Frontiers in Pharmacology (Aug 2022)

Diabetic retinopathy: Involved cells, biomarkers, and treatments

  • Jiahui Ren,
  • Jiahui Ren,
  • Jiahui Ren,
  • Jiahui Ren,
  • Jiahui Ren,
  • Shuxia Zhang,
  • Shuxia Zhang,
  • Shuxia Zhang,
  • Yunfeng Pan,
  • Yunfeng Pan,
  • Yunfeng Pan,
  • Meiqi Jin,
  • Meiqi Jin,
  • Meiqi Jin,
  • Jiaxin Li,
  • Jiaxin Li,
  • Yun Luo,
  • Yun Luo,
  • Yun Luo,
  • Xiaobo Sun,
  • Xiaobo Sun,
  • Xiaobo Sun,
  • Guang Li,
  • Guang Li,
  • Guang Li

DOI
https://doi.org/10.3389/fphar.2022.953691
Journal volume & issue
Vol. 13

Abstract

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Diabetic retinopathy (DR), a leading cause of vision loss and blindness worldwide, is caused by retinal neurovascular unit dysfunction, and its cellular pathology involves at least nine kinds of retinal cells, including photoreceptors, horizontal and bipolar cells, amacrine cells, retinal ganglion cells, glial cells (Müller cells, astrocytes, and microglia), endothelial cells, pericytes, and retinal pigment epithelial cells. Its mechanism is complicated and involves loss of cells, inflammatory factor production, neovascularization, and BRB impairment. However, the mechanism has not been completely elucidated. Drug treatment for DR has been gradually advancing recently. Research on potential drug targets relies upon clear information on pathogenesis and effective biomarkers. Therefore, we reviewed the recent literature on the cellular pathology and the diagnostic and prognostic biomarkers of DR in terms of blood, protein, and clinical and preclinical drug therapy (including synthesized molecules and natural molecules). This review may provide a theoretical basis for further DR research.

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