Glaucoma: A Degenerative Optic Neuropathy Related to Neuroinflammation?

Glaucoma is one of the leading causes of irreversible blindness in the world and remains a major public health problem. To date, incomplete knowledge of this disease’s pathophysiology has resulted in current therapies (pharmaceutical or surgical) unfortunately having only a slowing effect...

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Main Authors: Stéphane Mélik Parsadaniantz, Annabelle Réaux-le Goazigo, Anaïs Sapienza, Christophe Habas, Christophe Baudouin
Format: Article
Language:English
Published: MDPI AG 2020-02-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/9/3/535
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author Stéphane Mélik Parsadaniantz
Annabelle Réaux-le Goazigo
Anaïs Sapienza
Christophe Habas
Christophe Baudouin
author_facet Stéphane Mélik Parsadaniantz
Annabelle Réaux-le Goazigo
Anaïs Sapienza
Christophe Habas
Christophe Baudouin
author_sort Stéphane Mélik Parsadaniantz
collection DOAJ
description Glaucoma is one of the leading causes of irreversible blindness in the world and remains a major public health problem. To date, incomplete knowledge of this disease’s pathophysiology has resulted in current therapies (pharmaceutical or surgical) unfortunately having only a slowing effect on disease progression. Recent research suggests that glaucomatous optic neuropathy is a disease that shares common neuroinflammatory mechanisms with “classical” neurodegenerative pathologies. In addition to the death of retinal ganglion cells (RGCs), neuroinflammation appears to be a key element in the progression and spread of this disease. Indeed, early reactivity of glial cells has been observed in the retina, but also in the central visual pathways of glaucoma patients and in preclinical models of ocular hypertension. Moreover, neuronal lesions are not limited to retinal structure, but also occur in central visual pathways. This review summarizes and puts into perspective the experimental and clinical data obtained to date to highlight the need to develop neuroprotective and immunomodulatory therapies to prevent blindness in glaucoma patients.
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spelling doaj.art-c05854a473464dcc8dcbe1e0c5ef953e2023-09-03T04:32:49ZengMDPI AGCells2073-44092020-02-019353510.3390/cells9030535cells9030535Glaucoma: A Degenerative Optic Neuropathy Related to Neuroinflammation?Stéphane Mélik Parsadaniantz0Annabelle Réaux-le Goazigo1Anaïs Sapienza2Christophe Habas3Christophe Baudouin4Sorbonne Université, INSERM, CNRS, Institut de la Vision, 17 rue Moreau, F-75012 Paris, FranceSorbonne Université, INSERM, CNRS, Institut de la Vision, 17 rue Moreau, F-75012 Paris, FranceSorbonne Université, INSERM, CNRS, Institut de la Vision, 17 rue Moreau, F-75012 Paris, FranceService de NeuroImagerie, Centre Hospitalier National d’ophtalmologie des Quinze-Vingts, F-75012 Paris, FranceSorbonne Université, INSERM, CNRS, Institut de la Vision, 17 rue Moreau, F-75012 Paris, FranceGlaucoma is one of the leading causes of irreversible blindness in the world and remains a major public health problem. To date, incomplete knowledge of this disease’s pathophysiology has resulted in current therapies (pharmaceutical or surgical) unfortunately having only a slowing effect on disease progression. Recent research suggests that glaucomatous optic neuropathy is a disease that shares common neuroinflammatory mechanisms with “classical” neurodegenerative pathologies. In addition to the death of retinal ganglion cells (RGCs), neuroinflammation appears to be a key element in the progression and spread of this disease. Indeed, early reactivity of glial cells has been observed in the retina, but also in the central visual pathways of glaucoma patients and in preclinical models of ocular hypertension. Moreover, neuronal lesions are not limited to retinal structure, but also occur in central visual pathways. This review summarizes and puts into perspective the experimental and clinical data obtained to date to highlight the need to develop neuroprotective and immunomodulatory therapies to prevent blindness in glaucoma patients.https://www.mdpi.com/2073-4409/9/3/535ocular hypertensionneuronal degenerationneuroinflammationcentral visual pathway
spellingShingle Stéphane Mélik Parsadaniantz
Annabelle Réaux-le Goazigo
Anaïs Sapienza
Christophe Habas
Christophe Baudouin
Glaucoma: A Degenerative Optic Neuropathy Related to Neuroinflammation?
Cells
ocular hypertension
neuronal degeneration
neuroinflammation
central visual pathway
title Glaucoma: A Degenerative Optic Neuropathy Related to Neuroinflammation?
title_full Glaucoma: A Degenerative Optic Neuropathy Related to Neuroinflammation?
title_fullStr Glaucoma: A Degenerative Optic Neuropathy Related to Neuroinflammation?
title_full_unstemmed Glaucoma: A Degenerative Optic Neuropathy Related to Neuroinflammation?
title_short Glaucoma: A Degenerative Optic Neuropathy Related to Neuroinflammation?
title_sort glaucoma a degenerative optic neuropathy related to neuroinflammation
topic ocular hypertension
neuronal degeneration
neuroinflammation
central visual pathway
url https://www.mdpi.com/2073-4409/9/3/535
work_keys_str_mv AT stephanemelikparsadaniantz glaucomaadegenerativeopticneuropathyrelatedtoneuroinflammation
AT annabellereauxlegoazigo glaucomaadegenerativeopticneuropathyrelatedtoneuroinflammation
AT anaissapienza glaucomaadegenerativeopticneuropathyrelatedtoneuroinflammation
AT christophehabas glaucomaadegenerativeopticneuropathyrelatedtoneuroinflammation
AT christophebaudouin glaucomaadegenerativeopticneuropathyrelatedtoneuroinflammation