Remodeling of the Lamina Cribrosa: Mechanisms and Potential Therapeutic Approaches for Glaucoma

Glaucomatous optic neuropathy is the leading cause of irreversible blindness in the world. The chronic disease is characterized by optic nerve degeneration and vision field loss. The reduction of intraocular pressure remains the only proven glaucoma treatment, but it does not prevent further neurode...

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Main Authors: Ryan G. Strickland, Mary Anne Garner, Alecia K. Gross, Christopher A. Girkin
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/15/8068
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author Ryan G. Strickland
Mary Anne Garner
Alecia K. Gross
Christopher A. Girkin
author_facet Ryan G. Strickland
Mary Anne Garner
Alecia K. Gross
Christopher A. Girkin
author_sort Ryan G. Strickland
collection DOAJ
description Glaucomatous optic neuropathy is the leading cause of irreversible blindness in the world. The chronic disease is characterized by optic nerve degeneration and vision field loss. The reduction of intraocular pressure remains the only proven glaucoma treatment, but it does not prevent further neurodegeneration. There are three major classes of cells in the human optic nerve head (ONH): lamina cribrosa (LC) cells, glial cells, and scleral fibroblasts. These cells provide support for the LC which is essential to maintain healthy retinal ganglion cell (RGC) axons. All these cells demonstrate responses to glaucomatous conditions through extracellular matrix remodeling. Therefore, investigations into alternative therapies that alter the characteristic remodeling response of the ONH to enhance the survival of RGC axons are prevalent. Understanding major remodeling pathways in the ONH may be key to developing targeted therapies that reduce deleterious remodeling.
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spelling doaj.art-7417ddad3caa4190ac39b524450847d82023-12-03T12:38:13ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-07-012315806810.3390/ijms23158068Remodeling of the Lamina Cribrosa: Mechanisms and Potential Therapeutic Approaches for GlaucomaRyan G. Strickland0Mary Anne Garner1Alecia K. Gross2Christopher A. Girkin3Department of Neurobiology, University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Neurobiology, University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Neurobiology, University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Ophthalmology and Vision Sciences, University of Alabama at Birmingham, Birmingham, AL 35294, USAGlaucomatous optic neuropathy is the leading cause of irreversible blindness in the world. The chronic disease is characterized by optic nerve degeneration and vision field loss. The reduction of intraocular pressure remains the only proven glaucoma treatment, but it does not prevent further neurodegeneration. There are three major classes of cells in the human optic nerve head (ONH): lamina cribrosa (LC) cells, glial cells, and scleral fibroblasts. These cells provide support for the LC which is essential to maintain healthy retinal ganglion cell (RGC) axons. All these cells demonstrate responses to glaucomatous conditions through extracellular matrix remodeling. Therefore, investigations into alternative therapies that alter the characteristic remodeling response of the ONH to enhance the survival of RGC axons are prevalent. Understanding major remodeling pathways in the ONH may be key to developing targeted therapies that reduce deleterious remodeling.https://www.mdpi.com/1422-0067/23/15/8068glaucomaoptic nerve headlamina cribrosalamina cribrosa cellsscleral fibroblastsglial cells
spellingShingle Ryan G. Strickland
Mary Anne Garner
Alecia K. Gross
Christopher A. Girkin
Remodeling of the Lamina Cribrosa: Mechanisms and Potential Therapeutic Approaches for Glaucoma
International Journal of Molecular Sciences
glaucoma
optic nerve head
lamina cribrosa
lamina cribrosa cells
scleral fibroblasts
glial cells
title Remodeling of the Lamina Cribrosa: Mechanisms and Potential Therapeutic Approaches for Glaucoma
title_full Remodeling of the Lamina Cribrosa: Mechanisms and Potential Therapeutic Approaches for Glaucoma
title_fullStr Remodeling of the Lamina Cribrosa: Mechanisms and Potential Therapeutic Approaches for Glaucoma
title_full_unstemmed Remodeling of the Lamina Cribrosa: Mechanisms and Potential Therapeutic Approaches for Glaucoma
title_short Remodeling of the Lamina Cribrosa: Mechanisms and Potential Therapeutic Approaches for Glaucoma
title_sort remodeling of the lamina cribrosa mechanisms and potential therapeutic approaches for glaucoma
topic glaucoma
optic nerve head
lamina cribrosa
lamina cribrosa cells
scleral fibroblasts
glial cells
url https://www.mdpi.com/1422-0067/23/15/8068
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