国际眼科纵览 ›› 2015, Vol. 39 ›› Issue (1): 8-13.doi: 103706/ cma.j.issn.16735803201501002

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内源性大麻素系统的降眼压及视网膜神经保护机制

 刘诗亮 陈媛媛 邢怡桥   

  1. 430060 湖北武汉,武汉大学人民医院眼科中心
  • 收稿日期:2014-10-11 出版日期:2015-02-22 发布日期:2015-03-03
  • 通讯作者: 邢怡桥,Email:xyqdr07@gmail.com E-mail:xyqdr07@gmail.com
  • 基金资助:

    国家自然科学基金项目(81270998);卫生部公益性行业科研专项(201302015);武汉大学自主科研拔尖创新人才项目(2042014kf0207)

Mechanism study on endocannabinoid system to reduce introcular pressure and its neuroprotection of retina

LIU Shiliang, CHEN Yuanyuan, XING Yiqiao   

  1. Eye Center, Renmin Hospital of Wuhan University, Wuhan  430060, Hubei Province, China
  • Received:2014-10-11 Online:2015-02-22 Published:2015-03-03
  • Contact: XING Yiqiao,Email:xyqdr07@gmail.com E-mail:xyqdr07@gmail.com

摘要: 内源性大麻素系统在眼部和视网膜中的研究已取得显著进展。研究表明,内源性大麻素系统广泛存在于整个眼球,分布和功能具有组织特异性。大麻素在许多中枢神经系统退行性疾病中具有神经保护作用,主要与其抑制兴奋性氨基酸和细胞因子的释放,以及对氧化应激的调制作用有关。利用药物调制内源性大麻素受体或与大麻素合成、运输及分解相关的酶类,被证明是这些疾病传统治疗之外的一种有效替代。本文中,我们将讨论内源性大麻素受体及其在眼组织中的定位,大麻素信号通路及其在眼部疾病研究中的最新进展。其中,不仅基于降低眼内压,还从视网膜神经保护方面,特别关注了大麻素在视网膜变性疾病中的药理作用和机制。针对眼部大麻素系统的分子干预,可为眼部疾病的基础研究以及治疗靶点的确定提供更广阔的思路。

Abstract: Significant strides have been made in advancing our understanding of endocannabinoids for their roles in the eye and retina. Recent evidence shows that the endocannabinoid system is widely distributed throughout the eye, with regionspecific variation and actions. The endocannabinoid system is emerging to exert neuroprotection in numerous neurodegenerative diseases of the central nervous system. This consideration is based on some properties of cannabinoids as the inhibition of the release of excitotoxic amino acids and cytokines, and the modulation of oxidative stress. Pharmacologic modulation of cannabinoid receptors or the enzymes involved in the synthesis, transport, or breakdown of endogenous cannabinoids has proved to be a valid alternative to conventional treatment of these diseases. In this review, we will discuss cannabinoid receptors and their localization in ocular tissues, endocannabinoid signal pathway and recent findings that demonstrate the involvement of the endocannabinoid system in ocular diseases. We specially focus on the pharmacological actions and mechanisms of cannabinoids in relation to retinal degeneration diseases, which based not only on the reduction of intraocular pressure but also on neuroprotection of retina. Molecules capable of interfering with the ocular endocannabinoid system could offer a broad spectrum of opportunities for basic research and to identify targets for therapeutic application in ocular diseases.