国际眼科纵览 ›› 2023, Vol. 47 ›› Issue (2): 150-155.doi: 10.3760/cma.j.issn.1673-5803.2023.02.010

• 综述 • 上一篇    下一篇

糖尿病视网膜病变发生发展中玻璃体微环境的作用

黄晓峰  郭泰  赵翰鹏  刘越  崔颖   

  1. 南方医科大学附属广东省人民医院(广东省医学科学院)眼科,广州 510080;南方医科大学第二临床医学院,广州 510515
  • 收稿日期:2022-09-22 出版日期:2023-04-22 发布日期:2023-04-22
  • 通讯作者: 崔颖,Email: cuiying@gdph.org.cn
  • 基金资助:
    国家自然科学基金(82000897);广州市科技计划项目(202201011700)

The role of the vitreous microenvironment in the development of diabetic retinopathy

Huang Xiaofeng, Guo Tai, Zhao Hanpeng, Liu Yue, Cui Ying   

  1. Department of Ophthalmology, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China; The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China
  • Received:2022-09-22 Online:2023-04-22 Published:2023-04-22
  • Contact: Cui Ying, Email: cuiying@gdph.org.cn
  • Supported by:
    National Natural Science Foundation of China (82000897); Science and Technology Program of Guangzhou(202201011700)

摘要: 糖尿病视网膜病变(diabetic retinopathy,DR)发病机制复杂,涉及晚期糖基化终末产物堆积、氧化应激、慢性炎症、视网膜缺血缺氧和神经元退行性病变等因素,这些因素导致玻璃体微环境发生改变。玻璃体微环境是指玻璃体腔中能对视网膜细胞和视网膜新生血管产生影响的周围结构和成分,包括玻璃体中代谢产物、物理成分、细胞成分、生化成分,这些成分的改变可通过蛋白激酶C激活、晚期糖基化终末产物形成、细胞因子上调等多种途径促进DR进展。因此,了解玻璃体微环境的变化对防治DR具有重要意义。(国际眼科纵览,2023, 47:150-155)

关键词: 糖尿病视网膜病变, 玻璃体, 微环境

Abstract: Diabetic retinopathy (DR) has a complex pathogenesis involving the accumulation of advanced glycosylation end products, oxidative stress, chronic inflammation, retinal ischemia and hypoxia, and neuronal degenerative disease, which leads to alterations in the vitreous microenvironment. The vitreous microenvironment refers to the surrounding structures and components in the vitreous cavity that can affect retinal cells and retinal neovascularization, which covers metabolites, physical components, cellular components, and biochemical components in the vitreous. The alteration of these components may promote the progression of DR through multiple pathways, such as protein kinase C activation, formation of advanced glycation end products, upregulation of cytokines, etc.  Therefore, the study and understanding of the changes in the vitreous microenvironment are of great importance for preventing and treating DR.(Int Rev Ophthalmol, 2023, 47: 150-155)

Key words: diabetic retinopathy, vitreous, microenvironment