retinal degeneration

视网膜变性
  • 文章类型: Journal Article
    Biological processes throughout the body are orchestrated in time through the regulation of local circadian clocks. The retina is among the most metabolically active tissues, with demands depending greatly on the light/dark cycle. Most cell types within the retina are known to express the circadian clock in rodents, however, retinal clock expression in the human has not previously been localized. Moreover, the effect of local circadian clock dysfunction on retinal homeostasis is incompletely understood. We demonstrate an age-dependent decline in circadian clock gene and protein expression in the human retina. Using an animal model of targeted Bmal1 deficiency, we identify the circadian clock of the retinal Müller glia as essential for neuronal survival, vascular integrity, and retinal function. These results suggest a potential role for the local retinal circadian clock within the Müller glia in age-related retinal disease and retinal degeneration.
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  • 文章类型: Journal Article
    This study introduces an innovative optical coherence tomography (OCT) imaging system dedicated to high-throughput screening applications using ex vivo tissue culture. Leveraging OCT\'s non-invasive, high-resolution capabilities, the system is equipped with a custom-designed motorized platform and tissue detection ability for automated, successive imaging across samples. Transformer-based deep-learning segmentation algorithms further ensure robust, consistent, and efficient readouts meeting the standards for screening assays. Validated using retinal explant cultures from a mouse model of retinal degeneration, the system provides robust, rapid, reliable, unbiased, and comprehensive readouts of tissue response to treatments. This fully automated OCT-based system marks a significant advancement in tissue screening, promising to transform drug discovery, as well as other relevant research fields.
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  • 文章类型: Journal Article
    背景:英国可卡犬(ECS)的低牛磺酸浓度(B-TauC)和牛磺酸缺乏的诱发因素尚未完全了解。
    目的:调查瑞典ECS人群中低B-TauC的发生情况,并评估B-TauC与狗特征之间的关联,临床变量,和饮食组成。
    方法:一百八十个私有ECS。
    方法:前瞻性招募狗并进行体格检查,血液分析,超声心动图和眼科检查。具有充血性心力衰竭(CHF)临床体征的狗也接受了胸部X线摄影。分析血浆(EDTA和肝素)和全血中的牛磺酸浓度。分析狗在检查时消耗的饮食中的饮食牛磺酸-(D-TauC),半胱氨酸-(D-CysC),和蛋氨酸浓度(D-MetC)。
    结果:180只狗中有53只(29%)的B-TauC较低,其中13只(25%)狗有CHF的临床和影像学征象,超声心动图左心室(LV)尺寸和体积增加,左心室收缩功能受损。具有低B-TauC的五只(9%)狗具有视网膜异常。膳食MetC,膳食动物蛋白来源(红肉/白肉),在最终的多变量回归模型中,年龄与B-TauC相关(P<.001,R2adj=.39)。
    结论:低B-TauC提示牛磺酸缺乏可能在ECS的心肌衰竭和CHF的发展中起作用。低D-MetC和以红肉为动物蛋白质来源的饮食与低B-TauC相关。B-TauC低于正常参考范围的狗比正常浓度的狗年龄大。
    BACKGROUND: Occurrence of low blood taurine concentrations (B-TauC) and predisposing factors to taurine deficiency in English Cocker Spaniels (ECS) are incompletely understood.
    OBJECTIVE: Investigate the occurrence of low B-TauC in a Swedish population of ECS and evaluate the association between B-TauC and dog characteristics, clinical variables, and diet composition.
    METHODS: One-hundred eighty privately owned ECS.
    METHODS: Dogs were prospectively recruited and underwent physical examination, blood analyses, and echocardiographic and ophthalmic examinations. Dogs with clinical signs of congestive heart failure (CHF) also underwent thoracic radiography. Taurine concentrations were analyzed in plasma (EDTA and heparin) and whole blood. Diets consumed by the dogs at the time of the examination were analyzed for dietary taurine- (D-TauC), cysteine- (D-CysC), and methionine concentrations (D-MetC).
    RESULTS: Fifty-three of 180 dogs (29%) had low B-TauC, of which 13 (25%) dogs had clinical and radiographic signs of CHF, increased echocardiographic left ventricular (LV) dimensions and volumes, and impaired LV systolic function. Five (9%) dogs with low B-TauC had retinal abnormalities. Dietary MetC, dietary animal protein source (red/white meat), and age were associated with B-TauC in the final multivariable regression model (P < .001, R2 adj = .39).
    CONCLUSIONS: Low B-TauC suggests that taurine deficiency may play a role in the development of myocardial failure and CHF in ECS. Low D-MetC and diets with red meat as the animal protein source were associated with low B-TauC. Dogs with B-TauC below the normal reference range were older than dogs with normal concentrations.
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  • 文章类型: Journal Article
    光感受器变性是全球范围内无法治愈的失明的主要原因,最近已成为新兴技术的目标,包括基于细胞和基因的疗法。神经谱系的细胞类型已显示出有望在递送到视网膜下隙后替代光感受器或视网膜色素上皮细胞。而骨髓细胞在递送到玻璃体腔后已经测试了视网膜营养作用。在这里,我们探索了一种替代方法,其中未成熟神经视网膜的细胞被输送到玻璃体腔,目的是为变性的光感受器提供营养支持。将大鼠和人视网膜祖细胞移植到患有充分研究的光感受器营养不良的大鼠的玻璃体中,导致大量的解剖保存和视力的功能挽救。这项工作为目前正在临床试验中评估的光感受器变性的新型治疗方法提供了科学的原理证明。
    Photoreceptor degeneration is a major cause of untreatable blindness worldwide and has recently been targeted by emerging technologies, including cell- and gene-based therapies. Cell types of neural lineage have shown promise for replacing either photoreceptors or retinal pigment epithelial cells following delivery to the subretinal space, while cells of bone marrow lineage have been tested for retinal trophic effects following delivery to the vitreous cavity. Here we explore an alternate approach in which cells from the immature neural retinal are delivered to the vitreous cavity with the goal of providing trophic support for degenerating photoreceptors. Rat and human retinal progenitor cells were transplanted to the vitreous of rats with a well-studied photoreceptor dystrophy, resulting in substantial anatomical preservation and functional rescue of vision. This work provides scientific proof-of-principle for a novel therapeutic approach to photoreceptor degeneration that is currently being evaluated in clinical trials.
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  • 文章类型: Congress
    多方利益相关者,以患者为中心的方法对于设计与RDH12-IRD人群相关的结局指标的未来成功临床试验至关重要.
    UNASSIGNED: A multi-stakeholder, patient centric approach will be critical to the design of future successful clinical trials with outcome measures relevant to the RDH12-IRD population.
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  • 文章类型: Journal Article
    由于大量的基因和突变导致遗传性视网膜变性(IRD),这些患者的治疗选择很少。对于以不依赖于突变的方式靶向共有的病理生理途径的治疗方法存在大量未满足的需求。Fas受体是多种眼部疾病中视网膜细胞逝世亡和炎症的主要激活剂和调理剂。我们先前报道了两种不同IRD小鼠模型中Fas介导的光感受器(PR)细胞死亡的激活,rd10和P23H,并证明了基因Fas抑制的保护作用。这项研究的目的是通过玻璃体内注射Fas受体的小肽抑制剂来检查这两种模型中Fas的药理抑制作用,ONL1204.在P14时对rd10小鼠的一只眼睛给予ONL1204的单次玻璃体内注射。给P23H小鼠两次玻璃体内注射ONL1204,一次在P14和2个月大时再次。同伴的眼睛只被车辆注射。Fas激活,PR细胞死亡率,视网膜功能,并评估了视网膜中免疫细胞的激活。在rd10和P23H小鼠中,ONL1204治疗导致TUNEL(+)PR数量减少,caspase8活性降低,增强感光细胞计数,与车辆处理的同伴眼睛相比,视觉功能得到了改善。用ONL1204治疗还降低了rd10和P23H小鼠视网膜中的免疫细胞活化。在两种不同的视网膜变性小鼠模型中,ONL1204对Fas的药理抑制作用表明,靶向细胞死亡和炎症的这种常见病理生理机制代表了一种潜在的治疗方法,可以保护IRD患者的视网膜。不管基因支撑。
    Due to the large number of genes and mutations that result in inherited retinal degenerations (IRD), there has been a paucity of therapeutic options for these patients. There is a large unmet need for therapeutic approaches targeting shared pathophysiologic pathways in a mutation-independent manner. The Fas receptor is a major activator and regulator of retinal cell death and inflammation in a variety of ocular diseases. We previously reported the activation of Fas-mediated photoreceptor (PR) cell death in two different IRD mouse models, rd10 and P23H, and demonstrated the protective effect of genetic Fas inhibition. The purpose of this study was to examine the effects of pharmacologic inhibition of Fas in these two models by intravitreal injection with a small peptide inhibitor of the Fas receptor, ONL1204. A single intravitreal injection of ONL1204 was given to one eye of rd10 mice at P14. Two intravitreal injections of ONL1204 were given to the P23H mice, once at P14 and again at 2-months of age. The fellow eyes were injected with vehicle alone. Fas activation, rate of PR cell death, retinal function, and the activation of immune cells in the retina were evaluated. In both rd10 and P23H mice, ONL1204 treatment resulted in decreased number of TUNEL (+) PRs, decreased caspase 8 activity, enhanced photoreceptor cell counts, and improved visual function compared with vehicle treated fellow eyes. Treatment with ONL1204 also reduced immune cell activation in the retinas of both rd10 and P23H mice. The protective effect of pharmacologic inhibition of Fas by ONL1204 in two distinct mouse models of retinal degeneration suggests that targeting this common pathophysiologic mechanism of cell death and inflammation represents a potential therapeutic approach to preserve the retina in patients with IRD, regardless of the genetic underpinning.
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  • 文章类型: Journal Article
    Shp2,一种关键的含SH2结构域的酪氨酸磷酸酶,对细胞调节至关重要,并参与代谢破坏,肥胖,糖尿病,努南综合征,LEOPARD综合征,和癌症。本研究集中在视杆感光细胞中的Shp2,揭示了它的丰富,尤其是棒。视杆中Shp2的缺失导致年龄依赖性光感受器变性。Shp2目标闭塞蛋白(OCLN),一种紧密连接的蛋白质,其缺失降低了OCLN在视网膜和视网膜色素上皮(RPE)中的表达。从缺乏Shp2的杆状物中分离主动翻译的mRNA,然后进行RNA测序,揭示了细胞周期调节的变化。此外,在缺乏Shp2的视网膜细胞中观察到改变的视网膜代谢。我们的研究表明,Shp2对于维持光感受器的结构和功能至关重要。
    Shp2, a critical SH2-domain-containing tyrosine phosphatase, is essential for cellular regulation and implicated in metabolic disruptions, obesity, diabetes, Noonan syndrome, LEOPARD syndrome, and cancers. This study focuses on Shp2 in rod photoreceptor cells, revealing its enrichment, particularly in rods. Deletion of Shp2 in rods leads to age-dependent photoreceptor degeneration. Shp2 targets occludin (OCLN), a tight junction protein, and its deletion reduces OCLN expression in the retina and retinal pigment epithelium (RPE). The isolation of actively translating mRNAs from rods lacking Shp2, followed by RNA sequencing, reveals alterations in cell cycle regulation. Additionally, altered retinal metabolism is observed in retinal cells lacking Shp2. Our studies indicate that Shp2 is crucial for maintaining the structure and function of photoreceptors.
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  • 文章类型: Journal Article
    背景:包含8基因的主要促进子超家族结构域(MFSD8)中的双等位基因变体与不同的临床表现相关,从典型的7型晚期婴儿神经元类脂褐菌病(CLN7疾病)到孤立的成人发作性视网膜营养不良。经典的晚期婴儿CLN7疾病是一种严重的,罕见的神经系统疾病,发病年龄通常在2到6岁之间,表现为癫痫发作和/或认知衰退。它的临床过程是渐进的,导致过早死亡,通常包括由于严重的视网膜营养不良导致的视力丧失。在极少数情况下,MFSD8的致病变异可能与发病年龄可变的孤立的非综合征性黄斑营养不良有关,其中疾病过程主要或完全影响黄斑的视锥,并且没有神经或神经精神表现。
    方法:在这里,我们对4名成年发病患者进行了纵向研究,这些患者的4个MFSD8变异体均为双等位基因。
    结果:两名无亲缘关系的患者在检查时出现成人共济失调和黄斑营养不良,在MFSD8NM_152778.4:c.935T>Cp。(Ile312Thr)中具有新的变体纯合子。另外两名患者在成年期出现视觉症状,其中之一在视觉症状出现数年后出现轻度至中度小脑共济失调。
    结论:我们的观察扩大了对双等位基因致病性MFSD8变异的认识,并证实这些变异与一系列更异质性的临床表型相关。在MFSD8相关疾病中,成人发作的隐性共济失调可能是表现,也可能与视网膜营养不良合并发生。
    BACKGROUND: Biallelic variants in the major facilitator superfamily domain containing 8 gene (MFSD8) are associated with distinct clinical presentations that range from typical late-infantile neuronal ceroid lipofuscinosis type 7 (CLN7 disease) to isolated adult-onset retinal dystrophy. Classic late-infantile CLN7 disease is a severe, rare neurological disorder with an age of onset typically between 2 and 6 years, presenting with seizures and/or cognitive regression. Its clinical course is progressive, leading to premature death, and often includes visual loss due to severe retinal dystrophy. In rare cases, pathogenic variants in MFSD8 can be associated with isolated non-syndromic macular dystrophy with variable age at onset, in which the disease process predominantly or exclusively affects the cones of the macula and where there are no neurological or neuropsychiatric manifestations.
    METHODS: Here we present longitudinal studies on four adult-onset patients who were biallelic for four MFSD8 variants.
    RESULTS: Two unrelated patients who presented with adult-onset ataxia and had macular dystrophy on examination were homozygous for a novel variant in MFSD8 NM_152778.4: c.935T>C p.(Ile312Thr). Two other patients presented in adulthood with visual symptoms, and one of these developed mild to moderate cerebellar ataxia years after the onset of visual symptoms.
    CONCLUSIONS: Our observations expand the knowledge on biallelic pathogenic MFSD8 variants and confirm that these are associated with a spectrum of more heterogeneous clinical phenotypes. In MFSD8-related disease, adult-onset recessive ataxia can be the presenting manifestation or may occur in combination with retinal dystrophy.
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  • 文章类型: Journal Article
    背景:血管失调是青光眼的主要危险因素之一,内皮素-1(ET-1)可能在血管性青光眼的发病机制中起作用。枸杞果实提取物(LB)在各种动物模型中表现出抗衰老和保护视网膜神经节细胞(RGC)的多靶点机制。探讨LB糖蛋白(LbGP)在ET-1诱导的RGC变性中的疗效,在预处理和后处理条件下将LbGP应用于ET-1小鼠模型。使用基于临床的技术表征视网膜结构和功能结果。
    方法:将成年C57BL/6小鼠随机分为四个实验组,即车辆控制(n=9),LbGP预处理(n=8),LbGP-后处理(第1天)(n=8)和LbGP-后处理(第5天)(n=7)。每天一次口服施用lmg/Kg的LbGP或用于载体对照的PBS。治疗前和治疗后(第1天或第5天)在玻璃体内注射前1周和后1或5天开始,分别,并持续到注射后第28天。使用光学相干断层扫描(OCT)评估治疗对视网膜结构和功能的影响,基线时多普勒OCT和视网膜电图测量,注射后第10天和第28天。通过在视网膜整体上使用RBPMS免疫染色来评估RGC存活。
    结果:在媒介物对照中注射ET-1引起动脉流量和视网膜功能的短暂减少,在第28天导致显著的RNFL变薄和RGC损失。尽管在所有LbGP组中ET-1引起血流或视网膜功能的短暂丧失,与载体对照相比,LbGP治疗促进更好地恢复视网膜血流和视网膜功能。此外,所有三个LbGP治疗组(即从第1天或第5天的治疗前和治疗后)均显著保留了RNFL厚度和RGC密度。在三个LbGP治疗组之间没有观察到保护作用的显著差异。
    结论:LbGP在ET-1诱导的RGC变性小鼠模型中显示出神经保护作用,将治疗作为预处理,立即或延迟后治疗。LbGP治疗促进了视网膜血流的更好恢复,并保护了RNFL,RGC密度和视网膜功能。这项研究显示了LB作为青光眼治疗的补充治疗的转化潜力。
    BACKGROUND: Vascular dysregulation is one of the major risk factors of glaucoma, and endothelin-1 (ET-1) may have a role in the pathogenesis of vascular-related glaucoma. Fruit extract from Lycium Barbarum (LB) exhibits anti-ageing and multitarget mechanisms in protecting retinal ganglion cells (RGC) in various animal models. To investigate the therapeutic efficacy of LB glycoproteins (LbGP) in ET-1 induced RGC degeneration, LbGP was applied under pre- and posttreatment conditions to an ET-1 mouse model. Retina structural and functional outcomes were characterised using clinical-based techniques.
    METHODS: Adult C57BL/6 mice were randomly allocated into four experimental groups, namely vehicle control (n = 9), LbGP-Pretreatment (n = 8), LbGP-Posttreatment (day 1) (n = 8) and LbGP-Posttreatment (day 5) (n = 7). Oral administration of LbGP 1 mg/Kg or PBS for vehicle control was given once daily. Pre- and posttreatment (day 1 or 5) were commenced at 1 week before and 1 or 5 days after intravitreal injections, respectively, and were continued until postinjection day 28. Effects of treatment on retinal structure and functions were evaluated using optical coherence tomography (OCT), doppler OCT and electroretinogram measurements at baseline, post-injection days 10 and 28. RGC survival was evaluated by using RBPMS immunostaining on retinal wholemounts.
    RESULTS: ET-1 injection in vehicle control induced transient reductions in arterial flow and retinal functions, leading to significant RNFL thinning and RGC loss at day 28. Although ET-1 induced a transient loss in blood flow or retinal functions in all LbGP groups, LbGP treatments facilitated better restoration of retinal flow and retinal functions as compared with the vehicle control. Also, all three LbGP treatment groups (i.e. pre- and posttreatments from days 1 or 5) significantly preserved thRNFL thickness and RGC densities. No significant difference in protective effects was observed among the three LbGP treatment groups.
    CONCLUSIONS: LbGP demonstrated neuroprotective effects in a mouse model of ET-1 induced RGC degeneration, with treatment applied either as a pretreatment, immediate or delayed posttreatment. LbGP treatment promoted a better restoration of retinal blood flow, and protected the RNFL, RGC density and retinal functions. This study showed the translational potential of LB as complementary treatment for glaucoma management.
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  • 文章类型: Journal Article
    石墨烯量子点(GQD)用于从化学相关材料到生物医学的各个领域,从而导致它们大量释放到环境中。适当的视觉功能对于促进神经系统内的决策过程至关重要。考虑到眼睛与环境甚至纳米粒子的直接相互作用,在这里,GQD,磺酸掺杂的GQDs(S-GQDs),和氨基功能化的GQDs(A-GQDs)用于了解GQDs潜在的视神经毒性破坏机制。带负电荷的GQDs和S-GQDs干扰了斑马鱼幼虫对光刺激的反应并损害了视网膜核层的结构,导致视力障碍和视网膜变性.尽管具有亚致死浓度,通过增加DNA甲基化,视网膜血管发芽因子sirt1的表达显着降低,从而破坏了血-视网膜屏障。重要的是,对视觉功能的调节作用受到带负电荷的GQDs和S-GQDs的影响,但不受带正电荷的A-GQDs的影响。此外,聚类分析和计算模拟研究表明,GQDs与DNMT1-配体结合之间的结合亲和力可能是视觉功能反应的主要决定因素。先前未知的血液-视网膜屏障干扰途径为研究基于GQD的纳米材料的生物学后果提供了机会。引导行业创新走向环境可持续性。
    Graphene quantum dots (GQDs) are used in diverse fields from chemistry-related materials to biomedicines, thus causing their substantial release into the environment. Appropriate visual function is crucial for facilitating the decision-making process within the nervous system. Given the direct interaction of eyes with the environment and even nanoparticles, herein, GQDs, sulfonic acid-doped GQDs (S-GQDs), and amino-functionalized GQDs (A-GQDs) were employed to understand the potential optic neurotoxicity disruption mechanism by GQDs. The negatively charged GQDs and S-GQDs disturbed the response to light stimulation and impaired the structure of the retinal nuclear layer of zebrafish larvae, causing vision disorder and retinal degeneration. Albeit with sublethal concentrations, a considerably reduced expression of the retinal vascular sprouting factor sirt1 through increased DNA methylation damaged the blood-retina barrier. Importantly, the regulatory effect on vision function was influenced by negatively charged GQDs and S-GQDs but not positively charged A-GQDs. Moreover, cluster analysis and computational simulation studies indicated that binding affinities between GQDs and the DNMT1-ligand binding might be the dominant determinant of the vision function response. The previously unknown pathway of blood-retinal barrier interference offers opportunities to investigate the biological consequences of GQD-based nanomaterials, guiding innovation in the industry toward environmental sustainability.
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