糖尿病视网膜病变:从动物模型到细胞信号转导。
Diabetic Retinopathy: From Animal Models to Cellular Signaling.
机构信息
Department of Ophthalmology, Baylor College of Medicine, Houston, TX 77030, USA.
Department of Optometry and Vision Science, School of Optometry, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
出版信息
Int J Mol Sci. 2022 Jan 27;23(3):1487. doi: 10.3390/ijms23031487.
Diabetic retinopathy (DR) is an ocular complication of diabetes mellitus (DM), a metabolic disorder characterized by elevation in blood glucose level. The pathogenesis of DR includes vascular, neuronal, and inflammatory components leading to activation of complex cellular molecular signaling. If untreated, the disease can culminate in vision loss that eventually leads to blindness. Animal models mimicking different aspects of DM complications have been developed to study the development and progression of DR. Despite the significant contribution of the developed DR models to discovering the mechanisms of DR and the recent achievements in the research field, the sequence of cellular events in diabetic retinas is still under investigation. Partially, this is due to the complexity of molecular mechanisms, although the lack of availability of models that adequately mimic all the neurovascular pathobiological features observed in patients has also contributed to the delay in determining a precise molecular trigger. In this review, we provide an update on the status of animal models of DR to help investigators choose an appropriate system to validate their hypothesis. We also discuss the key cellular and physiological events of DR in these models.
糖尿病视网膜病变(DR)是糖尿病(DM)的一种眼部并发症,是一种以血糖水平升高为特征的代谢紊乱。DR 的发病机制包括血管、神经元和炎症成分,导致复杂的细胞分子信号激活。如果不治疗,疾病最终会导致视力丧失,最终导致失明。已经开发出模拟 DM 并发症不同方面的动物模型,以研究 DR 的发展和进展。尽管开发的 DR 模型对发现 DR 的机制以及该研究领域的最新成果做出了重大贡献,但糖尿病视网膜中的细胞事件序列仍在研究中。部分原因是分子机制的复杂性,尽管缺乏能够充分模拟患者中观察到的所有神经血管病理生物学特征的模型,这也导致确定精确的分子触发因素的时间延迟。在这篇综述中,我们提供了 DR 动物模型的最新现状,以帮助研究人员选择合适的系统来验证他们的假设。我们还讨论了这些模型中 DR 的关键细胞和生理事件。