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治疗糖尿病视网膜病变和年龄相关性黄斑变性的新型治疗方法。

Novel Therapeutic Approaches for Treatment of Diabetic Retinopathy and Age-Related Macular Degeneration.

作者信息

Lee Deokho, Kim Soo Jin, Lee Junyeop

机构信息

Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea.

出版信息

Vision (Basel). 2025 Apr 17;9(2):35. doi: 10.3390/vision9020035.

Abstract

Retina, a light-sensitive layer of tissue of the eye, requires high levels of oxygen for its physiology. Retinal ischemia occurs due to inadequate supply of blood to the retina and choroid. Retinal ischemia is implicated in the development or progression of many ocular diseases, such as diabetic retinopathy (DR) and age-related macular degeneration (AMD). To date, anti-vascular endothelial growth factor (VEGF) treatment has been widely used to manage neovascular diseases associated with retinal ischemia. Nonetheless, a substantial number of patients with DR or AMD still suffer from incomplete response and adverse effects related to its therapy with limitations. Therefore, research scientists have been developing and finding novel treatments to protect against or prevent vision loss in those diseases. In this review article, we summarize the recent novel therapeutic approaches for the treatment of ischemic retinopathy (e.g., cell therapy, advanced molecular targeting, or drug delivery). This summary enables further research to obtain more solid evidence of novel effective drug development in retinal ischemic diseases.

摘要

视网膜是眼睛的一层感光组织,其生理功能需要高水平的氧气。视网膜缺血是由于视网膜和脉络膜的血液供应不足所致。视网膜缺血与许多眼部疾病的发生或进展有关,如糖尿病视网膜病变(DR)和年龄相关性黄斑变性(AMD)。迄今为止,抗血管内皮生长因子(VEGF)治疗已被广泛用于治疗与视网膜缺血相关的新生血管疾病。然而,相当数量的DR或AMD患者仍存在治疗反应不完全以及与其治疗相关的不良反应和局限性。因此,研究科学家们一直在开发和寻找新的治疗方法,以预防或防止这些疾病导致的视力丧失。在这篇综述文章中,我们总结了近期治疗缺血性视网膜病变的新型治疗方法(如细胞治疗、先进的分子靶向治疗或药物递送)。这一总结有助于进一步的研究,以获得更多关于视网膜缺血性疾病新型有效药物开发的确凿证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5c/12015909/34992b3ffe3d/vision-09-00035-g001.jpg

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