Drug Discovery Strategies for Inherited Retinal Degenerations

Inherited retinal degeneration is a group of blinding disorders afflicting more than 1 in 4000 worldwide. These disorders frequently cause the death of photoreceptor cells or retinal ganglion cells. In a subset of these disorders, photoreceptor cell death is a secondary consequence of retinal pigmen...

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Main Authors: Arupratan Das, Yoshikazu Imanishi
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Biology
Subjects:
Online Access:https://www.mdpi.com/2079-7737/11/9/1338
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author Arupratan Das
Yoshikazu Imanishi
author_facet Arupratan Das
Yoshikazu Imanishi
author_sort Arupratan Das
collection DOAJ
description Inherited retinal degeneration is a group of blinding disorders afflicting more than 1 in 4000 worldwide. These disorders frequently cause the death of photoreceptor cells or retinal ganglion cells. In a subset of these disorders, photoreceptor cell death is a secondary consequence of retinal pigment epithelial cell dysfunction or degeneration. This manuscript reviews current efforts in identifying targets and developing small molecule-based therapies for these devastating neuronal degenerations, for which no cures exist. Photoreceptors and retinal ganglion cells are metabolically demanding owing to their unique structures and functional properties. Modulations of metabolic pathways, which are disrupted in most inherited retinal degenerations, serve as promising therapeutic strategies. In monogenic disorders, great insights were previously obtained regarding targets associated with the defective pathways, including phototransduction, visual cycle, and mitophagy. In addition to these target-based drug discoveries, we will discuss how phenotypic screening can be harnessed to discover beneficial molecules without prior knowledge of their mechanisms of action. Because of major anatomical and biological differences, it has frequently been challenging to model human inherited retinal degeneration conditions using small animals such as rodents. Recent advances in stem cell-based techniques are opening new avenues to obtain pure populations of human retinal ganglion cells and retinal organoids with photoreceptor cells. We will discuss concurrent ideas of utilizing stem-cell-based disease models for drug discovery and preclinical development.
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spelling doaj.art-a76c8d5e64ee47a7b7a21bf6292e8dc32023-11-23T15:07:51ZengMDPI AGBiology2079-77372022-09-01119133810.3390/biology11091338Drug Discovery Strategies for Inherited Retinal DegenerationsArupratan Das0Yoshikazu Imanishi1Department of Ophthalmology, Eugene and Marilyn Glick Eye Institute, Indiana University School of Medicine, Indianapolis, IN 46202, USADepartment of Ophthalmology, Eugene and Marilyn Glick Eye Institute, Indiana University School of Medicine, Indianapolis, IN 46202, USAInherited retinal degeneration is a group of blinding disorders afflicting more than 1 in 4000 worldwide. These disorders frequently cause the death of photoreceptor cells or retinal ganglion cells. In a subset of these disorders, photoreceptor cell death is a secondary consequence of retinal pigment epithelial cell dysfunction or degeneration. This manuscript reviews current efforts in identifying targets and developing small molecule-based therapies for these devastating neuronal degenerations, for which no cures exist. Photoreceptors and retinal ganglion cells are metabolically demanding owing to their unique structures and functional properties. Modulations of metabolic pathways, which are disrupted in most inherited retinal degenerations, serve as promising therapeutic strategies. In monogenic disorders, great insights were previously obtained regarding targets associated with the defective pathways, including phototransduction, visual cycle, and mitophagy. In addition to these target-based drug discoveries, we will discuss how phenotypic screening can be harnessed to discover beneficial molecules without prior knowledge of their mechanisms of action. Because of major anatomical and biological differences, it has frequently been challenging to model human inherited retinal degeneration conditions using small animals such as rodents. Recent advances in stem cell-based techniques are opening new avenues to obtain pure populations of human retinal ganglion cells and retinal organoids with photoreceptor cells. We will discuss concurrent ideas of utilizing stem-cell-based disease models for drug discovery and preclinical development.https://www.mdpi.com/2079-7737/11/9/1338photoreceptor cellsretinal ganglion cellsinherited retinal degenerationretinitis pigmentosausher syndromeoptic neuropathy
spellingShingle Arupratan Das
Yoshikazu Imanishi
Drug Discovery Strategies for Inherited Retinal Degenerations
Biology
photoreceptor cells
retinal ganglion cells
inherited retinal degeneration
retinitis pigmentosa
usher syndrome
optic neuropathy
title Drug Discovery Strategies for Inherited Retinal Degenerations
title_full Drug Discovery Strategies for Inherited Retinal Degenerations
title_fullStr Drug Discovery Strategies for Inherited Retinal Degenerations
title_full_unstemmed Drug Discovery Strategies for Inherited Retinal Degenerations
title_short Drug Discovery Strategies for Inherited Retinal Degenerations
title_sort drug discovery strategies for inherited retinal degenerations
topic photoreceptor cells
retinal ganglion cells
inherited retinal degeneration
retinitis pigmentosa
usher syndrome
optic neuropathy
url https://www.mdpi.com/2079-7737/11/9/1338
work_keys_str_mv AT arupratandas drugdiscoverystrategiesforinheritedretinaldegenerations
AT yoshikazuimanishi drugdiscoverystrategiesforinheritedretinaldegenerations