Open AccessMolecular mechanisms of diabetic retinopathy: Potential therapeutic targets
Author(s) -
Maha Coucha,
Sally L. Elshaer,
Wael Eldahshan,
Barbara A. Mysona,
Azza B. El-Remessy
Publication year - 2015
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/0974-9233.154386
Subject(s) - diabetic retinopathy , medicine , blindness , oxidative stress , diabetes mellitus , disease , inflammation , clinical trial , bioinformatics , pathogenesis , macular degeneration , intensive care medicine , retinopathy , therapeutic approach , immunology , pathology , ophthalmology , optometry , endocrinology , biology
Diabetic retinopathy (DR) is the leading cause of blindness in working-age adults in United States. Research indicates an association between oxidative stress and the development of diabetes complications. However, clinical trials with general antioxidants have failed to prove effective in diabetic patients. Mounting evidence from experimental studies that continue to elucidate the damaging effects of oxidative stress and inflammation in both vascular and neural retina suggest its critical role in the pathogenesis of DR. This review will outline the current management of DR as well as present potential experimental therapeutic interventions, focusing on molecules that link oxidative stress to inflammation to provide potential therapeutic targets for treatment or prevention of DR. Understanding the biochemical changes and the molecular events under diabetic conditions could provide new effective therapeutic tools to combat the disease.