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白藜芦醇:对眼部健康的潜在治疗作用。

Resveratrol: potential therapeutic effects on ocular health.

作者信息

Biju Bennett Kurien, Andavar Marina

机构信息

Department of Pharmacy Practice, SRM College of Pharmacy, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu, Tamil Nadu, 603 203, India.

出版信息

Inflammopharmacology. 2025 Sep 23. doi: 10.1007/s10787-025-01947-z.

DOI:10.1007/s10787-025-01947-z
PMID:40987979
Abstract

Resveratrol, a polyphenolic compound predominantly found in grapes and red wine, exhibits significant biological activity due to its potent antioxidant and anti-inflammatory properties. Known for its cardioprotective, chemotherapeutic, neuroprotective, and anti-aging effects, resveratrol has garnered attention for its potential in managing age-related ocular diseases, such as glaucoma, cataract, diabetic retinopathy, and macular degeneration-conditions, where oxidative stress and inflammation play central roles in disease progression and vision impairment. Both in vitro and animal studies indicate that resveratrol impacts key biological pathways, including oxidative stress modulation, inflammation reduction, mitochondrial protection, apoptosis regulation, and angiogenesis suppression, which are implicated in the pathology of these ocular conditions. Resveratrol with antioxidant, anti-inflammatory, and anti-angiogenic properties, shows promise in treating ophthalmic diseases by targeting oxidative stress and abnormal angiogenesis, offering a safer, non-invasive alternative to conventional drugs and better scientific validation than herbal remedies. This review synthesizes current research on resveratrol's mechanisms of action, therapeutic potential, and limitations as a treatment for eye disorders, highlighting its promise as a nutritional intervention and areas requiring further exploration.

摘要

白藜芦醇是一种主要存在于葡萄和红酒中的多酚类化合物,因其强大的抗氧化和抗炎特性而具有显著的生物活性。白藜芦醇以其对心脏的保护作用、化疗作用、神经保护作用和抗衰老作用而闻名,它在治疗与年龄相关的眼部疾病方面的潜力已引起关注,如青光眼、白内障、糖尿病视网膜病变和黄斑变性等病症,在这些病症中氧化应激和炎症在疾病进展和视力损害中起核心作用。体外研究和动物研究均表明,白藜芦醇会影响关键的生物途径,包括氧化应激调节、炎症减轻、线粒体保护、细胞凋亡调控和血管生成抑制,这些途径与这些眼部疾病的病理过程有关。具有抗氧化、抗炎和抗血管生成特性的白藜芦醇,通过针对氧化应激和异常血管生成,在治疗眼科疾病方面显示出前景,为传统药物提供了一种更安全、非侵入性的替代方案,并且比草药疗法有更好的科学验证。这篇综述综合了目前关于白藜芦醇作为眼部疾病治疗方法的作用机制、治疗潜力和局限性的研究,强调了其作为营养干预手段的前景以及需要进一步探索的领域。

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本文引用的文献

1
Resveratrol as a Novel Therapeutic Approach for Diabetic Retinopathy: Molecular Mechanisms, Clinical Potential, and Future Challenges.白藜芦醇作为糖尿病视网膜病变的一种新型治疗方法:分子机制、临床潜力及未来挑战
Molecules. 2025 Aug 4;30(15):3262. doi: 10.3390/molecules30153262.
2
Development of a Resveratrol Nanoformulation for the Treatment of Diabetic Retinopathy.用于治疗糖尿病性视网膜病变的白藜芦醇纳米制剂的研发
Materials (Basel). 2024 Mar 20;17(6):1420. doi: 10.3390/ma17061420.
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Maximizing surgical safety: Approaches to prevent intraoperative complications in manual small incision cataract surgery (MSICS).
最大限度地提高手术安全性:预防手动小切口白内障手术(MSICS)中术中并发症的方法。
Indian J Ophthalmol. 2024 Jan 1;72(1):151. doi: 10.4103/IJO.IJO_1710_23. Epub 2023 Dec 22.
4
Antioxidant Nutraceutical Strategies in the Prevention of Oxidative Stress Related Eye Diseases.抗氧化营养策略在预防与氧化应激相关的眼部疾病中的应用。
Nutrients. 2023 May 12;15(10):2283. doi: 10.3390/nu15102283.
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Drug Delivery to the Posterior Segment of the Eye: Biopharmaceutic and Pharmacokinetic Considerations.眼部后段给药:生物药剂学和药代动力学考量
Pharmaceutics. 2020 Mar 16;12(3):269. doi: 10.3390/pharmaceutics12030269.
6
Resveratrol exhibits an effect on attenuating retina inflammatory condition and damage of diabetic retinopathy via PON1.白藜芦醇通过 PON1 对减轻糖尿病视网膜病变的视网膜炎症状态和损伤具有作用。
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7
High mobility group B1 up-regulates angiogenic and fibrogenic factors in human retinal pigment epithelial ARPE-19 cells.高迁移率族蛋白 B1 上调人视网膜色素上皮 ARPE-19 细胞的血管生成和纤维化因子。
Cell Signal. 2017 Dec;40:248-257. doi: 10.1016/j.cellsig.2017.09.019. Epub 2017 Sep 29.
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Resveratrol Inhibits Diabetic-Induced Müller Cells Apoptosis through MicroRNA-29b/Specificity Protein 1 Pathway.白藜芦醇通过 microRNA-29b/特异性蛋白 1 通路抑制糖尿病诱导的 Müller 细胞凋亡。
Mol Neurobiol. 2017 Aug;54(6):4000-4014. doi: 10.1007/s12035-016-9972-5. Epub 2016 Jun 16.
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Protective effects of SIRT1 in patients with proliferative diabetic retinopathy via the inhibition of IL-17 expression.SIRT1通过抑制IL-17表达对增殖性糖尿病视网膜病变患者的保护作用。
Exp Ther Med. 2016 Jan;11(1):257-262. doi: 10.3892/etm.2015.2877. Epub 2015 Nov 18.
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Effect of Resveratrol-Based Nutritional Supplement on Choroidal Thickness: A Pilot Study.基于白藜芦醇的营养补充剂对脉络膜厚度的影响:一项初步研究。
Curr Eye Res. 2016 Oct;41(10):1339-1345. doi: 10.3109/02713683.2015.1119282. Epub 2016 Feb 10.