Diabetes and Retinal Vascular Dysfunction

Diabetes predominantly affects the microvascular circulation of the retina resulting in a range of structural changes unique to this tissue. These changes ultimately lead to altered permeability, hyperproliferation of endothelial cells and edema, and abnormal vascularization of the retina with resul...

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Main Authors: Eui Seok Shin, Christine M Sorenson, Nader Sheibani
Format: Article
Language:English
Published: Knowledge E 2014-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2014;volume=9;issue=3;spage=362;epage=373;aulast=Shin
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author Eui Seok Shin
Christine M Sorenson
Nader Sheibani
author_facet Eui Seok Shin
Christine M Sorenson
Nader Sheibani
author_sort Eui Seok Shin
collection DOAJ
description Diabetes predominantly affects the microvascular circulation of the retina resulting in a range of structural changes unique to this tissue. These changes ultimately lead to altered permeability, hyperproliferation of endothelial cells and edema, and abnormal vascularization of the retina with resulting loss of vision. Enhanced production of inflammatory mediators and oxidative stress are primary insults with significant contribution to the pathogenesis of diabetic retinopathy (DR). We have determined the identity of the retinal vascular cells affected by hyperglycemia, and have delineated the cell autonomous impact of high glucose on function of these cells. We discuss some of the high glucose specific changes in retinal vascular cells and their contribution to retinal vascular dysfunction. This knowledge provides novel insight into the molecular and cellular defects contributing to the development and progression of diabetic retinopathy, and will aid in the development of innovative, as well as target specific therapeutic approaches for prevention and treatment of DR.
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spelling doaj.art-16688cd320e747ef882dba4feed911102022-12-22T04:34:01ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2014-01-019336237310.4103/2008-322X.143378Diabetes and Retinal Vascular DysfunctionEui Seok ShinChristine M SorensonNader SheibaniDiabetes predominantly affects the microvascular circulation of the retina resulting in a range of structural changes unique to this tissue. These changes ultimately lead to altered permeability, hyperproliferation of endothelial cells and edema, and abnormal vascularization of the retina with resulting loss of vision. Enhanced production of inflammatory mediators and oxidative stress are primary insults with significant contribution to the pathogenesis of diabetic retinopathy (DR). We have determined the identity of the retinal vascular cells affected by hyperglycemia, and have delineated the cell autonomous impact of high glucose on function of these cells. We discuss some of the high glucose specific changes in retinal vascular cells and their contribution to retinal vascular dysfunction. This knowledge provides novel insight into the molecular and cellular defects contributing to the development and progression of diabetic retinopathy, and will aid in the development of innovative, as well as target specific therapeutic approaches for prevention and treatment of DR.http://www.jovr.org/article.asp?issn=2008-322X;year=2014;volume=9;issue=3;spage=362;epage=373;aulast=ShinDiabetes; Retinal vasculature; Inflammation; Oxidative Stress; Thrombospondins
spellingShingle Eui Seok Shin
Christine M Sorenson
Nader Sheibani
Diabetes and Retinal Vascular Dysfunction
Journal of Ophthalmic & Vision Research
Diabetes; Retinal vasculature; Inflammation; Oxidative Stress; Thrombospondins
title Diabetes and Retinal Vascular Dysfunction
title_full Diabetes and Retinal Vascular Dysfunction
title_fullStr Diabetes and Retinal Vascular Dysfunction
title_full_unstemmed Diabetes and Retinal Vascular Dysfunction
title_short Diabetes and Retinal Vascular Dysfunction
title_sort diabetes and retinal vascular dysfunction
topic Diabetes; Retinal vasculature; Inflammation; Oxidative Stress; Thrombospondins
url http://www.jovr.org/article.asp?issn=2008-322X;year=2014;volume=9;issue=3;spage=362;epage=373;aulast=Shin
work_keys_str_mv AT euiseokshin diabetesandretinalvasculardysfunction
AT christinemsorenson diabetesandretinalvasculardysfunction
AT nadersheibani diabetesandretinalvasculardysfunction