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Damage-Associated Molecular Patterns (DAMPs) in Retinal Disorders
Binapani Mahaling1, Shermaine W Y Low1, Molly Beck1
1Ocular Immunology and Angiogenesis Lab, Department of Ophthalmology and Visual Sciences, Froedtert and MCW Eye Institute, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Abstract:
Damage-associated molecular patterns (DAMPs) are endogenous danger molecules released from the extracellular and intracellular space of damaged tissue or dead cells. Recent evidence indicates that DAMPs are associated with the sterile inflammation caused by aging, increased ocular pressure, high glucose, oxidative stress, ischemia, mechanical trauma, stress, or environmental conditions, in retinal diseases. DAMPs activate the innate immune system, suggesting their role to be protective, but may promote pathological inflammation and angiogenesis in response to the chronic insult or injury. DAMPs are recognized by specialized innate immune receptors, such as receptors for advanced glycation end products (RAGE), toll-like receptors (TLRs) and the NOD-like receptor family (NLRs), and purine receptor 7 (P2X7), in systemic diseases. However, studies describing the role of DAMPs in retinal disorders are meager. Here, we extensively reviewed the role of DAMPs in retinal disorders, including endophthalmitis, uveitis, glaucoma, ocular cancer, ischemic retinopathies, diabetic retinopathy, age-related macular degeneration, rhegmatogenous retinal detachment, proliferative vitreoretinopathy, and inherited retinal disorders. Finally, we discussed DAMPs as biomarkers, therapeutic targets, and therapeutic agents for retinal disorders.
Insights
Damage-associated molecular patterns (DAMPs) signal tissue damage in the eye, contributing to sterile inflammation and various retinal diseases. This review explores DAMPs
Area of Science:
- Ophthalmology and Immunology
- Molecular and Cellular Biology
Background:
- Damage-associated molecular patterns (DAMPs) are endogenous molecules released from damaged cells.
- DAMPs are implicated in sterile inflammation associated with aging, ocular pressure, high glucose, oxidative stress, ischemia, trauma, and environmental factors in retinal diseases.
- While DAMPs can activate the innate immune system, they may also promote pathological inflammation and angiogenesis in chronic retinal injury.
Purpose of the Study:
- To extensively review the role of DAMPs in a wide range of retinal disorders.
- To discuss DAMPs as potential biomarkers and therapeutic targets for retinal diseases.
Main Methods:
- Comprehensive literature review of studies investigating DAMPs in retinal disorders.
- Analysis of DAMPs' involvement in conditions including endophthalmitis, uveitis, glaucoma, ocular cancer, ischemic retinopathies, diabetic retinopathy, age-related macular degeneration, retinal detachment, proliferative vitreoretinopathy, and inherited retinal disorders.
Main Results:
- DAMPs are recognized by innate immune receptors like RAGE, TLRs, NLRs, and P2X7.
- Evidence suggests DAMPs play a significant role in the pathogenesis of numerous retinal diseases.
- The review consolidates current knowledge on DAMPs' multifaceted roles in retinal pathology.
Conclusions:
- DAMPs are critical mediators in various retinal disorders, acting through specific immune receptors.
- DAMPs hold promise as diagnostic biomarkers and therapeutic targets for managing retinal diseases.
- Further research into DAMPs could lead to novel therapeutic strategies for ocular conditions.
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