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从压力到视力:机械力在视网膜疾病中的作用

From stress to sight: The role of mechanical forces in the retinal diseases.

作者信息

Wu Di, Liu Ye, Luo Xiaogang, Zhang Chengshou, Zheng Yifei, Meng Jianfeng, Yang Mei, Bisnauthsing Hemlata, Rao Ping, Ji Baohua, Chu Wai Kit

机构信息

Eye Center, The Second Affiliated Hospital of Zhejiang University School of Medicine; Zhejiang Provincial Key Laboratory of Ophthalmology; Zhejiang Provincial Clinical Research Center for Eye Diseases; Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, China.

Institute of Biomechanics and Applications, Department of Engineering Mechanics, Zhejiang University, Hangzhou, China.

出版信息

Adv Ophthalmol Pract Res. 2025 Apr 15;5(3):157-164. doi: 10.1016/j.aopr.2025.04.002. eCollection 2025 Aug-Sep.

DOI:10.1016/j.aopr.2025.04.002
PMID:40530375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12169738/
Abstract

BACKGROUND

The retina, a light-sensitive neural tissue critical for vision, exists in a dynamic mechanical environment where it is continuously exposed to mechanical forces. These forces, including traction forces, intraocular pressure-related stress, and hemodynamic forces, are closely linked to the progression of retinal diseases. A comprehensive understanding of retinal mechanosensation and mechanotransduction is essential for understanding the pathological mechanisms under aberrant mechanical conditions.

MAIN TEXT

This review synthesizes current knowledge on advanced biomechanical assessment techniques, and aging-associated biomechanical alterations in retinal tissues, emphasizing how mechanical forces drive structural and functional pathology.

CONCLUSIONS

By elucidating the mechanosensitive mechanisms remodeling retinal cell behavior and fate, this review highlights the critical role of biomechanics in retinal disease pathogenesis. The integration of mechanistic insights with biomechanical assessment techniques offers transformative potential for diagnosing mechanical dysfunction and developing mechanotargeted therapies.

摘要

背景

视网膜是一种对视觉至关重要的感光神经组织,存在于动态力学环境中,持续受到机械力作用。这些力包括牵引力、眼内压相关应力和血流动力学力,与视网膜疾病的进展密切相关。全面了解视网膜机械感觉和机械转导对于理解异常机械条件下的病理机制至关重要。

正文

本综述综合了当前关于先进生物力学评估技术以及视网膜组织中与衰老相关的生物力学改变的知识,强调了机械力如何驱动结构和功能病理学。

结论

通过阐明重塑视网膜细胞行为和命运的机械敏感机制,本综述突出了生物力学在视网膜疾病发病机制中的关键作用。将机制见解与生物力学评估技术相结合,为诊断机械功能障碍和开发机械靶向治疗提供了变革潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c269/12169738/3d76403b815d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c269/12169738/95e6b6b08e6b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c269/12169738/3d76403b815d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c269/12169738/95e6b6b08e6b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c269/12169738/3d76403b815d/gr2.jpg

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本文引用的文献

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In-vivo characterization of scleral rigidity in myopic eyes using fundus-pulsation optical coherence elastography.使用眼底搏动光学相干弹性成像技术对近视眼巩膜硬度进行体内特征分析。
Biomed Opt Express. 2024 Apr 29;15(5):3426-3440. doi: 10.1364/BOE.523835. eCollection 2024 May 1.
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Müller glial cells located in the peripheral retina are more susceptible to high pressure: implications for glaucoma.位于视网膜周边的米勒胶质细胞对高压更敏感:对青光眼的影响。
Cell Biosci. 2024 Jan 5;14(1):5. doi: 10.1186/s13578-023-01186-1.
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Differential expression of PIEZO1 and PIEZO2 mechanosensitive channels in ocular tissues implicates diverse functional roles.
PIEZO1 和 PIEZO2 机械敏感通道在眼部组织中的差异表达暗示了其多样化的功能作用。
Exp Eye Res. 2023 Nov;236:109675. doi: 10.1016/j.exer.2023.109675. Epub 2023 Oct 10.
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Lesion detection with fine-grained image categorization for myopic traction maculopathy (MTM) using optical coherence tomography.使用光学相干断层扫描进行近视牵引性黄斑病变(MTM)的细粒度图像分类损伤检测。
Med Phys. 2023 Sep;50(9):5398-5409. doi: 10.1002/mp.16623. Epub 2023 Jul 25.
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The Mechanosensitive Piezo1 Channel Mediates Mechanochemical Transmission in Myopic Eyes.机械敏感 Piezo1 通道介导近视眼中的机械化学传递。
Invest Ophthalmol Vis Sci. 2023 Jun 1;64(7):1. doi: 10.1167/iovs.64.7.1.
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IMI-Nonpathological Human Ocular Tissue Changes With Axial Myopia.轴性近视的非病理性人眼球组织变化。
Invest Ophthalmol Vis Sci. 2023 May 1;64(6):5. doi: 10.1167/iovs.64.6.5.
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