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维生素E在眼部神经退行性疾病中的分子机制:新证据及治疗意义的最新进展

Molecular Mechanisms of Vitamin E in Ocular Neurodegenerative Disorders: An Update on the Emerging Evidence and Therapeutic Implications.

作者信息

Sadikan Muhammad Zulfiqah, Lambuk Lidawani, Reshidan Nurhidayah, Ahmad Hairi Haryati, Abd Ghapor Afiqq Aiman, Mohamud Rohimah, Abdul Nasir Nurul Alimah

机构信息

Department of Pharmacology, Faculty of Medicine, Manipal University College Malaysia, Melaka, Malaysia.

Department of Immunology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

出版信息

J Ocul Pharmacol Ther. 2025 Apr;41(3):89-100. doi: 10.1089/jop.2024.0125. Epub 2025 Jan 8.

DOI:10.1089/jop.2024.0125
PMID:39778903
Abstract

Vitamin E is renowned for its potent antioxidant properties, crucial for shielding cells against oxidative stress and damage. Deficiency in this vitamin can lead to various health issues, including neurodegenerative diseases, due to its pivotal role in preserving cell membrane integrity and combating cellular oxidative damage. While its importance for overall health, including neurodegeneration, is acknowledged, the specific correlation between vitamin E deficiency and distinct ocular neurodegenerative disorders need to be further explored. This review delves into the molecular mechanisms of vitamin E in ocular neurodegenerative disorders; diabetic retinopathy, age-related macular degeneration, glaucoma, and cataracts, and emphasising the therapeutic implications drawn from existing evidence. Relationship between vitamin E and ocular neurodegenerative disorders is widely researched on, with its primary protective mechanisms attributed to its antioxidant and anti-inflammatory properties. However, studies on the supplementation of vitamin E among human subjects present mixed results, suggesting its complexities and variability depending on factors such as the specific disorder, disease stage, genetic differences, and form of vitamin E utilized. In conclusion, while vitamin E holds promise in mitigating ocular neurodegeneration through its antioxidant and anti-inflammatory properties, its supplementation's efficacy remains nuanced and context dependent. More research works are essential to elucidate its precise role and therapeutic potential in combating various ocular neurodegenerative disorders.

摘要

维生素E以其强大的抗氧化特性而闻名,这对于保护细胞免受氧化应激和损伤至关重要。由于维生素E在维持细胞膜完整性和对抗细胞氧化损伤方面起着关键作用,缺乏这种维生素会导致各种健康问题,包括神经退行性疾病。虽然其对整体健康(包括神经退行性变)的重要性已得到认可,但维生素E缺乏与特定眼部神经退行性疾病之间的具体关联仍需进一步探索。本综述深入探讨了维生素E在眼部神经退行性疾病(糖尿病视网膜病变、年龄相关性黄斑变性、青光眼和白内障)中的分子机制,并强调了现有证据得出的治疗意义。维生素E与眼部神经退行性疾病之间的关系已得到广泛研究,其主要保护机制归因于其抗氧化和抗炎特性。然而,关于人类受试者补充维生素E的研究结果不一,这表明其复杂性和变异性取决于特定疾病、疾病阶段、基因差异以及所使用的维生素E形式等因素。总之,虽然维生素E有望通过其抗氧化和抗炎特性减轻眼部神经退行性变,但其补充剂的疗效仍然细微且取决于具体情况。需要更多的研究工作来阐明其在对抗各种眼部神经退行性疾病中的精确作用和治疗潜力。

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