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探讨糖尿病性视网膜病变的病理机制及姜黄素和β-葡糖苷酸在糖尿病性视网膜病变治疗中的潜力。

Discussing pathologic mechanisms of Diabetic retinopathy & therapeutic potentials of curcumin and β-glucogallin in the management of Diabetic retinopathy.

机构信息

Chitkara College of Pharmacy, Chitkara University, Rajpura, Punjab 140401, India; Swami Vivekanand College of Pharmacy, Ram Nagar, Banur, Punjab 140601, India.

M. M. College of Pharmacy, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana 133207, India.

出版信息

Biomed Pharmacother. 2023 Dec 31;169:115881. doi: 10.1016/j.biopha.2023.115881. Epub 2023 Nov 19.

Abstract

Diabetic retinopathy (DR) is a form of retinal microangiopathy that occurs as a result of long-term Diabetes mellitus (DM). Patients with Diabetes mellitus typically suffer from DR as a progression of the disease that may be due to initiation and dysregulation of pathways like the polyol, hexosamine, the AGE/RAGE, and the PKC pathway, which all have negative impacts on eye health and vision. In this review, various databases, including PubMed, Google Scholar, Web of Science, and Science Direct, were scoured for data relevant to the aforementioned title. The three most common therapies for DR today are retinal photocoagulation, anti-vascular endothelial growth factor (VEGF) therapy, and vitrectomy, however, there are a number of drawbacks and limits to these methods. So, it is of critical importance and profound interest to discover treatments that may successfully address the pathogenesis of DR. Curcumin and β-glucogallin are the two potent compounds of natural origin that are already being used in various nutraceutical formulations for several ailments. They have been shown potent antiapoptotic, anti-inflammatory, antioxidant, anticancer, and pro-vascular function benefits in animal experiments. Their parent plant species have been used for generations by practitioners of traditional herbal medicine for the treatment and prevention of various eye ailments. In this review, we will discuss about pathophysiology of Diabetic retinopathy and the therapeutic potentials of curcumin and β-glucogallin one of the principal compounds from Curcuma longa and Emblica officinalis in Diabetic retinopathy.

摘要

糖尿病性视网膜病变(DR)是一种视网膜微血管病变,是由于长期糖尿病(DM)引起的。糖尿病患者通常会因疾病的进展而患上 DR,这可能是由于多元醇、己糖胺、AGE/RAGE 和 PKC 途径的启动和失调所致,这些途径都对眼睛健康和视力有负面影响。在这篇综述中,我们在包括 PubMed、Google Scholar、Web of Science 和 Science Direct 在内的各种数据库中搜索了与上述标题相关的数据。目前,治疗 DR 的三种最常见的方法是视网膜光凝术、抗血管内皮生长因子(VEGF)治疗和玻璃体切除术,但是这些方法存在许多缺点和限制。因此,发现可能成功解决 DR 发病机制的治疗方法至关重要,也具有深远意义。姜黄素和β-葡糖基芦丁是两种天然来源的强效化合物,已经在多种用于治疗各种疾病的营养配方中使用。在动物实验中,它们已被证明具有强大的抗凋亡、抗炎、抗氧化、抗癌和促进血管生成功能。它们的母体植物物种已被传统草药医生世代用于治疗和预防各种眼部疾病。在这篇综述中,我们将讨论糖尿病性视网膜病变的病理生理学以及姜黄素和β-葡糖基芦丁的治疗潜力,它们是姜黄和余甘子中的主要化合物之一。

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