Retinitis Pigmentosa

视网膜色素变性
  • 文章类型: Journal Article
    视网膜,中枢神经系统的组织,对视觉至关重要,因为它的光感受器捕获光并将其转化为电信号,在将它们发送到大脑以解释为图像之前进行进一步处理。视网膜的独特之处在于它持续暴露于光线,并且在体内所有组织中具有最高的代谢率和对能量的需求。因此,视网膜对氧化应激非常敏感。VDAC,线粒体外膜上的一个孔,在线粒体和胞质溶胶之间穿梭代谢物,通常保护细胞免受氧化损伤,但是当细胞的完整性受到极大的损害时,它就会引发细胞死亡。VDAC有三种同工型,现有证据表明这三者都在视网膜中表达。然而,它们在每种细胞类型中的精确定位和功能是未知的。似乎大多数视网膜细胞表达大量的VDAC2和VDAC3,可能是为了保护它们免受氧化应激。光感受器在Warburg途径中表达VDAC2,HK2和PKM2关键蛋白,也保护这些细胞。与它在启动细胞死亡中的作用一致,VDAC在视网膜变性疾病视网膜色素变性中过度表达,年龄相关性黄斑变性(AMD),和青光眼。用抗氧化剂处理或抑制VDAC寡聚化降低其表达并改善细胞存活。因此,VDAC可能是治疗这些疾病的有希望的治疗候选物。
    The retina, a tissue of the central nervous system, is vital for vision as its photoreceptors capture light and transform it into electrical signals, which are further processed before they are sent to the brain to be interpreted as images. The retina is unique in that it is continuously exposed to light and has the highest metabolic rate and demand for energy amongst all the tissues in the body. Consequently, the retina is very susceptible to oxidative stress. VDAC, a pore in the outer membrane of mitochondria, shuttles metabolites between mitochondria and the cytosol and normally protects cells from oxidative damage, but when a cell\'s integrity is greatly compromised it initiates cell death. There are three isoforms of VDAC, and existing evidence indicates that all three are expressed in the retina. However, their precise localization and function in each cell type is unknown. It appears that most retinal cells express substantial amounts of VDAC2 and VDAC3, presumably to protect them from oxidative stress. Photoreceptors express VDAC2, HK2, and PKM2-key proteins in the Warburg pathway that also protect these cells. Consistent with its role in initiating cell death, VDAC is overexpressed in the retinal degenerative diseases retinitis pigmentosa, age related macular degeneration (AMD), and glaucoma. Treatment with antioxidants or inhibiting VDAC oligomerization reduced its expression and improved cell survival. Thus, VDAC may be a promising therapeutic candidate for the treatment of these diseases.
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  • 文章类型: Journal Article
    目的:研究一个患有常染色体显性遗传性视网膜色素变性(RP)并伴有虹膜缺损的中国家庭的表型和基因型。
    方法:先证者,一个34岁的男性,通过眼底照相与他的家人一起检查,光学相干断层扫描(OCT),自发荧光,和全场视网膜电图(ffERG)。通过全外显子组测序(WES)进行遗传分析以筛选变异。
    结果:该中国家族的三个成员被证明是双侧虹膜缺损。男性先证者及其母亲表现出典型的RP特征。先证者的已故祖父已被记录为虹膜缺损的表现。遗传方式被证实为常染色体显性。通过链接分析和WES,miR-204基因的杂合变异(n.37C>T),非编码RNA基因,在这三个成员中被确认。
    结论:在第三个独立和第一个亚洲家庭中,已证实存在与RP相关的miR-204变异体,并伴有虹膜缺损.我们的发现加强了miR-204作为影响视网膜视觉功能的重要因素的重要性。当表型如RP伴有常染色体显性遗传模式的虹膜缺损时,包括中国患者,应该考虑miR-204畸变。
    OBJECTIVE: To characterize the phenotype and genotype of a Chinese family with autosomal-dominant retinitis pigmentosa (RP) accompanied by iris coloboma.
    METHODS: The proband, a 34-year-old male, was examined with his family by using fundus photography, optical coherence tomography (OCT), autofluorescence, and full-field electroretinography (ffERG). Genetic analyses were conducted through whole-exome sequencing (WES) to screen for variations.
    RESULTS: Three members of this Chinese family were shown to be bilateral iris coloboma. The male proband and his mother exhibited typical RP feature. The proband\'s late grandfather had been documented manifestation of iris coloboma. The mode of inheritance was confirmed to be autosomal dominance. Through linkage analysis and WES, a heterozygous variation in the miR-204 gene (n.37C>T), a noncoding RNA gene, was identified in these three members.
    CONCLUSIONS: In this third independent and the first Asian family, the existence of a miR-204 variant associated with RP accompanied by iris coloboma was confirmed. Our findings reinforce the significance of miR-204 as an important factor influencing visual function in the retina. When phenotypes like RP accompanied by iris coloboma in an autosomal-dominant pattern, including in Chinese patients, miR-204 aberrations should be considered.
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  • 文章类型: Journal Article
    氧化应激在许多视网膜疾病的发病机制中起着重要作用。然而,仅进行了一些系统的文献计量学研究。本研究旨在通过分析文献计量数据,可视化2013-2023年视网膜氧化应激的研究热点和发展趋势。
    我们从WebofScienceCoreCollection检索了2013年至2023年之间发表的有关视网膜氧化应激的论文。使用CiteSpace和VOSviewer软件对数据进行视觉分析。
    分析中包括了2100种出版物的总数。在2013年至2023年之间,出版物数量总体呈增长趋势。中国出版物贡献最大,但美国的出版物是最有影响力的。上海交通大学是最活跃,最多产的大学。抗氧化剂是最有成效的期刊,而氧化医学和细胞长寿是引用文章最多的期刊。KaarnirantaK,来自芬兰,是最有生产力和影响力的作家。对共同引用的参考文献的检查表明,该领域的研究人员主要专注于研究分子机制,预防策略,和利用抗氧化剂来解决视网膜氧化损伤。糖尿病视网膜病变,内皮生长因子,视网膜色素变性,视网膜变性,抗氧化反应,视网膜神经节细胞,基因是该领域的研究热点。代谢,碘酸钠,和系统处于该领域研究的前沿。
    在过去十年中,对视网膜氧化应激的关注有所增加。目前的研究主要集中在视网膜疾病与氧化应激相关的机制以及抗氧化剂在视网膜疾病中的实验研究,这可能会继续成为未来的趋势。
    UNASSIGNED: Oxidative stress plays a significant role in the pathogenesis of many retinal diseases. However, only a few systematic bibliometric studies have been conducted. This study aims to visualize research hotspots and developmental trends in oxidative stress in the retina from 2013 to 2023 by analyzing bibliometric data.
    UNASSIGNED: We retrieved papers on oxidative stress in the retina published between 2013 and 2023 from the Web of Science Core Collection. The data were visually analyzed using CiteSpace and VOSviewer software.
    UNASSIGNED: The total number of 2100 publications were included in the analysis. An overall increasing trend in the number of publications is observed between 2013 and 2023. Chinese publications were the most contributive, but United States publications were the most influential. Shanghai Jiao Tong University was the most active and prolific institution. Antioxidants was the most productive journal, while Oxidative Medicine and Cellular Longevity were the journals with the most-cited articles. Kaarniranta K, from Finland, was the most productive and influential author. Examination of co-cited references revealed that researchers in the field are primarily focused on investigating the molecular mechanisms, preventive strategies, and utilization of antioxidants to address retinal oxidative damage. Diabetic retinopathy, endothelial growth factor, retinitis pigmentosa, retinal degeneration, antioxidant response, retinal ganglion cells, and genes are the research hotspots in this field. Metabolism, sodium iodate, and system are at the forefront of research in this field.
    UNASSIGNED: Attention toward retinal oxidative stress has increased over the past decade. Current research focuses on the mechanisms of retinal diseases related to oxidative stress and the experimental study of antioxidants in retinal diseases, which may continue to be a trend in the future.
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  • 文章类型: Journal Article
    色素性视网膜炎(RP)是一种遗传性视网膜疾病,其中视锥介导的日光视力丧失。因为有超过100个疾病基因,我们的目标是以疾病基因不可知的方式保持视锥视力.以前我们显示过表达TXNIP,α-抑制蛋白,RP小鼠模型中延长的视锥视觉,使用AAV仅在锥体中表达。这里,我们在视网膜色素上皮(RPE)中表达了Txnip的不同等位基因,锥体的支撑层。我们的目标是了解更多的TXNIP的结构-功能关系为锥生存,以及确定视锥细胞存活的最佳细胞类型表达模式。发现TXNIP的C末端一半足以从细胞表面去除GLUT1,并提高了RP锥的存活率,当以RPE表示时,但不是在锥体。HSP90AB1是一种调节新陈代谢的TXNIP相互作用物,单独改善视锥细胞的存活率,并且与TXNIP结合使用时,视锥细胞的存活率是相加的。从这些和其他结果来看,TXNIP可能与RPE中的几种蛋白质相互作用,间接支持视锥细胞存活,这些相互作用中的一些与仅在视锥细胞中表达时导致视锥细胞存活的相互作用不同。
    Retinitis pigmentosa (RP) is an inherited retinal disease in which there is a loss of cone-mediated daylight vision. As there are >100 disease genes, our goal is to preserve cone vision in a disease gene-agnostic manner. Previously we showed that overexpressing TXNIP, an α-arrestin protein, prolonged cone vision in RP mouse models, using an AAV to express it only in cones. Here, we expressed different alleles of Txnip in the retinal pigmented epithelium (RPE), a support layer for cones. Our goal was to learn more of TXNIP\'s structure-function relationships for cone survival, as well as determine the optimal cell type expression pattern for cone survival. The C-terminal half of TXNIP was found to be sufficient to remove GLUT1 from the cell surface, and improved RP cone survival, when expressed in the RPE, but not in cones. Knock-down of HSP90AB1, a TXNIP-interactor which regulates metabolism, improved the survival of cones alone and was additive for cone survival when combined with TXNIP. From these and other results, it is likely that TXNIP interacts with several proteins in the RPE to indirectly support cone survival, with some of these interactions different from those that lead to cone survival when expressed only in cones.
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  • 文章类型: Journal Article
    蛋白质毒性应激驱动许多退行性疾病。细胞最初通过激活未折叠的蛋白质反应(UPR)来适应错误折叠的蛋白质,包括内质网相关蛋白降解(ERAD)。然而,持续的压力触发细胞凋亡。增强ERAD是蛋白质错误折叠疾病的有希望的治疗方法。ER定位的Zn2转运蛋白ZIP7从植物到人类是保守的,并且是肠道自我更新所必需的,陷波信号,细胞运动性,和生存。然而,这些不同表型的统一机制尚不清楚.在研究果蝇边缘细胞迁移时,我们发现ZIP7介导的Zn2+转运通过蛋白酶体盖中的Rpn11Zn2+金属蛋白酶增强蛋白质的强制性去泛素化。在人类细胞中,ZIP7和Zn2+限制了去泛素化。在由错误折叠的视紫红质(Rh1)引起的果蝇神经变性模型中,ZIP7过表达降解错误折叠的Rh1并挽救光感受器活力和飞行视力。因此,ZIP7介导的Zn2+转运是以前未知的,在蛋白质错误折叠疾病中具有治疗潜力的体内ERAD的限速步骤。
    Proteotoxic stress drives numerous degenerative diseases. Cells initially adapt to misfolded proteins by activating the unfolded protein response (UPR), including endoplasmic-reticulum-associated protein degradation (ERAD). However, persistent stress triggers apoptosis. Enhancing ERAD is a promising therapeutic approach for protein misfolding diseases. The ER-localized Zn2+ transporter ZIP7 is conserved from plants to humans and required for intestinal self-renewal, Notch signaling, cell motility, and survival. However, a unifying mechanism underlying these diverse phenotypes was unknown. In studying Drosophila border cell migration, we discovered that ZIP7-mediated Zn2+ transport enhances the obligatory deubiquitination of proteins by the Rpn11 Zn2+ metalloproteinase in the proteasome lid. In human cells, ZIP7 and Zn2+ are limiting for deubiquitination. In a Drosophila model of neurodegeneration caused by misfolded rhodopsin (Rh1), ZIP7 overexpression degrades misfolded Rh1 and rescues photoreceptor viability and fly vision. Thus, ZIP7-mediated Zn2+ transport is a previously unknown, rate-limiting step for ERAD in vivo with therapeutic potential in protein misfolding diseases.
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  • 文章类型: Journal Article
    在这项研究中,腹腔注射N-甲基-N-亚硝基脲(MNU)构建小鼠视网膜色素变性(RP)模型,评价壳聚糖和β-胡萝卜素对RP的保护作用。结果表明,壳聚糖与β-胡萝卜素协同作用可显著降低RP小鼠视网膜组织病理学结构损伤。β-胡萝卜素和壳聚糖联合治疗组视网膜厚度和外核层厚度的恢复优于单独治疗组,厚度达到正常水平。壳聚糖和β-胡萝卜素共处理组肝脏中β-胡萝卜素和类维生素A的含量分别增加了46.75%和20.69%,分别,与β-胡萝卜素组相比。壳聚糖和β-胡萝卜素的补充抑制Bax的表达,Calpain2,Caspase3,NF-κB,TNF-α,IL-6和IL-1β,并促进了Bcl2的上调。壳聚糖和β-胡萝卜素干预显着促进了SCFA的含量,并增强了Ruminococycaceae的丰度,Rikenellaceae,恶杆菌科和螺旋杆菌科。相关分析表明肠道菌群与色素性视网膜炎的改善之间存在很强的关联。本研究将为肠眼轴的研究提供参考。
    In this study, N-Methyl-N-nitrosourea (MNU) was intraperitoneally injected to construct a mouse retinitis pigmentosa (RP) model to evaluate the protective effect of chitosan and β-carotene on RP. The results demonstrated that chitosan synergized with β-carotene significantly reduced retinal histopathological structural damage in RP mice. The co-treatment group of β-carotene and chitosan restored the retinal thickness and outer nuclear layer thickness better than the group treated with the two alone, and the thickness reached the normal level. The content of β-carotene and retinoids in the liver of chitosan and β-carotene co-treated group increased by 46.75 % and 20.69 %, respectively, compared to the β-carotene group. Chitosan and β-carotene supplement suppressed the expressions of Bax, Calpain2, Caspase3, NF-κB, TNF-α, IL-6, and IL-1β, and promoted the up-regulation of Bcl2. Chitosan and β-carotene interventions remarkably contributed to the content of SCFAs and enhanced the abundance of Ruminococcaceae, Rikenellaceae, Odoribacteraceae and Helicobacteraceae. Correlation analysis demonstrated a strong association between gut microbiota and improvement in retinitis pigmentosa. This study will provide a reference for the study of the gut-eye axis.
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  • 文章类型: Journal Article
    目的我们的研究是为了探索分子氢(H2)的影响,一种新建立的抗氧化剂,关于rd1小鼠的视网膜变性,遗传性视网膜色素变性(RP)的动物模型。方法将rd1小鼠随机分为对照组和H2干预组。来自其他组的小鼠以三种模式接受H2干预,氢气(HG)的两种模式和富氢盐水(HRS)的一种模式。在出生后14天(P14)和P21,在所有小鼠中检测到各种指标,包括视网膜电图(ERG),眼底照相术,光学相干断层扫描(OCT),和小胶质细胞标记的视网膜免疫接种,Iba1.结果对照组和H2干预组小鼠的ERG振幅无统计学差异(p>0.05)。在P14和P21时,在OCT上发现上述两组小鼠的视网膜色素上皮到外网状层的距离没有显着差异(p>0.05)。P14和P21时小鼠外核层厚度(ONL)与H2干预组比较差异无统计学意义(p>0.05)。在Iba1阳性细胞数方面,两组间无显著性差异(p>0.05)。结论不同形式的H2干预(富氢盐水和氢气)对rd1小鼠视网膜变性的病程无明显影响。遗传性RP小鼠模型中光感受器变性的具体机制可能不同,需要不同的医疗干预措施。
    Objective Our research was performed in order to explore the effects of molecular hydrogen (H2), a novelly-established antioxidant, on the retinal degeneration in rd1 mice, an animal model of inherited retinitis pigmentosa (RP). Methods The rd1 mice were divided randomly into control and H2 intervention groups. Mice from other groups received H2 intervention in three modes, two modes of the hydrogen gas (HG) and one model of hydrogen-rich saline (HRS). At 14 days post born (P14) and P21, various indicators were detected in all mice, including eletroretinogram (ERG), fundus phography, optical coherence tomography (OCT), and retinal immunotaining of microglia cells\' marker, Iba1. Results The ERG amplitude in mice from the control and H2 intervention groups showed no statistical differences (p > 0.05). At P14 and P21, no significant difference in the distance from the retinal pigment epithelium to the outer plexiform layer on OCT from mice of the above two groups was found (p > 0.05). The thickness of the outer nuclear layer (ONL) in mice at P14 and P21 showed no statistical differences between the control group and the H2 intervention group (p > 0.05). In the aspect of the number of Iba1-positive cells, we did not found any significant differences between the two groups (p > 0.05). Conclusion Different forms of H2 intervention (hydrogen-rich saline and hydrogen gas) had no obvious effects on the course of retinal degeneration in rd1 mice. The specific mechanism of photoreceptor degeneration in the hereditary RP mouse model may be different, requiring different medical interventions.
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  • 文章类型: Journal Article
    IMPDH1的杂合变体与常染色体显性视网膜色素变性(adRP)相关。本研究旨在研究adRP相关变体的特征。
    从我们的外显子组测序数据集中检索IMPDH1变体,并通过多个在线预测工具进行系统评估,比较基因组学(内部数据集,HGMD,和gnomAD),和表型关联。通过Sanger测序和分离分析进一步证实了潜在的致病变体(PPV)。
    总共,在10个RP家族中鉴定出7个杂合PPV(6个错觉和1个内框),其中七个中的六个可能被归类为致病性或可能致病性,而另一个则被归类为意义不确定的变体。在我们的队列中,IMPDH1变体贡献了0.7%(10/1519)的RP家族,排名前四的基因与adRP有关。这些adRP相关变体位于外显子8-10中,即CBS结构域内或下游的区域。预测所有这些变体被六个在线预测工具中的至少三个损坏。两个截短变体被认为是非致病性的。到目前为止,在已发表的文献中,在110个家族中检测到41个IMPDH1杂合变体,包括33种误解,两个内框,和六个截短(包括影响剪接的同义变体)。在35种错觉和框架变体中,大多数聚集在外显子8-10(77.1%,27/35),包括18个(51.4%,18/35)中外显子10占家庭的70.9%(78/110)。然而,截短变体在pLI值为0(耐受)的普通人群中富集,报道的RP患者的变异没有在特定区域聚集。
    我们的数据以及对现有数据集的综合分析表明,IMPDH1的致病变异通常是错义的,并且大多聚集在外显子8-10中。相反,该区域以外的大多数错义变异和截短变异在临床基因检测中应非常小心地解释.
    UNASSIGNED: Heterozygous variants of IMPDH1 are associated with autosomal dominant retinitis pigmentosa (adRP). The current study aims to investigate the characteristics of the adRP-associated variants.
    UNASSIGNED: IMPDH1 variants from our exome sequencing dataset were retrieved and systemically evaluated through multiple online prediction tools, comparative genomics (in-house dataset, HGMD, and gnomAD), and phenotypic association. Potential pathogenic variants (PPVs) were further confirmed by Sanger sequencing and segregation analysis.
    UNASSIGNED: In total, seven heterozygous PPVs (six missenses and one inframe) were identified in 10 families with RP, in which six of the seven might be classified as pathogenic or likely pathogenic while one others as variants of uncertain significance. IMPDH1 variants contributed to 0.7% (10/1519) of RP families in our cohort, ranking the top four genes implicated in adRP. These adRP-associated variants were located in exons 8-10, a region within or downstream of the CBS domain. All these variants were predicted to be damaged by at least three of the six online prediction tools. Two truncation variants were considered non-pathogenic. Hitherto, 41 heterozygous variants of IMPDH1 were detected in 110 families in published literature, including 33 missenses, two inframes, and six truncations (including a synonymous variant affecting splicing). Of the 35 missense and inframe variants, most were clustered in exons 8-10 (77.1%, 27/35), including 18 (51.4%, 18/35) in exon 10 accounting for 70.9% (78/110) of the families. However, truncation variants were enriched in the general population with a pLI value of 0 (tolerated), and the reported variants in patients with RP did not cluster in specific region.
    UNASSIGNED: Our data together with comprehensive analysis of existing datasets suggest that causative variants of IMPDH1 are usually missense and mostly clustered in exons 8-10. Conversely, most missense variants outside this region and truncation variants should be interpreted with great care in clinical gene test.
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  • 文章类型: Case Reports
    目的:探讨1例常染色体显性遗传性视网膜色素变性(RP)患者的遗传基础。
    方法:选择2019年9月甘肃省妇幼保健院收治的男性RP患者作为研究对象。收集临床数据。对患者及其父母的外周血样品进行全外显子组测序(WES)。通过Sanger测序和生物信息学分析验证候选变体。
    结果:患者,一个29岁的男性,患有夜盲症,弱视,从小视野缺损和视盘异常。基因测序显示他具有杂合c.942G>C(p。Lys314Asn)IMPDH1基因的变体,是从他母亲那里继承的,而他的父亲是野生型。根据美国医学遗传学和基因组学学院的指南,预测c.942G>C变异可能是致病性的(PM1+PM2_支持+PP3+PP1)。
    结论:c.942G>C(p。IMPDH1基因中的Lys314Asn)变异可能是该患者RP的基础。
    OBJECTIVE: To explore the genetic basis for a patient with autosomal dominant retinitis pigmentosa (RP).
    METHODS: A male patient with RP treated at Gansu Provincial Maternal and Child Health Care Hospital in September 2019 was selected as the study subject. Clinical data was collected. Peripheral blood samples of the patient and his parents were subjected to whole exome sequencing (WES). Candidate variant was validated by Sanger sequencing and bioinformatic analysis.
    RESULTS: The patient, a 29-year-old male, developed night blindness, amblyopia, visual field defects and optic disc abnormalities since childhood. Gene sequencing revealed that he has harbored a heterozygous c.942G>C (p.Lys314Asn) variant of the IMPDH1 gene, which was inherited from his mother, whilst his father was of the wild type. Based on the guidelines from the American College of Medical Genetics and Genomics, the c.942G>C variant was predicted as likely pathogenic (PM1+PM2_Supporting+PP3+PP1).
    CONCLUSIONS: The c.942G>C (p.Lys314Asn) variant in the IMPDH1 gene probably underlay the RP in this patient.
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  • 文章类型: Journal Article
    色素性视网膜炎(RP)是一组遗传异质性视网膜病变,导致不可逆的视力丧失。RAX2基因突变与RP有关,机制尚不清楚。这里,我们从一名RAX2基因携带c.77C>T突变的RP患者的外周血单核细胞中产生了人诱导多能干细胞(iPSC)系.该细胞系通过无整合的游离载体诱导,并验证了多能性和分化能力,可作为研究RAX2在RP发病机制中作用的模型。
    Retinitis pigmentosa (RP) is a group of genetically heterogeneous retinopathy resulting in irreversible loss of vision. Mutations in RAX2 gene has been related to RP with mechanisms unclear. Here, we generated a human induced pluripotent stem cell (iPSC) line from peripheral blood mononuclear cells of a RP patient carrying c.77C > T mutation in RAX2 gene. This cell line was induced by integration-free episomal vectors and validated for pluripotency and differentiation capacity, which may serve as a model to study the role of RAX2 in RP pathogenesis.
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