专家述评
ENGLISH ABSTRACT
关注免疫炎症调控机制在相关眼病诊疗中的作用
陶天玉
苏文如
作者及单位信息
·
DOI: 10.3760/cma.j.cn115989-20220715-00324
Paying attention to the role of immunoinflammatory mechanisms in the diagnosis and treatment of ocular diseases
Tao Tianyu
Su Wenru
Authors Info & Affiliations
Tao Tianyu
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou 510060, China
Su Wenru
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou 510060, China
·
DOI: 10.3760/cma.j.cn115989-20220715-00324
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摘要

免疫和炎症反应是机体对于刺激的一种防御反应,可以分为感染性免疫炎症和非感染性免疫炎症。目前关于免疫炎症在眼部的研究进展主要聚焦在2个方面,一是经典的免疫炎症性眼病的靶向药物或靶点分子治疗研究,二是以往认为的非免疫炎性眼病的免疫机制研究。经典的免疫炎症性眼病如变应性结膜炎、免疫性角膜病变、非感染性葡萄膜炎、视神经炎和甲状腺相关眼病等发病机制中的免疫炎症关键分子是生物治疗的重要靶点。近年来发现在感染性眼病和眼部肿瘤中,免疫炎症机制也有着不可或缺的调控作用。更为重要的是,新近研究揭示免疫炎症在传统观念认为的非炎症性眼病,如近视、青光眼、白内障和年龄相关性黄斑变性等中也发挥了重要的促进作用。因此,免疫炎症广泛参与从眼前段到眼后段疾病的发生和发展过程,通过调控免疫炎症对相关眼病进行免疫治疗的相关研究已引起全球眼科界的重视。眼科医生应关注免疫调控在各种眼科疾病中的作用机制及相关眼病的免疫疗法研究进展,深入探讨免疫炎症调控治疗眼病的新策略,以更好地指导临床实践。

免疫;炎症;免疫相关眼病;发病机制;免疫疗法
ABSTRACT

The immune and inflammatory response is a defense response of the body to stimuli and can be divided into infectious and non-infectious immunoinflammatory diseases.Current advances in research on immunoinflammatory in the eye focus on two main areas: research on targeted drugs or targeted molecular therapies for classical immunoinflammatory ocular diseases, and research on the immune mechanisms of previously considered non-immunoinflammatory ocular diseases.Key molecules of immunoinflammation in the pathogenesis of classical ocular immune diseases such as allergic conjunctivitis, immune keratopathy, non-infectious uveitis, optic neuritis, and thyroid-associated ophthalmopathy are important targets for biological therapy.Immunoinflammatory mechanisms have also been found to have an integral regulatory role in infectious ocular diseases and ocular tumors in recent years.More importantly, recent studies have revealed that immunity also plays an important role in the promotion of traditionally considered non-immunoinflammatory ocular diseases such as myopia, glaucoma, cataract, and age-related macular degeneration.Thus, immunoinflammation is widely involved in the development of diseases from the anterior to the posterior segment of the eye, and research related to the immunotherapy of related ocular diseases through the modulation of immunoinflammation has attracted the attention of the global ophthalmic community.Ophthalmologists should pay attention to the mechanisms of immune modulation and the progress of immunotherapy in various ophthalmic diseases, and explore new strategies for better guidelines for the treatment of ocular immunoinflammatory diseases.

Immunity;Inflammation;Immune-related eye disease;Pathogenesis;Immunotherapy
Su Wenru, Email: nc.defudabe.usys.liam3rwus
引用本文

陶天玉,苏文如. 关注免疫炎症调控机制在相关眼病诊疗中的作用[J]. 中华实验眼科杂志,2022,40(08):701-706.

DOI:10.3760/cma.j.cn115989-20220715-00324

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*以上评分为匿名评价
眼球作为机体的免疫豁免器官之一,在应对疾病时有着独特的维系免疫平衡的方式,如自限性急性炎症在消除有害刺激后炎症会减弱,以恢复体内平衡并启动组织修复过程。然而,外界环境中的理化因素或基因变异诱发的过度免疫反应或慢性炎症则会导致眼部免疫炎症性疾病以及退行性疾病。我们认为,免疫炎症性眼病是继发于全身免疫系统异常或原发于眼部免疫豁免机制失衡的一类疾病,主要包括非感染性葡萄膜炎、巩膜炎、视神经炎、甲状腺相关眼病(thyroid-associated ophthalmopathy,TAO)等,病理生理机制复杂,治疗效果欠佳,严重威胁视功能。当然,从广义的角度考虑,这其中还涵盖了眼部感染和眼肿瘤这2类在病程的不同时期免疫炎症角色大相径庭的疾病。另一些以往认为的非炎症性眼病,如近视、青光眼、白内障、年龄相关性黄斑变性(age-related macular degeneration,AMD)等,也逐渐被探明其中的炎症病理机制,可纳入免疫炎症相关性眼病的范畴。深入了解免疫炎症参与眼病发生和发展中的共性和个性有助于深入认识眼组织的免疫机制。我们应该基于近年来对免疫炎症在眼病中角色的再定义,进一步关注免疫炎症究竟是如何影响眼部微环境而致病的,为相关疾病的临床治疗提供新的研究思路。
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备注信息
A
苏文如,Email: nc.defudabe.usys.liam3rwus
B

苏文如:参与文章选题、撰写、文章智力性内容审核和定稿;陶天玉:参与文章撰写和修改

C
感谢黄兆豪、彭雪宁、何大全在文章撰写过程中提出有意义的修缮建议
D
所有作者均声明不存在任何利益冲突
E
国家优秀青年科学基金项目 (8212200477)
国家重点研发计划项目 (2017YFA0105804)
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