PMID- 36864557 OWN - NLM STAT- MEDLINE DCOM- 20230512 LR - 20230513 IS - 1753-0407 (Electronic) IS - 1753-0393 (Print) IS - 1753-0407 (Linking) VI - 15 IP - 5 DP - 2023 May TI - Autophagy in the retinal neurovascular unit: New perspectives into diabetic retinopathy. PG - 382-396 LID - 10.1111/1753-0407.13373 [doi] AB - Diabetic retinopathy (DR) is one of the most prevalent retinal disorders worldwide, and it is a major cause of vision impairment in individuals of productive age. Research has demonstrated the significance of autophagy in DR, which is a critical intracellular homeostasis mechanism required for the destruction and recovery of cytoplasmic components. Autophagy maintains the physiological function of senescent and impaired organelles under stress situations, thereby regulating cell fate via various signals. As the retina's functional and fundamental unit, the retinal neurovascular unit (NVU) is critical in keeping the retinal environment's stability and supporting the needs of retinal metabolism. However, autophagy is essential for the normal NVU structure and function. We discuss the strong association between DR and autophagy in this review, as well as the many kinds of autophagy and its crucial physiological activities in the retina. By evaluating the pathological changes of retinal NVU in DR and the latest advancements in the molecular mechanisms of autophagy that may be involved in the pathophysiology of DR in NVU, we seek to propose new ideas and methods for the prevention and treatment of DR. CI - (c) 2023 The Authors. Journal of Diabetes published by Ruijin Hospital, Shanghai JiaoTong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Yang, Xiongyi AU - Yang X AD - Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China. AD - The Second Clinical School, Southern Medical University, Guangzhou, Guangdong, P. R. China. FAU - Huang, Zexin AU - Huang Z AD - Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China. AD - The Second Clinical School, Southern Medical University, Guangzhou, Guangdong, P. R. China. FAU - Xu, Mei AU - Xu M AD - The Second People's Hospital of Jingmen, Jingmen, Hubei, People's Republic of China. FAU - Chen, Yanxia AU - Chen Y AD - Department of Ophthalmology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China. FAU - Cao, Mingzhe AU - Cao M AD - Department of Ophthalmology, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, P. R. China. FAU - Yi, Guoguo AU - Yi G AD - Department of Ophthalmology, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, P. R. China. FAU - Fu, Min AU - Fu M AUID- ORCID: 0000-0003-2638-1756 AD - Department of Ophthalmology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China. LA - eng PT - Journal Article PT - Review DEP - 20230302 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 SB - IM MH - Humans MH - *Diabetic Retinopathy/metabolism MH - Retina/metabolism/pathology MH - Autophagy/physiology MH - *Diabetes Mellitus/pathology PMC - PMC10172025 OTO - NOTNLM OT - autophagy OT - diabetic retinopathy OT - mitophagy OT - retinal neurovascular unit OT - 糖尿病性视网膜病变 OT - 线粒体自噬 OT - 自噬 OT - 视网膜神经血管单元 EDAT- 2023/03/03 06:00 MHDA- 2023/05/12 07:06 PMCR- 2023/03/02 CRDT- 2023/03/02 23:43 PHST- 2023/02/08 00:00 [revised] PHST- 2022/12/12 00:00 [received] PHST- 2023/02/18 00:00 [accepted] PHST- 2023/05/12 07:06 [medline] PHST- 2023/03/03 06:00 [pubmed] PHST- 2023/03/02 23:43 [entrez] PHST- 2023/03/02 00:00 [pmc-release] AID - JDB13373 [pii] AID - 10.1111/1753-0407.13373 [doi] PST - ppublish SO - J Diabetes. 2023 May;15(5):382-396. doi: 10.1111/1753-0407.13373. Epub 2023 Mar 2.