中国神经再生研究(英文版) ›› 2022, Vol. 17 ›› Issue (7): 1431-1439.doi: 10.4103/1673-5374.330594

• 综述:视神经损伤修复保护与再生 • 上一篇    下一篇

青光眼治疗的新观点:丰富的环境

  

  • 出版日期:2022-07-15 发布日期:2022-01-15

A novel viewpoint in glaucoma therapeutics: enriched environment

María F. González Fleitas, Damián Dorfman, Ruth E. Rosenstein*   

  1. Laboratory of Retinal Neurochemistry and Experimental Ophthalmology, Department of Human Biochemistry, School of Medicine/CEFyBO, University of Buenos Aires/CONICET, Buenos Aires, Argentina
  • Online:2022-07-15 Published:2022-01-15
  • Contact: Ruth E. Rosenstein, PhD, ruthr@fmed.uba.ar.
  • Supported by:
    This work was supported by grants from the Agencia Nacional de Promoción Científica y Tecnológica, Nos. PICT 1563 and PICT 2731 (to RER); The University of Buenos Aires, No. 20020100100678 (to RER); Consejo Nacional de Investigaciones Científicas y Técnicas, No. PIP 0707 (to RER), Argentina.

摘要: https://orcid.org/000-0002-8804-4395 (Ruth E. Rosenstein)

Abstract: Glaucoma is one of the world’s most frequent visual impairment causes and leads to selective damage to retinal ganglion cells and their axons. Despite glaucoma’s most accepted risk factor is increased intraocular pressure (IOP), the mechanisms behind the disease have not been fully elucidated. To date, IOP lowering remains the gold standard; however, glaucoma patients may still lose vision regardless of effective IOP management. Therefore, the exclusive IOP control apparently is not enough to stop the disease progression, and developing new resources to protect the retina and optic nerve against glaucoma is a goal of vast clinical importance. Besides pharmacological treatments, environmental conditions have been shown to prevent neurodegeneration in the central nervous system. In this review, we discuss current concepts on key pathogenic mechanisms involved in glaucoma, the effect of enriched environment on these mechanisms in different experimental models, as well as recent evidence supporting the preventive and therapeutic effect of enriched environment exposure against experimental glaucomatous damage. Finally, we postulate that stimulating vision may become a non-invasive and rehabilitative therapy that could be eventually translated to the human disease, preventing glaucoma-induced terrible sequelae resulting in permanent visual disability.

Key words: brain-derived neurotrophic factor, chondroitin sulfate, enriched environment, glaucoma, optic nerve axons, optic nerve glia, retinal ganglion cells, visual stimulation