PMID- 36233311 OWN - NLM STAT- MEDLINE DCOM- 20221017 LR - 20221019 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 19 DP - 2022 Oct 9 TI - Choroidal Vasculature Changes in Age-Related Macular Degeneration: From a Molecular to a Clinical Perspective. LID - 10.3390/ijms231912010 [doi] LID - 12010 AB - The contribution of choroidal vasculature to the pathogenesis of age-related macular degeneration (AMD) has been long debated. The present narrative review aims to discuss the primary molecular and choroidal structural changes occurring with aging and AMD with a brief overview of the principal multimodal imaging modalities and techniques that enable the optimal in vivo visualization of choroidal modifications. The molecular aspects that target the choroid in AMD mainly involve human leukocyte antigen (HLA) expression, complement dysregulation, leukocyte interaction at Bruch's membrane, and mast cell infiltration of the choroid. A mechanistic link between high-risk genetic loci for AMD and mast cell recruitment has also been recently demonstrated. Recent advances in multimodal imaging allow more detailed visualization of choroidal structure, identifying alterations that may expand our comprehension of aging and AMD development. FAU - Fragiotta, Serena AU - Fragiotta S AUID- ORCID: 0000-0002-6214-6270 AD - Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Ophthalmology Unit, St. Andrea Hospital, University of Rome "La Sapienza", 00189 Rome, Italy. FAU - Scuderi, Luca AU - Scuderi L AD - Department of Sense Organs, University Sapienza of Rome, 00161 Rome, Italy. FAU - Iodice, Clemente Maria AU - Iodice CM AD - Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Ophthalmology Unit, St. Andrea Hospital, University of Rome "La Sapienza", 00189 Rome, Italy. FAU - Rullo, Daria AU - Rullo D AD - Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Ophthalmology Unit, St. Andrea Hospital, University of Rome "La Sapienza", 00189 Rome, Italy. FAU - Di Pippo, Mariachiara AU - Di Pippo M AUID- ORCID: 0000-0002-1089-2060 AD - Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Ophthalmology Unit, St. Andrea Hospital, University of Rome "La Sapienza", 00189 Rome, Italy. FAU - Maugliani, Elisa AU - Maugliani E AD - Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Ophthalmology Unit, St. Andrea Hospital, University of Rome "La Sapienza", 00189 Rome, Italy. FAU - Abdolrahimzadeh, Solmaz AU - Abdolrahimzadeh S AUID- ORCID: 0000-0003-0920-8732 AD - Department of Sense Organs, University Sapienza of Rome, 00161 Rome, Italy. LA - eng GR - AR22117A81528669/Sapienza University of Rome/ PT - Journal Article PT - Review DEP - 20221009 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - Aging/physiology MH - Bruch Membrane MH - *Choroid/metabolism MH - Humans MH - *Macular Degeneration/metabolism PMC - PMC9570412 OTO - NOTNLM OT - age-related macular degeneration OT - aging OT - choroid OT - choroidal vascularity index OT - retina COIS- The authors declare no conflict of interest. EDAT- 2022/10/15 06:00 MHDA- 2022/10/18 06:00 PMCR- 2022/10/09 CRDT- 2022/10/14 02:14 PHST- 2022/07/20 00:00 [received] PHST- 2022/08/26 00:00 [revised] PHST- 2022/10/07 00:00 [accepted] PHST- 2022/10/14 02:14 [entrez] PHST- 2022/10/15 06:00 [pubmed] PHST- 2022/10/18 06:00 [medline] PHST- 2022/10/09 00:00 [pmc-release] AID - ijms231912010 [pii] AID - ijms-23-12010 [pii] AID - 10.3390/ijms231912010 [doi] PST - epublish SO - Int J Mol Sci. 2022 Oct 9;23(19):12010. doi: 10.3390/ijms231912010.