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New Insights Into Immunological Therapy for Retinal Disorders
Atsunobu Takeda1,2, Ryoji Yanai3, Yusuke Murakami1
1Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Frontiers in Immunology
|July 29, 2020
Summary
New biologic therapies offer improved treatments for retinal disorders like diabetic retinopathy and uveitis. While progress is made, challenges like treatment resistance and effective retinitis pigmentosa strategies remain key research areas.
Area of Science:
- Ophthalmology
- Immunology
- Biomedicine
Background:
- Effective treatments for retinal disorders were limited in the 20th century.
- Advances in biomedicine have introduced new strategies targeting vascular endothelial growth factor and tumor necrosis factor (TNF)-α.
- Gene therapy trials have begun for specific forms of retinitis pigmentosa (RP).
Purpose of the Study:
- To review immunological mechanisms in normal eyes and retinal disorders.
- To discuss recent studies on inflammatory responses in retinal diseases.
- To provide insights into the diagnosis and treatment of retinal disorders.
Main Methods:
- Literature review of immunological mechanisms.
- Analysis of recent studies on inflammatory responses.
- Overview of treatment strategies for retinal disorders.
Main Results:
- Biologics targeting vascular endothelial growth factor and TNF-α have emerged as new treatments.
- Improved survival rates for vitreoretinal lymphoma (VRL) due to earlier diagnosis and treatment.
- Challenges persist, including non-response to therapies and limited treatments for RP.
Conclusions:
- Understanding ocular immunology is crucial for diagnosing and treating retinal diseases.
- New biologic and gene therapies show promise but require further research.
- Addressing treatment resistance and developing effective RP strategies are critical future directions.
Keywords:
diabetic retinopathyimmune privilegenon-infectious uveitisretinitis pigmentosaretinopathy of prematurityvitreoretinal lymphoma
