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Treating Acquired Optic Disc Pit Maculopathy with an Ocular Hypotensive Agent 眼部降压药治疗后天性视盘凹陷性黄斑病变
Pub Date : 2023-01-01 DOI: 10.13188/2334-2838.1000031
Eric Shrier DO
Purpose: To describe a case of glaucomatous optic disc pit maculopathy that resolved after bimatoprost treatment. Observations: A 63-year-old African American female with a history of type 2 diabetes mellitus presented to the clinic after 3 months of blurry vision in the right eye and was found to have an asymmetric cup-to-disc ratio, and right intraretinal and subretinal fluid without leakage on fluorescein angiography concerning for optic disc pit maculopathy. A trial of intravitreal anti-vascular endothelial growth factor (VEGF) injection failed to resolve the fluid. Optical coherence tomography of the ganglion cell complex showed thinning of the ganglion cell complex concerning for previously undiagnosed glaucoma, and the patient was started on bimatoprost. The previously noted fluid resolved, and the patient has been quiescent for 4 years on ocular hypotensive medication. Conclusion: In untreated or poorly controlled glaucoma, progressive cupping of the optic nerve head may lead to the development of an acquired optic disc pit, which can produce maculopathy. This maculopathy can improve under ocular hypotensive treatment.
目的:报告1例青光眼视盘凹陷性黄斑病变经比马前列素治疗后痊愈的病例。观察:63岁非裔美国女性,2型糖尿病病史,右眼视力模糊3个月后就诊,发现杯盘比不对称,荧光素血管造影显示右眼视网膜内及视网膜下积液未漏,视盘凹斑病变。一项玻璃体内注射抗血管内皮生长因子(VEGF)的试验未能解决该液体。神经节细胞复合体的光学相干断层扫描显示神经节细胞复合体变薄与先前未确诊的青光眼有关,患者开始使用比马前列素。先前注意到的积液消失了,患者在服用降压药物后4年一直处于静止状态。结论:在未经治疗或控制不佳的青光眼中,视神经头进行性拔火罐可导致后得性视盘凹陷的发展,从而产生黄斑病变。这种黄斑病变可以在眼部低血压治疗下得到改善。
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引用次数: 0
Multifocal Polypoidal Choroidal Vasculopathy in Caribbean and African- Americans 加勒比和非洲裔美国人的多灶性息肉状脉络膜血管病
Pub Date : 2019-12-30 DOI: 10.13188/2334-2838.1000030
Polypoidal Choroidal Vasculopathy (PCV) is a relatively uncommon form of exudative Age-Related Macular Degeneration (ARMD) first described in 1990 by Yannuzzi et al. [1]. It presents as multiple, branching networks of small, polyp-like clusters, or larger identifiable characteristic polyp-like out-pouchings. Manifestations include lipid exudation, serosanguinous pigment epithelial detachments and sub-retinal hemorrhage. Indocyanine-Green (ICG) angiography has been said to be the necessary for delineating the polypoidal vascular abnormalities, but recently hi-resolution spectral domain Ocular Coherence Tomography (OCT) has been demonstrated to perhaps be diagnostic as well [2]. Recently it has been associated with a pachychoroid [3].
息肉状脉络膜血管病(PCV)是一种相对罕见的渗出性年龄相关性黄斑变性(ARMD),Yannuzzi等人于1990年首次描述。[1]。它表现为多个分支网络,由小的息肉样簇或较大的可识别特征息肉样外袋组成。表现包括脂质渗出、血清血色素上皮脱落和视网膜下出血。吲哚菁绿(ICG)血管造影术被认为是描绘息肉状血管异常的必要手段,但最近高分辨率光谱域眼部相干断层扫描(OCT)也被证明可能是诊断性的[2]。最近,它与一种厚口病有关[3]。
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引用次数: 0
A Mouse Model of Multi-Drug Resistant Staphylococcus aureus-induced Ocular Disease 多重耐药金黄色葡萄球菌所致眼部疾病小鼠模型
Pub Date : 2016-11-01 DOI: 10.13188/2334-2838.1000026
N. Broekema, I. Larsen, E. S. Naruzawa, M. Filutowicz, A. Kolb, L. Teixeira, C. Brandt
Staphylococcus aureus infection of the cornea is a significant threat to vision. The percentage of bacterial isolates resistant to antibiotics is increasing as is the percentage of infections caused by methicillin resistant isolates. There is a critical need for additional therapeutic approaches and their development will require the use of animal models to test efficacy. Two mouse models of S. aureus keratitis have been described but only quantified stromal keratitis (corneal clouding and perforation). We have extended these models using the methicillin resistant S. aureus USA300 LAC strain and show that eyelid inflammation and swelling (blepharitis) and corneal neovascularization can be quantified. This expanded model should prove useful in assessing additional effects of antibacterial therapies and additional pathological mechanisms involved in bacterial ocular infection.
金黄色葡萄球菌感染角膜是对视力的重大威胁。对抗生素耐药的细菌分离株的百分比正在增加,由耐甲氧西林分离株引起的感染百分比也在增加。迫切需要更多的治疗方法,它们的发展将需要使用动物模型来测试疗效。已经描述了两种金黄色葡萄球菌角膜炎的小鼠模型,但仅量化了间质角膜炎(角膜混浊和穿孔)。我们使用耐甲氧西林金黄色葡萄球菌USA300 LAC菌株扩展了这些模型,并表明眼睑炎症和肿胀(眼炎)和角膜新生血管可以量化。这个扩展的模型在评估抗菌治疗的其他效果和与细菌性眼部感染有关的其他病理机制方面应该证明是有用的。
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引用次数: 2
Effect of a Soluble Epoxide Hydrolase Inhibitor, UC1728, on LPS-Induced Uveitis in the Rabbit 可溶性环氧化物水解酶抑制剂UC1728对脂多糖诱导兔葡萄膜炎的影响
Pub Date : 2016-01-01 DOI: 10.13188/2334-2838.1000024
G. McLellan, Z. Aktaş, Elizabeth A. Hennes-Beean, A. Kolb, I. Larsen, E. J. Schmitz, H. Clausius, Jun Yang, S. Hwang, C. Morisseau, B. Inceoğlu, B. Hammock, C. Brandt
Cytochrome P450 epoxygenase isozymes convert free arachidonic acid into eicosanoids named epoxyeicosatrienoic acids (EETs) that have roles in regulating inflammation. EETs are rapidly converted to dihydroxyeicosatrienoic acids (DiHETs) by soluble epoxide hydrolase (sEH). Little is known about the potential role of these metabolites in uveitis, but conversion of EETs to DiHETs could contribute to the inflammation. We tested a potent and orally available inhibitor of sEH for its ability to reduce ocular inflammation in a rabbit LPS-induced model of uveitis. Rabbits were treated by subcutaneous injection with the sEH inhibitor (UC1728, 3 mg/kg), or the vehicle control (PEG400) and uveitis was assessed at 6, 24 and 48 h post-intracameral LPS injection using a modified Hackett-McDonald scoring system. Eyes treated by intra-cameral injection of PBS, or by aseptic preparation served as further controls. Signs of inflammation in this model were mild and transient. Treatment with UC1728 did not significantly reduce inflammation compared to animals treated with the PEG400 vehicle. Blood levels of UC1728 were a thousand fold higher than the in vitro determined inhibitory potency (IC50) of the compound suggesting a significant degree of inhibition of sEH in the rabbit. The lack of efficacy suggests that sEH or its substrates the EETs may not be involved in mediating inflammation in this model of uveitis.
细胞色素P450环氧合酶同工酶将游离花生四烯酸转化为二十烷类化合物,称为环氧二十烷三烯酸(EETs),具有调节炎症的作用。eet通过可溶性环氧化物水解酶(sEH)快速转化为二羟基二碳三烯酸(DiHETs)。对于这些代谢物在葡萄膜炎中的潜在作用知之甚少,但eet转化为DiHETs可能有助于炎症。我们测试了一种有效的口服sEH抑制剂在兔脂多糖诱导的葡萄膜炎模型中减少眼部炎症的能力。兔皮下注射sEH抑制剂(UC1728, 3 mg/kg)或对照物(PEG400),采用改良的Hackett-McDonald评分系统在内窥镜注射LPS后6、24和48 h评估葡萄膜炎。用膜内注射PBS或无菌制剂治疗的眼睛作为进一步的对照。该模型的炎症症状是轻微和短暂的。与PEG400处理的动物相比,UC1728治疗没有显著减少炎症。UC1728的血药浓度比体外测定的抑制效能(IC50)高1000倍,表明对家兔的sEH有明显的抑制作用。缺乏疗效表明,在这种葡萄膜炎模型中,sEH或其底物eet可能不参与介导炎症。
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引用次数: 7
The Trabecular Meshwork: A Basic Review of Form and Function. 小梁网:形式和功能的基本回顾。
Pub Date : 2014-05-01 DOI: 10.13188/2334-2838.1000017
Diala W Abu-Hassan, Ted S Acott, Mary J Kelley
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引用次数: 114
Mitochondrial Dynamics in Retinal Ganglion Cell Axon Regeneration and Growth Cone Guidance. 视网膜神经节细胞轴突再生和生长锥引导的线粒体动力学。
Pub Date : 2013-09-21
Kira L Lathrop, Michael B Steketee

Failed axon regeneration and retinal ganglion cell (RGC) death after trauma or disease, including glaucomatous and mitochondrial optic neuropathies, are increasingly linked to mitochondrial dysfunction. Mitochondria are highly dynamic organelles whose size, organization, and function are regulated by a balance between mitochondrial fission and fusion. Mitochondria are ubiquitous in axonal growth cones both in vitro and in vivo and during development and regeneration. However, the roles that mitochondrial fission and fusion dynamics play in the growth cone during axon regeneration are largely unstudied. Here we discuss recent data suggesting mitochondria in the distal axon and growth cone play a central role in axon growth by integrating intrinsic axon growth states with signaling from extrinsic cues. Mitochondrial fission and fusion are intrinsically regulated in the distal axon in the growth cones of acutely purified embryonic and postnatal RGCs with differing intrinsic axon growth potentials. These differences in fission and fusion correlate with differences in mitochondrial bioenergetics; embryonic RGCs with high intrinsic axon growth potential rely more on glycolysis whereas RGCs with low intrinsic axon growth potential rely more on oxidative phosphorylation. Mitochondrial fission and fusion are also differentially modulated by KLFs that either promote or suppress intrinsic axon growth, and altering the balance between mitochondrial fission and fusion can differentially regulate axon growth rate and growth cone guidance responses to both inhibitory and permissive guidance cues.

创伤或疾病(包括青光眼和线粒体视神经病变)后轴突再生失败和视网膜神经节细胞(RGC)死亡越来越多地与线粒体功能障碍相关。线粒体是高度动态的细胞器,其大小、组织和功能受线粒体裂变和融合之间的平衡调节。线粒体在体外和体内以及发育和再生过程中普遍存在于轴突生长锥中。然而,在轴突再生过程中,线粒体裂变和融合动力学在生长锥中所起的作用在很大程度上尚未得到研究。在这里,我们讨论了最近的数据,表明线粒体在远端轴突和生长锥中通过整合轴突的内在生长状态和来自外部信号的信号,在轴突生长中起着核心作用。在具有不同内在轴突生长电位的急性纯化胚胎和出生后RGCs的生长锥中,线粒体裂变和融合在远端轴突受到内在调节。这些裂变和融合的差异与线粒体生物能量学的差异有关;具有高内在轴突生长潜能的胚胎RGCs更多地依赖于糖酵解,而具有低内在轴突生长潜能的胚胎RGCs更多地依赖于氧化磷酸化。线粒体分裂和融合也受到KLFs的不同调节,这些KLFs可以促进或抑制轴突的内在生长,改变线粒体分裂和融合之间的平衡可以不同地调节轴突的生长速度和生长锥对抑制性和许可性引导信号的反应。
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引用次数: 0
Mitochondrial Dynamics in Retinal Ganglion Cell Axon Regeneration and Growth Cone Guidance. 视网膜神经节细胞轴突再生和生长锥引导的线粒体动力学。
Pub Date : 2013-09-21 DOI: 10.13188/2334-2838.1000010
K. Lathrop, M. Steketee
Failed axon regeneration and retinal ganglion cell (RGC) death after trauma or disease, including glaucomatous and mitochondrial optic neuropathies, are increasingly linked to mitochondrial dysfunction. Mitochondria are highly dynamic organelles whose size, organization, and function are regulated by a balance between mitochondrial fission and fusion. Mitochondria are ubiquitous in axonal growth cones both in vitro and in vivo and during development and regeneration. However, the roles that mitochondrial fission and fusion dynamics play in the growth cone during axon regeneration are largely unstudied. Here we discuss recent data suggesting mitochondria in the distal axon and growth cone play a central role in axon growth by integrating intrinsic axon growth states with signaling from extrinsic cues. Mitochondrial fission and fusion are intrinsically regulated in the distal axon in the growth cones of acutely purified embryonic and postnatal RGCs with differing intrinsic axon growth potentials. These differences in fission and fusion correlate with differences in mitochondrial bioenergetics; embryonic RGCs with high intrinsic axon growth potential rely more on glycolysis whereas RGCs with low intrinsic axon growth potential rely more on oxidative phosphorylation. Mitochondrial fission and fusion are also differentially modulated by KLFs that either promote or suppress intrinsic axon growth, and altering the balance between mitochondrial fission and fusion can differentially regulate axon growth rate and growth cone guidance responses to both inhibitory and permissive guidance cues.
创伤或疾病(包括青光眼和线粒体视神经病变)后轴突再生失败和视网膜神经节细胞(RGC)死亡越来越多地与线粒体功能障碍相关。线粒体是高度动态的细胞器,其大小、组织和功能受线粒体裂变和融合之间的平衡调节。线粒体在体外和体内以及发育和再生过程中普遍存在于轴突生长锥中。然而,在轴突再生过程中,线粒体裂变和融合动力学在生长锥中所起的作用在很大程度上尚未得到研究。在这里,我们讨论了最近的数据,表明线粒体在远端轴突和生长锥中通过整合轴突的内在生长状态和来自外部信号的信号,在轴突生长中起着核心作用。在具有不同内在轴突生长电位的急性纯化胚胎和出生后RGCs的生长锥中,线粒体裂变和融合在远端轴突受到内在调节。这些裂变和融合的差异与线粒体生物能量学的差异有关;具有高内在轴突生长潜能的胚胎RGCs更多地依赖于糖酵解,而具有低内在轴突生长潜能的胚胎RGCs更多地依赖于氧化磷酸化。线粒体分裂和融合也受到KLFs的不同调节,这些KLFs可以促进或抑制轴突的内在生长,改变线粒体分裂和融合之间的平衡可以不同地调节轴突的生长速度和生长锥对抑制性和许可性引导信号的反应。
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引用次数: 22
Regulation of Adherens Junctions in Trabecular Meshwork Cells by Rac GTPase and their influence on Intraocular Pressure. Rac GTPase对小梁网细胞粘附连接的调控及其对眼压的影响。
Pub Date : 2013-06-05 DOI: 10.13188/2334-2838.1000002
Padmanabhan P Pattabiraman, David L Epstein, Ponugoti Vasantha Rao

Intercellular adherens junctions and cell-extracellular matrix interactions are presumed to influence aqueous humor (AH) drainage via the conventional route, however, their direct role in modulation of intraocular pressure (IOP) is not well understood. Here, we investigated the role of Rac GTPase signaling in basal and growth factor-induced formation of adherens junctions in human trabecular meshwork (HTM) cells as compared to human umbilical vascular endothelial cells, and evaluated the effects of inhibition of Rac GTPase activity on IOP in rabbits. Expression of a constitutively active Rac1 GTPase or treatment with platelet derived growth factor (PDGF), a known activator of Rac GTPase, induced formation of β-catenin-based adherens junctions, actin cytoskeletal reorganization and membrane ruffle in HTM cells. In contrast, treatment of HTM cells with inhibitors of Rac GTPase caused cell-cell separation, a decrease in adherens junctions, and reorganization of actin stress fibers to the cell cortical regions and focal adhesion to the cell leading edges. Both, constitutively active Rac1 and PDGF stimulated generation of Reactive Oxygen Species (ROS) in HTM cells, and ROS were found to increase adherens junction formation and transendothelial electrical resistance (TEER) in HTM cells. Topical application of Rac GTPase inhibitors (EHT1864 and NSC23766), however, only marginally influenced IOP in rabbit eyes. Taken together, these data reveal that while Rac GTPase signaling plays a significant role in regulation of adherens junctions, ROS production and TEER in cells of the AH outflow pathway, Rac inhibitors showed only a marginal influence on IOP in live rabbits.

细胞间粘附连接和细胞-细胞外基质相互作用被认为通过常规途径影响房水(AH)的排出,然而,它们在调节眼内压(IOP)中的直接作用尚不清楚。在这里,我们研究了Rac GTPase信号在基础和生长因子诱导的人小梁网(HTM)细胞粘附连接形成中的作用,并与人脐血管内皮细胞进行了比较,并评估了Rac GTPase活性抑制对兔眼压的影响。表达组成活性的Rac1 GTPase或用血小板衍生生长因子(PDGF)(一种已知的Rac GTPase激活剂)处理,可诱导HTM细胞中β-catenin-based粘附连接的形成,肌动蛋白细胞骨架重组和膜皱褶。相反,用Rac GTPase抑制剂处理HTM细胞会导致细胞间分离,粘附连接减少,肌动蛋白应激纤维重组到细胞皮质区域,并在细胞前缘发生局灶性粘附。组成活性的Rac1和PDGF均刺激HTM细胞中活性氧(ROS)的产生,并且发现ROS增加了HTM细胞中粘附连接的形成和跨内皮电阻(TEER)。然而,局部应用Rac GTPase抑制剂(EHT1864和NSC23766)仅对兔眼的IOP有轻微影响。综上所述,这些数据表明,虽然Rac GTPase信号在AH流出通路细胞粘附连接、ROS产生和TEER的调节中发挥重要作用,但Rac抑制剂对活兔IOP的影响很小。
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引用次数: 11
The Juxtacanalicular Region of Ocular Trabecular Meshwork: A Tissue with a Unique Extracellular Matrix and Specialized Function. 眼小梁网管旁区:一个具有独特细胞外基质和特殊功能的组织。
Pub Date : 2013-06-01 DOI: 10.13188/2334-2838.1000003
Kate E. Keller, T. Acott
The trabecular meshwork (TM) is a filter-like tissue located in the anterior segment of the eye. It is composed of a series of fenestrated beams through which aqueous humor flows to exit the anterior chamber via Schlemm's canal. The primary function of the TM is to regulate the flow of aqueous humor in order to establish intraocular pressure (IOP). Dysregulated aqueous humor outflow causes elevated IOP, which is a primary risk factor for glaucoma. The region of the TM implicated in establishing IOP lies adjacent to Schlemm's canal and is called the juxtacanalicular tissue (JCT) or cribriform region. Recent advanced light microscopy studies suggest that the JCT can be subdivided into inner and outer zones based on the localization of certain extracellular matrix (ECM) molecules. By comparing the ECM of the JCT to other connectives tissues and disease processes, this review outlines the evidence for two new concepts in TM biology: (1) continuous maintenance ECM remodeling, which may be critical in order to preserve open aqueous humor flow channels by releasing trapped debris and associated ECM fragments from the outflow pathways; (2) the JCT ECM as a barrier to functionally isolate the aqueous outflow channels. The ECM surrounding the outflow channels in the JCT may function to sequester small active regulatory molecules and prevent them from aberrantly modulating outflow resistance. These adaptations point to a distinctive tissue that has evolved transient ECM remodeling processes in order to regulate aqueous humor outflow and maintain rigorous control of IOP.
小梁网(TM)是位于眼睛前段的滤过物样组织。它由一系列有孔的房梁组成,房水流经房梁通过施勒姆管流出前房。TM的主要功能是调节房水的流动,以建立眼内压(IOP)。房水流出失调导致IOP升高,这是青光眼的主要危险因素。与IOP形成有关的颞叶区域位于Schlemm管附近,被称为关节旁组织(JCT)或筛状区。最近先进的光学显微镜研究表明,基于某些细胞外基质(ECM)分子的定位,JCT可以细分为内区和外区。通过比较JCT的ECM与其他结缔组织和疾病过程,本综述概述了TM生物学中两个新概念的证据:(1)持续维持ECM重塑,这可能是通过从流出通道释放被捕获的碎片和相关的ECM片段来保持开放的房水通道的关键;(2) JCT ECM作为屏障,在功能上隔离水流出通道。JCT流出通道周围的ECM可能起隔离小的活性调节分子的作用,并防止它们异常调节流出阻力。这些适应表明,为了调节房水流出并维持严格的IOP控制,一种特殊的组织进化出了短暂的ECM重塑过程。
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引用次数: 79
The Juxtacanalicular Region of Ocular Trabecular Meshwork: A Tissue with a Unique Extracellular Matrix and Specialized Function. 眼小梁网管旁区:一个具有独特细胞外基质和特殊功能的组织。
Pub Date : 2013-06-01
Kate E Keller, Ted S Acott

The trabecular meshwork (TM) is a filter-like tissue located in the anterior segment of the eye. It is composed of a series of fenestrated beams through which aqueous humor flows to exit the anterior chamber via Schlemm's canal. The primary function of the TM is to regulate the flow of aqueous humor in order to establish intraocular pressure (IOP). Dysregulated aqueous humor outflow causes elevated IOP, which is a primary risk factor for glaucoma. The region of the TM implicated in establishing IOP lies adjacent to Schlemm's canal and is called the juxtacanalicular tissue (JCT) or cribriform region. Recent advanced light microscopy studies suggest that the JCT can be subdivided into inner and outer zones based on the localization of certain extracellular matrix (ECM) molecules. By comparing the ECM of the JCT to other connectives tissues and disease processes, this review outlines the evidence for two new concepts in TM biology: (1) continuous maintenance ECM remodeling, which may be critical in order to preserve open aqueous humor flow channels by releasing trapped debris and associated ECM fragments from the outflow pathways; (2) the JCT ECM as a barrier to functionally isolate the aqueous outflow channels. The ECM surrounding the outflow channels in the JCT may function to sequester small active regulatory molecules and prevent them from aberrantly modulating outflow resistance. These adaptations point to a distinctive tissue that has evolved transient ECM remodeling processes in order to regulate aqueous humor outflow and maintain rigorous control of IOP.

小梁网(TM)是位于眼睛前段的滤过物样组织。它由一系列有孔的房梁组成,房水流经房梁通过施勒姆管流出前房。TM的主要功能是调节房水的流动,以建立眼内压(IOP)。房水流出失调导致IOP升高,这是青光眼的主要危险因素。与IOP形成有关的颞叶区域位于Schlemm管附近,被称为关节旁组织(JCT)或筛状区。最近先进的光学显微镜研究表明,基于某些细胞外基质(ECM)分子的定位,JCT可以细分为内区和外区。通过比较JCT的ECM与其他结缔组织和疾病过程,本综述概述了TM生物学中两个新概念的证据:(1)持续维持ECM重塑,这可能是通过从流出通道释放被捕获的碎片和相关的ECM片段来保持开放的房水通道的关键;(2) JCT ECM作为屏障,在功能上隔离水流出通道。JCT流出通道周围的ECM可能起隔离小的活性调节分子的作用,并防止它们异常调节流出阻力。这些适应表明,为了调节房水流出并维持严格的IOP控制,一种特殊的组织进化出了短暂的ECM重塑过程。
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引用次数: 0
期刊
Journal of ocular biology
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