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视网膜前膜患者的氧化应激。

oxidative stress in patients with epiretinal membrane.

机构信息

Department of Ophthalmology, Professor K. Gibinski University Clinical Center, Medical University of Silesia, Katowice, Poland.

Department of Biochemistry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Zabrze, Poland.

出版信息

Acta Biochim Pol. 2024 Oct 18;71:13581. doi: 10.3389/abp.2024.13581. eCollection 2024.

DOI:10.3389/abp.2024.13581
PMID:39494364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11528693/
Abstract

CONTEXT

Oxidative stress is an important factor for vitreomacular interface disease development in a theoretical model.

PURPOSE

The aim of the study was to evaluate the correlation between oxidative stress in the human epiretinal membrane (ERM) and retinal morphological changes.

MATERIAL AND METHODS

The study included patients scheduled for vitrectomy with epiretinal membrane removal. LogMAR best corrected visual acuity was assessed and optical coherence tomography was performed. Patients were divided into three groups: Type 1 - epiretinal membrane with premacular fibrosis; type 2 - epiretinal membrane with co-existing layer hole; and type 3 - ERM with co-existing full-thickness macular hole. During vitrectomy, epiretinal membranes were collected. Total oxidant status was determined by an automated colorimetric method in homogenates of epiretinal membrane.

STATISTICAL ANALYSIS

The Mann-Whitney U test, Kruskal-Wallis test and Spearman linear correlation analysis were used. Statistical significance was set with a level of α = 0.05.

RESULTS

Twenty-one Caucasian women (60%) and 14 men (40%) were included in the study. The average age of participants was 74.7 years (95% CI: 71.13-75.45). The mean best corrected visual acuity LogMAR value in the group was 0.8 (95% CI: 0.9-0.7). The mean ratio of total oxidant status to protein level in the collected samples was 0.161 (95% CI: 0.08-0.23) µmol/mg of protein. No correlation was found between total oxidant status and the degree of morphological retinal changes.

CONCLUSION

The study found no significant correlation between the level of oxidative stress in epiretinal membrane and retinal morphological changes.

摘要

背景

在理论模型中,氧化应激是玻璃体黄斑界面疾病发展的一个重要因素。

目的

本研究旨在评估人视网膜内表面膜(ERM)中的氧化应激与视网膜形态变化之间的相关性。

材料和方法

该研究纳入了计划接受玻璃体切除术和视网膜内表面膜切除的患者。评估最佳矫正视力对数视力(LogMAR),并进行光学相干断层扫描(OCT)。患者分为三组:1 型 - 黄斑前膜伴纤维增生;2 型 - 黄斑前膜伴层间孔并存;3 型 - ERM 伴全层黄斑孔并存。在玻璃体切除术中,收集视网膜内表面膜。通过自动比色法在视网膜内表面膜匀浆中测定总氧化剂状态。

统计学分析

采用 Mann-Whitney U 检验、Kruskal-Wallis 检验和 Spearman 线性相关分析。统计学意义设定为 α = 0.05。

结果

本研究纳入 21 名白种女性(60%)和 14 名男性(40%)。参与者的平均年龄为 74.7 岁(95%可信区间:71.13-75.45)。该组平均最佳矫正视力 LogMAR 值为 0.8(95%可信区间:0.9-0.7)。收集样本中总氧化剂状态与蛋白质水平的比值平均为 0.161(95%可信区间:0.08-0.23)µmol/mg 蛋白质。未发现总氧化剂状态与视网膜形态变化程度之间存在相关性。

结论

本研究未发现视网膜内表面膜中氧化应激水平与视网膜形态变化之间存在显著相关性。

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本文引用的文献

1
Outer Retinal Oxidative Stress Measured In Vivo Using QUEnch-assiSTed (QUEST) OCT.使用 QUEnch-assiSTed(QUEST)OCT 体内测量外视网膜氧化应激。
Invest Ophthalmol Vis Sci. 2019 Apr 1;60(5):1566-1570. doi: 10.1167/iovs.18-26164.
2
Extracellular superoxide dismutase (SOD3) regulates oxidative stress at the vitreoretinal interface.细胞外超氧化物歧化酶(SOD3)可调节玻璃体视网膜界面的氧化应激。
Free Radic Biol Med. 2018 Aug 20;124:408-419. doi: 10.1016/j.freeradbiomed.2018.06.024. Epub 2018 Jun 22.
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Oxidant-Antioxidant Balance in the Aqueous Humor of Patients with Retinal Vein Occlusion.视网膜静脉阻塞患者房水中的氧化应激-抗氧化平衡
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Prevalence and risk factors of epiretinal membranes: a systematic review and meta-analysis of population-based studies.视网膜前膜的患病率及危险因素:基于人群研究的系统评价与Meta分析
BMJ Open. 2017 Sep 25;7(9):e014644. doi: 10.1136/bmjopen-2016-014644.
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Epiretinal membrane: optical coherence tomography-based diagnosis and classification.视网膜前膜:基于光学相干断层扫描的诊断与分类
Clin Ophthalmol. 2016 Mar 29;10:527-34. doi: 10.2147/OPTH.S97722. eCollection 2016.
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Oxidative stress in the red blood cells of patients with primary open-angle glaucoma.原发性开角型青光眼患者红细胞中的氧化应激
Clin Hemorheol Microcirc. 2016 Jan 27;62(4):369-78. doi: 10.3233/CH-152029.
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Assessment of retinal pigment epithelial cells in epiretinal membrane formation.视网膜前膜形成中视网膜色素上皮细胞的评估。
J Chin Med Assoc. 2015 Jun;78(6):370-3. doi: 10.1016/j.jcma.2015.01.003. Epub 2015 Feb 20.
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A two-year follow-up of oral antioxidant supplementation in primary open-angle glaucoma: an open-label, randomized, controlled trial.原发性开角型青光眼口服抗氧化剂补充剂的两年随访:一项开放标签、随机、对照试验。
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