年龄相关性黄斑变性的治疗方法和新方法。

Q3 Medicine
Srishti Shetty, Kavita Singh, Kalyani Barve
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引用次数: 1

摘要

年龄相关性黄斑变性(AMD)是一种严重的眼部疾病,将在全球老年人群中引发无法治愈的失明竞赛。AMD是影响全球生活质量的第三个常见原因。黄斑和视网膜层在AMD期间受到不利影响,并最终导致视力丧失。许多遗传变量、脂质代谢、衰老和氧化损伤是AMD发病的致病因素。缺乏抗氧化剂、吸烟和过量饮酒会增加患AMD的风险。干性AMD的治疗包括使用锌和抗氧化剂等营养补充剂,以及常规治疗,然而,使用营养补充剂对干性AMD的进展只有很小的益处。AMD的后期需要通过基于细胞的干预来管理,用新鲜的供体细胞替换受损或丢失的细胞。AMD的管理中使用了大量的治疗方法,如营养、基于抗体的治疗、干细胞管理和纳米治疗。现有的昂贵治疗方法有许多不良反应,未来的发展需要风险因素修饰方法、个性化治疗、靶向疾病特异性途径、探索更好的抗血管内皮生长因子(VEGF)抑制剂和许多其他再生方法的参与,这将拓宽诊断技术,控制和治疗AMD。这篇综述概述了AMD的进展和致病因素,并相当强调了当前和潜在的前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Therapeutic Management and New Upcoming Approaches for Age Related Macular Degeneration.

Age-related Macular Degeneration (AMD) is a severe eye illness that is going to lead in the race for incurable blindness globally among the elderly population. AMD is the third common reason responsible for affecting the quality of life globally. The macula and the retinal layers are adversely affected during AMD and are responsible for the loss of vision eventually. Numerous genetic variables, lipid metabolism, ageing and oxidative damage are the causative factors in the genesis of AMD. Lack of antioxidants, smoking and excessive alcohol intake contribute to increasing the risk of AMD. Management of dry AMD involves the use of nutritional supplements like zinc and antioxidants, along with conventional treatment, however, the use of nutritional supplements can only give minor benefits on the progression of dry AMD. Later stages of AMD need to be managed by cell-based interventions where the damaged or lost cells are replaced with fresh donor cells. A plethora of treatment methods are used in the management of AMD, such as nutrition, antibody-based treatments, stem cell management and nanotherapeutics. The available expensive treatments come with a number of adverse effects and future developments require the involvement of risk factor modification approaches, personalized therapy, targeting the disease specific pathways, exploring better anti-vascular endothelial growth factor (VEGF) inhibitors and many other regenerative approaches, that will broaden techniques to diagnose, control and treat AMD. This review provides an overview of the progression of AMD and the causative factors, with considerable emphasises on the current and potential prospects.

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来源期刊
Current Drug Research Reviews
Current Drug Research Reviews Medicine-Psychiatry and Mental Health
CiteScore
3.70
自引率
0.00%
发文量
38
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