薑黃素在視網膜病變中的治療潛力。 由於視網膜富含血液供應、眾多的線粒體以及光線的照射使其不斷暴露於自由基下。 自由基直接或間接影響了視網膜的發炎、細胞凋亡或血管生成。由於發炎和氧化應激途徑是視網膜發病的基礎,因此解決這些造成發病的因素是一項治療的選擇。 薑黃素(diferuloylmethane)是印度香料薑黃的化合物,已被發現有效預防和治療發炎病症和腫瘤過程。薑黃素通過調節許多生物化學介質,發揮作用對抗炎症、腫瘤、抗氧化劑和VEGF抑制性質,這使薑黃素在視網膜疾病中特別有效。 結果:薑黃素在某些病例中可以減緩,甚至可以逆轉老年性性黃斑部病變,糖尿病視網膜病變,視網膜色素病變,增殖性玻璃體視網膜病和視網膜癌。 然而,關於薑黃素療效的研究主要限於動物研究。 此外,考慮到薑黃素的低溶解度和口服生物利用度,使薑黃素不容易使用 - 因此奈米顆粒和脂質體的潛力受到更多關注。 3. Int Ophthalmol. 2018 Feb 5. doi: 10.1007/s10792-018-0845-y. [Epub ahead of print] Therapeutic potential of curcumin in major retinal pathologies. Peddada KV(1), Brown A(2), Verma V(3), Nebbioso M(4). Author information: (1)Department of Ophthalmology, Drexel University, Philadelphia, PA, USA. (2)Emory Eye Center, Emory University, Atlanta, GA, USA. (3)Department of Radiation Oncology, University of Nebraska Medical Center, Omaha, NE, USA. (4)Department of Sense Organs, Ocular Electrophysiology Center, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy. marcella.nebbioso@uniroma1.it. PURPOSE: The retina is continually exposed to free radicals from its rich blood supply, numerous mitochondria, and photons of light which strike its surface. Most pathological processes that take place in the retina, such as inflammation, cell apoptosis, or angiogenesis, can hence involve free radicals directly or indirectly. Since inflammatory and oxidative stress pathways underlie retinal pathology, compounds that address these factors are therefore natural choices for treatment. This review article summarizes and provides commentary on curcumin`s therapeutic potential use in ophthalmology with principal focus on retinal dosorders. METHODS: Curcumin (diferuloylmethane) is a compound of the Indian spice turmeric (Curcuma longa) that has been found to be efficacious in preventing and treating a number of inflammatory diseases and neoplastic processes. Curcumin exerts anti-inflammatory, anti-tumor, antioxidant, and VEGF inhibition properties through modulation of numerous biochemical mediators. This makes curcumin particularly effective in retinal disorders. RESULTS: Curcumin has found a role in slowing, and in some cases even reversing, age-related macular degeneration, diabetic retinopathy, retinitis pigmentosa, proliferative vitreoretinopathy, and retinal cancers. CONCLUSIONS: However, studies on curcumin`s efficacy have been limited mostly to animal studies. Moreover, the biomedical potential of curcumin is not easy to use, given its low solubility and oral bioavailability-more attention therefore has been given to nanoparticles and liposomes. DOI: 10.1007/s10792-018-0845-y PMID: 29404861