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As PVR is an avascular disease lacking neovascularization, VEGF primarily promotes ECM deposition and fibrotic membrane formation by regulating the activity of RPE cells, fibroblasts, and transdifferentiated myofibroblasts ( 4.2 Expression of inflammatory cytokines and their related pathways In the early stages of injury, TNF- is upregulated as a key inflammatory cytokine, leading to immune cell recruitment and promoting the activation of retinal cells ( In addition to TNF-, the release of several inflammatory cytokines such as IL-6, IL-8, IL-10, IL-1, and IFN- significantly promotes the development of PVR ( In vitro , IL-6 significantly induces RPE cell proliferation and EMT in a dose-dependent manner, accompanied by rapid phosphorylation of JAK1 and STAT3 ( Table 1 , a wide array of cytokines and growth factors, derived from diverse cellular sources, orchestrate the complex pathophysiology of PVR

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Tyagi et al., 2025

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