2017
DOI: 10.1016/j.visres.2017.05.005
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VEGF production and signaling in Müller glia are critical to modulating vascular function and neuronal integrity in diabetic retinopathy and hypoxic retinal vascular diseases

Abstract: Müller glia (MG) are major retinal supporting cells that participate in retinal metabolism, function, maintenance, and protection. During the pathogenesis of diabetic retinopathy (DR), a neurovascular disease and a leading cause of blindness, MG modulate vascular function and neuronal integrity by regulating the production of angiogenic and trophic factors. In this article, I will (1) briefly summarize our work on delineating the role and mechanism of MG-modulated vascular function through the production of va… Show more

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Cited by 93 publications
(71 citation statements)
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“…Despite the efficacy of these molecules in the improvement of visual acuity, repeated intravitreal injections of anti‐VEGF may cause long‐term ocular complications given the important role of VEGF in maintaining vascular integrity and survival of neuronal cells (Fontaine et al, ; Park, Kim, & Park, ; Saint‐Geniez et al, ; Wilkinson‐Berka & Miller, ). VEGF appears to be neuroprotective, and a loss of this factor could result in retinal ganglion cell loss potentiated by decreased retinal blood flow (Le, ). The anti‐VEGF treatment can potentially increase the risk of endophthalmitis (Reibaldi et al, ) and development of geographical atrophy (Gemenetzi, Lotery, & Patel, ).…”
Section: Introductionmentioning
confidence: 99%
“…Despite the efficacy of these molecules in the improvement of visual acuity, repeated intravitreal injections of anti‐VEGF may cause long‐term ocular complications given the important role of VEGF in maintaining vascular integrity and survival of neuronal cells (Fontaine et al, ; Park, Kim, & Park, ; Saint‐Geniez et al, ; Wilkinson‐Berka & Miller, ). VEGF appears to be neuroprotective, and a loss of this factor could result in retinal ganglion cell loss potentiated by decreased retinal blood flow (Le, ). The anti‐VEGF treatment can potentially increase the risk of endophthalmitis (Reibaldi et al, ) and development of geographical atrophy (Gemenetzi, Lotery, & Patel, ).…”
Section: Introductionmentioning
confidence: 99%
“…Among numerous cytokines and growth factors involved in the pathogenesis of DR, vascular endothelial growth factor (VEGF)‐A is a key mediator for ischaemia‐induced retinal neovascularization and inflammation . Dysfunction of Müller glial cells affected in the ischaemic retina promotes the angiogenic activity of DR as the major source of VEGF‐A overproduction …”
Section: Introductionmentioning
confidence: 99%
“…Anti-VEGF therapies have been developed, and are effective for reduction of diabetic macular oedema and improvement of visual outcomes in individuals with diabetes [8]. In addition to VEGF, a number of other proinflammatory cytokines, such as TNF-α and intercellular adhesion molecule 1 (ICAM-1), are upregulated at the early stage of diabetic retinopathy [9], and high levels of proinflammatory cytokines are observed in the vitreous of individuals with proliferative diabetic retinopathy [10] and in the retinas of animal models of diabetes [11]. Ablation of TNF-α suppresses leucostasis and reduces vascular permeability in diabetic retinopathy [12], suggesting that dysregulation of cytokine production contributes to pathogenesis.…”
Section: Introductionmentioning
confidence: 99%