Bio-tactics for neuroprotection of retinal ganglion cells in the treatment of glaucoma

Life Sci. 2020 Feb 15:243:117303. doi: 10.1016/j.lfs.2020.117303. Epub 2020 Jan 14.

Abstract

Glaucoma, a neurodegenerative disorder is characterized by damage of ganglion cells of retina and also its axons. The manner of progression of disease and retinal ganglion cells death in glaucoma still remains unknown and hence many mechanisms are put forward to understand the disease. Clinical developments have suggested that in every single patient decreasing intraocular pressure (IOP) is not the solution to prevent glaucoma which suggests on the fact that there are other risk factors affecting the disease. The demand for substitute unconventional treatments gives rise to the need to understand the biologically based tactics (bio-tactics) for stopping the progression of disease. Pragmatic findings of past years have supported novelty of inventive molecules with hallmark of neuroprotection in gene therapy. On the other hand, transformation of the latest drugs to clinic has not been of much fruitful substantially for the reason that it lacked dependability while measuring in vivo retinal injury. This as a consequence thwarted the high quality healing possibility of neuroprotectants whether administered single-handedly or given complimentary with other IOP reducing agents. Advancement in research is crucial to grasp the underlying mechanisms concerned with glaucoma and apply it in clinical field to develop neuroprotective agents. In this context, the present review is to bring forth an update on up to date progress in the domain of neuroprotection of retinal ganglion cells for treating glaucoma.

Keywords: Gene therapy; Glaucoma; Neuroprotection; Neuroprotective factors; Retinal ganglion cells.

Publication types

  • Review

MeSH terms

  • Animals
  • Genetic Therapy
  • Glaucoma / physiopathology
  • Glaucoma / therapy*
  • Glutamic Acid / physiology
  • Humans
  • Intraocular Pressure
  • Neuroprotection*
  • Neuroprotective Agents / therapeutic use
  • Retinal Ganglion Cells / cytology*

Substances

  • Neuroprotective Agents
  • Glutamic Acid