微生物群在绿眼病中的作用
Ling Huang1, Yiwen Hong1, Xiangyu Fu1
1The Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu, 610041, China; The Research Laboratory of Ophthalmology and Vision Sciences, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041, China.
Molecular aspects of medicine
|October 22, 2023
概括
玻璃眼包括视网膜质细胞的损失. 新兴的研究将肠道微生物群失调和代谢物与玻璃眼病原体联系起来,这表明除了降低眼内压力之外还有新的治疗点.
科学领域:
- 眼科医生 眼科 眼科
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
背景情况:
- 玻璃眼是不可逆转的视力丧失的主要原因,原因是视网膜质细胞 (RGC) 和视神经轴突退化.
- 虽然高眼内压 (IOP) 是一个关键的危险因素,但非IOP途径和诸如衰老,肥胖和抑郁等因素也会导致青光眼的发展.
- 人类微生物群显著影响健康和疾病,在绿眼病患者的不同位置观察到异位生物.
研究的目的:
- 审查近期关于青光眼中的微生物群和代谢物变化的发现.
- 探索失生症在青光眼病原体中的作用,考虑风险因素和潜在的机制.
- 讨论新兴的治疗策略,以准绿眼病管理的微生物群.
主要方法:
- 综述过去十年的文献,重点关注微生物群和代谢物变化.
- 从动物模型,青光眼患者和患有青光眼风险因素 (老龄化,肥胖,抑郁症) 的个人中分析数据.
- 检查包括抗原仿真,热应激蛋白 (HSP) 透,LPS-TLR4通路和微生物衍生的代谢物在内的拟议机制.
主要成果:
- 青光眼患者在眼睛,口腔,胃和肠道环境中表现出异位生物.
- 与RGC损伤有关的机制包括抗原仿真,HSP特异性T细胞透和LPS-TLR4通路.
- 微生物代谢物和感染 (H. pylori,CMV) 可能通过同型氨酸的积累,炎症和直接传播导致青光眼.
结论:
- 微生物群失生症通过各种分子机制参与了玻璃眼病原体的产生.
- 通过抗生素,饮食改变或便移植向微生物群提供了潜在的治疗途径.
- 需要进一步的研究,以阐明临床应用的失生症和青光眼之间的精确分子联系.
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