首页|氧化应激在糖尿病视网膜神经变性中的作用机制与潜在治疗的研究进展

氧化应激在糖尿病视网膜神经变性中的作用机制与潜在治疗的研究进展

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糖尿病视网膜神经变性是糖尿病导致的严重并发症,表现为神经细胞凋亡和胶质增生,其发病机制与机体高糖水平诱发的氧化应激反应密切相关。机体血糖升高造成活性氧生成过多、抗氧化防御信号通路下调导致机体发生氧化应激,进而诱导细胞凋亡、线粒体损伤及自噬等机制导致糖尿病视网膜神经变性。通过基因疗法、黄酮类化合物、重组Ad-β-连环蛋白载体以及自噬诱导剂进行抗氧化应激治疗,从而发挥神经保护作用。未来需更多临床试验探索药物有效剂量及副作用,开发针对氧化应激的新药物和治疗策略,以预防和治疗糖尿病视网膜神经变性,以保护视网膜神经功能。
Research progress on the mechanism and potential treatment of oxidative stress in diabetic retinal neurodegeneration
Diabetic retinal neurodegeneration is a serious complication of diabetes mellitus,manifested by apoptosis and gliosis,and its pathogenesis is closely related to the oxidative stress induced by high glucose levels.The increase in blood glucose in the body leads to excessive production of reactive oxygen species and the downregulation of antioxidant defense signaling pathways,which leads to oxidative stress in the body,which in turn induces apoptosis,mitochondrial damage and autophagy,resulting in diabetic retinal neurodegeneration.Antioxidant stress therapy with gene therapy,flavonoids,recombinant Ad-β-catenin carriers,and autophagy inducers to exert neuroprotective effects.In the future,more clinical trials are needed to explore the effective dosage and side effects of drugs,and to develop new drugs and treatment strategies for oxidative stress to prevent and treat diabetic retinal neurodegeneration and protect retinal nerve function.

Diabetic retinopathyDiabetic retinal neurodegenerationOxidative stressRetinal neurovascular unitReview

王嘉鹏、罗向霞、庄家圆、郭琬盈、吴雨桐、代明丽

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甘肃中医药大学中医临床学院,兰州 730000

甘肃省中医院眼科,兰州 730050

糖尿病视网膜病变 糖尿病视网膜神经变性 氧化应激 视网膜神经血管单元 综述

国家自然科学基金

82360955

2024

中华眼底病杂志
中华医学会

中华眼底病杂志

CSTPCD北大核心
影响因子:0.928
ISSN:1005-1015
年,卷(期):2024.40(10)