Vofo Brice Nguedia, Chowers Itay
Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel.
Biomedicines. 2023 May 27;11(6):1562. doi: 10.3390/biomedicines11061562.
Diabetic retinopathy (DR) and age-related macular degeneration (AMD) are major causes of blindness globally. The primary treatment option for DME and neovascular AMD (nAMD) is anti-vascular endothelial growth factor (VEGF) compounds, but this treatment modality often yields insufficient results, and monthly injections can place a burden on the health system and patients. Although various inflammatory pathways and mediators have been recognized as key players in the development of DR and AMD, there are limited treatment options targeting these pathways. Molecular pathways that are interlinked, or triggers of multiple inflammatory pathways, could be promising targets for drug development. This review focuses on the role of inflammation in the pathogenesis of DME and AMD and presents current anti-inflammatory compounds, as well as a potential multitarget anti-inflammatory compound (dazdotuftide) that could be a candidate treatment option for the management of DME and AMD.
糖尿病性视网膜病变(DR)和年龄相关性黄斑变性(AMD)是全球失明的主要原因。糖尿病性黄斑水肿(DME)和新生血管性AMD(nAMD)的主要治疗选择是抗血管内皮生长因子(VEGF)化合物,但这种治疗方式往往效果不佳,且每月注射会给卫生系统和患者带来负担。尽管各种炎症途径和介质已被认为是DR和AMD发病机制中的关键因素,但针对这些途径的治疗选择有限。相互关联的分子途径或多种炎症途径的触发因素可能是药物开发的有前景的靶点。本综述重点关注炎症在DME和AMD发病机制中的作用,并介绍了当前的抗炎化合物,以及一种潜在的多靶点抗炎化合物(达佐妥肽),它可能是治疗DME和AMD的候选治疗选择。