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Traitements de la DMLA : état de la question
Authors: --- ---
Year: 2014 Publisher: Bruxelles: UCL. Faculté de pharmacie et des sciences biomédicales,

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Age-related macular degeneration (AMD) is a pathology affecting the central part of the retina, called the macula, region which is necessary for color vision, reading and central visual field. This disease affecting many people over 50 in western countries can /ead to blindness if not treated. We distinguish dry AMD from wet AMD, the first one being characterized by deposits called drusen between the retinal pigment epithe/ium and Bruch's membrane. The dryform also cal/ed atrophie represents 90% of AMD whose development can be slowed down by controlling certain risk factors such as smoking, obesity, hypertension and improving eating habits. AREDS study has shown benefits of micronutrient such as vitamins C and E, copper, zinc, omega 3 fatty acids, /utein and zeaxanthin . The lessfrequent damp or wet form, affecting on/y 15% of the population with AMD is much more aggressive causing 90% of blindness. It is characterized by the development of new blood vessels, or angiogenesis, at the level of the retinal pigment epithelium inducing leakage of fluids and blood leading to a rapidloss of central vision accompanied by metamorphopsia.Various treatments have targeted VEGF essential for angiogenesis. However, these treatments represent a significant hit in terms of public heath. New targets and treatments are being evaluated and may be able to open new doors in terms of pharmacological treatments. La dégénérescence maculaire liée à l'âge ou DMLA est une pathologie qui affecte la partie centrale de la rétine, la macula, région nécessaire à la perception des couleurs, la lecture et le champ visuel central. Il s'agit d'une pathologie affectant un grand nombre de personnes au-delà de 50 ans dans les pays occidentaux pouvant mener à la cécité lorsqu'elle n 'est pas traitée. On distingue la DMLA sèche de la DMLA humide. La première se caractérise par une accumulation de dépôts appelés drusens entre l'épithélium pigmentaire rétinien et la membrane de Bruch. Cette forme sèche encore appelée atrophique représente 90% des DMLA dont l'évolution ne peut être ralentie que par le contrôle de certains facteurs de risques tels que le tabagisme, l'obésité, l'hypertension artérielle et l'intervention sur les habitudes alimentaires. L'étude AREDS a démontré les bienfaits de la micronutrition et en particulier des micronutriments (vitamines C et E, cuivre, zinc, acides gras oméga 3, lutéine et zéaxanthine). La forme humide ou exsudative est moins fréquente, elle touche seulement 15% de la population atteinte de DMLA . Cette forme est beaucoup plus agressive, causant 90% de cécité chez les personnes atteintes. Elle se caractérise par la formation de nouveaux vaisseaux sanguins ou angiogenèse au niveau de l'épithélium pigmentaire rétinien induisant une fuite de fluides et de sang ayant comme conséquence une perte rapide de la vision centrale accompagnée de métamorphopsies. Il existe différents traitements inhibant les facteurs de croissance endothéliaux vasculaires ou VEGF, indispensables à l'angiogenèse. Cependant ces traitements représentent un coût non négligeable en terme de santé publique. De nouvelles cibles et moyens thérapeutiques sont en cours d'étude et pourront peut-être ouvrir de nouvelles portes en matière de traitements pharmacologiques.


Book
Carotenoids and retinal disease
Authors: ---
ISBN: 9781466502048 Year: 2014 Publisher: Boca Raton : CRC Press/Taylor & Francis Group,

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"This book outlines the pathological conditions of the central retina where the macular pigment is known to have its greatest involvement in protection against photooxidative damage. The book focuses on the nature of the macular carotenoids, their transport and accumulation within the retina, and their influence on the etiology of retinal diseases. It also includes chapters that provide readers an understanding of the epidemiology and pathology of these diseases and the known factors which contribute to them"--Provided by publisher.


Book
Visual perception and visual cognition in healthy and pathological ageing
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Year: 2014 Publisher: Frontiers Media SA

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Our understanding of visual perception and visual cognition has advanced considerably over the last decades. The effects of ageing on visual perception and visual cognition are less well understood. This Research Topic features state-of-the-art approaches to determining the effects of ageing on visual perception, visual attention, visual memory and visually guided behaviour. Studies using methods that incorporate psychophysics, eye movements, electrophysiology, structural and functional neuroimaging, as well as computational modelling are included. In addition to the focus on how ageing effects normal vision, the topic also includes studies on the effects of pathological ageing in the retina (e.g., age-related macular degeneration) and the brain (e.g., neurodegenerative disorders) on vision and visual cognition.


Book
Visual perception and visual cognition in healthy and pathological ageing
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Year: 2014 Publisher: Frontiers Media SA

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Our understanding of visual perception and visual cognition has advanced considerably over the last decades. The effects of ageing on visual perception and visual cognition are less well understood. This Research Topic features state-of-the-art approaches to determining the effects of ageing on visual perception, visual attention, visual memory and visually guided behaviour. Studies using methods that incorporate psychophysics, eye movements, electrophysiology, structural and functional neuroimaging, as well as computational modelling are included. In addition to the focus on how ageing effects normal vision, the topic also includes studies on the effects of pathological ageing in the retina (e.g., age-related macular degeneration) and the brain (e.g., neurodegenerative disorders) on vision and visual cognition.


Book
Visual perception and visual cognition in healthy and pathological ageing
Authors: --- ---
Year: 2014 Publisher: Frontiers Media SA

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Our understanding of visual perception and visual cognition has advanced considerably over the last decades. The effects of ageing on visual perception and visual cognition are less well understood. This Research Topic features state-of-the-art approaches to determining the effects of ageing on visual perception, visual attention, visual memory and visually guided behaviour. Studies using methods that incorporate psychophysics, eye movements, electrophysiology, structural and functional neuroimaging, as well as computational modelling are included. In addition to the focus on how ageing effects normal vision, the topic also includes studies on the effects of pathological ageing in the retina (e.g., age-related macular degeneration) and the brain (e.g., neurodegenerative disorders) on vision and visual cognition.


Book
Retinal Degenerative Diseases : Mechanisms and Experimental Therapy
Authors: --- --- --- --- --- et al.
ISBN: 146143209X 1461432081 Year: 2014 Publisher: New York, NY : Springer New York : Imprint: Springer,

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This book will contain the proceedings of the XV International Symposium on Retinal Degeneration (RD2012).  A majority of those who will speak and present posters at the meeting will contribute to this volume.  The blinding diseases of inherited retinal degenerations have no treatments, and age-related macular degeneration has no cures, despite the fact that it is an epidemic among the elderly, with 1 in 3-4 affected by the age of 70.  The RD Symposium will focus on the exciting new developments aimed at understanding these diseases and providing therapies for them.  Since most major scientists in the field of retinal degenerations attend the biennial RD Symposia, they are known by most as the “best” and “most important” meetings in the field.   The volume will present representative state-of-the-art research in almost all areas of retinal degenerations, ranging from cytopathologic, physiologic, diagnostic and clinical aspects; animal models; mechanisms of cell death; candidate genes, cloning, mapping and other aspects of molecular genetics; and developing potential therapeutic measures such as gene therapy and neuroprotective agents for potential pharmaceutical therapy.   While advances in these areas of retinal degenerations will be described, there will be many new topics that either were in their infancy or did not exist at the time of the last RD Symposium, RD2010.  These include the role of inflammation and immunity, as well as other basic mechanisms, in age-related macular degeneration, several new aspects of gene therapy, and revolutionary new imaging and functional testing that will have a huge impact on the diagnosis and following the course of retinal degenerations, as well as to provide new quantitative endpoints for clinical trials.   The retina is an approachable part of the central nervous system (CNS), and there is a major interest in neuroprotective and gene therapy for CNS diseases and neurodegenerations, in general.  It should be noted that with successful and exciting initial clinical trials in neuroprotective and gene therapy, including the restoration of sight in blind children, the retinal degeneration therapies are leading the way towards new therapeutic measures for neurodegenerations of the CNS.  Many of the successes recently reported in these areas of retinal degeneration sprang from collaborations established at previous RD Symposia, and many of those will be reported at the RD2010 meeting and included in the proposed volume.  We anticipate the excitement of those working in the field and those afflicted with retinal degenerations will be reflected in the volume.


Book
We Are Our Brains.A Neurobiography of the Brain, from the Womb to Alzheimer's
Authors: --- ---
ISBN: 9780812992960 Year: 2014 Publisher: New York Spiegel & Grau / Random House / Random House LLC

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Keywords

the human brain --- development --- birth --- parental care --- developmental brain disorder --- maternal behavior --- paternal behavior --- early brain development --- the fetal brain --- addictive substances --- medication --- the unborn child --- body integrity identity disorder --- sexual differentiation of the brain --- gender-based differences in behavior --- heterosexuality --- homosexuality --- bisexuality --- transsexuality --- pedophilia --- sex differences in the brain --- puberty --- love --- sexual behavior --- the adolescent brain --- adolescent behavior --- disorders of the brain and sexuality --- hypothalamus --- hormones --- emotions --- hormone production --- depression --- Prader-Willi syndrome --- obesity --- cluster headache --- narcolepsy --- anorexia nervosa --- cannabis and psychoses --- ectstacy --- brain damage --- substance abuse --- the brain and consciousness --- neglect --- coma --- brain structures --- illusions --- loss of self-consciousness --- the mechanisms of consciousness --- aggression --- guilt and punishment --- autism --- Daniel Tammet --- savants --- schizophrenia --- hallucinations --- electric stimulation --- age-related blindness --- macular degeneration --- deep brain stimulation --- prostheses in the brain --- transplantation of fetal brain tissue --- gene therapy --- repair of brain damage --- the brain and sports --- moral behavior --- prefrontal cortex --- unconscious moral behavior --- moral networks --- memory --- Kandel --- amnesia --- long-term memory --- the cerebellum --- neurotheology --- the brain and religion --- temporal lobe epilepsy --- pseudoscience --- near death experiences --- traditional Chinese medicine --- herbal therapy --- free will --- choice --- the unconscious will --- free will and brain disorders --- brain stimulation and happiness --- Alzheimer's disease --- dementia --- death --- Deijman --- Netherlands Brain bank --- evolution --- molecular evolution

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