Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.
Int J Mol Sci. 2023 Feb 3;24(3):2985. doi: 10.3390/ijms24032985.
Glaucoma can cause irreversible vision loss and is the second leading cause of blindness worldwide. The disease mechanism is complex and various factors have been implicated in its pathogenesis, including ischemia, excessive oxidative stress, neurotropic factor deprivation, and neuron excitotoxicity. Erythropoietin (EPO) is a hormone that induces erythropoiesis in response to hypoxia. However, studies have shown that EPO also has neuroprotective effects and may be useful for rescuing apoptotic retinal ganglion cells in glaucoma. This article explores the relationship between EPO and glaucoma and summarizes preclinical experiments that have used EPO to treat glaucoma, with an aim to provide a different perspective from the current view that glaucoma is incurable.
青光眼可导致不可逆的视力丧失,是全球第二大致盲原因。其发病机制复杂,多种因素参与其发病过程,包括缺血、过度氧化应激、神经营养因子剥夺和神经元兴奋毒性。促红细胞生成素(erythropoietin,EPO)是一种在缺氧时诱导红细胞生成的激素。然而,研究表明 EPO 还具有神经保护作用,可能对挽救青光眼的凋亡视网膜神经节细胞有用。本文探讨了 EPO 与青光眼的关系,并总结了使用 EPO 治疗青光眼的临床前实验,旨在为目前认为青光眼不可治愈的观点提供一个不同的视角。