Energy Metabolism in the Inner Retina in Health and Glaucoma

Glaucoma, the leading cause of irreversible blindness, is a heterogeneous group of diseases characterized by progressive loss of retinal ganglion cells (RGCs) and their axons and leads to visual loss and blindness. Risk factors for the onset and progression of glaucoma include systemic and ocular fa...

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Main Authors: Hanhan Liu, Verena Prokosch
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/7/3689
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author Hanhan Liu
Verena Prokosch
author_facet Hanhan Liu
Verena Prokosch
author_sort Hanhan Liu
collection DOAJ
description Glaucoma, the leading cause of irreversible blindness, is a heterogeneous group of diseases characterized by progressive loss of retinal ganglion cells (RGCs) and their axons and leads to visual loss and blindness. Risk factors for the onset and progression of glaucoma include systemic and ocular factors such as older age, lower ocular perfusion pressure, and intraocular pressure (IOP). Early signs of RGC damage comprise impairment of axonal transport, downregulation of specific genes and metabolic changes. The brain is often cited to be the highest energy-demanding tissue of the human body. The retina is estimated to have equally high demands. RGCs are particularly active in metabolism and vulnerable to energy insufficiency. Understanding the energy metabolism of the inner retina, especially of the RGCs, is pivotal for understanding glaucoma’s pathophysiology. Here we review the key contributors to the high energy demands in the retina and the distinguishing features of energy metabolism of the inner retina. The major features of glaucoma include progressive cell death of retinal ganglions and optic nerve damage. Therefore, this review focuses on the energetic budget of the retinal ganglion cells, optic nerve and the relevant cells that surround them.
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spelling doaj.art-7b682aab1d2144d2930fb12e4ffdf1822023-11-21T13:53:37ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-04-01227368910.3390/ijms22073689Energy Metabolism in the Inner Retina in Health and GlaucomaHanhan Liu0Verena Prokosch1Department of Ophthalmology, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937 Cologne, GermanyDepartment of Ophthalmology, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937 Cologne, GermanyGlaucoma, the leading cause of irreversible blindness, is a heterogeneous group of diseases characterized by progressive loss of retinal ganglion cells (RGCs) and their axons and leads to visual loss and blindness. Risk factors for the onset and progression of glaucoma include systemic and ocular factors such as older age, lower ocular perfusion pressure, and intraocular pressure (IOP). Early signs of RGC damage comprise impairment of axonal transport, downregulation of specific genes and metabolic changes. The brain is often cited to be the highest energy-demanding tissue of the human body. The retina is estimated to have equally high demands. RGCs are particularly active in metabolism and vulnerable to energy insufficiency. Understanding the energy metabolism of the inner retina, especially of the RGCs, is pivotal for understanding glaucoma’s pathophysiology. Here we review the key contributors to the high energy demands in the retina and the distinguishing features of energy metabolism of the inner retina. The major features of glaucoma include progressive cell death of retinal ganglions and optic nerve damage. Therefore, this review focuses on the energetic budget of the retinal ganglion cells, optic nerve and the relevant cells that surround them.https://www.mdpi.com/1422-0067/22/7/3689energy metabolismglaucomamitochondrial functionretinal ganglion cellretinal blood flow
spellingShingle Hanhan Liu
Verena Prokosch
Energy Metabolism in the Inner Retina in Health and Glaucoma
International Journal of Molecular Sciences
energy metabolism
glaucoma
mitochondrial function
retinal ganglion cell
retinal blood flow
title Energy Metabolism in the Inner Retina in Health and Glaucoma
title_full Energy Metabolism in the Inner Retina in Health and Glaucoma
title_fullStr Energy Metabolism in the Inner Retina in Health and Glaucoma
title_full_unstemmed Energy Metabolism in the Inner Retina in Health and Glaucoma
title_short Energy Metabolism in the Inner Retina in Health and Glaucoma
title_sort energy metabolism in the inner retina in health and glaucoma
topic energy metabolism
glaucoma
mitochondrial function
retinal ganglion cell
retinal blood flow
url https://www.mdpi.com/1422-0067/22/7/3689
work_keys_str_mv AT hanhanliu energymetabolismintheinnerretinainhealthandglaucoma
AT verenaprokosch energymetabolismintheinnerretinainhealthandglaucoma