Mechanism of Inflammation in Age-Related Macular Degeneration

Age-related macular degeneration (AMD) is a multifactorial disease that represents the most common cause of irreversible visual impairment among people over the age of 50 in Europe, the United States, and Australia, accounting for up to 50% of all cases of central blindness. Risk factors of AMD are...

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Main Authors: Francesco Parmeggiani, Mario R. Romano, Ciro Costagliola, Francesco Semeraro, Carlo Incorvaia, Sergio D’Angelo, Paolo Perri, Paolo De Palma, Katia De Nadai, Adolfo Sebastiani
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/546786
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author Francesco Parmeggiani
Mario R. Romano
Ciro Costagliola
Francesco Semeraro
Carlo Incorvaia
Sergio D’Angelo
Paolo Perri
Paolo De Palma
Katia De Nadai
Adolfo Sebastiani
author_facet Francesco Parmeggiani
Mario R. Romano
Ciro Costagliola
Francesco Semeraro
Carlo Incorvaia
Sergio D’Angelo
Paolo Perri
Paolo De Palma
Katia De Nadai
Adolfo Sebastiani
author_sort Francesco Parmeggiani
collection DOAJ
description Age-related macular degeneration (AMD) is a multifactorial disease that represents the most common cause of irreversible visual impairment among people over the age of 50 in Europe, the United States, and Australia, accounting for up to 50% of all cases of central blindness. Risk factors of AMD are heterogeneous, mainly including increasing age and different genetic predispositions, together with several environmental/epigenetic factors, that is, cigarette smoking, dietary habits, and phototoxic exposure. In the aging retina, free radicals and oxidized lipoproteins are considered to be major causes of tissue stress resulting in local triggers for parainflammation, a chronic status which contributes to initiation and/or progression of many human neurodegenerative diseases such as AMD. Experimental and clinical evidences strongly indicate the pathogenetic role of immunologic processes in AMD occurrence, consisting of production of inflammatory related molecules, recruitment of macrophages, complement activation, microglial activation and accumulation within those structures that compose an essential area of the retina known as macula lutea. This paper reviews some attractive aspects of the literature about the mechanisms of inflammation in AMD, especially focusing on those findings or arguments more directly translatable to improve the clinical management of patients with AMD and to prevent the severe vision loss caused by this disease.
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spelling doaj-art-178f6bdd36f849a6a3492709fa56d4b12025-02-03T05:45:35ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/546786546786Mechanism of Inflammation in Age-Related Macular DegenerationFrancesco Parmeggiani0Mario R. Romano1Ciro Costagliola2Francesco Semeraro3Carlo Incorvaia4Sergio D’Angelo5Paolo Perri6Paolo De Palma7Katia De Nadai8Adolfo Sebastiani9Department of Ophthalmology, University of Ferrara, Ferrara, ItalyDepartment of Health Sciences, University of Molise, Campobasso, ItalyDepartment of Health Sciences, University of Molise, Campobasso, ItalyDepartment of Ophthalmology, University of Brescia, Brescia, ItalyDepartment of Ophthalmology, University of Ferrara, Ferrara, ItalyDepartment of Ophthalmology, University of Ferrara, Ferrara, ItalyDepartment of Ophthalmology, University of Ferrara, Ferrara, ItalyDepartment of Ophthalmology, University of Ferrara, Ferrara, ItalyDepartment of Ophthalmology, University of Ferrara, Ferrara, ItalyDepartment of Ophthalmology, University of Ferrara, Ferrara, ItalyAge-related macular degeneration (AMD) is a multifactorial disease that represents the most common cause of irreversible visual impairment among people over the age of 50 in Europe, the United States, and Australia, accounting for up to 50% of all cases of central blindness. Risk factors of AMD are heterogeneous, mainly including increasing age and different genetic predispositions, together with several environmental/epigenetic factors, that is, cigarette smoking, dietary habits, and phototoxic exposure. In the aging retina, free radicals and oxidized lipoproteins are considered to be major causes of tissue stress resulting in local triggers for parainflammation, a chronic status which contributes to initiation and/or progression of many human neurodegenerative diseases such as AMD. Experimental and clinical evidences strongly indicate the pathogenetic role of immunologic processes in AMD occurrence, consisting of production of inflammatory related molecules, recruitment of macrophages, complement activation, microglial activation and accumulation within those structures that compose an essential area of the retina known as macula lutea. This paper reviews some attractive aspects of the literature about the mechanisms of inflammation in AMD, especially focusing on those findings or arguments more directly translatable to improve the clinical management of patients with AMD and to prevent the severe vision loss caused by this disease.http://dx.doi.org/10.1155/2012/546786
spellingShingle Francesco Parmeggiani
Mario R. Romano
Ciro Costagliola
Francesco Semeraro
Carlo Incorvaia
Sergio D’Angelo
Paolo Perri
Paolo De Palma
Katia De Nadai
Adolfo Sebastiani
Mechanism of Inflammation in Age-Related Macular Degeneration
Mediators of Inflammation
title Mechanism of Inflammation in Age-Related Macular Degeneration
title_full Mechanism of Inflammation in Age-Related Macular Degeneration
title_fullStr Mechanism of Inflammation in Age-Related Macular Degeneration
title_full_unstemmed Mechanism of Inflammation in Age-Related Macular Degeneration
title_short Mechanism of Inflammation in Age-Related Macular Degeneration
title_sort mechanism of inflammation in age related macular degeneration
url http://dx.doi.org/10.1155/2012/546786
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