The role of inflammation in diabetic retinopathy in patients with type II diabetes; potential therapeutic perspectives

Autor: Adriana Georgescu, Ana Maria Dascalu, Daniela Stana, Cristina Alexandrescu, Anca Bobirca, Bogdan Mihai Cristea, Geta Vancea, Crenguta Sorina Serboiu, Dragos Serban, Corneliu Tudor, Andreea Letitia Arsene, Laura Carina Tribus
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Mind and Medical Sciences, Vol 11, Iss 1, Pp 17-23 (2024)
Druh dokumentu: article
ISSN: 2392-7674
DOI: 10.22543/2392-7674.1485
Popis: Diabetic retinopathy is one of the major causes of visual impairment and blindness in adult population. The pathology is complex, the metabolic changes induced by the hyperglycemic environment leading to neurodegeneration, microvascular damage, with secondary ischemic and inflammatory changes in the retina. This review aims to update the literature data related to the role of inflammation in the onset and progression of diabetic retinopathy. Thus, the molecular and biochemical mechanisms triggered by excess glucose increase the expression of genes involved in inflammatory processes, which leads to the synthesis of inflammatory cytokines such as Il1, Il6, TNF alpha as well as complement activation. Furthermore, recent evidence has demonstrated that both systemic and ocular prolonged inflammation are correlated with the progression of diabetic retinopathy. In conclusion, preventing and/or reducing the progression of diabetic retinopathy requires both rigorous glycemic control in diabetic patients and targeted interference of the specific inflammatory pathways involved.
Databáze: Directory of Open Access Journals