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Research status of nicotine-aggravating the choroidal neovascularization formation in wet age-related macular degeneration

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Author:
No author available
Journal Title:
Chinese Journal of Ocular Fundus Diseases
Issue:
4
DOI:
10.3760/cma.j.cn511434-20180704-00226
Key Word:
湿性黄斑变性/病因学;脉络膜新生血管化/病因学;尼古丁;综述;Wet macular degeneration/etiology;Choroidal neovascularization/etiology;Nicotine;Review

Abstract: Choroidal neovascularization is the leading causes of central vision loss in wet age-related macular degeneration (wAMD) patients. Smoking not only aggravates the incidence and severity of the choroidal neovascularization of wAMD, but also affects the clinical treatment, making the prognosis worse. Nicotine, as an important harmful substance in tobacco, is an easily addictive and highly toxic alkaloid. Animal experiments and clinical studies have confirmed that nicotine can aggravate wAMD by mediating angiogenesis through nicotinic acetylcholine receptor, bone marrow blasts, inflammation, complement system, etc. Therefore, in order to early take appropriate intervention measures to prevent and delay the development, we should actively explore the exact pathogenesis by which nicotine aggravates the choroidal neovascularization.

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