International Journal of Molecular Sciences,
Journal Year:
2021,
Volume and Issue:
22(9), P. 4672 - 4672
Published: April 28, 2021
Glaucoma
is
a
multifactorial
disease
that
conventionally
managed
with
treatments
to
lower
intraocular
pressure
(IOP).
Despite
these
efforts,
many
patients
continue
lose
their
vision.
The
degeneration
of
retinal
ganglion
cells
(RGCs)
and
axons
in
the
optic
tract
characterizes
glaucoma
similar
neurodegeneration
other
age-related
disorders
central
nervous
system
(CNS).
Identifying
different
molecular
signaling
pathways
contribute
early
neuronal
dysfunction
can
be
utilized
for
neuroprotective
strategies
prevent
degeneration.
discovery
insulin
its
receptor
CNS
retina
led
exploration
role
CNS.
Historically,
was
considered
peripherally
secreted
hormone
regulated
glucose
homeostasis,
no
obvious
roles
However,
growing
number
pre-clinical
clinical
studies
have
demonstrated
potential
modulating
treatment
neurodegenerative
diseases.
This
review
will
highlight
plays
RGC
neurodegeneration.
We
focus
on
how
this
pathway
therapeutically
targeted
promote
axon
survival
preserve
Pharmaceuticals,
Journal Year:
2023,
Volume and Issue:
16(2), P. 215 - 215
Published: Jan. 31, 2023
Oxidative
stress
is
an
imbalance
between
the
increased
production
of
reactive
species
and
reduced
antioxidant
activity,
which
can
cause
a
variety
disturbances
including
ocular
diseases.
Lycium
barbarum
polysaccharides
(LBPs)
are
complex
isolated
from
fruit
L.
barbarum,
showing
distinct
roles
in
antioxidants.
Moreover,
it
relatively
safe
non-toxic.
In
recent
years,
activities
LBPs
have
attracted
remarkable
attention.
order
to
illustrate
its
significance
underlying
therapeutic
value
for
vision,
we
comprehensively
review
progress
on
mechanisms
LBP
potential
applications
diseases,
diabetic
retinopathy,
hypertensive
neuroretinopathy,
age-related
macular
degeneration,
retinitis
pigmentosa,
retinal
ischemia/reperfusion
injury,
glaucoma,
dry
eye
syndrome,
cataract.
Cells,
Journal Year:
2021,
Volume and Issue:
10(7), P. 1593 - 1593
Published: June 25, 2021
The
important
roles
of
mitochondrial
function
and
dysfunction
in
the
process
neurodegeneration
are
widely
acknowledged.
Retinal
ganglion
cells
(RGCs)
appear
to
be
a
highly
vulnerable
neuronal
cell
type
central
nervous
system
with
respect
but
actual
reasons
for
this
still
incompletely
understood.
These
have
unique
circumstance
where
unmyelinated
axons
must
bend
nearly
90°
exit
eye
then
cross
translaminar
pressure
gradient
before
becoming
myelinated
optic
nerve.
This
region,
nerve
head,
contains
some
highest
density
mitochondria
present
these
cells.
Glaucoma
represents
perfect
storm
events
occurring
at
location,
combination
changes
reassignment
metabolic
support
functions
supporting
glia,
which
appears
apply
increased
stress
RGC
leading
failure
axonal
transport
mechanisms.
However,
RGCs
themselves
also
extremely
sensitive
genetic
mutations,
particularly
genes
affecting
dynamics
clearance.
systemically
affect
every
cell,
often
lead
an
neuropathy
as
sole
pathologic
defect
affected
patients.
review
summarizes
knowledge
structure
function,
known
energy
demands
neurons
general,
places
context
normal
pathological
characteristics
attributed
RGCs.
Molecular Neurobiology,
Journal Year:
2022,
Volume and Issue:
59(3), P. 1366 - 1380
Published: Jan. 5, 2022
The
BCL-2
(B-cell
lymphoma-2)
family
of
proteins
contributes
to
mitochondrial-based
apoptosis
in
models
neurodegeneration,
including
glaucomatous
optic
neuropathy
(glaucoma),
which
degrades
the
retinal
ganglion
cell
(RGC)
axonal
projection
visual
brain.
Glaucoma
is
commonly
associated
with
increased
sensitivity
intraocular
pressure
(IOP)
and
involves
a
proximal
program
that
leads
RGC
dendritic
pruning
distal
underlies
axonopathy
projection.
While
genetic
deletion
Bcl2-associated
X
protein
(Bax-/-)
prolongs
body
survival
glaucoma
nerve
trauma,
persists,
thus
raising
question
whether
dendrites
light
response
are
protected.
Here,
we
used
an
inducible
model
Bax-/-
mice
determine
if
Bax
degeneration.
We
performed
whole-cell
recordings
dye
filling
RGCs
signaling
onset
(αON-Sustained)
offset
(αOFF-Sustained).
recovered
morphologies
by
confocal
microscopy
analyzed
arbor
complexity
size.
Additionally,
assessed
axon
function
measuring
anterograde
transport
cholera
toxin
subunit
B
superior
colliculus
behavioral
spatial
frequency
threshold
(i.e.,
acuity).
found
1
month
IOP
elevation
did
not
cause
significant
death
either
WT
or
retinas.
However,
reduced
αON-Sustained
αOFF-Sustained
RGCs.
In
absence
Bax,
αON-
arbors
remained
intact
following
elevation.
addition
dendrites,
neuroprotection
generalized
αON-and
light-
current-evoked
responses.
Both
acuity
declined
during
mice.
Collectively,
our
results
indicate
degeneration
distinguishes
neurodegenerative
programs
involved
progression
glaucoma.
Molecular Aspects of Medicine,
Journal Year:
2023,
Volume and Issue:
94, P. 101216 - 101216
Published: Oct. 17, 2023
Glaucoma
is
a
complex
multifactorial
eye
disease
manifesting
in
retinal
ganglion
cell
(RGC)
death
and
optic
nerve
degeneration,
ultimately
causing
irreversible
vision
loss.
Research
recent
years
has
significantly
enhanced
our
understanding
of
RGC
degenerative
mechanisms
glaucoma.
It
evident
that
high
intraocular
pressure
(IOP)
not
the
only
contributing
factor
to
glaucoma
pathogenesis.
The
equilibrium
pro-survival
pro-death
signalling
pathways
retina
strongly
influences
function
survival
RGCs
axons
Molecular
evidence
from
human
tissue
analysis
range
experimental
models
have
contributed
unravelling
these
mechanisms.
Accumulating
reveals
wide
molecular
can
operate
-either
alone
or
via
intricate
networks
-
induce
neurodegeneration.
roles
several
molecules,
including
neurotrophins,
interplay
intracellular
kinases
phosphates,
caveolae
adapter
proteins,
serine
proteases
their
inhibitors,
nuclear
receptors,
amyloid
beta
tau,
how
dysfunction
affects
neurons
are
discussed
this
review.
We
further
underscore
anatomical
alterations
various
animal
exhibiting
degeneration
susceptibility
glaucoma-related
neuronal
damage
helped
characterise
In
addition,
we
also
present
different
regulated
play
critical
role
Frontiers in Neuroscience,
Journal Year:
2023,
Volume and Issue:
17
Published: Aug. 9, 2023
Astrocytes
are
important
regulators
of
blood
flow
and
play
a
key
role
in
the
response
to
injury
disease
central
nervous
system
(CNS).
Despite
having
an
understanding
that
structural
changes
these
cells
have
consequences
for
local
neurovascular
physiology,
individual
astrocyte
morphology
remains
largely
unexplored
retina.
Here,
we
used
MORF3
mice
capture
full
membranous
over
fifteen
hundred
astrocytes
mouse
retina,
highly
metabolically
active
component
CNS.
We
demonstrate
retinal
been
misrepresented
as
stellate
due
marker
use
like
GFAP
S100β
which
underestimates
cell
complexity.
also
find
contain
recurring
morphological
motifs
predictive
underlying
architecture
inner
retina
suggestive
function.
These
predict
fine
sampling
integration
ganglion
electrical
activity
with
regulation.
Additionally,
our
data
shows
participate
interactions
much
greater
degree
than
currently
reported.
100%
contact
vasculature
through
one
three
mutually
exclusive
classes
connections.
Similarly,
some
neuronal
element,
be
it
RGC
axon
or
soma.
Finally,
report
depends
on
eccentricity,
appearing
compressed
near
nerve
head
periphery.
results
reveal
large
complexity
informs
their
contribution
coupling
Journal of Controlled Release,
Journal Year:
2024,
Volume and Issue:
372, P. 209 - 220
Published: June 22, 2024
Retinal
diseases
are
the
leading
cause
of
blindness,
resulting
in
irreversible
degeneration
and
death
retinal
neurons.
One
such
cell
type,
ganglion
(RGC),
is
responsible
for
connecting
retina
to
rest
brain
through
its
axons
that
make
up
optic
nerve
primary
lost
glaucoma
traumatic
neuropathy.
To
date,
different
therapeutic
strategies
have
been
investigated
protect
RGCs
from
preserve
vision,
yet
currently
available
restricted
treating
neuron
loss
by
reducing
intraocular
pressure.
A
major
barrier
identified
these
studies
drug
delivery
RGCs,
which
large
part
due
stability,
short
duration
time
at
target,
low
efficiency,
undesired
off-target
effects.
Therefore,
a
system
deal
with
problems
needed
ensure
maximum
benefit
candidate
material.
Extracellular
vesicles
(EV),
nanocarriers
released
all
cells,
lipid
membranes
encapsulating
RNAs,
proteins,
lipids.
As
they
naturally
shuttle
encapsulated
compounds
between
cells
communicative
purposes,
may
be
exploitable
offer
opportunities
overcome
hurdles
delivery,
including
molecular
weight,
barriers
retina,
adverse
Here,
we
summarize
potential
an
EV
system,
discussing
their
superiorities
application
target
RGCs.
Advanced Science,
Journal Year:
2024,
Volume and Issue:
11(41)
Published: Sept. 4, 2024
Abstract
Glaucoma
is
an
irreversible
blinding
eye
disease
characterized
by
retinal
ganglion
cell
(RGC)
death.Previous
studies
have
demonstrated
that
protecting
mitochondria
and
activating
the
CaMKII/CREB
signaling
pathway
can
effectively
protect
RGC
axon.
However,
currently
treatments
are
often
unsatisfactory,
pathogenesis
of
glaucoma
requires
further
elucidation.
In
this
study,
a
ROS‐responsive
dual
drug
conjugate
(OLN
monomer)
first
designed
simultaneously
bonds
nicotinamide
oleic
acid.
The
self‐assembled
into
nanoparticles
(uhOLN‐NPs)
through
aggregation
multiple
micelles
possesses
ROS
scavenging
capability.
Then,
polymer
with
hypoxic
response
function
designed,
which
encapsulates
uhOLN‐NPs
to
form
responses
(HOLN‐NPs).
Under
hypoxia
in
RGCs,
azo
bond
HOLN‐NPs
breaks
releases
uhOLN‐NPs.
Meanwhile,
under
high
conditions,
thioketone
broke,
leading
dissociation
nano‐prodrug.
released
acid
co‐scavenge
activate
pathway,
RGCs.
exhibit
significantly
superior
protective
effect
on
R28
cells
glutamate
models
glaucoma.
accumulation
RGCs
lead
significant
inhibition
apoptosis
axonal
damage
vivo.
Notably,
provide
new
therapeutic
approach
for
patients
neurodegenerative
disease.
Molecular Therapy — Methods & Clinical Development,
Journal Year:
2021,
Volume and Issue:
23, P. 307 - 318
Published: Oct. 1, 2021
Lenadogene
nolparvovec
(Lumevoq)
gene
therapy
was
developed
to
treat
Leber
hereditary
optic
neuropathy
(LHON)
caused
by
the
m.11778G
>
A
in
MT-ND4
that
affects
complex
I
of
mitochondrial
respiratory
chain.
is
a
replication-defective,
single-stranded
DNA
recombinant
adeno-associated
virus
vector
2
serotype
2,
containing
codon-optimized
complementary
encoding
human
wild-type
subunit
protein.
administered
unilateral
intravitreal
injection
LHON
patients
two
randomized,
double-masked,
and
sham-controlled
phase
III
clinical
trials
(REVERSE
RESCUE),
resulting
bilateral
improvement
visual
acuity.
These
other
earlier
results
suggest
lenadogene
may
travel
from
treated
untreated
eye.
To
investigate
this
possibility
further,
unilaterally
injected
into
vitreous
body
right
eye
healthy,
nonhuman
primates.
Viral
quantifiable
all
nerve
tissues
detected
at
lower
levels
some
contralateral,
noninjected
eye,
projections,
3
6
months
after
injection.
The
transfers
thus
providing
potential
explanation
for
function
observed
patients.
Frontiers in Neuroscience,
Journal Year:
2023,
Volume and Issue:
17
Published: March 27, 2023
Identification
of
early
adaptive
and
maladaptive
neuronal
stress
responses
is
an
important
step
in
developing
targeted
neuroprotective
therapies
for
degenerative
disease.
In
glaucoma,
retinal
ganglion
cells
(RGCs)
their
axons
undergo
progressive
degeneration
resulting
from
driven
by
sensitivity
to
intraocular
pressure
(IOP).
Despite
that
can
effectively
manage
IOP
many
patients
progress
vision
loss,
necessitating
development
neuronal-based
therapies.
Evidence
experimental
models
glaucoma
indicates
the
disease
RGCs
experience
altered
excitability
are
challenged
with
dysregulated
potassium
(K+)
homeostasis.
Previously
we
demonstrated
certain
RGC
types
have
distinct
profiles
thresholds
depolarization
block,
which
associated
extracellular
K+.
Here,
used
our
inducible
mouse
model
investigate
how
K+
changes
exposure
elevated
IOP.
controls,
conditions
increased
enhanced
membrane
depolarization,
reduced
action
potential
generation,
widened
potentials.
Consistent
previous
work,
4
weeks
elevation
diminished
light-and
current-evoked
responses.
Compared
found
effects
on
block
threshold,
IOP-exposed
maintaining
greater
excitability.
Finally,
did
not
alter
axon
initial
segment
dimensions,
suggesting
structural
plasticity
alone
cannot
explain
decreased
sensitivity.
Thus,
response
prolonged
process
reduces
while
diminishing
These
experiments
give
insight
into
lay
groundwork
mechanistic
investigation
targets
therapy.
Clinical and Experimental Optometry,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 7
Published: Feb. 12, 2025
Glaucoma
is
a
multifactorial
neurodegenerative
disorder
characterised
by
the
progressive
loss
of
retinal
ganglion
cells,
ultimately
leading
to
irreversible
blindness
worldwide.
Recent
research
highlights
metabolic
dysregulation
as
crucial
factor
in
pathophysiology
glaucoma.
This
review
examines
intricate
relationship
between
processes
and
glaucoma,
with
focus
on
key
mechanisms
such
mitochondrial
dysfunction,
lipid
metabolism,
glucose
roles
specific
metabolites.
Mitochondrial
dysfunction
commonly
observed
impaired
energy
production
that
compromises
cellular
viability.
Alterations
including
changes
fatty
acid
profiles
peroxidation,
contribute
injury
apoptosis
cells.
Moreover,
disturbances
reduced
glycolytic
activity,
affect
availability
neurotrophic
support
are
vital
for
cells
survival.
The
also
explores
metabolites,
lactate
glutamate,
context
health,
how
their
may
exacerbate
glaucomatous
damage.
Additionally,
interplay
elevated
intraocular
pressure
analysed,
particularly
regard
its
impact
ocular
blood
flow
health.
Understanding
these
essential
identifying
potential
therapeutic
strategies.
By
deepening
our
understanding
foundations
new
avenues
effective
treatments
arise,
addressing
nature
this
complex
disease
improving
patient
outcomes.