Review Article

Diabetic Retinopathy: Vascular and Inflammatory Disease

Table 1

Mechanisms influencing inflammatory responses in diabetes.

FactorFunction

Apoptotic cell deathAlteration of retinal structures and stimulation of the release of inflammatory mediators

HyperglycemiaUpregulation of inflammatory molecule expression, promoting leukostasis, and increasing vascular permeability

Oxidative stressIncreasing inflammation and vascular permeability

Metabolism of fatty acidsInducing inflammatory responses in the retina

AGE/RAGE interactionEnhancing retinal inflammation

HypertensionIncreasing inflammation through the expression of retinal VEGF and ICAM-1