From Oxidative Stress to Inflammation in the Posterior Ocular Diseases: Diagnosis and Treatment

Most irreversible blindness observed with glaucoma and retina-related ocular diseases, including age-related macular degeneration and diabetic retinopathy, have their origin in the posterior segment of the eye, making their physiopathology both complex and interconnected. In addition to the age fact...

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Main Authors: Azza Dammak, Fernando Huete-Toral, Carlos Carpena-Torres, Alba Martin-Gil, Cristina Pastrana, Gonzalo Carracedo
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/13/9/1376
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author Azza Dammak
Fernando Huete-Toral
Carlos Carpena-Torres
Alba Martin-Gil
Cristina Pastrana
Gonzalo Carracedo
author_facet Azza Dammak
Fernando Huete-Toral
Carlos Carpena-Torres
Alba Martin-Gil
Cristina Pastrana
Gonzalo Carracedo
author_sort Azza Dammak
collection DOAJ
description Most irreversible blindness observed with glaucoma and retina-related ocular diseases, including age-related macular degeneration and diabetic retinopathy, have their origin in the posterior segment of the eye, making their physiopathology both complex and interconnected. In addition to the age factor, these diseases share the same mechanism disorder based essentially on oxidative stress. In this context, the imbalance between the production of reactive oxygen species (ROS) mainly by mitochondria and their elimination by protective mechanisms leads to chronic inflammation. Oxidative stress and inflammation share a close pathophysiological process, appearing simultaneously and suggesting a relationship between both mechanisms. The biochemical end point of these two biological alarming systems is the release of different biomarkers that can be used in the diagnosis. Furthermore, oxidative stress, initiating in the vulnerable tissue of the posterior segment, is closely related to mitochondrial dysfunction, apoptosis, autophagy dysfunction, and inflammation, which are involved in each disease progression. In this review, we have analyzed (1) the oxidative stress and inflammatory processes in the back of the eye, (2) the importance of biomarkers, detected in systemic or ocular fluids, for the diagnosis of eye diseases based on recent studies, and (3) the treatment of posterior ocular diseases, based on long-term clinical studies.
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spelling doaj.art-536453026f4e41e2a984a19ffdff44302023-11-22T14:46:43ZengMDPI AGPharmaceutics1999-49232021-08-01139137610.3390/pharmaceutics13091376From Oxidative Stress to Inflammation in the Posterior Ocular Diseases: Diagnosis and TreatmentAzza Dammak0Fernando Huete-Toral1Carlos Carpena-Torres2Alba Martin-Gil3Cristina Pastrana4Gonzalo Carracedo5Ocupharm Group Research, Faculty of Optic and Optometry, University Complutense of Madrid, C/Arcos del Jalon 118, 28037 Madrid, SpainOcupharm Group Research, Faculty of Optic and Optometry, University Complutense of Madrid, C/Arcos del Jalon 118, 28037 Madrid, SpainOcupharm Group Research, Faculty of Optic and Optometry, University Complutense of Madrid, C/Arcos del Jalon 118, 28037 Madrid, SpainOcupharm Group Research, Faculty of Optic and Optometry, University Complutense of Madrid, C/Arcos del Jalon 118, 28037 Madrid, SpainOcupharm Group Research, Faculty of Optic and Optometry, University Complutense of Madrid, C/Arcos del Jalon 118, 28037 Madrid, SpainOcupharm Group Research, Faculty of Optic and Optometry, University Complutense of Madrid, C/Arcos del Jalon 118, 28037 Madrid, SpainMost irreversible blindness observed with glaucoma and retina-related ocular diseases, including age-related macular degeneration and diabetic retinopathy, have their origin in the posterior segment of the eye, making their physiopathology both complex and interconnected. In addition to the age factor, these diseases share the same mechanism disorder based essentially on oxidative stress. In this context, the imbalance between the production of reactive oxygen species (ROS) mainly by mitochondria and their elimination by protective mechanisms leads to chronic inflammation. Oxidative stress and inflammation share a close pathophysiological process, appearing simultaneously and suggesting a relationship between both mechanisms. The biochemical end point of these two biological alarming systems is the release of different biomarkers that can be used in the diagnosis. Furthermore, oxidative stress, initiating in the vulnerable tissue of the posterior segment, is closely related to mitochondrial dysfunction, apoptosis, autophagy dysfunction, and inflammation, which are involved in each disease progression. In this review, we have analyzed (1) the oxidative stress and inflammatory processes in the back of the eye, (2) the importance of biomarkers, detected in systemic or ocular fluids, for the diagnosis of eye diseases based on recent studies, and (3) the treatment of posterior ocular diseases, based on long-term clinical studies.https://www.mdpi.com/1999-4923/13/9/1376oxidative stressinflammationglaucomaretina diseasesage-related macular degenerationdiabetic retinopathy
spellingShingle Azza Dammak
Fernando Huete-Toral
Carlos Carpena-Torres
Alba Martin-Gil
Cristina Pastrana
Gonzalo Carracedo
From Oxidative Stress to Inflammation in the Posterior Ocular Diseases: Diagnosis and Treatment
Pharmaceutics
oxidative stress
inflammation
glaucoma
retina diseases
age-related macular degeneration
diabetic retinopathy
title From Oxidative Stress to Inflammation in the Posterior Ocular Diseases: Diagnosis and Treatment
title_full From Oxidative Stress to Inflammation in the Posterior Ocular Diseases: Diagnosis and Treatment
title_fullStr From Oxidative Stress to Inflammation in the Posterior Ocular Diseases: Diagnosis and Treatment
title_full_unstemmed From Oxidative Stress to Inflammation in the Posterior Ocular Diseases: Diagnosis and Treatment
title_short From Oxidative Stress to Inflammation in the Posterior Ocular Diseases: Diagnosis and Treatment
title_sort from oxidative stress to inflammation in the posterior ocular diseases diagnosis and treatment
topic oxidative stress
inflammation
glaucoma
retina diseases
age-related macular degeneration
diabetic retinopathy
url https://www.mdpi.com/1999-4923/13/9/1376
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