It is demonstrated that rhNGF ameliorates visual acuity loss, preserves retinal thickness, sustains RGC survival, and reduces oxidative stress and neuroinflammation both in early-stage and fully developed disease.
Abstract
Glaucoma is a neurodegenerative condition characterised by the progressive loss of retinal ganglion cells (RGCs) and irreversible vision impairment and one of the leading causes of blindness worldwide. Current treatments primarily focus on reducing intraocular pressure (IOP), yet many patients continue to experience disease progression. Neurotrophin-based therapies, such as recombinant human nerve growth factor (rhNGF), offer a promising candidate alternative by directly targeting neuronal survival mechanisms. In this study, we evaluated the neuroprotective efficacy of a single intravitreal administration of rhNGF in a well-established genetic murine model of spontaneous pigmentary glaucoma, assessing its effects on visual function, retinal morphology, metabolism, oxidative stress, and inflammation. Our results demonstrate that rhNGF ameliorates visual acuity loss, preserves retinal thickness, sustains RGC survival, and reduces oxidative stress and neuroinflammation both in early-stage and fully developed disease. Notably, these protective effects persisted for several weeks after a single intravitreal administration. Collectively, our findings support rhNGF as a multifaceted neuroprotective approach to hamper glaucomatous damage.
Normal-tension glaucoma (NTG) is a distinct form of glaucomatous optic neuropathy characterized by progressive retinal ganglion cell (RGC) degeneration and visual field loss despite intraocular pressure (IOP) remaining within the statistically normal range. Although IOP reduction remains the only established disease-...
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Glaucoma is a chronic neurodegenerative disease characterized by the deterioration of the optic nerve and the progressive loss of retinal ganglion cells (RGCs), making it a leading cause of irreversible blindness worldwide. This neurodegenerative process is characterized by the apoptotic death of neurons whose axons co...
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Glaucoma is a complex optic neuropathy and the leading cause of permanent blindness worldwide. Elevated intraocular pressure (IOP) is the major modifiable risk factor for this disease. Growing evidence suggests that oxidative stress and reactive oxygen species (ROS) are key mediators of retinal ganglion cell (RGC) deat...
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