Treatment of a retinal dystrophy, fundus albipunctatus, with oral 9-cis- -carotene
Abstract
BACKGROUND Fundus albipunctatus is a retinal dystrophy caused by a mutation in the gene encoding 11-cis-retinol dehydrogenase which delays the recovery of rod photoreceptor cells from light stimulation leading to night blindness. A recent study of a mouse model of fundus albipunctatus treated with 9-cis-retinal showed an improvement in visual function and structure. METHODS Seven patients with fundus albipunctatus were given a daily food supplement of four capsules containing high-dose 9-cis-beta-carotene for 90 days. The subjects were tested before and after treatment by visual field and electroretinogram in both eyes. This non-randomised prospective phase I study was registered at http://www.clinicaltrials.gov (NCT00478530). RESULTS All patients showed significant improvements in peripheral visual field (mean deviation improved from -4.77+/-2.0 to -3.28+/-2.28, p=0.009, t test) and a highly significant improvement in rod recovery rates measured electroretinographically (maximal scotopic b-wave amplitude responses, improved from 197+/-49 muV to 292+/-48 muV, p<0.001, t test). No complications or side effects were observed. CONCLUSION Oral treatment with 9-cis-beta-carotene led to reversal of a human retinal dystrophy. This potential therapy is readily available and should be evaluated in retinal dystrophies of similar mechanisms such as various types of retinitis pigmentosa.
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9-cis-β-carotene is not accepted as a treatment for patients with fundus albipunctatus because no further studies on bigger cohorts were performed.
“However, no further studies on bigger cohorts were performed, and, therefore, 9-cis-β-carotene is not accepted as a treatment for patients with fundus albipunctatus [145].”
From The Role of Vitamin A in Retinal Diseases (2022) · cites this paper as [145]
Administration of 9-cis-β-carotene in a small group of patients with fundus albipunctatus showed promising results.
“Administration of 9-cis-β-carotene in a small group of patients with fundus albipunctatus showed promising results.”
From The Role of Vitamin A in Retinal Diseases (2022) · cites this paper as [145]
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- Authors
- Rotenstreich, Y., Harats, D., Shaish, A., Pras, E., & Belkin, M.
- Affiliations
- Sheba Medical Center (IL)
- Tel Aviv University (IL)
- Corresponding author
- Rotenstreich, Y.
- Venue
- British Journal of Ophthalmology
- Publisher
- BMJ
- Published
- 2009-12-02
- Volume
- 94
- Issue
- 5
- Pages
- 616-621
- ISSN
- 0007-1161 (ISSN-L)
- OpenAlex
- W2142330001
- Cited by
- 51
- References
- 7
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 1 · 2016: 4 · 2015: 4 · 2014: 1 · 2013: 6 · 2012: 7
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Ophthalmology (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinoids in leukemia and cellular processes
- Keywords
- fundus albipunctatus, retinal dystrophy, 9-cis-retinal, 9-cis beta-carotene, night blindness, peripheral visual field, electroretinogram, scotopic b-wave, retinitis pigmentosa, dietary supplementation
- MeSH terms
- Administration, Oral, Adolescent, Adult, Electroretinography, Female, Humans, Male, Middle Aged, Pilot Projects, Prospective Studies, Retinal Degeneration, Visual Acuity, Visual Fields, Vitamins, Eye Diseases, Hereditary, Treatment Outcome, beta Carotene, Dietary Supplements, Young Adult
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