Topical and systemic GLP-1R agonist administration both rescue retinal ganglion cells in hypertensive glaucoma

局部和全身 GLP-1R 激动剂给药均可挽救高血压性青光眼中的视网膜神经节细胞

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作者:Emily C N Lawrence, Michelle Guo, Turner D Schwartz, Jie Wu, Jingwen Lu, Sergei Nikonov, Jacob K Sterling, Qi N Cui

Abstract

Glaucomatous neurodegeneration, a blinding disease affecting millions worldwide, has a need for the exploration of new and effective therapies. Previously, the glucagon-like peptide-1 receptor (GLP-1R) agonist NLY01 was shown to reduce microglia/macrophage activation, rescuing retinal ganglion cells after IOP elevation in an animal model of glaucoma. GLP-1R agonist use is also associated with a reduced risk for glaucoma in patients with diabetes. In this study, we demonstrate that several commercially available GLP-1R agonists, administered either systemically or topically, hold protective potential in a mouse model of hypertensive glaucoma. Further, the resulting neuroprotection likely occurs through the same pathways previously shown for NLY01. This work contributes to a growing body of evidence suggesting that GLP-1R agonists represent a viable therapeutic option for glaucoma.

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