Cited by 187Retinal Diseases and TreatmentsOcular Diseases and Behçet’s SyndromeRetinal Development and Disorders

On phagocytes and macular degeneration

Open access
Guillonneau, Xavier, Eandi, Chiara M., Paques, Michel, Sahel, José-Alain, Sapieha, Przemyslaw, Sennlaub, Florian·2017·Progress in Retinal and Eye Research

Abstract

Age related macular degeneration (AMD) is a complex multifactorial disease caused by the interplay of age and genetic and environmental risk factors. A common feature observed in early and both forms of late AMD is the breakdown of the physiologically immunosuppressive subretinal environment and the protracted accumulation of mononuclear phagocytes (MP). We here discuss the origin and nature of subretinal MPs, the mechanisms that lead to their accumulation, the inflammatory mediators they produce as well as the consequences of their chronic presence on photoreceptors, retinal pigment epithelium and choroid. Recent advances highlight how both genetic and environmental risk factors directly promote subretinal inflammation and tip the balance from a beneficial inflammation that helps control debris accumulation to detrimental chronic inflammation and destructive late AMD. Finally, we discuss how changes in life style or pharmacological intervention can help to break the vicious cycle of inflammation and degeneration, restore the immunosuppressive properties of the subretinal space, and reestablish homeostasis.

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Crossref · 10.1016/j.preteyeres.2017.06.002

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394 of 394 references verified0 citation errors · 0 not checkable

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Authors
Guillonneau, X., Eandi, C. M., Paques, M., Sahel, J.-A., Sapieha, P., & Sennlaub, F.
Affiliations
  • Centre National de la Recherche Scientifique (FR)
  • University of Turin (IT)
  • Hôpital Maisonneuve-Rosemont (CA)
Corresponding author
Sennlaub, Florian
Venue
Progress in Retinal and Eye Research
Publisher
Elsevier BV
Published
2017-11
Volume
61
Pages
98-128
ISSN
1350-9462 (ISSN-L)
OpenAlex
W2622806731
Cited by
185
References
399
Citations by year
2026: 13 · 2025: 15 · 2024: 31 · 2023: 16 · 2022: 19 · 2021: 33 · 2020: 20 · 2019: 19 · 2018: 18 · 2017: 1
FWCI
2.91
Type
journal article
Language
en
Locations
  • Progress in Retinal and Eye Research (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, other-oa)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
Funders
  • INSERM
  • ANR Geno 2009 (R09099DS)
  • ANR MACLEAR (ANR-15-CE14-0015-01)
  • LABEX LIFESENSES (ANR-10-LABX-65)
  • ANR (Investissements d'Avenir programme (ANR-11-IDEX-0004-02)
  • Carnot
  • ERC (ERC-2007 St.G. 210345)
  • Association de Prévoyance Santé de ALLIANZ
Topics
  • Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
  • Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
Keywords
age-related macular degeneration, mononuclear phagocytes, chronic inflammation, retinal pigment epithelium, photoreceptors, choroid, genetic risk factors, environmental risk factors, immunosuppression, lifestyle modification
MeSH terms
Choroid, Humans, Life Style, Macular Degeneration, Macular Edema, Phagocytes, Photoreceptor Cells, Retinal Pigment Epithelium

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