KEGG   DISEASE: 糖尿病性網膜症
エントリ  
H01457                                                             
名称    
糖尿病性網膜症
  上位グループ
糖尿病性細小血管合併症 [DS:H02559]
概要    
Diabetic retinopathy (DR), one of the most common vascular complication of diabetes, is the leading cause of visual deficits and blindness around the world. The development of DR is divided into two stages: in the early stages, also called as nonproliferative stage, it is asymptomatic because the signs are not visible to the eye. however, some defects including microaneurysms, intraretinal hemorrhaging, narrowing or blocked retinal blood vessels can be seen by detection; in the second stage, known as proliferative diabetic retinopathy, where neovascularization appears at the back of the eye and extend into the vitreous of the eye, and these new blood vessels are fragile. If they leak blood, the bleeding causes shrinkage of the retina, leading to retinal detachment, and ultimately to blindness. It has been reported that vascular endothelial growth factor A, angiotensin-converting enzyme, paraoxonase, erythropoietin are associated with DR development and progression.
カテゴリ  
内分泌代謝疾患; 神経系疾患
階層分類  
ICD-11 による疾患分類 [BR:jp08403]
 09 視覚系の疾患
  眼球後極部の疾患
   網膜の疾患
    9B71  網膜症
     H01457  糖尿病性網膜症
パスウェイ 
hsa04933  AGE-RAGE signaling pathway in diabetic complications
hsa04066  HIF-1 signaling pathway
hsa04614  Renin-angiotensin system
病因遺伝子 
VEGFA [HSA:7422] [KO:K05448]
EPO [HSA:2056] [KO:K05437]
ACE [HSA:1636] [KO:K01283]
PON1 [HSA:5444] [KO:K01045]
治療薬   
トコフェロール酢酸エステル [DR:D01735]
リンク   
ICD-11: 9B71.0
MeSH: D003930
OMIM: 603933 612623 612624 612633
文献    
  著者
Hampton BM, Schwartz SG, Brantley MA Jr, Flynn HW Jr
  タイトル
Update on genetics and diabetic retinopathy.
  雑誌
Clin Ophthalmol 9:2175-93 (2015)
DOI:10.2147/OPTH.S94508
文献    
  著者
Dedania VS, Bakri SJ
  タイトル
Novel pharmacotherapies in diabetic retinopathy.
  雑誌
Middle East Afr J Ophthalmol 22:164-73 (2015)
DOI:10.4103/0974-9233.154389
文献    
PMID:11978667 (VEGFA)
  著者
Awata T, Inoue K, Kurihara S, Ohkubo T, Watanabe M, Inukai K, Inoue I, Katayama S
  タイトル
A common polymorphism in the 5'-untranslated region of the VEGF gene is associated with diabetic retinopathy in type 2 diabetes.
  雑誌
Diabetes 51:1635-9 (2002)
DOI:10.2337/diabetes.51.5.1635
文献    
PMID:18458324 (EPO)
  著者
Tong Z, Yang Z, Patel S, Chen H, Gibbs D, Yang X, Hau VS, Kaminoh Y, Harmon J, Pearson E, Buehler J, Chen Y, Yu B, Tinkham NH, Zabriskie NA, Zeng J, Luo L, Sun JK, Prakash M, Hamam RN, Tonna S, Constantine R, Ronquillo CC, Sadda S, Avery RL, Brand JM, London N, Anduze AL, King GL, Bernstein PS, Watkins S, Jorde LB, Li DY, Aiello LP, Pollak MR, Zhang K
  タイトル
Promoter polymorphism of the erythropoietin gene in severe diabetic eye and kidney complications.
  雑誌
Proc Natl Acad Sci U S A 105:6998-7003 (2008)
DOI:10.1073/pnas.0800454105
文献    
PMID:9120002 (ACE)
  著者
Marre M, Jeunemaitre X, Gallois Y, Rodier M, Chatellier G, Sert C, Dusselier L, Kahal Z, Chaillous L, Halimi S, Muller A, Sackmann H, Bauduceau B, Bled F, Passa P, Alhenc-Gelas F
  タイトル
Contribution of genetic polymorphism in the renin-angiotensin system to the development of renal complications in insulin-dependent diabetes: Genetique de la Nephropathie Diabetique (GENEDIAB) study group.
  雑誌
J Clin Invest 99:1585-95 (1997)
DOI:10.1172/JCI119321
文献    
PMID:9661650 (PON1)
  著者
Kao YL, Donaghue K, Chan A, Knight J, Silink M
  タイトル
A variant of paraoxonase (PON1) gene is associated with diabetic retinopathy in IDDM.
  雑誌
J Clin Endocrinol Metab 83:2589-92 (1998)
DOI:10.1210/jcem.83.7.5096
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