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Glaucom Degenerative Disease

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Glaucoma is a progressive optic neuropathy characterized by degeneration of retinal ganglion cells, cupping of the optic nerve heads and visual field defects often related to elevated intraocular pressure. Glaucoma affects 70 million people worldwide, and constitutes the second largest cause of bilateral blindness in the world [1]. Primary open angle glaucoma (POAG) is a multifactorial neurodegenerative disease. Both genetic and environmental factors are thought to contribute to the pathophysiology of the disease.
Glaucoma is a complex clinical trait and its inheritance has been shown to follow both Mendelian and non-Mendelian models [2]. At least eight loci of genes have been found to be associated with POAG, such as myocilin (MYOC), optineurin …show more content…

A C/A polymorphism at position −863 of the TNF-α promoter region has been reported to be associated with
Alzheimer disease [25,26]. There is evidence that the TNF-α protein may act to promote the development of β-amyloid deposits [27]. Similar evidence also indicates that there is β- amyloid build-up in retinal ganglion cells in rats with experimental glaucoma [28,29]. Tamura et al. [30] have shown a high frequency of POAG in patients with Alzheimer disease. In this regard, glaucoma may be viewed as a chronic neurodegenerative disease similar to Alzheimer disease, and a slow build up of β-amyloid in ganglion cells may eventually trigger cell death and optic nerve axon loss.
Recent studies have shown that ischemic or pressureloaded glial cells produce TNF-α, which results in oligodendrocytes death and the subsequent apoptosis of retinal ganglion cells [31]. Tezel et al. [21] found that TNF- α or TNF-α receptor-1 (TNF-R1) are raised in the retina of glaucomatous eyes compared with levels in normal eyes, suggesting that cell death mediated by TNF-α is a

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