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Application of sustained delivery microsphere of cyclosporine A for preventing posterior capsular opacification in rabbits 被引量:6
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作者 Cheng Pei Yi Xu +3 位作者 Jean Xin.Jiang Li-Jun Cui Li Li Li Qin 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2013年第1期1-7,共7页
AIM:To explore the inhibitory effect of a sustained cyclosporin A (CsA) delivery microsphere (CsA-MS) on posterior capsular opacification (PCO) in rabbit eyes after cataract extraction. ·METHODS:Twenty New Zealan... AIM:To explore the inhibitory effect of a sustained cyclosporin A (CsA) delivery microsphere (CsA-MS) on posterior capsular opacification (PCO) in rabbit eyes after cataract extraction. ·METHODS:Twenty New Zealand white rabbits accepted cataract extraction plus intraocular lens implantation and their left eyes were intraoperatively injected CsA-MS prepared using polymer polylactioglycolic acid (PLGA) as a carrier and their right eyes were injected with empty MS. The changes in cornea, anterior chamber reaction, intraocular pressure, PCO and CsA concentration in aqueous humor were examined postoperatively and all the eyes were enucleated 3 months after surgery for histopathological and morphological examination with light microscopy and electron microscopy. · RESULTS:Conjunctival hyperemia, corneal edema, intraocular pressure and anterior chamber response of experimental and control eyes were similar, while PCO in CsA MS injected eyes was greatly improved compared with that in control eyes. Posterior capsules in CsA-MS injected eyes were smooth and lens epithelial cells (LEC) did not proliferate significantly (P 】0.05), while LEC in posterior capsule of control eyes had different degrees of proliferation and cortical regeneration. LEC in CsA-MS injected eyes were not functionally active and underwent apoptosis, whereas LEC in control eyes were functionally active (F-test, P =0.025). In addition, the cornealultrastructure showed no differences between CsA-MS and MS injected eyes. CONCLUSION:CsA-MS has high bioavailability in rabbit eyes and could inhibit postoperative PCO occurrence and development during the study period, suggesting that CsA-MS may be a promising, effective and safe administration route to prevent PCO in clinic. 展开更多
关键词 sustained cyclosporine A delivery microsphere posterior capsular opacification rabbit eyes
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“NIR-triggered ROS storage”photodynamic intraocular implant for high-efficient and safe posterior capsular opacification prevention 被引量:1
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作者 Yanjuan Huang Tao Zhang +5 位作者 Qin Wei Zishan Zeng Yujun Gong Xiaoyu Xu Meixu Chen Chunshun Zhao 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2022年第6期838-854,共17页
Posterior capsular opacification(PCO)is the leading cause of vision loss after cataract,mainly caused by the adhesion,proliferation and trans-differentiation of post-operative residual lens epithelial cells(LECs).Effe... Posterior capsular opacification(PCO)is the leading cause of vision loss after cataract,mainly caused by the adhesion,proliferation and trans-differentiation of post-operative residual lens epithelial cells(LECs).Effective PCO prevention remains a huge challenge to ophthalmologists and researches for decades.Herein,we developed a“NIR-triggered ROS storage”intraocular implant(CTR-Py-Pp IX)based on capsular tension ring(CTR),which is concurrently linked with photosensitizer protophorphyrin IX(Pp IX)and energy storage2-pyridone derivative(Py),to guarantee instantaneous and sustainable ROS generation for LECs killing,aiming to achieve more efficient and safer photodynamic therapy(PDT)to effectively prevent PCO.The silylated Pp IX-Si and Py-Si were covalently conjugated to the plasma activated CTR surface to obtain CTR-Py-Pp IX.Results demonstrated that CTR-Py-Pp IX had dual functions of PDT and battery,in which Pp IX could generate ROS extracellularly under irradiation,with one part directly inhibiting LECs by lipid peroxidation(LPO)induction of cell membranes.Meanwhile,the excess ROS stored in Py could be continuously released to amplify LPO levels after the irradiation was removed.Ultimately,the proliferation of LECs in capsular bag was completely inhibited under mild irradiation conditions,achieving a sustainable and controlled PDT effect for effective PCO prevention with good biocompatibility.This NIR-triggered ROS storage intraocular implant would provide a more efficient and safer approach for long-term PCO prevention. 展开更多
关键词 posterior capsular opacification capsular tension ring Photodynamic therapy ENDOPEROXIDE
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Effect of Liposome-Encapsulated Total Alkaloid of Harmaline on Rabbit Lens Epithelial Cells:Experimental Study on the Prevention of Posterior Capsule Opacification 被引量:2
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作者 Mingxing Wu, Huaming Li, Shaozhen Li, Suhua PanZhongshan Ophthalmic Center, Sun Yat-sen University of Medical Science, Guangzhou 510060 , China 《眼科学报》 1999年第1期55-60,共6页
Purpose: To investigate whether liposome encapsulated total alkaloid of Harmaline (TAH) as a therapeutic agent is beneficial to prevention of posterior capsular opacifi-cation (PCO).Methods: Liposome-encapsulated TAH ... Purpose: To investigate whether liposome encapsulated total alkaloid of Harmaline (TAH) as a therapeutic agent is beneficial to prevention of posterior capsular opacifi-cation (PCO).Methods: Liposome-encapsulated TAH was prepared by modified freeze-thawing method. 0. 1ml of liposome-encapsulated TAH (0. 2mg/ml) was injected into the capsular bag during extracapsular lens extraction (ECLE) of each eye in total 10 rabbit eyes. Blank liposome or balance salt solution (BSS) was used as control. Slit-lamp examination and histopathological examination was used to evaluated capsule opacifica-tion. Intraocular pressure (IOP) , density and morphology of corneal endothelia cells, the amplitude and latency of b wave of ERG were measured.Results: The inflammatory response was mild both in TAH treated and the control group. PCO formation occurred in the control group 2 weeks postoperatively, but the posterior capsule was clear in TAH treated eyes. 4 weeks and 8 weeks after operation, PCO occurred both in TAH 展开更多
关键词 囊状不透明体 抑制作用 生物碱 荚膜 哈马灵 脂质体 晶状体上皮细胞
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血清及房水IGF-1、SOD水平在预测糖尿病性白内障患者术后发生囊膜混浊中的应用
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作者 党婷婷 张蓓 +1 位作者 顾莉莉 钟文金 《山东医药》 CAS 2024年第31期20-24,共5页
目的探讨血清及房水胰岛素样生长因子1(IGF-1)、超氧化物岐化酶(SOD)水平在预测糖尿病性白内障(DC)患者术后发生囊膜混浊(PCO)中的应用价值。方法选择120例DC患者为DC组,同期选择接受手术治疗的单纯白内障患者77例为对照组。所有DC患者... 目的探讨血清及房水胰岛素样生长因子1(IGF-1)、超氧化物岐化酶(SOD)水平在预测糖尿病性白内障(DC)患者术后发生囊膜混浊(PCO)中的应用价值。方法选择120例DC患者为DC组,同期选择接受手术治疗的单纯白内障患者77例为对照组。所有DC患者术后至少随访6个月,根据是否并发PCO将DC患者分为PCO组(21例)和非PCO组(99例)。术前用酶联免疫吸附试验检测血清及房水中IGF-1、SOD,收集DC患者术后发生PCO的相关资料。用多因素Logistic回归分析血清及房水IGF-1、SOD对DC患者术后发生PCO的影响;绘制受试者工作特征(ROC)曲线,用曲线下面积比较血清及房水IGF-1、SOD预测DC患者术后发生PCO的价值。结果DC组血清及房水IGF-1水平高于对照组(P均<0.05),SOD水平低于对照组(P均<0.05)。PCO组年龄、C反应蛋白水平、亲水型人工晶体比例高于非PCO组(P均<0.05)。亲水型人工晶体、房水IGF-1水平高是DC患者术后发生PCO的危险因素(P均<0.05),房水SOD水平高是保护因素(P<0.05)。血清及房水IGF-1、SOD预测DC患者术后发生PCO的曲线下面积分别为0.749、0.720、0.859、0.884,房水IGF-1、SOD预测DC患者术后发生PCO的曲线下面积大于血清IGF-1、SOD预测的曲线下面积(P均<0.05),房水IGF-1、SOD联合预测DC患者术后发生PCO的曲线下面积为0.967,大于房水IGF-1、SOD单独预测的曲线下面积(P均<0.05)。结论房水IGF-1水平升高、SOD水平降低与DC患者术后发生PCO有关,血清及房水中IGF-1、SOD可用于预测DC患者术后PCO的发生,且房水中IGF-1、SOD联合预测的价值较高。 展开更多
关键词 糖尿病性白内障 后囊膜混浊 胰岛素样生长因子1 超氧化物岐化酶
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HSYA对人晶状体上皮细胞系SRA01/04生物学特性的影响
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作者 李诗怡 王康 +3 位作者 黄菊 张澳 张培培 谢迎宾 《国际医药卫生导报》 2024年第9期1478-1485,共8页
目的探讨羟基红花黄色素A(HSYA)对重组人表皮生长因子(rhEGF)诱导的人晶状体上皮细胞系SRA01/04(HLEC-SRA01/04)增殖、迁移及上皮-间质转化(EMT)的影响。方法研究时间为2022年6月至2023年9月。不同浓度HSYA溶液处理rhEGF诱导的HLEC-SRA0... 目的探讨羟基红花黄色素A(HSYA)对重组人表皮生长因子(rhEGF)诱导的人晶状体上皮细胞系SRA01/04(HLEC-SRA01/04)增殖、迁移及上皮-间质转化(EMT)的影响。方法研究时间为2022年6月至2023年9月。不同浓度HSYA溶液处理rhEGF诱导的HLEC-SRA01/04不同时长,四甲基偶氮唑蓝(MTT)比色法检测各组细胞的增殖状态并计算半数抑制浓度值(IC50)。细胞划痕实验与Transwell小室测定不同浓度组细胞的迁移能力。逆转录荧光定量聚合链式反应法(RT-qPCR)与蛋白印迹法(Western Blot)测定不同浓度组细胞内增殖细胞核抗原(PCNA)及EMT标记物波形蛋白(Vimentin)的mRNA表达水平与蛋白含量。计量资料采用t检验。结果MTT实验结果示:选取20、40、60、80、100μmol/L的HSYA溶液处理5μg/L rhEGF诱导人晶状体上皮细胞24 h后,增殖抑制率分别为(12.1±0.6)%、(19.0±3.8)%、(31.5±2.2)%、(53.7±0.4)%、(70.8±0.3)%,IC50值为(76.520±0.954)μmol/L,48 h增殖抑制率分别为(14.3±3.7)%、(27.4±3.1)%、(42.6±2.7)%、(59.2±2.2)%、(81.0±1.0)%,IC50值为(66.094±2.508)μmol/L,呈明显剂量依赖性。细胞划痕实验结果显示:空白组及0、20、40、70、100μmol/L组的24 h细胞迁移率分别为(46.9±1.8)%、(90.0±1.5)%、(88.4±2.1)%、(43.3±6.6)%、(31.5±16.2)%、(5.82±5.2)%,48 h细胞迁移率分别为(81.1±2.3)%、100%、(95.5±0.1)%、(72.6±3.5)%、(58.5±6.1)%、(37.4±7.1)%。Transwell小室实验结果显示:空白组及0、20、40、70、100μmol/L组的细胞数分别为(171.667±20.407)个、(290.222±24.135)个、(198.667±16.826)个、(161.222±5.981)个、(134.111±6.850)个、(67.444±7.351)个,HSYA对rhEGF诱导人晶状体上皮细胞迁移的抑制呈明显浓度依赖性。RT-qPCR法及Western Blot法结果示:HSYA可明显下调rhEGF诱导的人晶状体上皮细胞内PCNA、Vimentin及mRNA表达水平,呈剂量依赖性。结论HSYA可明显抑制rhEGF诱导的HLEC-SRA01/04增殖、迁移及EMT,可能成为预防后发性白内障的潜在药物。 展开更多
关键词 后发性白内障 羟基红花黄色素A 重组人表皮生长因子 晶状体上皮细胞 上皮-间质转化
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A Study of Rabbit Lens Epithelial Cells Survival and Growth on the Rabbit Capsular Bag in Vitro 被引量:1
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作者 黄瑾 谢莉娜 +1 位作者 卞春及 王林农 《Journal of Nanjing Medical University》 2004年第1期21-24,共4页
Objective: To study the proliferation, migration and metaplasm of residual rabbit lens epithelial cells (LECs) after extracapsular cataract extraction(ECCE)based on the rabbit capsular bag model in vitro. Methods:... Objective: To study the proliferation, migration and metaplasm of residual rabbit lens epithelial cells (LECs) after extracapsular cataract extraction(ECCE)based on the rabbit capsular bag model in vitro. Methods: Sham cataract surgery, including anterior capsulorhexis, nucleus hydroexpression and aspiration of lens fibers, was performed on 20 rabbit lens. The capsular bags were isolated and pinned to sterile non-toxic silicone rings on petri dishes. The capsular bags were incubated with Eagle's minimum essential medium (DMEM) supplemented with 10% fetal calf serum (FCS) and monitored for 3 weeks by phase-contrast microscopy, after which light microscopy was performed on them.Results: After a latent period of 2-3 d, outgrowth was observed across the posterior capsule. Growth proceeded rapidly so that the posterior capsule was totally covered by a confluent monolayer of cell at 6-8 day. Capsular wrinkles became increasingly apparent as time progressed, causing a marked rise in light scatter. An increase in capsular tension also came.Conclusion: This model exhibits many of the in vito characteristics of the lens capsule after extracapsular surgery and may prove useful in further elucidating the cellular mechanisms of posterior capsule opacification and developing strategies for inhibiting cell growth with this system. 展开更多
关键词 lens epithelial cell CULTURE capsular bag model posterior capsule opacification
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超声乳化联合玻璃体腔抗VEGF注药术对后发性白内障预防价值分析
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作者 杨砚亭 朱昱 +1 位作者 刘燕 刘瑶 《中国医药科学》 2024年第16期168-171,共4页
目的 分析白内障手术联合玻璃体腔抗血管内皮生长因子(VEGF)治疗对后发性白内障的影响。方法 采用回顾性临床队列研究,回顾性分析2020年1月至2021年3月就诊于苏州大学附属第三医院眼科行白内障手术的患者41例(54眼)。其中,试验组23例(27... 目的 分析白内障手术联合玻璃体腔抗血管内皮生长因子(VEGF)治疗对后发性白内障的影响。方法 采用回顾性临床队列研究,回顾性分析2020年1月至2021年3月就诊于苏州大学附属第三医院眼科行白内障手术的患者41例(54眼)。其中,试验组23例(27眼)行白内障超声乳化吸除+人工晶体植入联合玻璃体腔抗VEGF药物注射术;对照组18例(27眼)行单纯白内障超声乳化吸除+人工晶体植入术。所有患者术后随访24个月,比较两组患者术后最佳矫正视力、后发性白内障以及其他眼部并发症的发生情况。结果 术后24个月患者的最佳矫正视力均有不同程度的提高;试验组后发性白内障的发生率明显低于对照组,差异有统计学意义(P <0.05);仅有1例试验组患者出现术后一过性眼压升高,其余患者术后眼压均正常。结论 白内障超声乳化吸除+人工晶体植入联合玻璃体腔抗VEGF药物注射术安全可靠,并可有效降低后发性白内障的发生率。 展开更多
关键词 抗血管内皮生长因子药物 后发性白内障 术后并发症 人工晶状体植入
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Consilience and unity in ocular anterior segment research
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作者 Houmam Araj 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第7期1173-1183,共11页
In his beautiful book,Consilience:The Unity of Knowledge,the eminent biologist Edward O Wilson,advocates the need for integration and reconciliation across the sciences.He defines consilience as“literally a‘jumping ... In his beautiful book,Consilience:The Unity of Knowledge,the eminent biologist Edward O Wilson,advocates the need for integration and reconciliation across the sciences.He defines consilience as“literally a‘jumping together’of knowledge with a linking of facts…to create a common groundwork of explanation”.It is the premise of this paper that as much as basic biomedical research is in need of data generation using the latest available techniques–unifying available knowledge is just as critical.This involves the necessity to resolve contradictory findings,reduce silos,and acknowledge complexity.We take the cornea and the lens as case studies of our premise.Specifically,in this perspective,we discuss the conflicting and fragmented information on protein aggregation,oxidative damage,and fibrosis.These are fields of study that are integrally tied to anterior segment research.Our goal is to highlight the vital need for Wilson’s consilience and unity of knowledge which in turn should lead to enhanced rigor and reproducibility,and most importantly,to greater understanding and not simply knowing. 展开更多
关键词 anterior segment ocular surface CORNEA lens CATARACT posterior capsular opacification protein aggregation oxidative damage ANTIOXIDANTS fibrosis wound healing consilience
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Overexpression of TRPV1 activates autophagy in human lens epithelial cells under hyperosmotic stress through Ca^(2+)-dependent AMPK/mTOR pathway
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作者 Liu-Hui Huang Jiao Lyu +6 位作者 Sheng Chen Ting-Yi Liang Yu-Qing Rao Ping Fei Jing Li Hai-Ying Jin Pei-Quan Zhao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第3期420-434,共15页
●AIM:To explore whether autophagy functions as a cellular adaptation mechanism in lens epithelial cells(LECs)under hyperosmotic stress.●METHODS:LECs were treated with hyperosmotic stress at the concentration of 270,... ●AIM:To explore whether autophagy functions as a cellular adaptation mechanism in lens epithelial cells(LECs)under hyperosmotic stress.●METHODS:LECs were treated with hyperosmotic stress at the concentration of 270,300,400,500,or 600 mOsm for 6,12,18,24h in vitro.Polymerase chain reaction(PCR)was employed for the mRNA expression of autophagyrelated genes,while Western blotting detected the targeted protein expression.The transfection of stub-RFP-sens-GFPLC3 autophagy-related double fluorescence lentivirus was conducted to detect the level of autophagy flux.Scanning electron microscopy was used to detect the existence of autolysosome.Short interfering RNA of autophagy-related gene(ATG)7,transient receptor potential vanilloid(TRPV)1 overexpression plasmid,related agonists and inhibitors were employed to their influence on autophagy related pathway.Flow cytometry was employed to test the apoptosis and intracellular Ca^(2+)level.Mitochondrial membrane potential was measured by JC-1 staining.The cell counting kit-8 assay was used to calculate the cellular viability.The wound healing assay was used to evaluate the wound closure rate.GraphPad 6.0 software was utilized to evaluate the data.●RESULTS:The hyperosmotic stress activated autophagy in a pressure-and time-dependent manner in LECs.Beclin 1 protein expression and conversion of LC3B II to LC3B I increased,whereas sequestosome-1(SQSTM1)protein expression decreased.Transient Ca^(2+)influx was stimulated caused by hyperosmotic stress,levels of mammalian target of rapamycin(mTOR)phosphorylation decreased,and the level of AMP-activated protein kinase(AMPK)phosphorylation increased in the early stage.Based on this evidence,autophagy activation through the Ca^(2+)-dependent AMPK/mTOR pathway might represent an adaptation process in LECs under hyperosmotic stress.Hyperosmotic stress decreased cellular viability and accelerated apoptosis in LECs and cellular migration decreased.Inhibition of autophagy by ATG7 knockdown had similar results.TRPV1 overexpression increased autophagy and might be crucial in the occurrence of autophagy promoted by hyperosmotic stress.●CONCLUSION:A combination of hyperosmotic stress and autophagy inhibition may be a promising approach to decrease the number of LECs in the capsular bag and pave the way for improving prevention of posterior capsular opacification and capsular fibrosis. 展开更多
关键词 CATARACT posterior capsular opacification lens epithelial cell hyperosmotic stress AUTOPHAGY apoptosis transient receptor potential vanilloid 1
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后发性白内障患者行Nd∶YAG激光术后视觉质量
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作者 安通 刘颖 +1 位作者 孙红双 张白雪 《国际眼科杂志》 CAS 2024年第10期1655-1658,共4页
目的:探究角膜/屈光分析仪OPD-Scan Ⅲ评估后发性白内障患者行Nd∶YAG激光术后视觉质量。方法:回顾性研究。选取2021-05/2023-04于我院行Nd∶YAG激光后囊膜切开术治疗的后发性白内障患者98例98眼,采用角膜/屈光分析仪OPD-Scan Ⅲ获取患... 目的:探究角膜/屈光分析仪OPD-Scan Ⅲ评估后发性白内障患者行Nd∶YAG激光术后视觉质量。方法:回顾性研究。选取2021-05/2023-04于我院行Nd∶YAG激光后囊膜切开术治疗的后发性白内障患者98例98眼,采用角膜/屈光分析仪OPD-Scan Ⅲ获取患者高阶像差参数(彗差、球差和三叶草像差)和视觉质量参数[斯特列尔比(SR)和人眼调制传递函数(MTF)曲线中4 mm面积比(AR)],比较患者术前,术后1 wk,3 mo时视力、高阶像差和视觉质量。结果:纳入患者手术前后裸眼远视力(UDVA)、裸眼中视力(UIVA)、裸眼近视力(UNVA)、彗差、球差、三叶草、SR和AR比较均有差异(均P<0.001)。术后1 wk,3 mo UDVA、UIVA、UNVA、彗差、球差、三叶草、SR和AR与术前比较均有差异(均P<0.05)。术后3 mo UDVA、UIVA、UNVA、SR和AR与术后1 wk比较均有差异(均P<0.05),术后3 mo彗差、球差、三叶草与术后1 wk比较均无差异(均P>0.05),术后3 mo球差、三叶草与SR均呈负相关(r_(s)=-0.427,P=0.009;r_(s)=-0.436,P=0.010),三叶草与AR呈负相关(r_(s)=-0.406,P=0.015)。结论:后发性白内障患者Nd∶YAG激光术后视力改善,使用角膜/屈光分析仪OPD-Scan Ⅲ系统反映患者视觉质量具有较高的临床价值。 展开更多
关键词 角膜/屈光分析仪 视觉治疗 后发性白内障 Nd∶YAG激光 后囊膜切开术
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基于网络药理学和分子对接技术探讨金钗石斛生物碱抗后发性白内障的作用机制
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作者 时应兰 李军 +2 位作者 成婷婷 张婷倩 黄朝霞 《贵州科学》 2024年第2期34-40,共7页
目的:探讨金钗石斛生物碱抗后发性白内障的作用机制。方法:通过查阅国内外文献,收集金钗石斛生物碱类活性成分及其结构,利用网络药理学预测金钗石斛生物碱抗后发性白内障的潜在靶点,建立金钗石斛生物碱抗后发性白内障的蛋白互作关系网络... 目的:探讨金钗石斛生物碱抗后发性白内障的作用机制。方法:通过查阅国内外文献,收集金钗石斛生物碱类活性成分及其结构,利用网络药理学预测金钗石斛生物碱抗后发性白内障的潜在靶点,建立金钗石斛生物碱抗后发性白内障的蛋白互作关系网络(PPI),并对潜在靶点进行GO分析和KEGG通路富集分析,探索金钗石斛防治后发性白内障可能的生物进程及通路。通过分子对接验证金钗石斛生物碱与核心靶点的结合活性。结果:网络药理学分析表明,获得金钗石斛生物碱类活性成分27个,金钗石斛生物碱抗后发性白内障的核心靶点为STAT3、PIK3R1、AKT1等,GO富集分析结果表明,金钗石斛生物碱主要通过影响细胞凋亡、细胞迁移和激酶活性的双向调节等生物进程,发挥酶结合和蛋白质结合等分子结合,进而发挥抗后发性白内障的作用。金钗石斛抗后发性白内障可能与血管生成(HIF-1信号通路)、炎症反应(PI3K-Akt信号通路)等信号通路有关。分子对接结果显示金钗石斛生物碱与核心靶点均有较好的结合活性。结论:金钗石斛中石斛碱(dendrobine)、N-反式阿魏酸酰对羟基苯乙胺(N-trans-feruloyl tyramine)可能是通过STAT3、PIK3R1、AKT1等多靶点、多信号通路、多途径发挥对后发性白内障的防治作用,为后期的实验验证及金钗石斛药材的开发提供理论指导。 展开更多
关键词 金钗石斛生物碱 后发性白内障 网络药理学 分子对接 PI3K-AKT信号通路
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Drug-eluting intraocular lens with sustained bromfenac release for conquering posterior capsular opacification 被引量:7
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作者 Xiaobo Zhang Kairan Lai +9 位作者 Su Li Jing Wang Jiayong Li Wei Wang Shuang Ni Bing Lu Andrzej Grzybowski Jian Ji Haijie Han Ke Yao 《Bioactive Materials》 SCIE 2022年第3期343-357,共15页
Cataract is the leading cause of visual impairment,and posterior capsular opacification(PCO)is the most common long-term complication of modern cataract surgery,which can cause severe visual impairment after surgery.T... Cataract is the leading cause of visual impairment,and posterior capsular opacification(PCO)is the most common long-term complication of modern cataract surgery,which can cause severe visual impairment after surgery.The proliferation,migration,and epithelial-mesenchymal transition(EMT)of residual lens epithelial cells(LECs)stimulated by growth factors and cytokines,are the key pathological mechanisms involved in the development of PCO.This study demonstrated that non-steroidal anti-inflammatory drug(NSAID),bromfenac,was capable of effectively inhibiting cell migration,overexpression of EMT markers,such as fibronectin(FN),matrix metalloproteinase 2(MMP2),α-smooth muscle actin(α-SMA),and transcription factor Snail,and extracellular signal-regulated kinase(ERK)/glycogen synthase kinase-3β(GSK-3β)signaling induced by transforming growth factor-β2(TGF-β2)in vitro.The inhibitory effect of bromfenac on TGF-β2-induced EMT was also verified on a primary lens epithelial cell model using human anterior capsules.Furthermore,based on ultrasonic spray technology,we developed a drug-eluting intraocular lens(IOL)using poly(lactic-co-glycolic acid)(PLGA)with sustained bromfenac release ability for the prevention of PCO development.In the rabbit models of cataract surgery,bromfenac-eluting IOL exhibited remarkable PCO prevention and inflammation suppression effects with excellent biocompatibility.In conclusion,bromfenac can inhibit TGF-β2-induced cell migration and the EMT of LECs via ERK/GSK-3β/Snail signaling.The present study offers a novel approach for preventing PCO through PLGA-based drug sustained-release IOLs. 展开更多
关键词 posterior capsular opacification Drug-eluting IOLs Bromfenac ERK pathway Transcription factor Snail
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A new technique for Nd:YAG laser posterior capsulotomy 被引量:3
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作者 Jung Kee Min Jae Hwan An Jin Ho Yim 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2014年第2期345-349,共5页
AIM:To investigate the effects of a new opening pattern in neodymium:yttrium-aluminum-garnet(Nd:YAG)laser posterior capsulotomy on visual function.METHODS:This technique was conducted along a circular pattern.The ener... AIM:To investigate the effects of a new opening pattern in neodymium:yttrium-aluminum-garnet(Nd:YAG)laser posterior capsulotomy on visual function.METHODS:This technique was conducted along a circular pattern.The energy ranged between 0.8 and1.2 mJ/pulse was consumed and mean total energy levels were 74±21 mJ(mean±standard deviation:SD,from 40 to167)and laser shots aimed at 150μm away behind a datum point and went along an imaginary line which extends 0.5 mm inside from optic margin and into the circular en bloc pattern.Vitreous stands were attached with fragment and then they were cut off by the laser after circular application.The circular fragment was completely separated from vitreous,and then this fragment was quickly sunk in intravitreal space.RESULTS:The follow-up period ranges from at least a week to 40mo,making 15.8mo on average.The procedural outcome showed 96%(74 eyes out of the 77eyes)enhancement in patients’visual acuity.Cystoid macular edema or retinal detachment was not observed in any of the patients during follow-up periods.CONCLUSION:This new technique is expected to improve the weaknesses that the conventional procedures have by adding the process to cut off vitreous stands attached with the fragment by the laser to the circular application. 展开更多
关键词 CATARACT intraocular lens damage posterior capsular opacification vitreous strand YAG laser capsulotomy
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Augmented cellular uptake and homologous targeting of exosome-based drug loaded IOL for posterior capsular opacification prevention and biosafety improvement 被引量:4
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作者 Siqing Zhu Huiying Huang +3 位作者 Dong Liu Shimin Wen Liangliang Shen Quankui Lin 《Bioactive Materials》 SCIE 2022年第9期469-481,共13页
Posterior capsular opacification(PCO),the most common complication after cataract surgery,is caused by the proliferation,migration and differentiation of residual lens epithelial cells(LECs)on the surface of the intra... Posterior capsular opacification(PCO),the most common complication after cataract surgery,is caused by the proliferation,migration and differentiation of residual lens epithelial cells(LECs)on the surface of the intraocular lens(IOL).Although drug-loaded IOLs have been successfully developed,the PCO prevention efficacy is still limited due to the lack of targeting and low bioavailability.In this investigation,an exosome-functionalized drug-loaded IOL was successfully developed for effective PCO prevention utilizing the homologous targeting and high biocompatibility of exosome.The exosomes derived from LECs were collected to load the anti-proliferative drug doxorubicin(Dox)through electroporation and then immobilized on the aminated IOLs surface through electrostatic interaction.In vitro experiments showed that significantly improved cellular uptake of Dox@Exos by LECs was achieved due to the targeting ability of exosome,compared with free Dox,thus resulting in superior anti-proliferation effect.In vivo animal investigations indicated that Dox@Exos-IOLs effectively inhibited the development of PCO and showed excellent intraocular biocompatibility.We believe that this work will provide a targeting strategy for PCO prevention through exosome-functionalized IOL. 展开更多
关键词 EXOSOME Intraocular lens Surface modification Targeted therapy posterior capsular opacification
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姜黄素抗纤维化作用在眼科中的研究进展 被引量:5
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作者 曹莉 蔡岩 《中国中医眼科杂志》 2023年第4期383-387,共5页
姜黄素是我国传统中药姜黄、咖喱、郁金、藤黄、肉桂等的有效成分,具有广泛的抗纤维化作用而无明显毒副作用。本文概括了姜黄素抗纤维化作用的主要机制,包括抑制转化生长因子-β(TGF-β)信号转导通路、清除活性氧(ROS)、抑制炎症因子,... 姜黄素是我国传统中药姜黄、咖喱、郁金、藤黄、肉桂等的有效成分,具有广泛的抗纤维化作用而无明显毒副作用。本文概括了姜黄素抗纤维化作用的主要机制,包括抑制转化生长因子-β(TGF-β)信号转导通路、清除活性氧(ROS)、抑制炎症因子,同时总结了姜黄素抗纤维化作用在眼科研究中的应用,包括翼状胬肉、青光眼术后滤过通道瘢痕化、后发性白内障(PCO)和增生性玻璃体视网膜病变(PVR)、角膜瘢痕,为姜黄素抗纤维化作用在眼科中的进一步研究提供参考。 展开更多
关键词 姜黄素 纤维化 翼状胬肉 青光眼滤过术 后发性白内障 增生性玻璃体视网膜病变 角膜瘢痕
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Nd:YAG激光爆破模式对后囊膜切开术效果的影响
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作者 马英慧 贾璐瑶 +3 位作者 杨洁 马琳丽 谭小波 刘刚 《中国医药导报》 CAS 2023年第21期125-128,191,共5页
目的探讨掺钕钇铝石榴石(Nd:YAG)激光不同爆破模式对后囊膜切开术效果的影响。方法收集2017年12月至2019年12月承德医学院附属医院治疗的后囊膜混浊患者59例59眼,采用随机数字表法将其分为单脉冲组(29例)和多脉冲组(30例)。比较两组手... 目的探讨掺钕钇铝石榴石(Nd:YAG)激光不同爆破模式对后囊膜切开术效果的影响。方法收集2017年12月至2019年12月承德医学院附属医院治疗的后囊膜混浊患者59例59眼,采用随机数字表法将其分为单脉冲组(29例)和多脉冲组(30例)。比较两组手术前后最佳矫正视力(BCVA)、眼压、前房闪辉和前房细胞发生等级、黄斑中心区视网膜厚度和生活质量等。结果术后1周,两组BCVA均高于术前(P<0.05)。两组不同时间点眼压比较,差异有统计学意义(P<0.05)。术后1周,两组前房闪辉和前房细胞发生等级均低于术后1 h(P<0.05)。单脉冲组Nd:YAG激光总能量低于多脉冲组(P<0.05)。两组不同时间点黄斑中心区视网膜厚度比较,差异有统计学意义(P<0.05)。结论后囊膜切开术中Nd:YAG激光单脉冲模式较多脉冲模式节省激光能量,减轻眼内光损伤,临床中可首选应用。 展开更多
关键词 掺钕钇铝石榴石激光 后囊膜切开术 脉冲 后囊膜混浊
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蒸馏水促进人晶状体上皮细胞(SRA01/04)凋亡并抑制其增殖、迁移、侵袭及转分化能力研究
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作者 程心璇 刘亚军 +4 位作者 张文文 陈菲菲 何自芳 张司 解正高 《眼科新进展》 CAS 北大核心 2023年第10期781-785,共5页
目的探究蒸馏水(DW)对人晶状体上皮细胞SRA01/04凋亡、增殖、迁移、侵袭及转分化的影响。方法将人晶状体上皮细胞系SRA01/04细胞随机分为5组:对照组(不作处理)、BBS组(BBS处理3 min)、DW 30 s组(DW处理30 s)、DW 1 min组(DW处理1 min)、... 目的探究蒸馏水(DW)对人晶状体上皮细胞SRA01/04凋亡、增殖、迁移、侵袭及转分化的影响。方法将人晶状体上皮细胞系SRA01/04细胞随机分为5组:对照组(不作处理)、BBS组(BBS处理3 min)、DW 30 s组(DW处理30 s)、DW 1 min组(DW处理1 min)、DW 2 min组(DW处理2 min)、DW 3 min组(DW处理3 min)。除对照组外,其余组加入2 mL细胞培养液终止作用,继续培养24 h。流式细胞仪检测各组细胞凋亡情况;5-乙炔基-2’-脱氧尿苷和CCK-8实验检测各组细胞增殖情况;Western blot检测各组凋亡相关蛋白Bax、Bcl-2、Caspase-9及转分化相关蛋白α-平滑肌肌动蛋白(α-SMA)、N-钙黏蛋白(N-cadherin)、纤连蛋白(Fibronectin)、波形蛋白(Vimentin)的表达;细胞划痕实验检测各组细胞迁移情况;Transwell细胞迁移实验检测各组细胞迁移及侵袭情况。使用单因素方差分析(ANOVA)进行多组间的比较,组间两两比较采用Tukey检验。结果随着DW作用时间的逐渐增加,SRA01/04细胞凋亡率逐渐增加;SRA01/04细胞的增殖、迁移及侵袭能力受到明显抑制;SRA01/04细胞促凋亡相关蛋白Bax、Caspase-9表达逐渐增加,抗凋亡蛋白Bcl-2表达逐渐降低;转分化相关蛋白α-SMA、N-cadherin、Fibronectin及Vimentin表达逐渐降低,SRA01/04细胞EMT作用受到抑制。结论DW可以促进SRA01/04细胞凋亡,抑制SRA01/04细胞增殖、迁移、侵袭及转分化能力。 展开更多
关键词 蒸馏水 后囊膜混浊 晶状体上皮细胞
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囊袋张力环对高度近视患者白内障术后疗效影响的荟萃分析 被引量:4
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作者 郝壮 赵超 +4 位作者 蒋孟琪 张泸宁 马济远 何梦梅 周健 《眼科新进展》 CAS 北大核心 2023年第1期47-52,共6页
目的基于荟萃分析评价术中联合植入囊袋张力环(CTR)对高度近视患者白内障手术疗效的影响。方法全面检索PubMed、Embase、Web of Science、The Cochrane Library、中国知网、万方、维普等7个数据库,检索时间范围为1990年1月1日至2022年3... 目的基于荟萃分析评价术中联合植入囊袋张力环(CTR)对高度近视患者白内障手术疗效的影响。方法全面检索PubMed、Embase、Web of Science、The Cochrane Library、中国知网、万方、维普等7个数据库,检索时间范围为1990年1月1日至2022年3月20日,收集CTR在高度近视患者白内障手术中应用的随机对照试验和非随机对照试验。2名研究人员根据纳入和排除标准,独立检索文献、提取数据及进行方法学质量评价,采用Review Manager 5.4进行荟萃分析。结果最终纳入8篇文献,共涉及1292例(1630眼)患者。荟萃分析结果显示,在改善患者最佳矫正视力(BCVA)方面,术后1个月、3个月、6个月CTR联合人工晶状体(IOL)植入组患者的BCVA均显著优于IOL植入组(均为P<0.05);在IOL倾斜角、偏心量方面,术后6个月时CTR联合IOL植入组患者较IOL植入组均显著降低(均为P<0.05);晶状体前囊口面积方面,术后3个月时CTR联合IOL植入组患者大于IOL植入组(P=0.048);术后PCO发生率方面,CTR联合IOL植入组患者显著低于IOL植入组(P<0.00001);术后3个月时CTR联合IOL植入组患者角膜内皮细胞密度与IOL植入组相比差异无统计学意义(P=0.48)。结论对于高度近视患者,在白内障术中植入CTR有助于患者获得更好的BCVA、减少术后IOL倾斜与偏心、降低PCO以及囊袋皱缩的发生。 展开更多
关键词 高度近视 囊袋张力环 白内障手术 荟萃分析 人工晶状体倾斜 人工晶状体偏心 后发性白内障 囊袋皱缩
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儿童后发性白内障中西医研究进展
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作者 刁梦蛟 宋继科 +3 位作者 于晗 刘冬梅 蒋文君 毕宏生 《中国中医药现代远程教育》 2023年第22期206-206,I0001,I0002,共3页
儿童眼球处于飞速发育阶段,白内障手术后较成人更易出现后发性白内障。后发性白内障引起儿童视轴区混浊,使儿童视力下降,如未及时处理,会因形觉剥夺影响儿童视功能发育导致弱视发生。后发性白内障的发生主要与晶状体上皮细胞的增殖、迁... 儿童眼球处于飞速发育阶段,白内障手术后较成人更易出现后发性白内障。后发性白内障引起儿童视轴区混浊,使儿童视力下降,如未及时处理,会因形觉剥夺影响儿童视功能发育导致弱视发生。后发性白内障的发生主要与晶状体上皮细胞的增殖、迁移、上皮-间质转化有关。后发性白内障目前以Nd:YAG激光晶状体后囊膜切开术和手术为主要治疗手段,但对儿童应用具有局限性。近年来研究发现多种中西医药物可以用于防治后发性白内障。文章就儿童白内障术后后发性白内障的发病机制、中西医防治措施进行综述。 展开更多
关键词 白内障手术 后发性白内障 儿童 中医药疗法 西医疗法 综述
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Nd:YAG激光治疗糖尿病患者后发性白内障的临床研究 被引量:4
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作者 邹引 《基层医学论坛》 2023年第2期5-7,11,共4页
目的 探讨掺钕钇铝石榴石(Nd:YAG)激光后囊膜切开术治疗伴有2型糖尿病(T_(2)DM)的后发性白内障的疗效及安全性。方法 对2019年12月-2021年9月江西省景德镇市第一人民医院收治的60例行Nd:YAG激光后囊膜切开术的后发性白内障患者临床资料... 目的 探讨掺钕钇铝石榴石(Nd:YAG)激光后囊膜切开术治疗伴有2型糖尿病(T_(2)DM)的后发性白内障的疗效及安全性。方法 对2019年12月-2021年9月江西省景德镇市第一人民医院收治的60例行Nd:YAG激光后囊膜切开术的后发性白内障患者临床资料进行回顾性分析,其中伴T_(2)DM患者30例(观察组),非T_(2)DM患者30例(对照组)。比较2组术前、术后4周视力、眼压、前房深度及角膜内皮细胞变化情况,记录并发症。结果 术后4周,2组裸眼视力、矫正视力较术前明显提高,而眼压、前房深度、角膜内皮细胞密度(CECD)、角膜内皮细胞变异系数及六边形细胞比例较术前明显降低(P<0.05),但组间差异不明显(P>0.05);观察组术后总并发症发生率为36.67%,较对照组的23.33%略高,但差异无统计学意义(P>0.05)。结论 采用Nd:YAG激光后囊膜切开术治疗伴有T_(2)DM的后发性白内障安全有效,与非T_(2)DM患者疗效相当。 展开更多
关键词 糖尿病 后发性白内障 掺钕钇铝石榴石激光 视力 眼压 前房深度 角膜内皮
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