2019
DOI: 10.1016/j.preteyeres.2018.12.003
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On the origin of proteins in human drusen: The meet, greet and stick hypothesis

Abstract: Retinal drusen formation is not only a clinical hallmark for the development of age-related macular degeneration (AMD) but also for other disorders, such as Alzheimer's disease and renal diseases. The initiation and growth of drusen is poorly and systemic side" of drusen. 6.2. Nineteen drusen proteins out of 89 were not assigned. 6.3. Blood proteins are an important source of drusen proteins. 7. Drusen and hydroxyapatite. 8. Drusen and plaques: age-related macular degeneration and atherosclerosis. 8.1. Clinica… Show more

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Cited by 96 publications
(62 citation statements)
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References 267 publications
(232 reference statements)
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“…Taken together, these RPE changes suggest that RPE dysfunction has a central role in AMD pathology and progression. Nonetheless, recent evidence suggests also that the photoreceptors, the choroid, as well as the blood contribute significantly to drusen formation and AMD disease pathology [11]. For the wet forms of AMD, a therapy exists which consists of monthly anti-VEGF injections.…”
Section: Introductionmentioning
confidence: 99%
“…Taken together, these RPE changes suggest that RPE dysfunction has a central role in AMD pathology and progression. Nonetheless, recent evidence suggests also that the photoreceptors, the choroid, as well as the blood contribute significantly to drusen formation and AMD disease pathology [11]. For the wet forms of AMD, a therapy exists which consists of monthly anti-VEGF injections.…”
Section: Introductionmentioning
confidence: 99%
“…AMD is a degenerative disease of the macula and is characterized by extracellular deposits known as drusen. Drusen contain lipids, lipoproteins and inflammatory factors [11,12], are found between the RPE layer and the Bruchs' membrane [13], and are associated with reduced functionality of the RPE layer [14]. Advanced AMD is classified in two forms based on their pathological features.…”
Section: Introductionmentioning
confidence: 99%
“…Each RPE cell is partnered with approximately 30 photoreceptors, so the daily phagocytic load is tremendous. With aging, the RPE develops signs of inefficient digestion, and it accumulates undigested proteins and lipids between the RPE and Bruch's membrane called drusen; these acellular deposits can be found in the macular, perimacular, and peripheral retina and are heterogeneous in terms of shape, color, size, and content [59], 1980. Drusen and other anatomical changes may lie within normal signs of aging and can be observed during fundoscopic examination.…”
Section: Rpe Pigmentation In Agingmentioning
confidence: 99%