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感染因子会在年龄相关性黄斑变性的发病中起作用吗?一项范围综述。

Could Infectious Agents Play a Role in the Onset of Age-related Macular Degeneration? A Scoping Review.

作者信息

Larsen Petra P, Dinet Virginie, Delcourt Cécile, Helmer Catherine, Linard Morgane

机构信息

University of Bordeaux, INSERM, BPH, U1219, Bordeaux, France.

INSERM, Biologie des Maladies Cardiovasculaires, U1034, University of Bordeaux, Pessac, France.

出版信息

Ophthalmol Sci. 2024 Nov 30;5(2):100668. doi: 10.1016/j.xops.2024.100668. eCollection 2025 Mar-Apr.


DOI:10.1016/j.xops.2024.100668
PMID:39906411
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11791433/
Abstract

TOPIC: This scoping review aims to summarize the current state of knowledge on the potential involvement of infections in age-related macular degeneration (AMD). CLINICAL RELEVANCE: Age-related macular degeneration is a multifactorial disease and the leading cause of vision loss among older adults in developed countries. Clarifying whether certain infections participate in its onset or progression seems essential, given the potential implications for treatment and prevention. METHODS: Using the PubMed database, we searched for articles in English, published until June 1, 2023, whose title and/or abstract contained terms related to AMD and infections. All types of study design, infectious agents, AMD diagnostic methods, and AMD stages were considered. Articles dealing with the oral and gut microbiota were not included but we provide a brief summary of high-quality literature reviews recently published on the subject. RESULTS: Two investigators independently screened the 868 articles obtained by our algorithm and the reference lists of selected studies. In total, 40 articles were included, among which 30 on human data, 9 animal studies, 6 in vitro experiments, and 1 hypothesis paper (sometimes with several data types in the same article). Of these, 27 studies were published after 2010, highlighting a growing interest in recent years. A wide range of infectious agents has been investigated, including various microbiota (nasal, pharyngeal), 8 bacteria, 6 viral species, and 1 yeast. Among them, most have been investigated anecdotally. Only , , and hepatitis B virus received more attention with 17, 6, and 4 studies, respectively. Numerous potential pathophysiological mechanisms have been discussed, including (1) an indirect role of infectious agents (i.e. a role of infections located distant from the eye, mainly through their interactions with the immune system) and (2) a direct role of some infectious agents implying potential infection of various cells types within AMD-related tissues. CONCLUSIONS: Overall, this review highlights the diversity of possible interactions between infectious agents and AMD and suggests avenues of research to enrich the data currently available, which provide an insufficient level of evidence to conclude whether or not infectious agents are involved in this pathology. FINANCIAL DISCLOSURES: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

摘要

主题:本综述旨在总结目前关于感染在年龄相关性黄斑变性(AMD)中潜在作用的知识现状。 临床相关性:年龄相关性黄斑变性是一种多因素疾病,是发达国家老年人视力丧失的主要原因。鉴于其对治疗和预防的潜在影响,明确某些感染是否参与其发病或进展似乎至关重要。 方法:利用PubMed数据库,我们检索了截至2023年6月1日发表的英文文章,其标题和/或摘要包含与AMD和感染相关的术语。考虑了所有类型的研究设计、感染因子、AMD诊断方法和AMD阶段。涉及口腔和肠道微生物群的文章未被纳入,但我们提供了最近发表的关于该主题的高质量文献综述的简要总结。 结果:两名研究人员独立筛选了我们的算法获得的868篇文章以及所选研究的参考文献列表。总共纳入了40篇文章,其中30篇基于人类数据,9篇动物研究,6篇体外实验,1篇假说论文(同一篇文章中有时包含几种数据类型)。其中,27项研究发表于2010年之后,突出了近年来人们对该领域的兴趣日益增加。已对多种感染因子进行了研究,包括各种微生物群(鼻腔、咽部)、8种细菌、6种病毒和1种酵母。其中,大多数是零星研究。只有[具体感染因子1]、[具体感染因子2]和乙型肝炎病毒受到了更多关注,分别有17项、6项和4项研究。讨论了许多潜在的病理生理机制,包括(1)感染因子的间接作用(即远离眼睛的感染的作用,主要通过它们与免疫系统的相互作用)和(2)一些感染因子的直接作用,这意味着AMD相关组织内各种细胞类型可能受到感染。 结论:总体而言,本综述强调了感染因子与AMD之间可能相互作用的多样性,并提出了研究途径以丰富现有数据,目前这些数据提供的证据水平不足以得出感染因子是否参与这种病理过程的结论。 财务披露:专有或商业披露信息可在本文末尾的脚注和披露中找到。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c22/11791433/40b83896bd1f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c22/11791433/69052e179a33/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c22/11791433/40b83896bd1f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c22/11791433/69052e179a33/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c22/11791433/40b83896bd1f/gr2.jpg

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引用本文的文献

[1]
HSV-1 Infection in Retinal Pigment Epithelial Cells: A Possible Contribution to Age-Related Macular Degeneration.

Viruses. 2025-7-29

本文引用的文献

[1]
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

[2]
Metagenomic Sequencing Analysis Identifies Cross-Cohort Gut Microbial Signatures Associated With Age-Related Macular Degeneration.

Invest Ophthalmol Vis Sci. 2023-5-1

[3]
The Emerging Role of Gut Microbiota in Age-Related Macular Degeneration.

Am J Pathol. 2023-11

[4]
Alterations of the intestinal microbiota in age-related macular degeneration.

Front Microbiol. 2023-4-5

[5]
Transcriptome Analysis of Retinal and Choroidal Pathologies in Aged BALB/c Mice Following Systemic Neonatal Murine Cytomegalovirus Infection.

Int J Mol Sci. 2023-2-21

[6]
Early-life peripheral infections reprogram retinal microglia and aggravate neovascular age-related macular degeneration in later life.

J Clin Invest. 2023-2-15

[7]
Systemic Lipopolysaccharide Exposure Exacerbates Choroidal Neovascularization in Mice.

Ocul Immunol Inflamm. 2024-1

[8]
The role of the gut microbiome in eye diseases.

Prog Retin Eye Res. 2023-1

[9]
Inside out: Relations between the microbiome, nutrition, and eye health.

Exp Eye Res. 2022-11

[10]
Do Oral Pathogens Inhabit the Eye and Play a Role in Ocular Diseases?

J Clin Med. 2022-5-23

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