Usefulness of the Vitreous Fluid Analysis in the Translational Research of Diabetic Retinopathy

Diabetic retinopathy (DR) is the major cause of acquired blindness in working-age adults. Current treatments for DR (laser photocoagulation, intravitreal corticosteroids, intravitreal antivascular endothelial growth factor (VEGF) agents, and vitreo-retinal surgery) are applicable only at advanced st...

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Main Authors: Olga Simó-Servat, Cristina Hernández, Rafael Simó
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/872978
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author Olga Simó-Servat
Cristina Hernández
Rafael Simó
author_facet Olga Simó-Servat
Cristina Hernández
Rafael Simó
author_sort Olga Simó-Servat
collection DOAJ
description Diabetic retinopathy (DR) is the major cause of acquired blindness in working-age adults. Current treatments for DR (laser photocoagulation, intravitreal corticosteroids, intravitreal antivascular endothelial growth factor (VEGF) agents, and vitreo-retinal surgery) are applicable only at advanced stages of the disease and are associated with significant adverse effects. Therefore, new pharmacological treatments for the early stages of the disease are needed. Vitreous fluid obtained from diabetic patients undergoing vitreoretinal surgery is currently used to explore the events that are taking place in the retina for clinical research. However, several confounding factors such as vitreous haemorrhage and concentration of vitreous proteins should be considered in the analysis of the results. In this paper we will focus on the vitreous fluid as a tool for exploring the mediators of DR and in particular the molecules related to inflammatory pathways. In addition, their role in the pathogenesis of DR will be discussed. The usefulness of new technologies such as flow cytometry and proteomics in identifying new candidates involved in the inflammatory process that occurs in DR will be overviewed. Finally, a more personalized treatment based on vitreous fluid analysis aiming to reduce the burden associated with DR is suggested.
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spelling doaj-art-48b78f563308453d9395d0ad373f4c112025-02-03T01:09:30ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/872978872978Usefulness of the Vitreous Fluid Analysis in the Translational Research of Diabetic RetinopathyOlga Simó-Servat0Cristina Hernández1Rafael Simó2Department of Endocrinology, Hospital Vall d’Hebron, Barcelona, SpainDepartment of Endocrinology, Hospital Vall d’Hebron, Barcelona, SpainDepartment of Endocrinology, Hospital Vall d’Hebron, Barcelona, SpainDiabetic retinopathy (DR) is the major cause of acquired blindness in working-age adults. Current treatments for DR (laser photocoagulation, intravitreal corticosteroids, intravitreal antivascular endothelial growth factor (VEGF) agents, and vitreo-retinal surgery) are applicable only at advanced stages of the disease and are associated with significant adverse effects. Therefore, new pharmacological treatments for the early stages of the disease are needed. Vitreous fluid obtained from diabetic patients undergoing vitreoretinal surgery is currently used to explore the events that are taking place in the retina for clinical research. However, several confounding factors such as vitreous haemorrhage and concentration of vitreous proteins should be considered in the analysis of the results. In this paper we will focus on the vitreous fluid as a tool for exploring the mediators of DR and in particular the molecules related to inflammatory pathways. In addition, their role in the pathogenesis of DR will be discussed. The usefulness of new technologies such as flow cytometry and proteomics in identifying new candidates involved in the inflammatory process that occurs in DR will be overviewed. Finally, a more personalized treatment based on vitreous fluid analysis aiming to reduce the burden associated with DR is suggested.http://dx.doi.org/10.1155/2012/872978
spellingShingle Olga Simó-Servat
Cristina Hernández
Rafael Simó
Usefulness of the Vitreous Fluid Analysis in the Translational Research of Diabetic Retinopathy
Mediators of Inflammation
title Usefulness of the Vitreous Fluid Analysis in the Translational Research of Diabetic Retinopathy
title_full Usefulness of the Vitreous Fluid Analysis in the Translational Research of Diabetic Retinopathy
title_fullStr Usefulness of the Vitreous Fluid Analysis in the Translational Research of Diabetic Retinopathy
title_full_unstemmed Usefulness of the Vitreous Fluid Analysis in the Translational Research of Diabetic Retinopathy
title_short Usefulness of the Vitreous Fluid Analysis in the Translational Research of Diabetic Retinopathy
title_sort usefulness of the vitreous fluid analysis in the translational research of diabetic retinopathy
url http://dx.doi.org/10.1155/2012/872978
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