[HTML][HTML] Targeting neuronal gap junctions in mouse retina offers neuroprotection in glaucoma

A Akopian, S Kumar, H Ramakrishnan… - The Journal of …, 2017 - Am Soc Clin Investig
A Akopian, S Kumar, H Ramakrishnan, K Roy, S Viswanathan, SA Bloomfield
The Journal of Clinical Investigation, 2017Am Soc Clin Investig
The progressive death of retinal ganglion cells and resulting visual deficits are hallmarks of
glaucoma, but the underlying mechanisms remain unclear. In many neurodegenerative
diseases, cell death induced by primary insult is followed by a wave of secondary loss. Gap
junctions (GJs), intercellular channels composed of subunit connexins, can play a major role
in secondary cell death by forming conduits through which toxic molecules from dying cells
pass to and injure coupled neighbors. Here we have shown that pharmacological blockade …
The progressive death of retinal ganglion cells and resulting visual deficits are hallmarks of glaucoma, but the underlying mechanisms remain unclear. In many neurodegenerative diseases, cell death induced by primary insult is followed by a wave of secondary loss. Gap junctions (GJs), intercellular channels composed of subunit connexins, can play a major role in secondary cell death by forming conduits through which toxic molecules from dying cells pass to and injure coupled neighbors. Here we have shown that pharmacological blockade of GJs or genetic ablation of connexin 36 (Cx36) subunits, which are highly expressed by retinal neurons, markedly reduced loss of neurons and optic nerve axons in a mouse model of glaucoma. Further, functional parameters that are negatively affected in glaucoma, including the electroretinogram, visual evoked potential, visual spatial acuity, and contrast sensitivity, were maintained at control levels when Cx36 was ablated. Neuronal GJs may thus represent potential therapeutic targets to prevent the progressive neurodegeneration and visual impairment associated with glaucoma.
The Journal of Clinical Investigation