Endoplasmic reticulum stress as a primary pathogenic mechanism leading to age-related macular degeneration.
Endoplasmic reticulum stress as a primary pathogenic mechanism leading to age-related macular degeneration.
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DOI:
10.1007/978-1-4419-1399-9_46
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发表时间:
2010
影响因子:
--
通讯作者:
Gould, Douglas B.
中科院分区:
文献类型:
--
作者:
Libby, Richard T.;Gould, Douglas B.
Age-related macular degeneration (AMD) is a multi-factorial disease and a leading cause of blindness. Proteomic and genetic data suggest that activation or de-repression of the alternate complement cascade of innate immunity is involved in end-stage disease. Several lines of evidence suggest that production of reactive oxygen species and chronic oxidative stress lead to protein and lipid modifications that initiate the complement cascade. Understanding the triggers of these pathogenic pathways and the site of the primary insult will be important for development of targeted therapeutics. Endoplasmic reticulum (ER) stress from misfolded mutant proteins and other sources are an important potential tributary mechanism. We propose that misfolded-protein-induced ER stress in the retinal-pigmented epithelium and/or choroid could lead to chronic oxidative stress, complement deregulation and AMD. Small molecules targeted to ER stress and oxidative stress could allow for a shift from disease treatment to disease prevention.
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