Current Trends in the Pharmacotherapy of Cataracts

Cataracts, one of the leading causes of preventable blindness worldwide, refers to lens degradation that is characterized by clouding, with consequent blurry vision. As life expectancies improve, the number of people affected with cataracts is predicted to increase worldwide, especially in low-incom...

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Main Authors: Segewkal H. Heruye, Leonce N. Maffofou Nkenyi, Neetu U. Singh, Dariush Yalzadeh, Kalu K. Ngele, Ya-Fatou Njie-Mbye, Sunny E. Ohia, Catherine A. Opere
Format: Article
Language:English
Published: MDPI AG 2020-01-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/13/1/15
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author Segewkal H. Heruye
Leonce N. Maffofou Nkenyi
Neetu U. Singh
Dariush Yalzadeh
Kalu K. Ngele
Ya-Fatou Njie-Mbye
Sunny E. Ohia
Catherine A. Opere
author_facet Segewkal H. Heruye
Leonce N. Maffofou Nkenyi
Neetu U. Singh
Dariush Yalzadeh
Kalu K. Ngele
Ya-Fatou Njie-Mbye
Sunny E. Ohia
Catherine A. Opere
author_sort Segewkal H. Heruye
collection DOAJ
description Cataracts, one of the leading causes of preventable blindness worldwide, refers to lens degradation that is characterized by clouding, with consequent blurry vision. As life expectancies improve, the number of people affected with cataracts is predicted to increase worldwide, especially in low-income nations with limited access to surgery. Although cataract surgery is considered safe, it is associated with some complications such as retinal detachment, warranting a search for cheap, pharmacological alternatives to the management of this ocular disease. The lens is richly endowed with a complex system of non-enzymatic and enzymatic antioxidants which scavenge reactive oxygen species to preserve lens proteins. Depletion and/or failure in this primary antioxidant defense system contributes to the damage observed in lenticular molecules and their repair mechanisms, ultimately causing cataracts. Several attempts have been made to counteract experimentally induced cataract using in vitro, ex vivo, and in vivo techniques. The majority of the anti-cataract compounds tested, including plant extracts and naturally-occurring compounds, lies in their antioxidant and/or free radical scavenging and/or anti-inflammatory propensity. In addition to providing an overview of the pathophysiology of cataracts, this review focuses on the role of various categories of natural and synthetic compounds on experimentally-induced cataracts.
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spelling doaj.art-b18ca304da764f69913c76447e52b4812022-12-21T23:40:45ZengMDPI AGPharmaceuticals1424-82472020-01-011311510.3390/ph13010015ph13010015Current Trends in the Pharmacotherapy of CataractsSegewkal H. Heruye0Leonce N. Maffofou Nkenyi1Neetu U. Singh2Dariush Yalzadeh3Kalu K. Ngele4Ya-Fatou Njie-Mbye5Sunny E. Ohia6Catherine A. Opere7Department of Pharmacology & Neuroscience, School of Medicine, Creighton University, 2500 California Plaza, Omaha, NE 68178, USADepartment of Pharmacy Sciences, School of Pharmacy and Health Professions, Creighton University, 2500 California Plaza, Omaha, NE 68178, USADepartment of Pharmacy Sciences, School of Pharmacy and Health Professions, Creighton University, 2500 California Plaza, Omaha, NE 68178, USACollege of Southern Nevada, Las Vegas, NV 89146, USADepartment of Biology/Microbiology/Biotechnology, Federal University Ndufu Alike Ikwo, Abakaliki, NigeriaDepartment of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, Texas Southern University, Houston, TX 77004, USADepartment of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, Texas Southern University, Houston, TX 77004, USADepartment of Pharmacy Sciences, School of Pharmacy and Health Professions, Creighton University, 2500 California Plaza, Omaha, NE 68178, USACataracts, one of the leading causes of preventable blindness worldwide, refers to lens degradation that is characterized by clouding, with consequent blurry vision. As life expectancies improve, the number of people affected with cataracts is predicted to increase worldwide, especially in low-income nations with limited access to surgery. Although cataract surgery is considered safe, it is associated with some complications such as retinal detachment, warranting a search for cheap, pharmacological alternatives to the management of this ocular disease. The lens is richly endowed with a complex system of non-enzymatic and enzymatic antioxidants which scavenge reactive oxygen species to preserve lens proteins. Depletion and/or failure in this primary antioxidant defense system contributes to the damage observed in lenticular molecules and their repair mechanisms, ultimately causing cataracts. Several attempts have been made to counteract experimentally induced cataract using in vitro, ex vivo, and in vivo techniques. The majority of the anti-cataract compounds tested, including plant extracts and naturally-occurring compounds, lies in their antioxidant and/or free radical scavenging and/or anti-inflammatory propensity. In addition to providing an overview of the pathophysiology of cataracts, this review focuses on the role of various categories of natural and synthetic compounds on experimentally-induced cataracts.https://www.mdpi.com/1424-8247/13/1/15cataractslenslens transparencylens opacificationlens crystallinsantioxidantsglutathionesuperoxide dismutase
spellingShingle Segewkal H. Heruye
Leonce N. Maffofou Nkenyi
Neetu U. Singh
Dariush Yalzadeh
Kalu K. Ngele
Ya-Fatou Njie-Mbye
Sunny E. Ohia
Catherine A. Opere
Current Trends in the Pharmacotherapy of Cataracts
Pharmaceuticals
cataracts
lens
lens transparency
lens opacification
lens crystallins
antioxidants
glutathione
superoxide dismutase
title Current Trends in the Pharmacotherapy of Cataracts
title_full Current Trends in the Pharmacotherapy of Cataracts
title_fullStr Current Trends in the Pharmacotherapy of Cataracts
title_full_unstemmed Current Trends in the Pharmacotherapy of Cataracts
title_short Current Trends in the Pharmacotherapy of Cataracts
title_sort current trends in the pharmacotherapy of cataracts
topic cataracts
lens
lens transparency
lens opacification
lens crystallins
antioxidants
glutathione
superoxide dismutase
url https://www.mdpi.com/1424-8247/13/1/15
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