糖尿病视网膜病变:当前和潜在治疗的新兴概念
Muhammad Zulfiqah Sadikan1, Nurul Alimah Abdul Nasir2,3
1Department of Pharmacology, Faculty of Medicine, Manipal University College Malaysia (MUCM), Bukit Baru, 75150, Malacca, Malaysia.
Naunyn-Schmiedeberg's archives of pharmacology
|July 4, 2023
概括
审查了糖尿病视网膜病变的治疗方法,包括当前的治疗方法,如抗VEGF和新药开发. 未来的研究需要更长时间的治疗方法和针对糖尿病视网膜病变的个性化方法.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 糖尿病视网膜病变 (DR) 是全球不可逆转失明的主要原因.
- 抗逆转录病变是复杂的,部分理解的途径提供潜在的治疗点.
- 抗VEGF药物是目前对DR的主要治疗方法.
研究的目的:
- 为糖尿病视网膜病变的既定和新兴药理疗法提供全面的概述.
- 讨论新型候选药物对DR的作用机制和潜在益处.
- 突出需要改进和个性化DR治疗策略的需要.
主要方法:
- 审查已建立的治疗方法:泛视网膜光凝,抗VEGF治疗,皮质类固醇治疗和手术管理.
- 讨论新药药理学剂的机制和潜在益处.
- 分析当前治疗局限性和未来研究方向.
主要成果:
- 既有治疗方法提供短期疗效,但并不是对DR的完美治疗方法.
- 新型候选药物显示出希望,但需要进一步的研究.
- 目前的管理策略需要加强,以实现长期的有效性和患者特异性护理.
结论:
- 药理学研究必须专注于开发持续释放疗法和用于DR的新药输送系统.
- 在DR病原体中识别新的分子标对于治疗进步至关重要.
- 个性化治疗方法,考虑到遗传因素和疾病阶段,对于有效的DR管理至关重要.
相关概念视频
Diabetes: Management and Pharmacotherapy
319
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
319
Pathophysiology of Diabetes
1.0K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
1.0K
Open Angle Glaucoma: Treatment
481
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
481
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Diabetes Mellitus: Overview and Type I Subtype
2.8K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.8K


