CAJ | 학술논문

糖尿病视网膜病变( diabetic retinopathy,DR)是全世界最主要的致盲性眼病,也是最严重和最常见的微血管病变之一。糖尿病可造成血-视网膜屏障的损害引起血管源性水肿和神经组织损伤,造成视力下降。内层血-视网膜屏障主要是由视网膜毛细血管内皮细胞的紧密连接构成,此屏障阻碍血液的渗透及内源性物质和外源性物质在视网膜中的自由扩散,使视网膜保持恒定的环境,有效的供应营养物质。糖尿病患者的视网膜中由于细胞因子、生长因子、晚期糖基化终产物、炎症、高血糖症和周细胞丢失的增加,导致视网膜血管内皮细胞通透性增加。本文就糖尿病所引起的血-视网膜屏障超微结构改变进行综述。
당뇨병시망막병변( diabetic retinopathy,DR)시전세계최주요적치맹성안병,야시최엄중화최상견적미혈관병변지일。당뇨병가조성혈-시망막병장적손해인기혈관원성수종화신경조직손상,조성시력하강。내층혈-시망막병장주요시유시망막모세혈관내피세포적긴밀련접구성,차병장조애혈액적삼투급내원성물질화외원성물질재시망막중적자유확산,사시망막보지항정적배경,유효적공응영양물질。당뇨병환자적시망막중유우세포인자、생장인자、만기당기화종산물、염증、고혈당증화주세포주실적증가,도치시망막혈관내피세포통투성증가。본문취당뇨병소인기적혈-시망막병장초미결구개변진행종술。
Diabetic retinopathy is a major cause of blindness all over the world, and it is one of the most serious and common microvascular complications of diabetes. Breakdown of the endothelial blood - retinal barrier ( BRB ) , as occurs in diabetic retinopathy, result in vasogenic edema and neural tissue damage, causing loss of vision. The inner BRB is created by complex tight juctions of retinal capillary endothelial cells, this barrier prevents the free diffusion of substances between the circulating blood and the neural retinal, the inner BRB efficiently supplies nutrients to the retinal and removes endobiotics and xenobiotics from the retina to maintain a constant milieu in the neural retina. The central mechanism of altered inner BRB function is a change in the permeability characteristics of retinal endothelial cells caused by elevated levels of cytokines, growth factors, advanced glycation end products, inflammation, hyperglycema and loss of pericytes. This article reviews the relationship between diabetes and the ultrastructure changes of BRB.