2007
DOI: 10.1007/s10735-007-9159-5
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Adhesion molecules (ICAM-1 and VCAM-1) and diabetic retinopathy in type 2 diabetes

Abstract: The expression of intercellular adhesion molecule (ICAM-1) and vascular cell adhesion molecule (VCAM-1) were studied in the conjunctiva of diabetic patients with and without retinopathy. All patients underwent a complete ophthalmic examination including ocular fundus and retinal fluorescein angiography. The indirect immunoperoxidase method was performed on 15 normal conjunctivas taken during cataract surgery (group 1), on 40 eyes of 40 patients with type 2 diabetes without diabetic retinopathy (DR) (group 2) a… Show more

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Cited by 61 publications
(55 citation statements)
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“…They play a main role in the cellular adhesion mechanisms characterized by cell-to-cell and cell-to-extracellular matrix (ECM) interactions for biological signal transducers in these interactions [40,41].…”
Section: Discussionmentioning
confidence: 99%
“…They play a main role in the cellular adhesion mechanisms characterized by cell-to-cell and cell-to-extracellular matrix (ECM) interactions for biological signal transducers in these interactions [40,41].…”
Section: Discussionmentioning
confidence: 99%
“…The pathogenesis of diabetic retinopathy has lately been recognized to involve low-grade, chronic inflammation[1], [2], [3], proposed to be the result of persistent hyperglycemia as well as of dyslipidemia[1], [4], [5]. Up-regulation of inflammatory mediators and adhesion molecules are early features of diabetic retinopathy[6], leading to accumulation of leukocytes, altered vessel reactivity and subsequent activation of receptors and transcription factors, ultimately resulting in apoptosis or proliferation of various cell types in the retina[5], [7], e.g., loss of pericytes and proliferation of endothelial cells.…”
Section: Introductionmentioning
confidence: 99%
“…Up-regulation of inflammatory mediators and adhesion molecules are early features of diabetic retinopathy[6], leading to accumulation of leukocytes, altered vessel reactivity and subsequent activation of receptors and transcription factors, ultimately resulting in apoptosis or proliferation of various cell types in the retina[5], [7], e.g., loss of pericytes and proliferation of endothelial cells. However, it is still a matter of debate whether the inflammatory response is a local phenomenon or not, since clinical studies show variable associations between markers of systemic inflammation and risk of diabetic retinopathy[8], [9], [10].…”
Section: Introductionmentioning
confidence: 99%
“…3,4 Increased ICAM-1, vascular cell adhesion molecule-1, and e-selectin levels were found in the serum from patients with diabetic microangiopathy. [5][6][7] In diabetic animal models, increased retinal ICAM-1 expression is believed to be responsible for leukocyte adhesion or leukostasis and increased vascular permeability. Leukostasis is believed to contribute to capillary nonperfusion and local ischemia, which subsequently induces the overexpression of vascular endothelial growth factor (VEGF).…”
mentioning
confidence: 99%