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探索炎症在年龄相关性黄斑变性中的作用:新见解及对未来治疗的启示

Exploring the role of inflammation in age-related macular degeneration: new insights and implications for future therapies.

作者信息

Borodi Paul Gabriel, Slevin Mark

机构信息

Department of Ophthalmology, Dr. Constantin Papilian Military Emergency Hospital, Cluj-Napoca, Romania;

出版信息

Rom J Morphol Embryol. 2025 Jan-Mar;66(1):51-59. doi: 10.47162/RJME.66.1.04.

DOI:10.47162/RJME.66.1.04
PMID:40384191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12236284/
Abstract

The retina consists of one of the body's most delicate organs, being sensitive to various metabolic disturbances, vascular abnormalities and inflammatory processes. Age-related macular degeneration (AMD) impacts millions of people worldwide and represents a notable cause of blindness. Chronic inflammation, implicated in several degenerative diseases including Parkinson's and Alzheimer's diseases, as well as atherosclerosis, has been linked to AMD. Both histopathological and genetic investigations have underscored the immune system's role in AMD progression. The objective of this literature review was to summarize the actual knowledge, identify research gaps and to serve as a basis for future studies regarding the correlations between inflammation and AMD. We conducted a thorough search of the primary databases (Web of Science, Cochrane Library, PubMed/MEDLINE), using keywords such as 'age-related macular degeneration', 'inflammation', 'neurodegeneration', and 'C-reactive protein'. We included systematic reviews and meta-analyses that offer the most relevant results in this research area. We also included the results from recent studies that have not yet been widely approached. Our strategy also consisted of looking for relevant articles in the reference list.

摘要

视网膜是人体最脆弱的器官之一,对各种代谢紊乱、血管异常和炎症过程敏感。年龄相关性黄斑变性(AMD)影响着全球数百万人,是导致失明的一个重要原因。慢性炎症与包括帕金森病和阿尔茨海默病在内的多种退行性疾病以及动脉粥样硬化有关,也与AMD相关。组织病理学和遗传学研究均强调了免疫系统在AMD进展中的作用。这篇文献综述的目的是总结现有知识,找出研究空白,并为未来关于炎症与AMD之间相关性的研究提供基础。我们对主要数据库(科学网、考克兰图书馆、PubMed/MEDLINE)进行了全面检索,使用了“年龄相关性黄斑变性”“炎症”“神经退行性变”和“C反应蛋白”等关键词。我们纳入了该研究领域提供最相关结果的系统评价和荟萃分析。我们还纳入了尚未被广泛探讨的近期研究结果。我们的策略还包括在参考文献列表中查找相关文章。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/19cc551a7840/RJME-66-1-51-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/d1a6530cf490/RJME-66-1-51-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/308783ebe8fb/RJME-66-1-51-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/16e70cb7ea50/RJME-66-1-51-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/dcc21215abd0/RJME-66-1-51-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/19cc551a7840/RJME-66-1-51-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/d1a6530cf490/RJME-66-1-51-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/308783ebe8fb/RJME-66-1-51-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/16e70cb7ea50/RJME-66-1-51-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/dcc21215abd0/RJME-66-1-51-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f9a/12236284/19cc551a7840/RJME-66-1-51-fig5.jpg

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本文引用的文献

1
Increased Systemic C-Reactive Protein Is Associated With Choroidal Thinning in Intermediate Age-Related Macular Degeneration.全身性 C 反应蛋白升高与中老年性黄斑变性的脉络膜变薄有关。
Transl Vis Sci Technol. 2021 Oct 4;10(12):7. doi: 10.1167/tvst.10.12.7.
2
Age-Related Macular Degeneration.年龄相关性黄斑变性。
Med Clin North Am. 2021 May;105(3):473-491. doi: 10.1016/j.mcna.2021.01.003. Epub 2021 Apr 2.
3
Association of Systemic Inflammatory Factors with Progression to Advanced Age-related Macular Degeneration.全身性炎症因子与进展为晚期年龄相关性黄斑变性的相关性。
Ophthalmic Epidemiol. 2022 Apr;29(2):139-148. doi: 10.1080/09286586.2021.1910314. Epub 2021 Apr 8.
4
Retinal layer thicknesses and neurodegeneration in early age-related macular degeneration: insights from the Coimbra Eye Study.早期年龄相关性黄斑变性的视网膜层厚度与神经退行性变:来自科英布拉眼病研究的见解。
Graefes Arch Clin Exp Ophthalmol. 2021 Sep;259(9):2545-2557. doi: 10.1007/s00417-021-05140-0. Epub 2021 Mar 18.
5
Inflammasome Proteins as Inflammatory Biomarkers of Age-Related Macular Degeneration.炎症小体蛋白作为年龄相关性黄斑变性的炎症生物标志物
Transl Vis Sci Technol. 2020 Dec 17;9(13):27. doi: 10.1167/tvst.9.13.27. eCollection 2020 Dec.
6
The Role of Inflammation in Age-Related Macular Degeneration.炎症在年龄相关性黄斑变性中的作用。
Int J Biol Sci. 2020 Sep 23;16(15):2989-3001. doi: 10.7150/ijbs.49890. eCollection 2020.
7
Systemic levels of C-reactive protein in patients with age-related macular degeneration: A systematic review with meta-analyses.年龄相关性黄斑变性患者的 C 反应蛋白系统水平:系统评价与荟萃分析。
Mech Ageing Dev. 2020 Oct;191:111353. doi: 10.1016/j.mad.2020.111353. Epub 2020 Sep 13.
8
Activation of C-reactive protein proinflammatory phenotype in the blood retinal barrier : implications for age-related macular degeneration.C-反应蛋白前炎症表型在血视网膜屏障中的激活:与年龄相关性黄斑变性的关系。
Aging (Albany NY). 2020 Jul 16;12(14):13905-13923. doi: 10.18632/aging.103655.
9
Pathogenic role of human C-reactive protein in diabetic retinopathy.人 C 反应蛋白在糖尿病性视网膜病变中的致病作用。
Clin Sci (Lond). 2020 Jul 17;134(13):1613-1629. doi: 10.1042/CS20200085.
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Association of CRP levels with ARMS2 and CFH variants in age-related macular degeneration.C-反应蛋白水平与年龄相关性黄斑变性中 ARMS2 和 CFH 变异的关联。
Int Ophthalmol. 2020 Oct;40(10):2735-2742. doi: 10.1007/s10792-020-01460-y. Epub 2020 Jun 7.