一氧化碳治疗:预防和治疗视网膜疾病的证据和前景
Mathew Reese Land1, Marybeth Koepsell1, Noah Nussbaum2
1Department of Biochemistry and Molecular Biology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA.
Biomolecules
|February 27, 2026
概括
一氧化碳 (CO) 疗法在治疗眼睛疾病方面表现有前途,因为它具有抗炎作用. 需要进一步的研究来改进CO输送方法,以便在视网膜疾病中有效的临床应用.
科学领域:
- 眼科医生 眼科 眼科
- 药理学 药理学是指药理学的学科.
- 生物医学工程 生物医学工程
背景情况:
- 已知有毒的一氧化碳 (CO) 在眼科医学中正在探索治疗益处.
- 氧化碳疗法利用低剂量,可控的施用来利用细胞保护作用,如抗炎症和抗亡.
研究的目的:
- 审查眼部疾病的一氧化碳治疗的临床前和临床研究结果.
- 评估当前和新兴的CO输送方法用于视网膜疾病,重点关注安全性和有效性.
主要方法:
- 对临床前模型 (视网膜缺血-再输液,视神经粉碎,眼睛高血压,自身免疫性脑膜炎) 和临床试验的文献综述.
- 对一氧化碳输送系统的分析,包括吸入的CO和释放CO的分子 (CORM).
主要成果:
- 临床前研究表明,CO在各种视网膜疾病模型中具有抗炎和抗亡作用.
- 临床试验表明吸入CO和基于CORM的干预措施具有可接受的安全性,但结果缺乏稳定性和可重复性.
结论:
- 在视网膜疾病中使用CO疗法存在强大的临床前基础,但临床翻译是有限的.
- 增强的输送策略,精确的剂量 (PK/PD-informed) 和机制特定的试验对于弥合疗效差距至关重要.
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