Chan Hiu-Chi, Chang Raymond Chuen-Chung, Koon-Ching Ip Angel, Chiu Kin, Yuen Wai-Hung, Zee Sze-Yong, So Kwok-Fai
Department of Anatomy, Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR.
Exp Neurol. 2007 Jan;203(1):269-73. doi: 10.1016/j.expneurol.2006.05.031. Epub 2006 Oct 11.
Glaucoma is one of the major neurological disorders in eye leading to irreversible blindness in elderly. Increase in intraocular pressure (IOP) has been considered to be the major risk factor for the progressive loss of retinal ganglion cells (RGCs) in retina. While attenuation of IOP has been a major pharmaceutical target, reduction of IOP cannot prevent progressive loss of RGCs. In this regard, urgent need for alternative treatment has to be investigated. Anti-aging medicinal herb Lycium barbarum L. has been used for centuries in Eastern World to protect the eyes and maintain good health. Using an ocular hypertension (OH) model in rat by laser photocoagulation of episcleral and limbal veins, we attempted to investigate whether L. barbarum can promote RGCs survival against elevated IOP. Oral administration of L. barbarum in Sprague-Dawley rats (250-280 g) significantly reduced the loss of RGCs, although elevated IOP was not significantly altered. Rats fed with the 1 mg/kg extract could nearly totally escape from pressure-induced loss of RGCs. In conclusion, this is the first in vivo report showing the therapeutic function of L. barbarum against neurodegeneration in the retina of rat OH model. The results demonstrate that this extract may be a potential candidate for the development of neuroprotective drug against the loss of RGCs in glaucoma.
青光眼是导致老年人不可逆失明的主要眼部神经疾病之一。眼内压(IOP)升高被认为是视网膜中视网膜神经节细胞(RGCs)逐渐丧失的主要危险因素。虽然降低眼内压一直是主要的药物治疗靶点,但降低眼内压并不能阻止RGCs的逐渐丧失。在这方面,迫切需要研究替代治疗方法。抗衰老药草枸杞在东方世界已被使用了几个世纪,用于保护眼睛和保持身体健康。通过激光光凝巩膜和角膜缘静脉建立大鼠高眼压(OH)模型,我们试图研究枸杞是否能促进RGCs在眼压升高时存活。对体重250 - 280克的Sprague-Dawley大鼠口服枸杞,虽然眼压升高没有明显改变,但显著减少了RGCs的损失。喂食1毫克/千克提取物的大鼠几乎完全避免了压力诱导的RGCs损失。总之,这是第一份在体内显示枸杞对大鼠OH模型视网膜神经退行性变具有治疗作用的报告。结果表明,这种提取物可能是开发抗青光眼RGCs损失的神经保护药物的潜在候选物。