The Role of Adaptive Immunity in Diabetic Retinopathy.

The Role of Adaptive Immunity in Diabetic Retinopathy.
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DOI:
10.3390/jcm11216499
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发表时间:
2022-11-02
影响因子:
3.9
通讯作者:
--
中科院分区:
医学2区
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--
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糖尿病视网膜病变(DR)是目前工作年龄成人视力丧失的常见原因之一。临床上根据眼底血管改变进行诊断和分类。然而,免疫细胞的激活发生在这些血管变化变得可检测之前。这些,再加上分子研究和抗炎治疗的积极临床结果,突出了免疫系统的关键参与。先天免疫在DR病理生理学中的作用已被深入研究,但适应性免疫的贡献在很大程度上仍然是难以捉摸的。本文就DR微环境中获得性免疫的激活机制及其与局部血管单位和先天免疫的关系进行综述,为DR的临床应用提供新的思路。
Diabetic retinopathy (DR) is currently one of the common causes of vision loss in working-age adults. It is clinically diagnosed and classified according to the vascular changes in the fundus. However, the activation of immune cells occurs before these vascular changes become detectable. These, together with molecular studies and the positive clinical outcomes of anti-inflammatory treatment, highlight the pivotal involvement of the immune system. The role of innate immunity in DR pathophysiology has been studied in depth, but the contribution of adaptive immunity remains largely elusive. This review aims to summarize our current understanding of the activation mechanism of adaptive immunity in DR microenvironments and to discuss the relationship between adaptive immunity and local vascular units or innate immunity, which opens new avenues for clinical applications in DR treatment.
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