Remodeling of the Lamina Cribrosa: Mechanisms and Potential Therapeutic Approaches for Glaucoma.

Remodeling of the Lamina Cribrosa: Mechanisms and Potential Therapeutic Approaches for Glaucoma.
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筛板重塑:青光眼的机制和潜在的治疗方法。

DOI:
10.3390/ijms23158068
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发表时间:
2022-07-22
影响因子:
5.6
通讯作者:
--
中科院分区:
生物学2区
文献类型:
--
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青光眼性视神经病变是世界范围内不可逆性失明的主要原因。这种慢性疾病的特征是视神经变性和视野丧失。降低眼内压仍然是唯一被证实的青光眼治疗方法,但它不能防止进一步的神经变性。在人类视神经乳头(ONH)中有三种主要类型的细胞:筛板(LC)细胞、胶质细胞和巩膜成纤维细胞。这些细胞为LC提供支持,LC对于维持健康的视网膜神经节细胞(RGC)轴突至关重要。所有这些细胞都通过细胞外基质重塑表现出对肿瘤状况的反应。因此,对改变ONH的特征性重塑反应以增强RGC轴突存活的替代疗法的研究是普遍的。了解ONH的主要重塑途径可能是开发减少有害重塑的靶向疗法的关键。
Glaucomatous optic neuropathy is the leading cause of irreversible blindness in the world. The chronic disease is characterized by optic nerve degeneration and vision field loss. The reduction of intraocular pressure remains the only proven glaucoma treatment, but it does not prevent further neurodegeneration. There are three major classes of cells in the human optic nerve head (ONH): lamina cribrosa (LC) cells, glial cells, and scleral fibroblasts. These cells provide support for the LC which is essential to maintain healthy retinal ganglion cell (RGC) axons. All these cells demonstrate responses to glaucomatous conditions through extracellular matrix remodeling. Therefore, investigations into alternative therapies that alter the characteristic remodeling response of the ONH to enhance the survival of RGC axons are prevalent. Understanding major remodeling pathways in the ONH may be key to developing targeted therapies that reduce deleterious remodeling.
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