Molecular pathogenesis of rhegmatogenous retinal detachment
Abstract Rhegmatogenous retinal detachment (RRD) is an ophthalmic emergency, which usually requires prompt surgery to prevent further detachment and restore sensory function. Although several individual factors have been suggested, a systems level understanding of molecular pathomechanisms underlyin...
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2021
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oai:doaj.org-article:e531e06d2a9a4032bafd6a24e1e61c572021-12-02T14:01:37ZMolecular pathogenesis of rhegmatogenous retinal detachment10.1038/s41598-020-80005-w2045-2322https://doaj.org/article/e531e06d2a9a4032bafd6a24e1e61c572021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-80005-whttps://doaj.org/toc/2045-2322Abstract Rhegmatogenous retinal detachment (RRD) is an ophthalmic emergency, which usually requires prompt surgery to prevent further detachment and restore sensory function. Although several individual factors have been suggested, a systems level understanding of molecular pathomechanisms underlying this severe eye disorder is lacking. To address this gap in knowledge we performed the molecular level systems pathology analysis of the vitreous from 127 patients with RRD using state-of-the art quantitative mass spectrometry to identify the individual key proteins, as well as the biochemical pathways contributing to the development of the disease. RRD patients have specific vitreous proteome profiles compared to other diseases such as macular hole, pucker, or proliferative diabetic retinopathy eyes. Our data indicate that various mechanisms, including glycolysis, photoreceptor death, and Wnt and MAPK signaling, are activated during or after the RRD to promote retinal cell survival. In addition, platelet-mediated wound healing processes, cell adhesion molecules reorganization and apoptotic processes were detected during RRD progression or proliferative vitreoretinopathy formation. These findings improve the understanding of RRD pathogenesis, identify novel targets for treatment of this ophthalmic disease, and possibly affect the prognosis of eyes treated or operated upon due to RRD.Tiina ÖhmanLisa GawriyskiSini MiettinenMarkku VarjosaloSirpa LoukovaaraNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-15 (2021) |
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Medicine R Science Q Tiina Öhman Lisa Gawriyski Sini Miettinen Markku Varjosalo Sirpa Loukovaara Molecular pathogenesis of rhegmatogenous retinal detachment |
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Abstract Rhegmatogenous retinal detachment (RRD) is an ophthalmic emergency, which usually requires prompt surgery to prevent further detachment and restore sensory function. Although several individual factors have been suggested, a systems level understanding of molecular pathomechanisms underlying this severe eye disorder is lacking. To address this gap in knowledge we performed the molecular level systems pathology analysis of the vitreous from 127 patients with RRD using state-of-the art quantitative mass spectrometry to identify the individual key proteins, as well as the biochemical pathways contributing to the development of the disease. RRD patients have specific vitreous proteome profiles compared to other diseases such as macular hole, pucker, or proliferative diabetic retinopathy eyes. Our data indicate that various mechanisms, including glycolysis, photoreceptor death, and Wnt and MAPK signaling, are activated during or after the RRD to promote retinal cell survival. In addition, platelet-mediated wound healing processes, cell adhesion molecules reorganization and apoptotic processes were detected during RRD progression or proliferative vitreoretinopathy formation. These findings improve the understanding of RRD pathogenesis, identify novel targets for treatment of this ophthalmic disease, and possibly affect the prognosis of eyes treated or operated upon due to RRD. |
format |
article |
author |
Tiina Öhman Lisa Gawriyski Sini Miettinen Markku Varjosalo Sirpa Loukovaara |
author_facet |
Tiina Öhman Lisa Gawriyski Sini Miettinen Markku Varjosalo Sirpa Loukovaara |
author_sort |
Tiina Öhman |
title |
Molecular pathogenesis of rhegmatogenous retinal detachment |
title_short |
Molecular pathogenesis of rhegmatogenous retinal detachment |
title_full |
Molecular pathogenesis of rhegmatogenous retinal detachment |
title_fullStr |
Molecular pathogenesis of rhegmatogenous retinal detachment |
title_full_unstemmed |
Molecular pathogenesis of rhegmatogenous retinal detachment |
title_sort |
molecular pathogenesis of rhegmatogenous retinal detachment |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/e531e06d2a9a4032bafd6a24e1e61c57 |
work_keys_str_mv |
AT tiinaohman molecularpathogenesisofrhegmatogenousretinaldetachment AT lisagawriyski molecularpathogenesisofrhegmatogenousretinaldetachment AT sinimiettinen molecularpathogenesisofrhegmatogenousretinaldetachment AT markkuvarjosalo molecularpathogenesisofrhegmatogenousretinaldetachment AT sirpaloukovaara molecularpathogenesisofrhegmatogenousretinaldetachment |
_version_ |
1718392175570452480 |