Soundara Pandi Sudha Priya, Winter Hanagh, Smith Madeleine R, Harkin Kevin, Bojdo James
Medinect Bioservices Ltd., Belfast BT7 1NF, UK.
Wellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast BT9 7BL, UK.
Pharmaceuticals (Basel). 2025 Feb 21;18(3):293. doi: 10.3390/ph18030293.
Retinal models play a pivotal role in translational drug development, bridging preclinical research and therapeutic applications for both ocular and systemic diseases. This review highlights the retina as an ideal organ for studying advanced therapies, thanks to its immune privilege, vascular and neuronal networks, accessibility, and advanced imaging capabilities. Preclinical retinal disease models offer unparalleled insights into inflammation, angiogenesis, fibrosis, and hypoxia, utilizing clinically translatable bioimaging tools like fundoscopy, optical coherence tomography, confocal scanning laser ophthalmoscopy, fluorescein angiography, optokinetic tracking, and electroretinography. These models have driven innovations in anti-inflammatory, anti-angiogenic, and neuroprotective strategies, with broader implications for systemic diseases such as rheumatoid arthritis, Alzheimer's, and fibrosis-related conditions. By emphasizing the integration of the 3Rs principles and novel imaging modalities, this review highlights how retinal research not only enhances therapeutic precision but also minimizes ethical concerns, paving the way for more predictive and human-relevant approaches in drug development.
视网膜模型在转化药物开发中起着关键作用,为眼部和全身性疾病的临床前研究与治疗应用架起了桥梁。本综述强调视网膜是研究先进疗法的理想器官,这得益于其免疫特权、血管和神经网络、可及性以及先进的成像能力。临床前视网膜疾病模型利用检眼镜检查、光学相干断层扫描、共焦扫描激光检眼镜检查、荧光素血管造影、视动跟踪和视网膜电图等临床可转化的生物成像工具,为炎症、血管生成、纤维化和缺氧提供了无与伦比的见解。这些模型推动了抗炎、抗血管生成和神经保护策略的创新,对类风湿性关节炎、阿尔茨海默病和纤维化相关病症等全身性疾病具有更广泛的意义。通过强调3R原则与新型成像方式的整合,本综述突出了视网膜研究不仅提高了治疗精度,还最大限度地减少了伦理问题,为药物开发中更具预测性和与人类相关的方法铺平了道路。