[关键词]
[摘要]
生物体内存在自主性的近24h为周期的振荡,即昼夜节律。生物钟是调节机体昼夜节律的时钟系统,由中央和外周生物钟共同组成。生物钟基因及其编码的蛋白质组成转录-翻译振荡环路,通过神经传导和体液途径输出信号,进而实现对机体生理生化和行为昼夜节律的调控作用。哺乳动物的眼球包含一个完整的生物钟系统,该系统可调节眼球重要的生理功能和多种参数的昼夜节律变化,各种原因引起的生物钟基因异常,将影响眼球的昼夜节律,并可能导致眼部疾病的发生发展。因此,眼部疾病的发病机制及临床表现具有昼夜变化的特点,生物钟基因表达的改变不仅参与了眼部疾病的病理生理过程,还可能是疾病预防和治疗的重要靶点。本文介绍了角膜疾病、青光眼、近视的昼夜节律特点及相关生物钟调控机制。深入探究生物钟与眼部疾病的关系可为眼部疾病的预防和治疗提供新的思路。
[Key word]
[Abstract]
The circadian rhythm is a set of autonomous endogenous oscillators resulting nearly 24h cycles. The biological clock, including central and peripheral biological clock, is a clock system that regulates the circadian rhythm of the body. The biological clock gene and its encoded protein constituent the transcription-translation oscillation loop, which could regulate the circadian rhythm of biochemical, physiological, and behavioral processes through neural and humoral pathways. The mammalian eyeball contains a complete biological clock system, thus controlling the circadian rhythm of important physiological functions and various parameters of the eyeball. Abnormal circadian clock genes caused by various reasons will affect the circadian rhythm and may lead to the occurrence and development of the ocular diseases. Therefore, the pathogenesis and clinical manifestations of ocular diseases are characterized by diurnal variation. The change of circadian clock gene expression is not only involved in the pathophysiological process of ocular diseases, but also may be an important target for the prevention and treatment of diseases. This article introduces the circadian rhythm characteristics of corneal disease, glaucoma and myopia and the related biological clock regulation mechanism. Further research on the circadian clock provides a new strategy for the prevention and treatment of ocular diseases.
[中图分类号]
[基金项目]
国家自然科学基金资助项目(No.81774371); 成都中医药大学“杏林学者”基金项目(No.YXRC2019010)