Zhao Yuan, Shen Ye
Department of Ophthalmology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Cell Mol Neurobiol. 2020 Nov;40(8):1243-1252. doi: 10.1007/s10571-020-00819-0. Epub 2020 Feb 27.
While light is the basic element for inducing vision and modulating circadian rhythms, excessive light has been reported to have a negative effect on the survival of various types of retinal cells. Among them photoreceptors and retinal pigment epithelial (RPE) cells degeneration after light exposure is widely observed, but light-induced retinal ganglion cell (RGC) damage achieves relatively little attention. The purpose of this article is to summarize the experimental evidence for the possible negative effects of excessive light on RGCs. By searching the database, twenty-six related articles have been included. Taken together, excessive light may insult RGCs through the three main ways: (i) directly action on RGC mitochondria, as well as DNA, resulting in an upregulation of reactive oxygen species (ROS) and subsequently caspase-dependent or -independent cell death; (ii) mediation in gliotransmitters or relevant receptors of retinal glial cells; and (iii) a secondary event to photoreceptors and RPE cells degeneration and subsequent retinal remodeling. So RGCs can certainly be injured by excessive light, especially when they are already energetically compromised in some diseases. And more attentions should be paid to this topic to take timely measures to protect these frail RGCs from being damaged by excessive light.
虽然光是诱导视觉和调节昼夜节律的基本要素,但据报道,过多的光对各类视网膜细胞的存活具有负面影响。其中,光暴露后光感受器和视网膜色素上皮(RPE)细胞的退化现象广泛存在,而光诱导的视网膜神经节细胞(RGC)损伤相对较少受到关注。本文旨在总结过多的光对RGC可能产生负面影响的实验证据。通过检索数据库,共纳入了26篇相关文章。综合来看,过多的光可能通过三种主要方式损害RGC:(i)直接作用于RGC线粒体以及DNA,导致活性氧(ROS)上调,随后引发半胱天冬酶依赖性或非依赖性细胞死亡;(ii)通过视网膜神经胶质细胞的神经递质或相关受体进行介导;(iii)作为光感受器和RPE细胞退化及随后视网膜重塑的继发事件。因此,RGC肯定会受到过多光线的损伤,尤其是当它们在某些疾病中已经处于能量受损状态时。对于这个问题应给予更多关注,以便及时采取措施保护这些脆弱的RGC免受过多光线的损害。