文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

干性和湿性年龄相关性黄斑变性的不同治疗方法。

Different Therapeutic Approaches for Dry and Wet AMD.

作者信息

Marchesi Nicoletta, Capierri Martina, Pascale Alessia, Barbieri Annalisa

机构信息

Department of Drug Sciences, Section of Pharmacology, University of Pavia, 27100 Pavia, Italy.

出版信息

Int J Mol Sci. 2024 Dec 4;25(23):13053. doi: 10.3390/ijms252313053.


DOI:10.3390/ijms252313053
PMID:39684764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11641571/
Abstract

Age-related macular degeneration (AMD) is the most common cause of irreversible loss of central vision in elderly subjects, affecting men and women equally. It is a degenerative pathology that causes progressive damage to the macula, the central and most vital part of the retina. There are two forms of AMD depending on how the macula is damaged, dry AMD and wet or neovascular AMD. Dry AMD is the most common form; waste materials accumulate under the retina as old cells die, not being replaced. Wet AMD is less common, but can lead to vision loss much more quickly. Wet AMD is characterized by new abnormal blood vessels developing under the macula, where they do not normally grow. This frequently occurs in patients who already have dry AMD, as new blood vessels are developed to try to solve the problem. It is not known what causes AMD to develop; however, certain risk factors (i.e., age, smoking, genetic factors) can increase the risk of developing AMD. There are currently no treatments for dry AMD. There is evidence that not smoking, exercising regularly, eating nutritious food, and taking certain supplements can reduce the risk of acquiring AMD or slow its development. The main treatment for wet AMD is inhibitors of VEGF (vascular endothelial growth factor), a protein that stimulates the growth of new blood vessels. VEGF inhibitors can stop the growth of new blood vessels, preventing further damage to the macula and vision loss. In most patients, VEGF inhibitors can improve vision if macular degeneration is diagnosed early and treated accordingly. However, VEGF inhibitors cannot repair damage that has already occurred. Current AMD research is trying to find treatments for dry AMD and other options for wet AMD. This review provides a summary of the current evidence regarding the different treatments aimed at both forms of AMD with particular and greater attention to the dry form.

摘要

年龄相关性黄斑变性(AMD)是老年人群不可逆性中心视力丧失的最常见原因,对男性和女性的影响相同。它是一种退行性病变,会对黄斑(视网膜的中心且最重要的部分)造成渐进性损害。根据黄斑受损方式的不同,AMD有两种形式,干性AMD和湿性或新生血管性AMD。干性AMD是最常见的形式;随着旧细胞死亡,视网膜下会堆积废物,且这些废物无法得到替换。湿性AMD不太常见,但会更快导致视力丧失。湿性AMD的特征是黄斑下出现异常的新生血管,而这些血管在正常情况下不会生长。这种情况经常发生在已经患有干性AMD的患者身上,因为会形成新的血管来试图解决问题。目前尚不清楚AMD的发病原因;然而,某些风险因素(如年龄、吸烟、遗传因素)会增加患AMD的风险。目前干性AMD尚无治疗方法。有证据表明,不吸烟、定期锻炼、食用营养丰富的食物以及服用某些补充剂可以降低患AMD的风险或减缓其发展。湿性AMD的主要治疗方法是使用VEGF(血管内皮生长因子)抑制剂,VEGF是一种刺激新血管生长的蛋白质。VEGF抑制剂可以阻止新血管的生长,防止黄斑进一步受损和视力丧失。在大多数患者中,如果黄斑变性能早期诊断并得到相应治疗,VEGF抑制剂可以改善视力。然而,VEGF抑制剂无法修复已经发生的损伤。目前针对AMD的研究正在努力寻找干性AMD的治疗方法以及湿性AMD的其他治疗选择。这篇综述总结了目前针对两种形式AMD的不同治疗方法的现有证据,尤其更加关注干性AMD。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/904f/11641571/e7787668cfe6/ijms-25-13053-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/904f/11641571/e7787668cfe6/ijms-25-13053-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/904f/11641571/e7787668cfe6/ijms-25-13053-g001.jpg

相似文献

[1]
Different Therapeutic Approaches for Dry and Wet AMD.

Int J Mol Sci. 2024-12-4

[2]
Recent Developments in the Treatment of Wet Age-related Macular Degeneration.

Curr Med Sci. 2020-10

[3]
Novel and investigational therapies for wet and dry age-related macular degeneration.

Drug Discov Today. 2022-8

[4]
Treatments for dry age-related macular degeneration: therapeutic avenues, clinical trials and future directions.

Br J Ophthalmol. 2022-3

[5]
A New Generation of Gene Therapies as the Future of Wet AMD Treatment.

Int J Mol Sci. 2024-2-17

[6]
AMD--the retinal disease with an unprecised etiopathogenesis: in search of effective therapeutics.

Acta Pol Pharm. 2014

[7]
Pegaptanib for wet macular degeneration.

Drugs Today (Barc). 2005-11

[8]
Advancements in the treatment of age-related macular degeneration: a comprehensive review.

Postgrad Med J. 2024-6-28

[9]
Glaucoma Tube Outcomes with and without Anti-VEGF in Patients with Age-related Macular Degeneration.

Ophthalmol Glaucoma. 2024

[10]
Age-Related Macular Degeneration: A Review.

JAMA. 2024-1-9

引用本文的文献

[1]
The Supportive Role of Plant-Based Substances in AMD Treatment and Their Potential.

Int J Mol Sci. 2025-8-16

[2]
Sialylation as a checkpoint for inflammatory and complement-related retinal diseases.

Front Cell Neurosci. 2025-6-27

[3]
Restoring Glutathione Homeostasis in Glycation-Related Eye Diseases: Mechanistic Insights and Therapeutic Interventions Beyond VEGF Inhibition.

Antioxidants (Basel). 2025-6-14

[4]
Clinical Applications of the Cone Contrast Test in Ophthalmology and Neurology.

J Clin Med. 2025-4-29

[5]
The effect of a specific vitamin supplement containing L-methylfolate (Ocufolin forte) in patients with neovascular age-related macular degeneration.

Adv Ophthalmol Pract Res. 2025-3-4

[6]
Evidence for a Functional Link Between the Nrf2 Signalling Pathway and Cytoprotective Effect of S-Petasin in Human Retinal Pigment Epithelium Cells Exposed to Oxidative Stress.

Antioxidants (Basel). 2025-2-4

[7]
Antioxidants in Age-Related Macular Degeneration: Lights and Shadows.

Antioxidants (Basel). 2025-1-27

本文引用的文献

[1]
VEGF and ELAVL1/HuR protein levels are increased in dry and wet AMD patients. A new tile in the pathophysiologic mechanisms underlying RPE degeneration?

Pharmacol Res. 2024-10

[2]
Fibrosis in age-related neovascular macular degeneration in the anti-VEGF era.

Eye (Lond). 2024-12

[3]
Association between fatty acid intake and age-related macular degeneration: a meta-analysis.

Front Nutr. 2024-6-26

[4]
Immunogenetic and Environmental Factors in Age-Related Macular Disease.

Int J Mol Sci. 2024-6-14

[5]
Gene therapy for neovascular age-related macular degeneration by subretinal delivery of RGX-314: a phase 1/2a dose-escalation study.

Lancet. 2024-4-20

[6]
Saffron therapy for the ongoing treatment of age-related macular degeneration.

BMJ Open Ophthalmol. 2024-3-13

[7]
Age-Related Macular Degeneration: A Review.

JAMA. 2024-1-9

[8]
Safety and efficacy of ixoberogene soroparvovec in neovascular age-related macular degeneration in the United States (OPTIC): a prospective, two-year, multicentre phase 1 study.

EClinicalMedicine. 2023-12-22

[9]
Pegcetacoplan for the treatment of geographic atrophy secondary to age-related macular degeneration (OAKS and DERBY): two multicentre, randomised, double-masked, sham-controlled, phase 3 trials.

Lancet. 2023-10-21

[10]
Small-Molecule Drug Repurposing for Counteracting Phototoxic A2E Aggregation.

ACS Chem Biol. 2023-10-20

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索