One of the major limitations is that RPE cells, once isolated from the eye, tend to dedifferentiate into myofibroblasts in conventional 2D cell culture. The respective contributions of RPE-derived and plasma-derived molecules to the biogenesis of drusen, and the relevant molecular interactions leading to drusen depositions, however, have not been fully identified. Although liver is the primary biosynthetic site for most of these molecules, retinal pigment epithelial (RPE) cells locally synthesize a number of drusen components. Several studies have shown that drusen contains a variety of protein and lipid components. Age-related macular degeneration (AMD) is characterized in its early stages by the presence of extracellular deposits, known as drusen, that accumulate between the basal surface of the retinal pigmented epithelium and Bruch’s membrane, an extracellular matrix complex that separates the neural retina from the capillary network in the choroid.
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