The Role of Adaptive Immunity in Diabetic Retinopathy

Diabetic retinopathy (DR) is currently one of the common causes of vision loss in working-age adults. It is clinically diagnosed and classified according to the vascular changes in the fundus. However, the activation of immune cells occurs before these vascular changes become detectable. These, toge...

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Main Authors: Mengting Xue, Xiying Mao, Mingkang Chen, Wenjie Yin, Songtao Yuan, Qinghuai Liu
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/21/6499
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author Mengting Xue
Xiying Mao
Mingkang Chen
Wenjie Yin
Songtao Yuan
Qinghuai Liu
author_facet Mengting Xue
Xiying Mao
Mingkang Chen
Wenjie Yin
Songtao Yuan
Qinghuai Liu
author_sort Mengting Xue
collection DOAJ
description Diabetic retinopathy (DR) is currently one of the common causes of vision loss in working-age adults. It is clinically diagnosed and classified according to the vascular changes in the fundus. However, the activation of immune cells occurs before these vascular changes become detectable. These, together with molecular studies and the positive clinical outcomes of anti-inflammatory treatment, highlight the pivotal involvement of the immune system. The role of innate immunity in DR pathophysiology has been studied in depth, but the contribution of adaptive immunity remains largely elusive. This review aims to summarize our current understanding of the activation mechanism of adaptive immunity in DR microenvironments and to discuss the relationship between adaptive immunity and local vascular units or innate immunity, which opens new avenues for clinical applications in DR treatment.
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spelling doaj.art-5f96e617febf45f48216e1c52edc51162023-11-24T05:18:41ZengMDPI AGJournal of Clinical Medicine2077-03832022-11-011121649910.3390/jcm11216499The Role of Adaptive Immunity in Diabetic RetinopathyMengting Xue0Xiying Mao1Mingkang Chen2Wenjie Yin3Songtao Yuan4Qinghuai Liu5Department of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, ChinaDepartment of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, ChinaDepartment of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, ChinaDepartment of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, ChinaDepartment of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, ChinaDepartment of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, ChinaDiabetic retinopathy (DR) is currently one of the common causes of vision loss in working-age adults. It is clinically diagnosed and classified according to the vascular changes in the fundus. However, the activation of immune cells occurs before these vascular changes become detectable. These, together with molecular studies and the positive clinical outcomes of anti-inflammatory treatment, highlight the pivotal involvement of the immune system. The role of innate immunity in DR pathophysiology has been studied in depth, but the contribution of adaptive immunity remains largely elusive. This review aims to summarize our current understanding of the activation mechanism of adaptive immunity in DR microenvironments and to discuss the relationship between adaptive immunity and local vascular units or innate immunity, which opens new avenues for clinical applications in DR treatment.https://www.mdpi.com/2077-0383/11/21/6499adaptive immunitydiabetic retinopathylymphocyte
spellingShingle Mengting Xue
Xiying Mao
Mingkang Chen
Wenjie Yin
Songtao Yuan
Qinghuai Liu
The Role of Adaptive Immunity in Diabetic Retinopathy
Journal of Clinical Medicine
adaptive immunity
diabetic retinopathy
lymphocyte
title The Role of Adaptive Immunity in Diabetic Retinopathy
title_full The Role of Adaptive Immunity in Diabetic Retinopathy
title_fullStr The Role of Adaptive Immunity in Diabetic Retinopathy
title_full_unstemmed The Role of Adaptive Immunity in Diabetic Retinopathy
title_short The Role of Adaptive Immunity in Diabetic Retinopathy
title_sort role of adaptive immunity in diabetic retinopathy
topic adaptive immunity
diabetic retinopathy
lymphocyte
url https://www.mdpi.com/2077-0383/11/21/6499
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