PMID- 37240138 OWN - NLM STAT- MEDLINE DCOM- 20230529 LR - 20230529 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 10 DP - 2023 May 15 TI - Inflammation: The Link between Neural and Vascular Impairment in the Diabetic Retina and Therapeutic Implications. LID - 10.3390/ijms24108796 [doi] LID - 8796 AB - The etiology of diabetic retinopathy (DR) is complex, multifactorial and compromises all the elements of the retinal neurovascular unit (NVU). This diabetic complication has a chronic low-grade inflammatory component involving multiple inflammatory mediators and adhesion molecules. The diabetic milieu promotes reactive gliosis, pro-inflammatory cytokine production and leukocyte recruitment, which contribute to the disruption of the blood retinal barrier. The understanding and the continuous research of the mechanisms behind the strong inflammatory component of the disease allows the design of new therapeutic strategies to address this unmet medical need. In this context, the aim of this review article is to recapitulate the latest research on the role of inflammation in DR and to discuss the efficacy of currently administered anti-inflammatory treatments and those still under development. FAU - Ramos, Hugo AU - Ramos H AUID- ORCID: 0000-0001-6443-7576 AD - Diabetes and Metabolism Research Unit, Vall d'Hebron Research Institute, Universitat Autonoma de Barcelona, 08035 Barcelona, Spain. AD - Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ICSIII), 28029 Madrid, Spain. FAU - Hernandez, Cristina AU - Hernandez C AUID- ORCID: 0000-0002-3109-1721 AD - Diabetes and Metabolism Research Unit, Vall d'Hebron Research Institute, Universitat Autonoma de Barcelona, 08035 Barcelona, Spain. AD - Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ICSIII), 28029 Madrid, Spain. FAU - Simo, Rafael AU - Simo R AUID- ORCID: 0000-0003-0475-3096 AD - Diabetes and Metabolism Research Unit, Vall d'Hebron Research Institute, Universitat Autonoma de Barcelona, 08035 Barcelona, Spain. AD - Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ICSIII), 28029 Madrid, Spain. FAU - Simo-Servat, Olga AU - Simo-Servat O AUID- ORCID: 0000-0003-3483-652X AD - Diabetes and Metabolism Research Unit, Vall d'Hebron Research Institute, Universitat Autonoma de Barcelona, 08035 Barcelona, Spain. AD - Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ICSIII), 28029 Madrid, Spain. LA - eng GR - ICI20/00129/Instituto de Salud Carlos III/ GR - PI22/01670/Instituto de Salud Carlos III/ GR - BES-2017-081690/Ministry of Economy, Industry and Competitiveness/ PT - Journal Article PT - Review DEP - 20230515 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Anti-Inflammatory Agents) SB - IM MH - Humans MH - Retina MH - *Diabetic Retinopathy/drug therapy MH - Inflammation/drug therapy MH - Blood-Retinal Barrier MH - Anti-Inflammatory Agents/therapeutic use MH - *Diabetes Mellitus/drug therapy PMC - PMC10218195 OTO - NOTNLM OT - cytokine OT - diabetes OT - diabetic retinopathy OT - inflammation OT - neurovascular unit OT - retina COIS- The authors declare no conflict of interest. EDAT- 2023/05/27 09:42 MHDA- 2023/05/29 06:42 PMCR- 2023/05/15 CRDT- 2023/05/27 01:15 PHST- 2023/04/06 00:00 [received] PHST- 2023/04/25 00:00 [revised] PHST- 2023/05/12 00:00 [accepted] PHST- 2023/05/29 06:42 [medline] PHST- 2023/05/27 09:42 [pubmed] PHST- 2023/05/27 01:15 [entrez] PHST- 2023/05/15 00:00 [pmc-release] AID - ijms24108796 [pii] AID - ijms-24-08796 [pii] AID - 10.3390/ijms24108796 [doi] PST - epublish SO - Int J Mol Sci. 2023 May 15;24(10):8796. doi: 10.3390/ijms24108796.