Abstract-Primary open-angle glaucoma (POAG) remains one of the most controversial eye diseases. Ophthalmologists do not have a consensus on the etiology and pathogenesis of POAG. It is obvious that glaucoma is no longer considered as an exclusively ocular disease associated with impaired hydrodynamics. The search for the causes of the inexorable progression of optic neuropathy has taken researchers far from the eyeball. According to modern concepts, glaucoma is considered as a neurodegenerative disease, located on the border of the professional interests of neurologists and ophthalmologists. Experimental and clinical studies reveal degenerative processes in glaucoma not only in the retina and optic nerve, but throughout the entire visual pathway. Structural changes in the brain in POAG are similar to those in a number of neurodegenerative diseases, for example, Alzheimer's and Parkinson's diseases. These changes correlate with clinical characteristics and severity of glaucoma. More recent studies have shown that neurodegeneration in glaucoma is also associated with neuroinflammatory processes affecting both the retina and brain. Characteristic signs of central nervous system (CNS) degeneration may precede the death of optic nerve fibers. Can neurodegeneration in glaucoma be considered a top-down process, or do events begin to unfold in the retina and gradually move into the brain? [31,41,54].
? ??????????? ???????????? ???????????? ?????????????? ???????? ??? ???????? ?? ?????? ? ???????? ? ?????????? ?????, ?? ? ?? ???? ?????????? ??????????? ????. [65,88,91,93].
??????????? ????????? ????????? ????? ??? ???Ð?" ?????????? ??????? ??? ???? ??????????????????? ???????????, ????????, ??????? ??????????? ? ?????????? [81,92]. ??? ????????? ??????????? ? ???????????? ???????????????? ? ???????? ????????. ????? ??????? ???????????? ????????, ??? ???????????????? ??? ???????? ????? ??????? ? ???????????????????? ??????????, ?????????????? ??? ????????, ??? ? ???????? ???? [78]. ??????????? ???????? ??????????? ??????????? ??????? ??????? (???) ????? ?????????????? ?????? ??????? ??????????? ????? [55]. ????? ?? ??????? ???????????????? ??? ???????? ????????? ?????????? ??? ??????? ???????? ??????????????? ? ???????? ? ?????????? ???????????? ? ???????? ??????????? ???????? ????????.
??????????? (??) ? ??????? ?????????? (??) ???????? ???????? ????????????????? ???????????????????? ?????????????. ???????? ???????????????? ???????? ??? ?? ? ?? ????????? ?????????? ?????????????? ???????? ????????? ? ????????? ?????????? ?????: ??????????? (?-???) ??? ??, ???-????? (p-tau) ? ????????? (A?) ??? ?? [62].
?? ??????????????? ??????? ???????? ? ???????? ? ???? ????????? ?????, ??? ???????? ? ???????????? ????????, ??????????????? ?????? ?????? ? ????????. ?????????????? ?????????? ????? ??????????? ???????? ???????????? ????????? ???????????? (A?) ? ?????????????????? ????????? ??????????????????????? ???-????? (pTau). ??? ????????? ????? ?????????????? ? ???????? ? ?????????? ????? [67].
?? ???????????? ????? ??????????????????? ???????????? ???????????? ? ??????????????? ??????? ????????????????? ????????. ??? ?????????????? ?????????? ????? ????, ????????? ?? ????????? ???????????. ??? ?? ????? ???????????? ??????????? ????????????????? ?????? ???????? [58].
Ð?"???????, ??????????????????? ??????????? ??????????? ?????, ??????????????? ??????? ??????????? ?????? ???????? (Ð?"??) ? ??????? ?????????? ??????? [85,95].
??? ?????????? ???, ????? ?????? ?? ?????? ??????, ???????????? ??-??????, ?????????????????? ??? ????????????????, ????? ?????????? ???????????????? ??????? ??????????????? ???????? ? ???????, ?????????? ?????? ?? ?????????. ??-??????, ?????? ????????????? ???? ???????? ? ????? ?????????? ????????? ?????? ? ?????????? ????????. ??? ??? ??????????? ????? ??????????? ??????? ? ????????? ?????????????????, ?????????? ? ?????? ???????. ?????????? ????? ?????????? ?????????????? ? ????????? [16,74,81,92].
? ????????? ? ???????? ??????????? ???????? ??????????? ? 5 ??? ????, ??? ? ?? ??????????? ?? ??????????? ??????. ???????????? ??? ???? ??????? ????? ?????? ???? ????????? ?????????? ?????????? [14,39]. [34,56].
? ???? ????? ???????????? ??????????? ?????????? ????? ????? ???? ????? ???????? ?????? ??????????? ???????? [72].
???? ????? ????????? ??? ? ???????????? ??????? ??????????? ?? ??????? ???????? ? ???????? ??????????? [18], ?? ?????? ????????????? ????????, ??? ???????? ????????? ?????? ? ?????? ???????? ????? ???? ?????????? ??? ?? ?????? ??????? ?????????? ??????? [38] [22].
Ð?"??????????-????????? ???????????? (Ð?"??) ???????????? ????? ????? ???, ?????????? ?? ??????????? ???????? ??????? ???? ? ??????? ???????? ? ???????. ????????? ????????????? ???????? ??????????? ????????????? ? ??????in vivo.?????? ???????????? ??? ???????? ???????? ?????? ?????? ???????? ??????????? ???? ? ????????? ? ?????????. ???????????????? ???????? ?????????? ? ?????????? ?????, ?????????? ??????, ?????????? ?????????? ??????, ?????????? ?????????? ? ?????????? ???? ? ??????? ????????? [21].
????????????? ????? ??????? ???????????? ????????? ????????? ????? ??????, ?? ????????? ? ????????????? ??????????????????? ??????????????, ??????????? ???Ð?".
???????????????? Ð?"????????? ??? ???Ð?" ???? ???????????????? ?????????? ? ???????? ? ???????????????? ?????????? ?????????? ?????????? ??????? ??????????? ????????? ??????????? [26,27]. ?????? ???????????????? ???? ???????? ?????? ???????????? ???? ???????? ? ??????????? ????? ??? ???????? ??????? ???????? [37,84]. ????????? ??????????? ??? ???Ð?" ???? ???????? ? ????????????????? ? ??????????? ????????????? [23,52]. ?????????? ??????????? ????? ?????? ? ????? ??????????? ?????, ??? ??????????? ?????????? ???????????? ? ??? ?????? ? ??????? ?????????????? ??????????? [76]. ?????? ??? ????? ??????????? ????? ???????? ??????? ? ??????????? ??????????? ?????? ?Ð?"Ð?".
????????????? ?????????????, ??? ???????????????? ?????????? ? ????????? ????? ???????? ????????????????? ???????? ? ???????? ???Ð?" [12,20,35,60,71]. ????????, ??????? ???????????????? Ð?"?? (??Ð?"??) ? ??????? Ð?"??, ??????? ???????? ????? ????????? ???????????, ????? ????????? ? ????????? ????????? ? ??????? ???????????, ??? ????? ??????????? ???????? ? ???????????????? ???Ð?" [48].
???????????? ??????????? ???????? ???? ? ???????? ???????????????? ? ???????? ?????? ???????? ? ??????????? ????? ??? ????????.
???????????????? [11,33,82]. ? ???????? ?? ???????? ??????? ???????? ?????????.
?? ?????? ?????? ???????, ? ???????? ??????????????? ???????? ???? ?????? ?????? ????????? [42,44,79]. ??????? ??????????? ??????????? ?????????? ???????. ? ?????????? ???????? ?????? ????????, ????? ???????? ?? ???????? ?????????, ?????????? ?????????? ??????????? [68]. ??? ????????? ?????????? ????????? ???????????? ? ???????????? ?????????? ???????? Ð?"?? ?? ????? ???????????. ????????? ??????????? ??????????? ?????, ?????????? ?????????? ? ?????????? ? ??????????. ??? ????????? ???????? ????????????? ?????????? ????????? ? ????????, ?????? ????? ?? ???????????? ??? ??????? ??????? ?????? [43]. ?????????? ??? ?????? ???????? ????????, ????? ????????? ?????????? [45] [61].
?????? ????????????? ???????? ?? ??????, ??? ????????? ?????-? ????????? ??? ???????? ???????????? ?????? Ð?"?? ? ???????? ????? ?? ?????? ??????? ??????????? ??????? ????? [69].
??? ??????????????????? ???????????? ??? (????????, ??, ??) ????? ??????? ????????? ?????-? ????????? ? ???????? ??????? ???????????????, ??? ????????? ??????? ? ???????? ??????????? [82].
???????? ???????? ????? ?????????? ????????, ??????????? ????????? ????????? ? ?????????????? ????? (??????, ??????????? ??????, ??????? ??????? ?????????????? ????????), ? ????? ???????????? ??????????????????? ??????????? ??????????? ? ??????? ??????????????? ?????? [57].
?????????? ??????? ?????????????? ???????? (?Ð?"Ð?") ?? ????????? ????????????????? ????????? ???????? ???Ð?" ?????????? ????? ????? ?????? ?? ???????? ?????, ?????? ? ??????????? ???????????, ????????????????? ? ????????????? ???????????? ??????????.
?????????, ??? ??????????? ????????? ?Ð?"Ð?" ???????? ? ?????????? ?? ? ?-??? ? Ð?"??, ???, ? ???? ???????, ???????????? ?????? ???????? [29].
???
????????. ????????? ?????????????? ????? ???????? 479-486. -https://doi.org/10.18008/1816-5095- | ||||||
?????-? ????????? ?????????? ??? ?????????? ????? 2019-4-479-486 | ||||||
????????????? ?????????? ??? ??????? ????????. 99. ????? ??????? ? ?????? ???????????? | ||||||
?????? ???????? ????????? ???????? ??????? ?????????????? ????????? ? ?????????? ????????? | ||||||
?????????????? ??????????? ????????????? ?????? ???????????????? ???????? ? ???????????????. ??????????? ???????????? ?????????? ????, ??????????????? ????????/ 107-111. | ||||||
????????? ?? ???????????????. 100. ??????????? ?????????? | ????????? | Ð?"???????, Ð?".?. ??????? // C?????????? ?????????? | ||||
??????????? ???????? ??????????, ??????? ? ??????????????? ???????? ???????????????? | ??????????? ? ??????? ??? ?????????? ?????? | |||||
?????? ????????? ??????, ????? ?? ??????? ????????????? ?????????, ????? ??????? | ??????: ????????? ???????????, ???, 12-13 | |||||
????????????? ??????? ?? ??????? ????????[99]. ????????????? ???????/ ?????? ?.?. [? ??.] // | ???????? 2013 ?. -???.: ?????, 2013. -?. 13-14. | |||||
Year 2023 Medical Research Volume XXIII Issue VIII Version I ( D D D D ) F Year 2023 Medical Research Volume XXIII Issue VIII Version I ( D D D D ) F 34 | ???????? ????????? A? ???????????? ?? ???? ????? ????????, ??????? ???? ??????????? ??????, ???? ??????? ???????, ???? ?????????????? ? ?????????? ????????????? ????, ??? ??? ???????????? ???????????????? ? ?????????? ??? ????? ? ???? ???????? ????????? ? Ð?"?? [73]. ? ???????????? ???????? ?????? ?????????? ????? p-tau, ??????????? A? ? ??????? Ð?"?? [105]. ?????????, ??? ?????????? ?Ð?"Ð?" ??????????? ?????????? ??? ? ?????? Ð?"??, ? ?????????? ??? ??????? Ð?"??. ????? ????, ????????? A? ?????????? ?????? ???????, ??????? ?????????? ????????? ???????? ? ????????? ? ????????? ?????????????? ?????????, ??????? ???????????-1? (IL-1?), IL-6 ? ?????? ??????? ??????? ? (TNF?). ?????? ? A?-????????????? ??? ??? ??????? ??????????? ??????????????, ?????????? ? ?????? Ð?"?? ? ?????????? ???? [89]. ?????????? ?????????? ????-???????? ? ?????? ??????? ??????????? ????? ?????????? ????????? ???????????????? ?????? ? ???????? ?????????????? ????????? ? ?????????? ????? ????? ??????????? ???????????. V. ?????????? ????? ???????, ?????? ???????, ? ??? ????? ????????? ????????? ??????, ???????????????? ??????????, ????????????? ?????? ? ??????? ? ???????? ??????, ????????? ??????? ???????? Ð?"?? ? 89. ????????, ?.?. ?????????????? ????? ?????????????? ?????? ??? ????????????????? ???????? / ???????? ?.?., ???????? ?.?., ???? ?. // ??????????? ?????????????. -2008. -?3. -?. 82-83. 116-121. 95. ??????, ?.?. ????????????? ?????? ??????????????? ????????? ? ?????????? ??????? ????????? ??????? ?????????????; Year 2023 ????????? ?? ????. -2014. -?34(3). -?. 6-12. Financial Disclosure: No author has a financial or property interest in any material mentioned. There is no conflict of interests. ???????????????? 101. ?????????, ?.?. ???????-??????????????? ??????????? ??????????? ???? ??? ???????? ? ??? ??????? ???????????: ??????????? ???. ... ????????? ??????????? ????: 14.01.07 / Medical Research Volume XXIII Issue VIII Version I ( 90. ?. 116-121. -doi: 10.32364/2311-7729-2022-22-2-D D D D ) | |||||
Global Journal of Global Journal of | ??????????? ??????????? ?????. ????????? ????????? ?? ?????? ????? ?????? ???????? ????, ?? ? ??????????? ???????? ? ??? ??????????? ???????????? ??????, ??????????? ????????? ???????? ? ???????? ??????????? ??????????? ??? ??????. ?????? ??????????????? ?????????? ???????? ??? ????????? ???????? ? ??????? ??????????? / | Global Journal of | ||||
???????????????? ??? ???????? ????????? ???????? | ||||||
?????????? ? ?????? ??????????????? ???????? ?? | ||||||
????????????? ?????. ?????? ????????? ??????? | ||||||
?????????? ????????? ?????? ???????? ??????? | ||||||
???????? ????????????? ?????????? ????????????? | ||||||
??????????? ????????. ?????? ??????????? ???????? | ||||||
??????? ?????? ?????? ??????? ? ??????????????? ???? | ||||||
? ????????????? ??????????? ????????????. | ||||||
??????????????? ???????? ????? ?? ???????? | ||||||
???????? | ????????????? | ? | ???????????????? | |||
© 2023 Global Journ als © 2023 Global Journ als |
F © 2023 Global Journ als Glaucoma as a Neurodegenerative Disease
Neuroinflammation as a target for glaucoma therapy. 10.4103/1673-5374.245465. Neural Regen Res 2019. 14 (3) p. .
Neurodegeneration and Neuroprotection in Glaucoma. Yale J Biol Med 2016. 89 (1) p. .
Advanced morphological and functional magnetic resonance techniques in glaucoma / Mastropasqua R. 10.1155/2015/160454. Biomed Res Int 2015:160454. (et al.)
Association between mitochondrial DNA damage and ocular blood flow in patients with glaucoma / Inoue-Yanagimachi M. 10.1136/bjophthalmol-2018-312356. British Journal of Ophthalmology 2019. 103 (8) p. .
Changes in gene expression in experimental glaucoma and optic nerve transection: the equilibrium between protective and detrimental mechanisms / Yang Z. 10.1167/iovs.07-0542. Invest Ophthalmol Vis Sci (et al.)
Coenzyme Q10 inhibits glutamate excitotoxicity and oxidative stress-mediated mitochondrial alteration in a mouse model of glaucoma/ Lee D. 10.1167/iovs.13-12564. Invest Ophthalmol Vis Sci 2014. 55 (2) p. .
Disruption of brain network organization in primary open angle glaucoma / Minosse S. Annu Int Conf IEEE Eng Med Biol Soc 2019. -V. 2019. p. .
Mitochondrial morphological changes of trabecular area cells in patients with primary open-angle glaucoma. Clinical ophthalmology 2016. 3 p. . (RMJ)
Elevated hydrostatic pressure triggers mitochondrial fis-sion and decreases cellular ATP in differentiated RGC-5 cells/ Ju W. 48. -P. 2145-2151. Invest Ophthalmol & Visual Science 2007. (et al.)
Microglia antioxidant systems and redox signaling. Br J Pharmacol 2017. 174 (12) .
Advanced MR imaging of the visual pathway. Neuroimaging Clin N Am 2015. 25 (3) p. .
Focus on mito chondria in relation to pathogenesis and neuroprotection/ Osborne N. Eur J Pharmacol 2016. 15 p. . (et al.)
Glaucomatous optic neuropathy evaluation project: a standardized internet system for assessing skills in optic disc examination. 39. -P. 308- 317. Clin Experiment Ophthalmol Y X Kong (ed.) 2011. (et al.)
Oxidative stress in glaucomatous neurodegeneration: mechanisms and conseguences / Tezel G. 10.1016/j.preteyeres.2006.07.003. Prog Retin Eye Res 2006.
Physiology of microglia. 10.1152/physrev.00011.2010. Physiol Rev 2011. 91 (2) p. .
Analyses of mitochondrial respiratory chain function and mitochondrial DNA deletion in human skeletal muscle: Effect of ageing. 10.1016/0022-510X. J Neurol Sci (92) p. 90270.
Retinal thickness in Alzheimer's disease: A systematic review and meta-analysis / Den. Alzheimers Dement (Amst) 2017. p. .
Mitochondrial abnormalities in patients with primary open-angle glaucoma / Abu. 10.1167/iovs.05-1639. Investigative Opthalmology & Visual Science. -2006, 47 p. 2533.
Dysfunction of axonal transport in normal-tension glaucoma: a biomarker of disease progression and a potential therapeutic target. 10.4103/1673-5374.293145. Neural Regen Res. -2021, 16 p. .
Mitochondrial DNA variation and disease susceptibility in primary open-angle glaucoma. 10.1167/iovs.13-1296847. 10.1167/iovs.18-25085. / Investigative Opthalmology & Visual Science. -2018. -V, 59 p. 4598. (et al.)
Mitochondrial genome analysis of primary open angle glaucoma patients / Banerjee D. 10.1371/journal.pone.0070760. PLoS ONE 2013. 8 (8) . (et al.)
Mitochondrial respiratory chain activity in the human brain as a function of age / Ojaimi J. 10.1016/S0047-6374(99)00071-8. Mech Ageing Dev 1999. 111 (1) p. . (et al.)
Advanced MRI of the optic nerve. J Neuroophthalmol 2017. 37 (2) p. .
The optic nerve head in glaucoma: role of astrocytes in tissue remodeling / Hernandez M. 10.1016/s1350-9462(99)00017-8. Prog Retin Eye Res 2000. 19 (3) p. .
Degenerative and apoptotic events at retinal and optic nerve level after experimental induction of ocular hypertension / Calandrella N. 10.1007/s11010-006-9407-0. Mol Cell Biochem 2007. Scarsella G., Pescosolido N., Risuleo G. 301 (1-2) p. .
Ocular indicators of Alzheimer's: Exploring disease in the retin?. 10.1007/s00401-016-1613-6. Acta Neuropathol
One protein, multiple pathologies: multifaceted involvement of amyloid ? in neurodegenerative disorders of the brain and retina / Gupta V. 10.1007/s00018-016-2295-x. Cell Mol Life Sci 2016. 73 (22) p. .
Protective effect of mitochondria-targeted peptide MTP-131 against oxidative stress-induced apoptosis in RGC-5 cells / Chen M. 10.3892/mmr.2017.6271. Mol Med Rep 2017. 15 (4) p. .
Retinal changes in Alzheimer's disease-integrated prospects of imaging, functional and molecular advances/ Gupta V. 10.1016/j.preteyeres.2020.100899. Progress in Retinal and Eye Research 2021 p. 82.
Role of structural, metabolic, and functional MRI in monitoring visual system impairment and recovery / Sims. J Magn Reson Imaging 2021. 54 (6) p. . (J.R.)
The clinical maze of mitochondrial neurology. Nature Reviews Neurology 2013. 9 (8) p. .
Glaucomatous outflow pathway and oxida-tive stress. 10.1016/j.exer.2006.10.008. Exp Eye Res. -2007, 84 p. .
Biomarkers in Alzheimer's diseaserecent update. Current Alzheimer research 2017. p. .
Structural analysis of glaucoma brain and its association with ocular parameters / Gracitelli C. Journal of Glaucoma 2020. 29. (P.B.. Iss)
Structural and functional rescue of chronic metabolically stressed optic nerves through respiration / Harun-Or-Rashid M. The Journal of Neuroscience 2018. 38 (22) p. .
The association of mitochondrial DNA haplogroups with POAG in African Americans / Gudiseva H. 10.1016/j.exer.2019.01.015. Exp Eye Res 2019.
The distributions of mitochondria and sodium channels reflect the specific energy requirements and conduction properties of the human optic nerve head. Br J Ophthalmol M J Barron (ed.) 2004. (et al.)
TIMP1, and IL-1 Pasa risk factor for the elevated IOP and optic nerve head damage in the primary openangle glaucoma patients / MarkiewiczL. 10.1155/2015/812503. Biomed Res Int 2015. 9 p. 812503. (MMP)
Editorial: Glaucoma and brain: Impact of neurodegeneration on visual abilities and related biomarkers. 10.3389/fnagi.2022.919775. Aging Neurosci
Oxidative stress and mitochondrial dysfunction in glaucoma. Curr Opin Pharmacol 2013. 13 (1) p. .
Visual features in Alzheimer's disease: From basic mechanisms to clinical overview / Cerquera-Jaramillo M. 10.1155/2018/2941783. Neural Plast 2018:2941783. (et al.)
Whole-mitochondrial genome sequencing in primary open-angle glaucoma using massively parallel sequencing identifies novel and known pathogenic variants / Sundaresan P. 10.1038/gim.2014.121. Genetics in Medicine 2014. 17 (4) p. . (et al.)
Role of mitochondria in the pathogenesis and treatment of glaucoma. Chin Med J (Engl) 2013. 126 (22) p. .
Glaucoma as a Neurodegenerative Disease