综述
ENGLISH ABSTRACT
房水排出系统与眼淋巴引流通路的新认识
刘雅萌
潘晓晶 [综述]
作者及单位信息
·
DOI: 10.3760/cma.j.cn115989-20190820-00358
New insights into aqueous humor outflow system and ophthalmic lymphatic drainage pathway
Liu Yameng
Pan Xiaojing
Authors Info & Affiliations
Liu Yameng
State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao Eye Hospital of Shandong First Medical University, Qingdao 266071, China
Pan Xiaojing
State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao Eye Hospital of Shandong First Medical University, Qingdao 266071, China
·
DOI: 10.3760/cma.j.cn115989-20190820-00358
938
98
0
0
5
0
PDF下载
APP内阅读
摘要

青光眼作为全球首位不可逆性致盲眼病,其视力丧失与房水排出通道受阻进而引起眼压升高导致视神经损伤有关。眼淋巴引流通路与房水排出系统的关系具有重要作用,探讨眼部淋巴管的生成发育以及明确眼部淋巴管的标志物对于研究青光眼房水流出是否包括淋巴管通路具有重要作用。房水排出系统与眼淋巴引流通路的关系:(1)小梁网内皮细胞中平足蛋白呈强阳性表达,而血小板-内皮细胞黏附分子(CD31)表达呈阴性,提示小梁网与淋巴管有密切关系;(2)Schelmm管与淋巴管具有形态学、分子学和功能上的相似性,不仅含有淋巴管和血管的一些特性,还存在一些在血管和淋巴管内皮细胞中均未发现的特性;(3)球结膜富含淋巴管,提示球结膜具有活跃的组织引流和免疫调节功能;(4)巩膜主要由胶原纤维构成,缺乏真正的淋巴管,但巩膜血管周围有较多淋巴管内皮透明质酸受体1(LYVE-1)阳性巨噬细胞,受到组织特异性因子的调节;(5)睫状体细胞中可以检测出多种淋巴标志物,电子显微镜下可观察到疑似淋巴管的通道;(6)脉络膜的单个细胞均表达多种淋巴标志物,LYVE-1表达最多。本文就淋巴管生成发育与淋巴标志物、房水流出组织的淋巴系统研究进展进行综述。

眼;房水;引流;淋巴管
ABSTRACT

Glaucoma is the first irreversible blinding eye disease in the world, and vision loss due to glaucoma is related to the obstruction of the aqueous humor drainage channel, which leads to increased intraocular pressure and damage to the optic nerve.The relationship between the ocular lymphatic system and the aqueous humor drainage pathway is of important significance.Exploration of the generation and development of ocular lymphatic vessels and identification of the markers of ocular lymphatic vessels (LVs) are important for researching whether lymphatic pathways are involved in the aqueous humor outflow in glaucoma.Relationship between aqueous humor drainage system and ocular lymphatic drainage pathway can be elucidated from following aspects: (1)podoplanin is highly expressed in trabecular meshwork endothelial cells, while no expression of platelet-endothelial cell adhesion molecule (CD31) is found, suggesting that there is a close relationship between trabecular meshwork and LVs; (2)there are similarities in morphology, molecules and function between Schlemm canal and LVs, and Schlemm canal not only has some characteristics of LVs and blood vessels, but also some undiscovered characteristics of blood vessels and lymphatic endothelial cells; (3)the bulbar conjunctiva is rich in LVs, suggesting that the bulbar conjunctiva has active tissue drainage and immunoregulatory functions; (4)the sclera is mainly composed of collagen fibers and lacks real LVs, but many lymphatic vessel endothelial hyaluronic acid receptor 1 (LYVE-1)-positive macrophages around the scleral vessels are regulated by tissue-specific factors; (5)multiple lymphatic markers can be detected in ciliary body, and suspected LVs can be observed by electron microscopy; (6)various lymphatic markers can be expressed in a single choroidal cell, with LYVE-1 expressed highest.Research progress in the lymphatic system of LVs, lymphatic markers, and aqueous humor outflow was reviewed in this article.

Eye;Aqueous humor;Drainage;Lymphatic vessels
Pan Xiaojing, Email: mocdef.3ab61latsyrcjxnap
引用本文

刘雅萌,潘晓晶. 房水排出系统与眼淋巴引流通路的新认识[J]. 中华实验眼科杂志,2022,40(04):361-365.

DOI:10.3760/cma.j.cn115989-20190820-00358

PERMISSIONS

Request permissions for this article from CCC.

评价本文
*以上评分为匿名评价
青光眼是全球首位不可逆性致盲眼病,在青光眼的发病机制中,房水排出通道受阻为主要的影响因素 [ 1 , 2 ]。与房水动力学相关的主要结构是睫状体、小梁网、葡萄膜和巩膜,在人眼球中房水流出阻力的75%来自于小梁网,小梁网和邻管组织是房水流出阻力的主要部位 [ 3 ]。研究表明,房水流出通道具有许多类似于淋巴管的性质,其中很重要的特点就是淋巴管具有一种稳态机制,在管内淋巴流动时可以将管腔的扩张和收缩保持在一个适当的范围内,在房水流出通道中同样有此现象,2种管道内液体的流动方式均为脉动,依靠管道内的阀门来单向运输 [ 4 ]。淋巴管是人体脉管系统的重要组成部分,眼淋巴引流通路的生成发育对明确青光眼的房水流出通道具有重要作用。因此,深入探讨房水淋巴引流通路及其调控机制有助于进一步明确眼压稳定的原理 [ 3 , 5 ],为发现原发性开角型青光眼(primary open-angle glaucoma,POAG)新治疗靶点提供新线索。
试读结束,您可以通过登录机构账户或个人账户后获取全文阅读权限。
参考文献
[1]
Flaxman SR Bourne R Resnikoff S et al. Global causes of blindness and distance vision impairment 1990-2020:a systematic review and meta-analysis[J/OL]Lancet Glob Health 20175(12)∶e1221-e1234[2021-07-21]https://pubmed.ncbi.nlm.nih.gov/29032195/. DOI: 10.1016/S2214-109X(17)30393-5 .
返回引文位置Google Scholar
百度学术
万方数据
[2]
Tang J Liang Y O'Neill C et al. Cost-effectiveness and cost-utility of population-based glaucoma screening in China:a decision-analytic Markov model[J/OL]Lancet Glob Health 20197(7)∶e968-e978[2021-07-21]https://pubmed.ncbi.nlm.nih.gov/31122906/. DOI: 10.1016/S2214-109X(19)30201-3 .
返回引文位置Google Scholar
百度学术
万方数据
[3]
Carreon TA Edwards G Wang H et al. Segmental outflow of aqueous humor in mouse and human[J]Exp Eye Res 201715859-66. DOI: 10.1016/j.exer.2016.08.001 .
返回引文位置Google Scholar
百度学术
万方数据
[4]
Carreon T van der Merwe E Fellman RL et al. Aqueous outflow-a continuum from trabecular meshwork to episcleral veins[J]Prog Retin Eye Res 201757108-133. DOI: 10.1016/j.preteyeres.2016.12.004 .
返回引文位置Google Scholar
百度学术
万方数据
[5]
Xie X Akiyama G Bogarin T et al. Visual assessment of aqueous humor outflow[J/OL]Asia Pac J Ophthalmol (Phila) 20198(2)∶126-134[2021-07-23]https://pubmed.ncbi.nlm.nih.gov/30916496/. DOI: 10.22608/APO.201911 .
返回引文位置Google Scholar
百度学术
万方数据
[6]
Lee HW Yu P Simons M Recent advances in understanding lymphangiogenesis and metabolism[J/OL]F1000Res 20187 10.12688/f1000research.14803.1 [2021-07-23]https://pubmed.ncbi.nlm.nih.gov/30079231/. DOI:.
返回引文位置Google Scholar
百度学术
万方数据
[7]
Rauniyar K Jha SK Jeltsch M Biology of vascular endothelial growth factor C in the morphogenesis of lymphatic vessels[J/OL]Front Bioeng Biotechnol 201867[2021-07-23]https://pubmed.ncbi.nlm.nih.gov/29484295/. DOI: 10.3389/fbioe.2018.00007 .
返回引文位置Google Scholar
百度学术
万方数据
[8]
Lim L Bui H Farrelly O et al. Hemostasis stimulates lymphangiogenesis through release and activation of VEGFC[J]Blood 2019134(20)∶1764-1775. DOI: 10.1182/blood.2019001736 .
返回引文位置Google Scholar
百度学术
万方数据
[9]
Langan SA Navarro-Núñez L Watson SP et al. Modulation of VEGF-induced migration and network formation by lymphatic endothelial cells:roles of platelets and podoplanin[J]Platelets 201829(5)∶486-495. DOI: 10.1080/09537104.2017.1336210 .
返回引文位置Google Scholar
百度学术
万方数据
[10]
Kerjaschki D The crucial role of macrophages in lymphangiogenesis[J]J Clin Invest 2005115(9)∶2316-2319. DOI: 10.1172/JCI26354 .
返回引文位置Google Scholar
百度学术
万方数据
[11]
Rosa I Marini M Sgambati E et al. Telocytes and lymphatic endothelial cells:two immunophenotypically distinct and spatially close cell entities[J/OL]Acta Histochem 2020122(3)∶151530[2021-07-23]https://pubmed.ncbi.nlm.nih.gov/32115248/. DOI: 10.1016/j.acthis.2020.151530 .
返回引文位置Google Scholar
百度学术
万方数据
[12]
Jha SK Rauniyar K Jeltsch M Key molecules in lymphatic development,function,and identification[J]Ann Anat 201821925-34. DOI: 10.1016/j.aanat.2018.05.003 .
返回引文位置Google Scholar
百度学术
万方数据
[13]
Cho H Kim J Ahn JH et al. YAP and TAZ negatively regulate Prox1 during developmental and pathologic lymphangiogenesis[J]Circ Res 2019124(2)∶225-242. DOI: 10.1161/CIRCRESAHA.118.313707 .
返回引文位置Google Scholar
百度学术
万方数据
[14]
Schroedl F Kaser-Eichberger A Schlereth SL et al. Consensus statement on the immunohistochemical detection of ocular lymphatic vessels[J]Invest Ophthalmol Vis Sci 201455(10)∶6440-6442. DOI: 10.1167/iovs.14-15638 .
返回引文位置Google Scholar
百度学术
万方数据
[15]
Cha B Geng X Mahamud MR et al. Complementary wnt sources regulate lymphatic vascular development via PROX1-dependent wnt/β-catenin signaling[J]Cell Rep 201825(3)∶571-584. DOI: 10.1016/j.celrep.2018.09.049 .
返回引文位置Google Scholar
百度学术
万方数据
[16]
King BJ Burns SA Sapoznik KA et al. High-resolution,adaptive optics imaging of the human trabecular meshwork in vivo [J/OL]Transl Vis Sci Technol 20198(5)∶5[2021-07-25]https://pubmed.ncbi.nlm.nih.gov/31588370/. DOI: 10.1167/tvst.8.5.5 .
返回引文位置Google Scholar
百度学术
万方数据
[17]
Sun H Zhu Q Guo P et al. Trabecular meshwork cells are a valuable resource for cellular therapy of glaucoma[J]J Cell Mol Med 201923(3)∶1678-1686. DOI: 10.1111/jcmm.14158 .
返回引文位置Google Scholar
百度学术
万方数据
[18]
万尚韬李永平张平淋巴管内皮标志物D2-40在人眼小梁网的表达[J]中华实验眼科杂志 201533(10)∶892-895. DOI: 10.3760/cma.j.issn.2095-0160.2015.10.006 .
返回引文位置Google Scholar
百度学术
万方数据
Wan ST Li YP Zhang P et al. Detection of lymphatic biomarker D2-40 in human trabecular meshwork[J]Chin J Exp Ophthalmol 201533(10)∶892-895. DOI: 10.3760/cma.j.issn.2095-0160.2015.10.006 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[19]
Birke K Lütjen-Drecoll E Kerjaschki D et al. Expression of podoplanin and other lymphatic markers in the human anterior eye segment[J]Invest Ophthalmol Vis Sci 201051(1)∶344-354. DOI: 10.1167/iovs.08-3307 .
返回引文位置Google Scholar
百度学术
万方数据
[20]
Thomson BR Quaggin SE . Morphological analysis of Schlemm's canal in mice[J]Methods Mol Biol 20181846153-160. DOI: 10.1007/978-1-4939-8712-2_10 .
返回引文位置Google Scholar
百度学术
万方数据
[21]
Aspelund A Tammela T Antila S et al. The Schlemm's canal is a VEGF-C/VEGFR-3-responsive lymphatic-like vessel[J]J Clin Invest 2014124(9)∶3975-3986. DOI: 10.1172/JCI75395 .
返回引文位置Google Scholar
百度学术
万方数据
[22]
Jung E Gardner D Choi D et al. Development and characterization of a novel Prox1-EGFP lymphatic and Schlemm's canal reporter rat[J/OL]Sci Rep 20177(1)∶5577[2021-07-25]https://pubmed.ncbi.nlm.nih.gov/28717161/. DOI: 10.1038/s41598-017-06031-3 .
返回引文位置Google Scholar
百度学术
万方数据
[23]
Park DY Lee J Park I et al. Lymphatic regulator PROX1 determines Schlemm's canal integrity and identity[J]J Clin Invest 2014124(9)∶3960-3974. DOI: 10.1172/JCI75392 .
返回引文位置Google Scholar
百度学术
万方数据
[24]
Bernier-Latmani J Petrova TV . All TIEd up:mechanisms of Schlemm's canal maintenance[J]J Clin Invest 2017127(10)∶3594-3597. DOI: 10.1172/JCI96840 .
返回引文位置Google Scholar
百度学术
万方数据
[25]
Kizhatil K Ryan M Marchant JK et al. Schlemm's canal is a unique vessel with a combination of blood vascular and lymphatic phenotypes that forms by a novel developmental process[J/OL]PLoS Biol 201412(7)∶e1001912[2021-07-25]https://pubmed.ncbi.nlm.nih.gov/25051267/. DOI: 10.1371/journal.pbio.1001912 .
返回引文位置Google Scholar
百度学术
万方数据
[26]
Kim J Park DY Bae H et al. Impaired angiopoietin/Tie2 signaling compromises Schlemm's canal integrity and induces glaucoma[J]J Clin Invest 2017127(10)∶3877-3896. DOI: 10.1172/JCI94668 .
返回引文位置Google Scholar
百度学术
万方数据
[27]
Petrova TV Koh GY . Organ-specific lymphatic vasculature:from development to pathophysiology[J]J Exp Med 2018215(1)∶35-49. DOI: 10.1084/jem.20171868 .
返回引文位置Google Scholar
百度学术
万方数据
[28]
Gonzalez JM Jr Ko MK Hong YK et al. Deep tissue analysis of distal aqueous drainage structures and contractile features[J/OL]Sci Rep 20177(1)∶17071[2021-07-25]https://pubmed.ncbi.nlm.nih.gov/29213129/. DOI: 10.1038/s41598-017-16897-y .
返回引文位置Google Scholar
百度学术
万方数据
[29]
Karpinich NO Caron KM . Schlemm's canal:more than meets the eye,lymphatics in disguise[J]J Clin Invest 2014124(9)∶3701-3703. DOI: 10.1172/JCI77507 .
返回引文位置Google Scholar
百度学术
万方数据
[30]
Chang JH Putra I Huang YH et al. Limited versus total epithelial debridement ocular surface injury:live fluorescence imaging of hemangiogenesis and lymphangiogenesis in Prox1-GFP/Flk1:Myr-mCherry mice[J]Biochim Biophys Acta 20161860(10)∶2148-2156. DOI: 10.1016/j.bbagen.2016.05.027 .
返回引文位置Google Scholar
百度学术
万方数据
[31]
Zhao W Wang T Deng J et al. Conjunctival lymphangiogenesis was associated with the degree of aggression in substantial recurrent pterygia[J/OL]J Ophthalmol 201620161592514[2021-07-27]https://pubmed.ncbi.nlm.nih.gov/26941998/. DOI: 10.1155/2016/1592514 .
返回引文位置Google Scholar
百度学术
万方数据
[32]
Siebelmann S Gehlsen U Hüttmann G et al. Development,alteration and real time dynamics of conjunctiva-associated lymphoid tissue[J/OL]PLoS One 20138(12)∶e82355[2021-08-01]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3869694/. DOI: 10.1371/journal.pone.0082355 .
返回引文位置Google Scholar
百度学术
万方数据
[33]
Yücel YH Cardinell K Khattak S et al. Active lymphatic drainage from the eye measured by noninvasive photoacoustic imaging of near-infrared nanoparticles[J]Invest Ophthalmol Vis Sci 201859(7)∶2699-2707. DOI: 10.1167/iovs.17-22850 .
返回引文位置Google Scholar
百度学术
万方数据
[34]
Liang H Baudouin C Dupas B et al. Live conjunctiva-associated lymphoid tissue analysis in rabbit under inflammatory stimuli using in vivo confocal microscopy [J]Invest Ophthalmol Vis Sci 201051(2)∶1008-1015. DOI: 10.1167/iovs.09-3509 .
返回引文位置Google Scholar
百度学术
万方数据
[35]
Gong P Yu DY Wang Q et al. Label-free volumetric imaging of conjunctival collecting lymphatics ex vivo by optical coherence tomography lymphangiography [J/OL]J Biophotonics 201811(8)∶e201800070[2021-08-03]https://onlinelibrary.wiley.com/doi/10.1002/jbio.201800070. DOI: 10.1002/jbio.201800070 .
返回引文位置Google Scholar
百度学术
万方数据
[36]
Bouhenni RA Al Jadaan I Rassavong H et al. Lymphatic and blood vessel density in human conjunctiva after glaucoma filtration surgery[J/OL]J Glaucoma 201625(1)∶e35-e38[2021-08-03]https://pubmed.ncbi.nlm.nih.gov/25493624/. DOI: 10.1097/IJG.0000000000000199 .
返回引文位置Google Scholar
百度学术
万方数据
[37]
Schlereth SL Neuser B Caramoy A et al. Enrichment of lymphatic vessel endothelial hyaluronan receptor 1 (LYVE1)-positive macrophages around blood vessels in the normal human sclera[J]Invest Ophthalmol Vis Sci 201455(2)∶865-872. DOI: 10.1167/iovs.13-13453 .
返回引文位置Google Scholar
百度学术
万方数据
[38]
Hos D Schlereth SL Bock F et al. Antilymphangiogenic therapy to promote transplant survival and to reduce cancer metastasis:what can we learn from the eye?[J]Semin Cell Dev Biol 201538117-130. DOI: 10.1016/j.semcdb.2014.11.003 .
返回引文位置Google Scholar
百度学术
万方数据
[39]
Schlereth SL Neuser B Herwig MC et al. Absence of lymphatic vessels in the developing human sclera[J]Exp Eye Res 2014125203-209. DOI: 10.1016/j.exer.2014.06.010 .
返回引文位置Google Scholar
百度学术
万方数据
[40]
Braunger BM Fuchshofer R Tamm ER . The aqueous humor outflow pathways in glaucoma:a unifying concept of disease mechanisms and causative treatment[J]Eur J Pharm Biopharm 201595(Pt B)∶173-181. DOI: 10.1016/j.ejpb.2015.04.029 .
返回引文位置Google Scholar
百度学术
万方数据
[41]
van Beek J van den Bosch Q Naus N et al. Absence of intraocular lymphatic vessels in uveal melanomas with extrascleral growth[J/OL]Cancers (Basel) 201911(2)∶228[2021-08-04]https://pubmed.ncbi.nlm.nih.gov/30781402/. DOI: 10.3390/cancers11020228 .
返回引文位置Google Scholar
百度学术
万方数据
[42]
Yücel YH . Discovery of lymphatics in the human eye and implications[J]Can J Ophthalmol 201045(2)∶115-117. DOI: 10.3129/i10-005 .
返回引文位置Google Scholar
百度学术
万方数据
[43]
Yucel Y Gupta N Lymphatic drainage from the eye:a new target for therapy[J]Prog Brain Res 2015220185-198. DOI: 10.1016/bs.pbr.2015.07.028 .
返回引文位置Google Scholar
百度学术
万方数据
[44]
Herwig MC Münstermann K Klarmann-Schulz U et al. Expression of the lymphatic marker podoplanin (D2-40) in human fetal eyes[J]Exp Eye Res 2014127243-251. DOI: 10.1016/j.exer.2014.07.026 .
返回引文位置Google Scholar
百度学术
万方数据
[45]
Yücel YH Johnston MG Ly T et al. Identification of lymphatics in the ciliary body of the human eye:a novel "uveolymphatic" outflow pathway[J]Exp Eye Res 200989(5)∶810-819. DOI: 10.1016/j.exer.2009.08.010 .
返回引文位置Google Scholar
百度学术
万方数据
[46]
Kaser-Eichberger A Schrödl F Trost A et al. Topography of lymphatic markers in human iris and ciliary body[J]Invest Ophthalmol Vis Sci 201556(8)∶4943-4953. DOI: 10.1167/iovs.15-16573 .
返回引文位置Google Scholar
百度学术
万方数据
[47]
Schrödl F Kaser-Eichberger A Trost A et al. Lymphatic markers in the adult human choroid[J]Invest Ophthalmol Vis Sci 201556(12)∶7406-7416. DOI: 10.1167/iovs.15-17883 .
返回引文位置Google Scholar
百度学术
万方数据
[48]
Koina ME Baxter L Adamson SJ et al. Evidence for lymphatics in the developing and adult human choroid[J]Invest Ophthalmol Vis Sci 201556(2)∶1310-1327. DOI: 10.1167/iovs.14-15705 .
返回引文位置Google Scholar
百度学术
万方数据
[49]
Hann CR Fautsch MP . Recent developments in understanding the role of aqueous humor outflow in normal and primary open angle glaucoma[J]Curr Ophthalmol Rep 20153(2)∶67-73. DOI: 10.1007/s40135-015-0072-x .
返回引文位置Google Scholar
百度学术
万方数据
[50]
Johnson M McLaren JW Overby DR . Unconventional aqueous humor outflow:a review[J]Exp Eye Res 201715894-111. DOI: 10.1016/j.exer.2016.01.017 .
返回引文位置Google Scholar
百度学术
万方数据
[51]
Kim YK Na KI Jeoung JW et al. Intraocular pressure-lowering effect of latanoprost is hampered by defective cervical lymphatic drainage[J/OL]PLoS One 201712(1)∶e0169683[2021-08-08]https://pubmed.ncbi.nlm.nih.gov/28081184/. DOI: 10.1371/journal.pone.0169683 .
返回引文位置Google Scholar
百度学术
万方数据
[52]
Tomczyk-Socha M Turno-Krcicka A A novel uveolymphatic drainage pathway-possible new target for glaucoma treatment[J]Lymphat Res Biol 201715(4)∶360-363. DOI: 10.1089/lrb.2017.0019 .
返回引文位置Google Scholar
百度学术
万方数据
[53]
Addis VM Miller-Ellis E Latanoprostene bunod ophthalmic solution 0.024% in the treatment of open-angle glaucoma:design,development,and place in therapy[J]Clin Ophthalmol 2018122649-2657. DOI: 10.2147/OPTH.S156038 .
返回引文位置Google Scholar
百度学术
万方数据
备注信息
A
潘晓晶,Email: mocdef.3ab61latsyrcjxnap
B
所有作者均声明不存在利益冲突
C
山东省重点研发计划项目 (2018GSF118103)
山东省医学科学院院级科技计划项目 (2017-18)
评论 (0条)
注册
登录
时间排序
暂无评论,发表第一条评论抢沙发
MedAI助手(体验版)
文档即答
智问智答
机器翻译
回答内容由人工智能生成,我社无法保证其准确性和完整性,该生成内容不代表我们的态度或观点,仅供参考。
生成快照
文献快照

你好,我可以帮助您更好的了解本文,请向我提问您关注的问题。

0/2000

《中华医学会杂志社用户协议》 | 《隐私政策》

《SparkDesk 用户协议》 | 《SparkDesk 隐私政策》

网信算备340104764864601230055号 | 网信算备340104726288401230013号

技术支持:

历史对话
本文全部
还没有聊天记录
设置
模式
纯净模式沉浸模式
字号