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糖尿病性视网膜病变中的血管生成足迹:药物研发的机遇。

Angiogenic footprints in diabetic retinopathy: opportunities for drug development.

机构信息

Chitkara College of Pharmacy, Chitkara University, Rajpura, India.

Department of Clinical Pharmacy Girls Section, Prince Sattam Bin Abdul Aziz University Alkharj, Alkharj, Saudia Arabia.

出版信息

Biotechnol Genet Eng Rev. 2023 Apr;39(1):118-142. doi: 10.1080/02648725.2022.2102880. Epub 2022 Jul 25.

Abstract

Diabetic retinopathy is one of the withering disorders that has been making the lives of patients miserable. Arising as a result of chronic high blood sugar levels in diabetes patients, retinopathy has become a major reason causing permanent blindness, retinal detachment, vitreous humor, rage, or glaucoma among patients. Angiogenesis being the major culprit behind the development of this condition is the growth of new blood vessels from the earlier ones existing. The abnormal growth and poor development of blood vessels also lead to aggravation of the conditions, with vascular endothelial growth factor (VEGF) playing a major role in the process. Various anti-angiogenic therapies or anti-VEGF therapies are being explored for the treatment of this condition. 4 widely explored drugs being-Bevacizumab, pegaptanib sodium, ranibizumab, and aflibercept. The review article tries to summarize studies illustrating the efficacy of these drugs in the treatment of diabetic retinopathy along with some of the herbal therapeutic paradigms displaying anti-angiogenic action that is being used to treat this condition.

摘要

糖尿病性视网膜病变是一种使人痛苦的进行性疾病。它是由于糖尿病患者的慢性高血糖引起的,已经成为导致患者永久性失明、视网膜脱离、玻璃体出血、狂躁或青光眼的主要原因。新生血管形成是这种疾病发展的主要罪魁祸首,是从早期存在的血管中生长出新的血管。血管内皮生长因子(VEGF)在这个过程中起着重要作用,血管的异常生长和不良发育也导致病情加重。目前正在探索各种抗血管生成疗法或抗 VEGF 疗法来治疗这种疾病。目前正在探索的 4 种广泛的药物为:贝伐单抗、聚乙二醇化阿柏西普、雷珠单抗和阿柏西普。本文综述了一些研究,这些研究说明了这些药物在治疗糖尿病性视网膜病变方面的疗效,以及一些具有抗血管生成作用的草药治疗模式,这些模式被用于治疗这种疾病。

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