Advanced Drug Delivery Reviews,
Journal Year:
2023,
Volume and Issue:
196, P. 114770 - 114770
Published: March 7, 2023
Ocular
diseases
seriously
affect
patients'
vision
and
life
quality,
with
a
global
morbidity
of
over
43
million
blindness.
However,
efficient
drug
delivery
to
treat
ocular
diseases,
particularly
intraocular
disorders,
remains
huge
challenge
due
multiple
barriers
that
significantly
the
ultimate
therapeutic
efficacy
drugs.
Recent
advances
in
nanocarrier
technology
offer
promising
opportunity
overcome
these
by
providing
enhanced
penetration,
increased
retention,
improved
solubility,
reduced
toxicity,
prolonged
release,
targeted
loaded
eyes.
This
review
primarily
provides
an
overview
progress
contemporary
applications
nanocarriers,
mainly
polymer-
lipid-based
treating
various
eye
highlighting
their
value
achieving
delivery.
Additionally,
covers
administration
routes,
as
well
prospective
future
developments
challenges
field
nanocarriers
for
diseases.
Redox Biology,
Journal Year:
2022,
Volume and Issue:
52, P. 102292 - 102292
Published: March 18, 2022
Diabetic
retinopathy
(DR)
is
one
of
the
leading
causes
blindness
in
world,
and
timely
prevention
treatment
are
very
important.
Previously,
we
found
that
a
neurodegenerative
factor,
Glia
maturation
factor-β
(GMFB),
was
upregulated
vitreous
at
early
stage
diabetes,
which
may
play
an
important
role
pathogenesis.
Here,
high
glucose
environment,
large
amounts
GMFB
protein
can
be
secreted
vitreous,
translocates
ATPase
ATP6V1A
from
lysosome,
preventing
its
assembly
alkalinizing
lysosome
retinal
pigment
epithelial
(RPE)
cells.
ACSL4
recognized
by
HSC70,
receptor
for
chaperone-mediated
autophagy,
finally
digested
lysosome.
Abnormalities
autophagy-lysosome
degradation
process
lead
to
accumulation,
catalyzes
production
lethal
lipid
species
induces
ferroptosis
RPE
antibody,
activator
NKH477,
CMA
QX77,
inhibitor
Liproxstatin-1
were
all
effective
diabetic
maintaining
normal
visual
function,
has
powerful
clinical
application
value.
Our
research
broadens
understanding
relationship
between
autophagy
provides
new
therapeutic
target
DR.
Cells,
Journal Year:
2023,
Volume and Issue:
12(9), P. 1342 - 1342
Published: May 8, 2023
Diabetic
retinopathy
(DR),
the
most
common
microvascular
complication
that
occurs
in
diabetes
mellitus
(DM),
is
leading
cause
of
vision
loss
working-age
adults.
The
prevalence
diabetic
approximately
30%
population
and
untreated
DR
can
eventually
blindness.
For
decades,
was
considered
a
clinically
staged
by
its
vascular
manifestations.
In
recent
years,
emerging
evidence
has
shown
causes
early
neuronal
dysfunction
neurodegeneration
may
precede
pathology
affect
retinal
neurons
as
well
glial
cells.
This
knowledge
leads
to
new
therapeutic
strategies
aiming
prevent
at
stage
DR.
Early
detection
timely
treatment
protect
are
critical
preventing
visual
review
provides
an
overview
structural
functional
changes
associated
with
DR,
discusses
degeneration
during
retinopathy,
mechanisms
underlying
complications,
perspectives
on
current
future
clinic
therapies.
Progress in Retinal and Eye Research,
Journal Year:
2021,
Volume and Issue:
86, P. 100972 - 100972
Published: June 22, 2021
Retinal
fluid
as
the
major
biomarker
in
exudative
macular
disease
is
accurately
visualized
by
high-resolution
three-dimensional
optical
coherence
tomography
(OCT),
which
used
world-wide
a
diagnostic
gold
standard
largely
replacing
clinical
examination.
Artificial
intelligence
(AI)
with
its
capability
to
objectively
identify,
localize
and
quantify
introduces
fully
automated
tools
into
OCT
imaging
for
personalized
management.
Deep
learning
performance
has
already
proven
superior
human
experts,
including
physicians
certified
readers,
terms
of
accuracy
speed.
Reproducible
measurement
retinal
relies
on
precise
AI-based
segmentation
methods
that
assign
label
each
voxel
denoting
type
such
intraretinal
(IRF)
subretinal
(SRF)
or
pigment
epithelial
detachment
(PED)
location
within
central
1-,
3-
6-mm
area.
Such
reliable
analysis
most
relevant
reflect
differences
pathophysiological
mechanisms
impacts
function,
dynamics
resolution
during
therapy
different
regimens
substances.
Yet,
an
in-depth
understanding
mode
action
supervised
unsupervised
learning,
functionality
convolutional
neural
net
(CNN)
various
network
architectures
needed.
Greater
insight
regarding
adequate
performance,
validation
assessment,
device-
scanning-pattern-dependent
variations
necessary
empower
ophthalmologists
become
qualified
AI
users.
Fluid/function
correlation
can
lead
better
definition
valid
variables
optimal
outcomes
individual
population
level.
opens
way
precision
medicine
real-world
practice
leading
diseases
modern
times.
Antioxidants,
Journal Year:
2022,
Volume and Issue:
11(4), P. 617 - 617
Published: March 23, 2022
Diabetic
retinopathy
is
a
neurovascular
complication
of
diabetes
and
the
main
cause
vision
loss
in
adults.
Glial
cells
have
key
role
maintenance
central
nervous
system
homeostasis.
In
retina,
predominant
element
Müller
cell,
specialized
cell
with
radial
morphology
that
spans
all
retinal
layers
influences
function
entire
circuitry.
provide
metabolic
support,
regulation
extracellular
composition,
synaptic
activity
control,
structural
organization
blood-retina
barrier,
antioxidant
activity,
trophic
among
other
roles.
Therefore,
impairments
actions
lead
to
malfunctions.
Accordingly,
increasing
evidence
indicates
are
affected
diabetic
may
contribute
severity
disease.
Here,
we
will
survey
recently
described
alterations
functions
cellular
events
retinopathy,
especially
related
oxidative
stress
inflammation.
This
review
sheds
light
on
as
potential
therapeutic
targets
this
Frontiers in Pharmacology,
Journal Year:
2022,
Volume and Issue:
13
Published: Aug. 9, 2022
Diabetic
retinopathy
(DR),
a
leading
cause
of
vision
loss
and
blindness
worldwide,
is
caused
by
retinal
neurovascular
unit
dysfunction,
its
cellular
pathology
involves
at
least
nine
kinds
cells,
including
photoreceptors,
horizontal
bipolar
amacrine
ganglion
glial
cells
(Müller
astrocytes,
microglia),
endothelial
pericytes,
pigment
epithelial
cells.
Its
mechanism
complicated
inflammatory
factor
production,
neovascularization,
BRB
impairment.
However,
the
has
not
been
completely
elucidated.
Drug
treatment
for
DR
gradually
advancing
recently.
Research
on
potential
drug
targets
relies
upon
clear
information
pathogenesis
effective
biomarkers.
Therefore,
we
reviewed
recent
literature
diagnostic
prognostic
biomarkers
in
terms
blood,
protein,
clinical
preclinical
therapy
(including
synthesized
molecules
natural
molecules).
This
review
may
provide
theoretical
basis
further
research.
Cellular and Molecular Neurobiology,
Journal Year:
2023,
Volume and Issue:
43(7), P. 3265 - 3276
Published: July 1, 2023
The
retinal
pigment
epithelium
(RPE)
is
a
highly
specialized
and
polarized
epithelial
cell
layer
that
plays
an
important
role
in
sustaining
the
structural
functional
integrity
of
photoreceptors.
However,
death
RPE
common
pathological
feature
various
diseases,
especially
age-related
macular
degeneration
(AMD)
diabetic
retinopathy
(DR).
Mitophagy,
as
programmed
self-degradation
dysfunctional
mitochondria,
crucial
for
maintaining
cellular
homeostasis
survival
under
stress.
contains
high
density
mitochondria
necessary
it
to
meet
energy
demands,
so
severe
stimuli
can
cause
mitochondrial
dysfunction
excess
generation
intracellular
reactive
oxygen
species
(ROS),
which
further
trigger
oxidative
stress-involved
mitophagy.
In
this
review,
we
summarize
classical
pathways
mitophagy
investigate
its
progression
aiming
provide
new
therapeutic
strategy
treating
degenerative
diseases.
AMD
DR.
AMD,
excessive
ROS
production
promotes
by
activating
Nrf2/p62
pathway,
while
DR,
may
suppress
FOXO3-PINK1/parkin
signaling
pathway
or
TXNIP-mitochondria-lysosome-mediated
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(15), P. 12090 - 12090
Published: July 28, 2023
The
eye
is
an
immune
privileged
tissue
that
insulates
the
visual
system
from
local
and
systemic
provocation
to
preserve
homeostatic
functions
of
highly
specialized
retinal
neural
cells.
If
privilege
breached,
stimuli
will
invade
subsequently
trigger
acute
inflammatory
responses.
Local
resident
microglia
become
active
release
numerous
immunological
factors
protect
integrity
Although
responses
are
necessary
control
eradicate
insults
eye,
chronic
inflammation
can
cause
damage
cell
dysfunction,
leading
ocular
disease
vision
loss.
In
this
review,
we
summarized
features
in
retina
key
responses,
factors,
intracellular
pathways
activated
when
fails,
as
well
a
highlight
recent
clinical
research
advances
immunity
vascular
diseases
including
retinopathy
prematurity,
age-related
macular
degeneration,
diabetic
retinopathy.
BMJ Open Diabetes Research & Care,
Journal Year:
2024,
Volume and Issue:
12(1), P. e003758 - e003758
Published: Jan. 1, 2024
Introduction
Diabetic
retinopathy
(DR)
is
a
leading
cause
of
preventable
blindness
among
working-age
adults,
primarily
driven
by
ocular
microvascular
complications
from
chronic
hyperglycemia.
Comprehending
the
complex
relationship
between
changes
in
eye
and
disease
progression
poses
challenges,
traditional
methods
assuming
linear
or
logistical
relationships
may
not
adequately
capture
intricate
interactions
these
advances.
Hence,
aim
this
study
was
to
evaluate
involvement
diabetes
mellitus
(DM)
non-proliferative
DR
with
implementation
non-parametric
machine
learning
methods.
Research
design
We
conducted
retrospective
cohort
that
included
optical
coherence
tomography
angiography
(OCTA)
images
collected
healthy
group
(196
eyes),
DM
no
(120
mild
(71
moderate
(66
eyes).
implemented
method
for
four
classification
tasks
used
parameters
extracted
OCTA
as
predictors:
versus
healthy,
DR,
any
DR.
SHapley
Additive
exPlanations
values
were
determine
importance
classification.
Results
found
large
choriocapillaris
flow
deficits
most
important
became
less
eyes
The
superficial
microvasculature
tasks,
but
task—the
stage
when
deep
plays
an
role.
Foveal
avascular
zone
metric
general
affected,
its
increased
worsening
Conclusions
findings
provide
valuable
insights
into
facilitating
development
early
detection
intervention
strategies.