国际眼科纵览

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天然抗氧化剂对糖尿病视网膜病变的预防和保护作用

孙苗苗 何娜 吕志刚   

  1. 浙江大学医学院,杭州 310029
  • 收稿日期:2019-10-25 出版日期:2019-12-22 发布日期:2019-12-26
  • 通讯作者: 吕志刚,Email: jhyylzg@163.com

Preventive and protective effects of natural antioxidants on diabetic retinopathy

Sun Miaomiao, He Na, Lv Zhigang   

  1. Zhejiang University School of Medicine, Hangzhou 310029, China
  • Received:2019-10-25 Online:2019-12-22 Published:2019-12-26
  • Contact: Lv Zhigang, Email: jhyylzg@163.com

摘要:

氧化应激是糖尿病视网膜病变(diabetic retinopathy,DR)发生发展中常见的损伤机制,抗氧化剂作为氧化应激的抑制物在DR的预防与保护方面起一定的作用。天然抗氧化剂存在于植物或者食物中,具有易获取、患者易接受、副作用小以及部分可以通过饮食获取便可预防DR的进展等好处,成为目前应用抗氧化剂来预防及延缓DR研究的首选。多数抗氧化剂都可通过Nrf2信号通路发挥抗氧化作用,但信号通路上游及下游蛋白的复杂性导致其具体作用机制各不相同,因此各种抗氧化剂应用于DR的具体作用机制还有待进一步研究。(国际眼科纵览,2019, 43: 377-384)

Abstract:

Oxidative stress is a common injury mechanism in the development of diabetic retinopathy (DR). Antioxidants, as inhibitors of oxidative stress, play a certain role in the prevention and protection of DR.Natural antioxidants exist in plants or food, which have the advantages of easy access, easy acceptance by patients, low side effects, and partial dietary access to prevent the progression of DR. Therefore, they have become the first choice for the research on the use of antioxidants to prevent and delay DR. Recent studies have found that most antioxidants play an antioxidant role through the Nrf2 signaling pathway, but the specific mechanism of action is different due to the complexity of the upstream and downstream proteins of the signaling pathway, so the specific mechanism of action of various antioxidants in DR remains to be further studied. (Int Rev Ophthalmol, 2019, 43: 377-384)