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首页> 外文期刊>International Journal of Molecular Sciences >Vascular and Neuronal Protection in the Developing Retina: Potential Therapeutic Targets for Retinopathy of Prematurity
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Vascular and Neuronal Protection in the Developing Retina: Potential Therapeutic Targets for Retinopathy of Prematurity

机译:发育中的视网膜的血管和神经保护:早产儿视网膜病变的潜在治疗靶点

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Retinopathy of prematurity (ROP) is a common retinal disease in preterm babies. To prolong the lives of preterm babies, high oxygen is provided to mimic the oxygen level in the intrauterine environment for postnatal organ development. However, hyperoxia-hypoxia induced pathological events occur when babies return to room air, leading to ROP with neuronal degeneration and vascular abnormality that affects retinal functions. With advances in neonatal intensive care, it is no longer uncommon for increased survival of very-low-birth-weight preterm infants, which, therefore, increased the incidence of ROP. ROP is now a major cause of preventable childhood blindness worldwide. Current proven treatment for ROP is limited to invasive retinal ablation, inherently destructive to the retina. The lack of pharmacological treatment for ROP creates a great need for effective and safe therapies in these developing infants. Therefore, it is essential to identify potential therapeutic agents that may have positive ROP outcomes, especially in preserving retinal functions. This review gives an overview of various agents in their efficacy in reducing retinal damages in cell culture tests, animal experiments and clinical studies. New perspectives along the neuroprotective pathways in the developing retina are also reviewed.
机译:早产儿视网膜病变(ROP)是早产儿常见的视网膜疾病。为了延长早产儿的生命,提供高氧来模仿子宫内环境中的氧水平,以促进产后器官的发育。然而,高氧低氧引起的病理事件在婴儿返回室内空气时发生,从而导致ROP伴有神经元变性和影响视网膜功能的血管异常。随着新生儿重症监护病房的发展,超低出生体重早产儿的存活率增加已不再常见,因此,ROP的发病率增加。现在,ROP是全球可预防的儿童失明的主要原因。目前公认的ROP治疗方法仅限于侵入性视网膜消融,对视网膜具有固有的破坏性。缺乏针对ROP的药理学治疗使得这些发育中的婴儿非常需要有效和安全的疗法。因此,必须确定可能具有积极ROP结果的潜在治疗剂,尤其是在保留视网膜功能方面。这篇综述概述了各种药物在细胞培养试验,动物实验和临床研究中减少视网膜损伤的功效。沿发展中的视网膜神经保护途径的新观点也进行了综述。

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