[Epidemiology and pathophysiology of retinopathy of prematurity]

E Kermorvant-Duchemin1, F Sennlaub, F Behar-Cohen

  • 1Service de Réanimation Pédiatrique et Néonatale, Hôpital Necker-Enfants Malades, 149 rue de Sèvres 75015 Paris, France. elsa.kermorvant@nck.aphp.fr

Insights

Retinopathy of prematurity (ROP) involves abnormal retinal vascular development in premature infants, driven by both oxygen-dependent and independent factors. New research explores metabolite and lipid signaling for ROP therapeutic strategies.

Area of Science:

  • Ophthalmology
  • Neonatology
  • Vascular Biology

Context:

  • Retinopathy of prematurity (ROP) is a leading cause of visual impairment in premature infants.
  • ROP pathogenesis involves disrupted retinal vascular development, microvascular degeneration, and hypoxic neovascularization.

Purpose:

  • To elucidate the multifactorial mechanisms underlying ROP, including oxygen-dependent and independent pathways.
  • To identify novel therapeutic targets for ROP based on emerging signaling pathways.

Summary:

  • ROP is characterized by arrested retinal vascular development and subsequent abnormal neovascularization.
  • Oxygen-dependent mechanisms include reactive oxygen species and suppressed vascular endothelial growth factor (VEGF).
  • Oxygen-independent mechanisms involve deficits in IGF-1/IGFBP3, while proliferative phases are driven by growth factor increases.
  • Novel therapeutic avenues involve metabolite and inflammatory lipid signaling pathways for vascular repair.

Impact:

  • Understanding ROP's complex etiology provides a foundation for developing targeted interventions.
  • Identification of new signaling pathways offers promising therapeutic strategies to prevent or treat ROP-related visual impairment.