国际眼科纵览 ›› 2012, Vol. 36 ›› Issue (1): 46-51.doi: 10-3760/ cma.j.issn.1673-5803.2012.01.010

• 综述 • 上一篇    下一篇

年龄相关性黄斑变性免疫学发病机制的研究进展

曹立宁  王方   

  1. 200072 上海,同济大学附属第十人民医院眼科
  • 收稿日期:2011-10-14 出版日期:2012-02-22 发布日期:2012-02-19
  • 通讯作者: 王方,Email:milwang_122@msn.com

Immune mechanisms of age-related macular degeneration

CAO Li-ning, WANG Fang   

  1. Department of Ophthalmology, Tenth People's Hospital of Tongji University, 200072 Shanghai, China
  • Received:2011-10-14 Online:2012-02-22 Published:2012-02-19
  • Contact: WANG Fang, Email: milwang_122@msn.com

摘要: 免疫作用在年龄相关性黄斑变性(AMD)的玻璃膜疣形成、视网膜色素上皮萎缩、脉络膜新生血管形成等病变形成过程中贯穿始终。视网膜为免疫赦免器官并维持自身免疫稳态,该稳态失衡时免疫反应过度则演变为慢性炎症,持久的炎症反应可导致眼内炎症细胞积累、补体分子积累、免疫复合物沉积,造成组织损伤。目前认为,免疫产物沉积于眼主要涉及慢性炎症、亚炎症、自我吞噬功能失代偿等机制。本文就近年来在视网膜老化、免疫异常、自我吞噬作用与AMD发生发展相关的研究进展做一综述。

Abstract: Immune mechanism plays an important role in pathology of AMD, including formation of drusen, geographic atrophy and choroidal neovascularization (CNV). Retina is an "immune privileged" site, which could maintain immune homeostasis in one's life. Disruption of this homeostatic mechanisms seems crucial in allowing excessive activation of immunologic response and the resultant chronic inflammation, which could lead to accumulation of resident immune cells, complement components and deposition of immune complex, all above may result in ocular tissue damage and degeneration. At present, deposition of immunoreactive products in ocular tissues is involved in chronic inflammation, parainflammation, dysfunction of autophagy and so on. This article  reviews recent studies on development of AMD relevant to retina aging, dysfunction of immunity and autophagy.