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dc.creatorOrtiz,Gustavo
dc.creatorSalica,Juan P
dc.creatorChuluyan,Eduardo H
dc.creatorGallo,Juan E
dc.date2014-01-01
dc.date.accessioned2019-05-02T21:22:21Z
dc.date.available2019-05-02T21:22:21Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0716-97602014000100052
dc.identifier.urihttp://revistaschilenas.uchile.cl/handle/2250/82423
dc.descriptionDiabetic retinopathy is one of the most important causes of blindness. The underlying mechanisms of this disease include inflammatory changes and remodeling processes of the extracellular-matrix (ECM) leading to pericyte and vascular endothelial cell damage that affects the retinal circulation. In turn, this causes hypoxia leading to release of vascular endothelial growth factor (VEGF) to induce the angiogenesis process. Alpha-1 antitrypsin (AAT) is the most important circulating inhibitor of serine proteases (SERPIN). Its targets include elastase, plasmin, thrombin, trypsin, chymotrypsin, proteinase 3 (PR-3) and plasminogen activator (PAI). AAT modulates the effect of protease-activated receptors (PARs) during inflammatory responses. Plasma levels of AAT can increase 4-fold during acute inflammation then is so-called acute phase protein (APPs). Individuals with low serum levels of AAT could develop disease in lung, liver and pancreas. AAT is involved in extracellular matrix remodeling and inflammation, particularly migration and chemotaxis of neutrophils. It can also suppress nitric oxide (NO) by nitric oxide sintase (NOS) inhibition. AAT binds their targets in an irreversible way resulting in product degradation. The aim of this review is to focus on the points of contact between multiple factors involved in diabetic retinopathy and AAT resembling pleiotropic effects that might be beneficial.
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dc.languageen
dc.publisherSociedad de Biología de Chile
dc.relation10.1186/0717-6287-47-58
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceBiological Research v.47 2014
dc.subjectDiabetic retinopathy
dc.subjectAlpha-1-antitrypsin
dc.subjectDiabetes
dc.subjectEndogenous anti-inflammatory agents
dc.subjectRetinal inflammation
dc.subjectNF-kB
dc.titleDiabetic retinopathy: could the alpha-1 antitrypsin be a therapeutic option?


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