Glaucoma as a Tauopathy—Is It the Missing Piece in the Glaucoma Puzzle?

Glaucoma is a chronic neurodegenerative disorder affecting the visual system which can result in vision loss and blindness. The pathogenetic mechanisms underlying glaucomatous optic neuropathy are ultimately enigmatic, prompting ongoing investigations into its potential shared pathogenesis with othe...

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Main Authors: Maria Laura Passaro, Francesco Matarazzo, Gianmarco Abbadessa, Antonio Pezone, Antonio Porcellini, Fausto Tranfa, Michele Rinaldi, Ciro Costagliola
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/21/6900
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author Maria Laura Passaro
Francesco Matarazzo
Gianmarco Abbadessa
Antonio Pezone
Antonio Porcellini
Fausto Tranfa
Michele Rinaldi
Ciro Costagliola
author_facet Maria Laura Passaro
Francesco Matarazzo
Gianmarco Abbadessa
Antonio Pezone
Antonio Porcellini
Fausto Tranfa
Michele Rinaldi
Ciro Costagliola
author_sort Maria Laura Passaro
collection DOAJ
description Glaucoma is a chronic neurodegenerative disorder affecting the visual system which can result in vision loss and blindness. The pathogenetic mechanisms underlying glaucomatous optic neuropathy are ultimately enigmatic, prompting ongoing investigations into its potential shared pathogenesis with other neurodegenerative neurological disorders. Tauopathies represent a subclass of neurodegenerative diseases characterized by the abnormal deposition of tau protein within the brain and consequent microtubule destabilization. The extended spectrum of tauopathies includes conditions such as frontotemporal dementias, progressive supranuclear palsy, chronic traumatic encephalopathy, and Alzheimer’s disease. Notably, recent decades have witnessed emerging documentation of tau inclusion among glaucoma patients, providing substantiation that this ocular disease may similarly manifest features of tauopathies. These studies found that: (i) aggregated tau inclusions are present in the somatodendritic compartment of RGCs in glaucoma patients; (ii) the etiology of the disease may affect tau splicing, phosphorylation, oligomerization, and subcellular localization; and (iii) short interfering RNA against tau, administered intraocularly, significantly decreased retinal tau accumulation and enhanced RGC somas and axon survival, demonstrating a crucial role for tau modifications in ocular hypertension-induced neuronal injury. Here, we examine the most recent evidence surrounding the interplay between tau protein dysregulation and glaucomatous neurodegeneration. We explore the novel perspective of glaucoma as a tau-associated disorder and open avenues for cross-disciplinary collaboration and new treatment strategies.
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spelling doaj.art-6c6c2581b4ce4131a031899e91b7331d2023-11-10T15:06:51ZengMDPI AGJournal of Clinical Medicine2077-03832023-11-011221690010.3390/jcm12216900Glaucoma as a Tauopathy—Is It the Missing Piece in the Glaucoma Puzzle?Maria Laura Passaro0Francesco Matarazzo1Gianmarco Abbadessa2Antonio Pezone3Antonio Porcellini4Fausto Tranfa5Michele Rinaldi6Ciro Costagliola7Department of Neurosciences, Reproductive Sciences and Dentistry, University of Naples “Federico II”, 80131 Naples, ItalyPineta Grande Hospital, 81030 Castel Volturno, ItalyDivision of Neurology, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, 80138 Naples, ItalyDepartment of Biology, University of Naples “Federico II”, 80126 Naples, ItalyDepartment of Biology, University of Naples “Federico II”, 80126 Naples, ItalyDepartment of Neurosciences, Reproductive Sciences and Dentistry, University of Naples “Federico II”, 80131 Naples, ItalyDepartment of Neurosciences, Reproductive Sciences and Dentistry, University of Naples “Federico II”, 80131 Naples, ItalyDepartment of Neurosciences, Reproductive Sciences and Dentistry, University of Naples “Federico II”, 80131 Naples, ItalyGlaucoma is a chronic neurodegenerative disorder affecting the visual system which can result in vision loss and blindness. The pathogenetic mechanisms underlying glaucomatous optic neuropathy are ultimately enigmatic, prompting ongoing investigations into its potential shared pathogenesis with other neurodegenerative neurological disorders. Tauopathies represent a subclass of neurodegenerative diseases characterized by the abnormal deposition of tau protein within the brain and consequent microtubule destabilization. The extended spectrum of tauopathies includes conditions such as frontotemporal dementias, progressive supranuclear palsy, chronic traumatic encephalopathy, and Alzheimer’s disease. Notably, recent decades have witnessed emerging documentation of tau inclusion among glaucoma patients, providing substantiation that this ocular disease may similarly manifest features of tauopathies. These studies found that: (i) aggregated tau inclusions are present in the somatodendritic compartment of RGCs in glaucoma patients; (ii) the etiology of the disease may affect tau splicing, phosphorylation, oligomerization, and subcellular localization; and (iii) short interfering RNA against tau, administered intraocularly, significantly decreased retinal tau accumulation and enhanced RGC somas and axon survival, demonstrating a crucial role for tau modifications in ocular hypertension-induced neuronal injury. Here, we examine the most recent evidence surrounding the interplay between tau protein dysregulation and glaucomatous neurodegeneration. We explore the novel perspective of glaucoma as a tau-associated disorder and open avenues for cross-disciplinary collaboration and new treatment strategies.https://www.mdpi.com/2077-0383/12/21/6900glaucomaneurodegenerationtauopathyoxidative damage
spellingShingle Maria Laura Passaro
Francesco Matarazzo
Gianmarco Abbadessa
Antonio Pezone
Antonio Porcellini
Fausto Tranfa
Michele Rinaldi
Ciro Costagliola
Glaucoma as a Tauopathy—Is It the Missing Piece in the Glaucoma Puzzle?
Journal of Clinical Medicine
glaucoma
neurodegeneration
tauopathy
oxidative damage
title Glaucoma as a Tauopathy—Is It the Missing Piece in the Glaucoma Puzzle?
title_full Glaucoma as a Tauopathy—Is It the Missing Piece in the Glaucoma Puzzle?
title_fullStr Glaucoma as a Tauopathy—Is It the Missing Piece in the Glaucoma Puzzle?
title_full_unstemmed Glaucoma as a Tauopathy—Is It the Missing Piece in the Glaucoma Puzzle?
title_short Glaucoma as a Tauopathy—Is It the Missing Piece in the Glaucoma Puzzle?
title_sort glaucoma as a tauopathy is it the missing piece in the glaucoma puzzle
topic glaucoma
neurodegeneration
tauopathy
oxidative damage
url https://www.mdpi.com/2077-0383/12/21/6900
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