as the apoptosis or impaired function of the photoreceptors. Retinal degeneration is a major causative factor of irreversible vision loss leading to blindness. In recent years, retinal degenerative diseases have been investigated and many genes and genetic defects have been elucidated by many of the causative factors. An enormous amount of research has been performed to determine the pathogenesis of retinal degenerative conditions and to formulate the treatment modalities that are the critical requirements in this current scenario. Encouraging results have been obtained using gene therapy. We provide a narrative review of the various studies performed to date on the role of inflammation in human retinal degenerative diseases such as age-related macular degeneration, inherited retinal dystrophies, retinitis pigmentosa, Stargardt macular dystrophy, and Leber congenital amaurosis. In addition, we have highlighted the pivotal role of various inflammatory mechanisms in the progress of retinal degeneration. This review also offers an assessment of various therapeutic approaches, including gene-therapies and stem-cell-based therapies, for degenerative retinal diseases.
视网膜神经退行性变主要表现为光感受器的凋亡或功能障碍。视网膜变性是导致不可逆视力丧失和失明的主要原因。近年来,许多研究已经对视网膜退行性疾病进行了研究,并阐明了许多致病因素。为了确定视网膜退行性疾病的发病机制并制定治疗方法,已经进行了大量的研究,这是当前情况下的关键需求。基因治疗已经取得了令人鼓舞的结果。我们对迄今为止在人类视网膜退行性疾病(如年龄相关性黄斑变性、遗传性视网膜营养不良、色素性视网膜炎、斯塔加特黄斑营养不良和莱伯先天性黑蒙)中炎症作用的各种研究进行了叙述性综述。此外,我们还强调了各种炎症机制在视网膜变性进展中的关键作用。这篇综述还评估了各种治疗方法,包括基因治疗和基于干细胞的治疗,用于退行性视网膜疾病。