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Gonzalez-Cortes JH, Martinez-Pacheco VA, Gonzalez-Cantu JE, Bilgic A, de Ribot FM, Sudhalkar A, Mohamed-Hamsho J, Kodjikian L, Mathis T. Current Treatments and Innovations in Diabetic Retinopathy and Diabetic Macular Edema. Pharmaceutics 2022; 15:pharmaceutics15010122. [PMID: 36678750 PMCID: PMC9866607 DOI: 10.3390/pharmaceutics15010122] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Revised: 12/22/2022] [Accepted: 12/26/2022] [Indexed: 01/01/2023] Open
Abstract
Diabetic retinopathy (DR) is one of the leading causes of blindness worldwide. Multiple treatment options have been used over time to attempt to modify the natural progression of the disease in both proliferative diabetic retinopathy (PDR) and diabetic macular edema (DME). These two retinal complications are the result of microvascular occlusions and vascular hyperpermeability and are considered one of the leading causes of irreversible blindness in patients of working age. It is now well demonstrated that PDR and DME are associated with increased levels of inflammatory and pro-angiogenic factors in the ocular compartment. To date, laser photocoagulation, vascular endothelial growth factor (VEGF) inhibitors, and corticosteroids have demonstrated efficacy in their treatment in large randomized controlled trials and in real-life observational studies. This manuscript aims to provide a comprehensive review of current treatments, including the main drugs used in diabetic pathologic manifestations, as well as new therapeutic alternatives, such as extended-release intraocular devices.
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Affiliation(s)
- Jesus H. Gonzalez-Cortes
- Ophthalmology Department, School of Medicine, University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León, Monterrey 64460, Mexico
- Correspondence: ; Tel.: +52-8182545652
| | - Victor A. Martinez-Pacheco
- Retina and Vitreous Department, Hospital de Nuestra Señora de la Luz, Universidad Nacional Autónoma de México, Mexico City 06030, Mexico
| | - Jesus E. Gonzalez-Cantu
- Ophthalmology Department, Instituto Avalos, University Galileo, Guatemala City 01010, Guatemala
| | - Alper Bilgic
- Alphavision Augenarztpraxis, 27568 Bremerhaven, Germany
| | - Francesc March de Ribot
- Department of Ophthalmology, Otago University, Dunedin 9016, New Zealand
- Department of Ophthalmology, Girona University, 17004 Girona, Spain
| | | | - Jesus Mohamed-Hamsho
- Ophthalmology Department, School of Medicine, University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León, Monterrey 64460, Mexico
| | - Laurent Kodjikian
- Service d’Ophtalmologie, Centre Hospitalier Universitaire de la Croix-Rousse, Hospices Civils de Lyon, Université Claude Bernard Lyon 1, 69004 Lyon, France
- Unité Mixte de Recherche—Centre National de la Recherche Scientifique 5510, Matéis, Villeurbanne, 69004 Lyon, France
| | - Thibaud Mathis
- Service d’Ophtalmologie, Centre Hospitalier Universitaire de la Croix-Rousse, Hospices Civils de Lyon, Université Claude Bernard Lyon 1, 69004 Lyon, France
- Unité Mixte de Recherche—Centre National de la Recherche Scientifique 5510, Matéis, Villeurbanne, 69004 Lyon, France
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Modulated cementogenic genes upregulation in human buccal fat pad-derived stem cells by strontium-ranelate. GENE REPORTS 2021. [DOI: 10.1016/j.genrep.2021.101056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Liu XC, Wang XX, Zhang LN, Yang F, Nie FJ, Zhang J. Inhibitory effects of resveratrol on orthodontic tooth movement and associated root resorption in rats. Arch Oral Biol 2019; 111:104642. [PMID: 31887570 DOI: 10.1016/j.archoralbio.2019.104642] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 11/25/2019] [Accepted: 12/23/2019] [Indexed: 12/11/2022]
Abstract
OBJECTIVE To investigate the effect of resveratrol (RSV) on orthodontic tooth movement (OTM) and orthodontic induced root resorption (OIRR) in rats. METHODS Thirty-six male Wistar rats used in this study were randomly divided into three groups of 12 animals each. All test subjects underwent a 50 g orthodontic force each, generated from a nickel-titanium closed-coil spring. The control group were fed carboxymethylcellulose (CMC) while rats in other two groups were fed 5 mg/kg/d RSV or 10 mg/kg/d RSV (dissolved in CMC). After 14 days of OTM, all rats were sacrificed, after which each group was randomly divided into two subgroups (6 test subjects in each subgroup). One subgroup was used to measure the amount of OTM and assessed by hematoxylin and eosin (HE) staining, tartrate-resistant acid phosphatase (TRAP) staining, and immunohistochemistry staining of Receptor Activator of Nuclear Factor-κ B Ligand (RANKL), Osteoprotegerin (OPG), Runt-related transcription factor 2 (RUNX2), as well as Osteocalcin (OCN). The second subgroup was used to analyze OIRR via scanning electron microscopy. RESULTS Compared with the control group, the RSV groups showed a significant decrease in the distance of OTM and the OIRR ratio (p<0.05). The number of TRAP positive osteoclasts and the expression of RANKL in periodontal tissue of the RSV groups were significantly inhibited (p<0.01) while the expression of OPG, RUNX2, and OCN were remarkably promoted (p<0.05). The effect of 10 mg/kg/d RSV group was more obvious than that of 5 mg/kg/d RSV group (p<0.05). CONCLUSIONS RSV could reduce the extent of OTM and root resorption areas.
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Affiliation(s)
- Xiao-Can Liu
- Department of Orthodontics, School and Hospital of Stomatology, Shandong University & Shandong Provincial Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan, China
| | - Xu-Xia Wang
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Shandong University & Shandong Provincial Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan, China
| | - Li-Na Zhang
- Department of Orthodontics, Faculty of Stomatology, Liaocheng People's Hospital, Liaocheng, China
| | - Fan Yang
- Department of Orthodontics, School and Hospital of Stomatology, Shandong University & Shandong Provincial Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan, China
| | - Fu-Jiao Nie
- Department of Orthodontics, School and Hospital of Stomatology, Shandong University & Shandong Provincial Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan, China
| | - Jun Zhang
- Department of Orthodontics, School and Hospital of Stomatology, Shandong University & Shandong Provincial Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan, China.
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Zou Y, Xu L, Lin H. Stress overload‐induced periodontal remodelling coupled with changes in high mobility group protein B1 during tooth movement: an in‐vivo study. Eur J Oral Sci 2019; 127:396-407. [DOI: 10.1111/eos.12644] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Affiliation(s)
- Yuchun Zou
- Orthodontics Department School and Hospital of Stomatology Fujian Medical University Fuzhou Fujian ProvinceChina
| | - Linyu Xu
- Orthodontics Department School and Hospital of Stomatology Fujian Medical University Fuzhou Fujian ProvinceChina
| | - Hanyu Lin
- Orthodontics Department School and Hospital of Stomatology Fujian Medical University Fuzhou Fujian ProvinceChina
- Fujian Provincial Engineering Research Center of Oral Biomaterial Fujian Medical University Fuzhou Fujian Province China
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Fangchinoline supplementation attenuates inflammatory markers in experimental rheumatoid arthritis-induced rats. Biomed Pharmacother 2019; 111:142-150. [DOI: 10.1016/j.biopha.2018.12.043] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2018] [Revised: 11/30/2018] [Accepted: 12/07/2018] [Indexed: 12/13/2022] Open
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Wu Q, Liu H, Zhou M. Fangchinoline Ameliorates Diabetic Retinopathy by Inhibiting Receptor for Advanced Glycation End-Products (RAGE)-Nuclear Factor Kappa-Light-Chain-Enhancer of Activated B Cells (NF-κB) Pathway in Streptozotocin (STZ)-Induced Diabetic Rats. Med Sci Monit 2019; 25:1113-1121. [PMID: 30739905 PMCID: PMC6380384 DOI: 10.12659/msm.912927] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Background Diabetic retinopathy (DR) is a macrovascular complication that occurs in diabetic patients. Conventional treatments for the management of DR have many limitations. Thus, the present investigation evaluated the protective effect of fangchinoline against diabetic retinopathy (DR). Material/Methods DR was induced by streptozotocin (STZ; 60 mg/kg; i.p.) and rats were treated with fangchinoline 1, 3, and 10 mg/kg for 16 weeks. DR was confirmed by determining the concentration of advanced glycation end-products (AGEs) and morphology of retinal tissues. Parameters of oxidative stress and expression of inflammatory cytokines and receptor for advanced glycation end-products (RAGE) in the retinal tissue were determined by Western blot assay and reverse transcription polymerase chain reaction (RT-PCR). Moreover enzyme-linked immunosorbent assay (ELISA) was used to determine the apoptosis index and activity of nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) in the retinal tissues. Results Our study reveals that the concentration of glycosylated hemoglobin (HbA1c) and glucose in the plasma and AGEs in the retinal tissue were significantly reduced in the fangchinoline group compared to the DR group. Moreover, treatment with fangchinoline attenuated the altered retinal morphology and expression of inflammatory mediators and RAGE in the retinal tissues of DR rats. There was a significant (p<0.01) decrease in oxidative stress, activity of NF-κB, and apoptosis index in the fangchinoline group compared to the DR group of rats. Conclusions Our investigation shows that fangchinoline attenuates the apoptosis of retinal cells in STZ-induced diabetic retinopathy rats by inhibiting the RAGE/NF-κB pathway.
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Affiliation(s)
- Qi Wu
- Department of Ophthalmology, Affiliated Zhongshan Hospital of Dalian University, Dalian, Liaoning, China (mainland)
| | - Haojie Liu
- Department of Ophthalmology, Affiliated Zhongshan Hospital of Dalian University, Dalian, Liaoning, China (mainland)
| | - Ming Zhou
- Department of Ophthalmology, Affiliated Zhongshan Hospital of Dalian University, Dalian, Liaoning, China (mainland)
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Gao Y, Zhang M, Tian X, Wang M, Zhang F. Experimental animal study on BMP-3 expression in periodontal tissues in the process of orthodontic tooth movement. Exp Ther Med 2018; 17:193-198. [PMID: 30651782 PMCID: PMC6307439 DOI: 10.3892/etm.2018.6950] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2018] [Accepted: 10/26/2018] [Indexed: 02/02/2023] Open
Abstract
Expression characteristics of bone morphogenetic protein-3 (BMP-3) in the process of orthodontic tooth movement was investigated. Forty-eight rats were randomly divided into the 3-day group (n=12), the 7-day group (n=12), the 14-day group (n=12) and the 21-day group (n=12). The maxillary left molar of each rat was used as the experimental tooth, the orthodontic tooth model was established, and the contralateral molar was used as the control tooth. The tooth movement distance was measured using a vernier caliper at day 1, 3, 7 and 14 after modeling, and rats in each group were sacrificed and sampled at the corresponding time-point. The tissue morphology was observed via hematoxylin and eosin (H&E) staining, and the expression of BMP-3 was detected via immunohistochemistry. The protein expression of BMP-3 was detected via western blotting, and the messenger ribonucleic acid (mRNA) expression of BMP-3 was detected via quantitative polymerase chain reaction (qPCR). At day 14 after modeling, the periodontal space was significantly uneven, the form of periodontal tissues was disordered, and a large number of multinucleated osteoclasts could be seen. The expression levels of BMP-3 in other groups were significantly increased compared with that in the control group (P<0.05). The expression level of BMP-3 reached the peak at day 14 after modeling, and differences were statistically significant compared with those in other time points after modeling (P<0.05). The orthodontic tooth movement distance after modeling was significantly longer with the extension of time (P<0.05). In the process of orthodontic tooth movement, the expression level of BMP-3 is gradually increased and reaches the peak at day 14, promoting the increase of osteoclasts and benefiting the orthodontic tooth movement.
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Affiliation(s)
- Yang Gao
- Department of Stomatology, Qingdao Women and Children's Hospital, Qingdao, Shandong 266000, P.R. China
| | - Ming Zhang
- Qingdao Stomatological Hospital, Qingdao, Shandong 266000, P.R. China
| | - Xia Tian
- Department of Stomatology, Qingdao Women and Children's Hospital, Qingdao, Shandong 266000, P.R. China
| | - Meng Wang
- Department of Stomatology, Qingdao Women and Children's Hospital, Qingdao, Shandong 266000, P.R. China
| | - Fan Zhang
- Department of Stomatology, Qingdao Women and Children's Hospital, Qingdao, Shandong 266000, P.R. China
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Guan L, Lin S, Yan W, Chen L, Wang X. Effects of calcitonin on orthodontic tooth movement and associated root resorption in rats. Acta Odontol Scand 2017; 75:595-602. [PMID: 28814141 DOI: 10.1080/00016357.2017.1365375] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVES Our main aim was to evaluate the effects of calcitonin (CT) on orthodontic tooth movement (OTM) and orthodontic root resorption in a rat model. MATERIAL AND METHODS Eighty male Wistar rats were randomly divided into five groups. Rats in the negative control group were not given any appliances or injections. All the remaining rats were used to establish a model of OTM. The positive control group were then injected with normal saline, while rats in the three experimental groups were injected with 0.2 IU, 1 IU or 5 IU/kg/day CT. Nickel-titanium closed-coil springs were used to deliver an initial 50 g mesial force to the left maxillary first molar for 14 days in rats in the positive control group and the experimental groups. Each group was randomly subdivided into two groups, one for analysis of tooth movement, tissue changes and tartrate-resistant acid phosphatase (TRAP)-positive cells in alveolar bone, the other to examine root resorption by scanning electron microscopy. RESULTS The OTM distance, the number of force-induced osteoclasts and root resorption areas were significantly decreased in CT-injected rats in a dose-dependent manner. CONCLUSIONS Administration of CT reduces the root resorption area and may therefore be effective as a novel adjunctive orthodontic approach to diminish undesired tooth movement via enhancing anchorage or preventing relapse after OTM.
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Affiliation(s)
- Ling Guan
- Department of Orthodontics, First Affiliated Hospital, Harbin Medical University, Harbin, P.R. China
| | - Suai Lin
- Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital Harbin Medical University, Harbin, P.R. China
| | - Weijun Yan
- Department of Orthodontics, First Affiliated Hospital, Harbin Medical University, Harbin, P.R. China
| | - Lei Chen
- Department of Stomatology, The Fifth Hospital of Harbin, Harbin, P.R. China
| | - Xiaofeng Wang
- Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital Harbin Medical University, Harbin, P.R. China
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Fernández-González FJ, Cañigral A, Balbontín-Ayala F, Gonzalo-Orden JM, Carlos FD, Cobo T, Fernández-Vázquez JP, Sánchez-Lasheras F, Vega JA. Experimental evidence of pharmacological management of anchorage in Orthodontics: A systematic review. Dental Press J Orthod 2015; 20:58-65. [PMID: 26560822 PMCID: PMC4644920 DOI: 10.1590/2177-6709.20.5.058-065.oar] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Accepted: 03/07/2015] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Orthodontic anchorage is one of the most challenging aspects of Orthodontics. Preventing undesired movement of teeth could result in safer and less complicated orthodontic treatment. Recently, several reviews have been published about the effects of different molecules on bone physiology and the clinical side effects in Orthodontics. However, the effects of local application of these substances on the rate of orthodontic tooth movement have not been assessed. OBJECTIVES The aim of this research was to analyze the scientific evidence published in the literature about the effects of different molecules on orthodontic anchorage. METHODS The literature was systematically reviewed using PubMed/Medline, Scopus and Cochrane databases from 2000 up to July 31st, 2014. Articles were independently selected by two different researchers based on previously established inclusion and exclusion criteria, with a concordance Kappa index of 0.86. The methodological quality of the reviewed papers was performed. RESULTS Search strategy identified 270 articles. Twenty-five of them were selected after application of inclusion/exclusion criteria, and only 11 qualified for final analysis. Molecules involved in orthodontic anchorage were divided into three main groups: osteoprotegerin (OPG), bisphosphonates (BPs) and other molecules (OMs). CONCLUSIONS Different drugs are able to alter the bone remodeling cycle, influencing osteoclast function and, therefore, tooth movement. Thus, they could be used in order to provide maximal anchorage while preventing undesired movements. OPG was found the most effective molecule in blocking the action of osteoclasts, thereby reducing undesired movements.
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Affiliation(s)
| | | | | | | | - Felix de Carlos
- Department of Surgery and Medical-Surgical Specialties, University of Oviedo, Asturias, Spain
| | - Teresa Cobo
- Department of Surgery and Medical-Surgical Specialties, University of Oviedo, Asturias, Spain
| | | | | | - José Antonio Vega
- Department Morphology and Cell Biology, School of Medicine, University of Oviedo, Asturias, Spain
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Strontium promotes cementoblasts differentiation through inhibiting sclerostin expression in vitro. BIOMED RESEARCH INTERNATIONAL 2014; 2014:487535. [PMID: 25003114 PMCID: PMC4070504 DOI: 10.1155/2014/487535] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/02/2014] [Revised: 03/13/2014] [Accepted: 04/12/2014] [Indexed: 11/18/2022]
Abstract
Cementogenesis, performed by cementoblasts, is important for the repair of root resorption caused by orthodontic treatment. Based on recent studies, strontium has been applied for osteoporosis treatment due to its positive effect on osteoblasts. Although promising, the effect of strontium on cementoblasts is still unclear. So the aim of this research was to clarify and investigate the effect of strontium on cementogenesis via employing cementoblasts as model. A series of experiments including MTT, alkaline phosphatase activity, gene analysis, alizarin red staining, and western blot were carried out to evaluate the proliferation and differentiation of cementoblasts. In addition, expression of sclerostin was checked to analyze the possible mechanism. Our results show that strontium inhibits the proliferation of cementoblasts with a dose dependent manner; however, it can promote the differentiation of cementoblasts via downregulating sclerostin expression. Taking together, strontium may facilitate cementogenesis and benefit the treatment of root resorption at a low dose.
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