Ng Tsz Kin, Chu Kai On, Wang Chi Chiu, Pang Chi Pui
Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou 515041, China.
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Antioxidants (Basel). 2023 Jun 21;12(7):1320. doi: 10.3390/antiox12071320.
Glaucoma is the leading cause of irreversible blindness and visual impairment, affecting more than 80 million individuals worldwide. Oxidative stress and inflammation-induced neurodegenerative insults to retinal ganglion cells are the main pathogenesis of glaucoma. Retinal ganglion cells, the retinal neurons transmitting the visual signals to the visual cortex in the brain, have very limited regeneration or recovery capacity after damages. Apart from intraocular pressure-lowering treatments, there is still no clinically effective treatment to rescue the degeneration of retinal ganglion cells in glaucoma. Dietary antioxidants are easily accessible and can be applied as supplements assisting in the clinical treatments. Catechins, a chemical family of flavonoids, are the phenolic compounds found in many plants, especially in green tea. The anti-oxidative and anti-inflammatory properties of green tea catechins in vitro and in vivo have been well proven. They could be a potential treatment ameliorating retinal ganglion cell degeneration in glaucoma. In this review, the chemistry, pharmacokinetics, and therapeutic properties of green tea catechins were summarized. Research updates on the biological effects of green tea catechins in cellular and animal experimental glaucoma models were reviewed. In addition, clinical potentials of green tea catechins for glaucoma treatment were also highlighted.
青光眼是不可逆性失明和视力损害的主要原因,全球有超过8000万人受其影响。氧化应激和炎症诱导的对视网膜神经节细胞的神经退行性损伤是青光眼的主要发病机制。视网膜神经节细胞是将视觉信号传递到大脑视觉皮层的视网膜神经元,受损后其再生或恢复能力非常有限。除了降低眼压的治疗方法外,目前尚无临床上有效的治疗方法来挽救青光眼患者视网膜神经节细胞的退变。膳食抗氧化剂容易获得,可作为辅助临床治疗的补充剂应用。儿茶素是一类黄酮类化合物,是在许多植物中发现的酚类化合物,尤其是绿茶。绿茶儿茶素在体外和体内的抗氧化和抗炎特性已得到充分证实。它们可能是一种改善青光眼视网膜神经节细胞退变的潜在治疗方法。在这篇综述中,总结了绿茶儿茶素的化学性质、药代动力学和治疗特性。综述了绿茶儿茶素在细胞和动物实验性青光眼模型中的生物学效应的研究进展。此外,还强调了绿茶儿茶素在青光眼治疗中的临床潜力。
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