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Sirt6 可保护视网膜神经节细胞和视神经免受衰老和青光眼引起的变性。

Sirt6 protects retinal ganglion cells and optic nerve from degeneration during aging and glaucoma.

机构信息

Department of Ophthalmology and Visual Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA.

Advanced Technology Cores, Department of Molecular and Cellular Biology, Department of Education, Innovation and Technology, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, TX 77030, USA.

出版信息

Mol Ther. 2024 Jun 5;32(6):1760-1778. doi: 10.1016/j.ymthe.2024.04.030. Epub 2024 Apr 24.

Abstract

Glaucoma is characterized by the progressive degeneration of retinal ganglion cells (RGCs) and their axons, and its risk increases with aging. Yet comprehensive insights into the complex mechanisms are largely unknown. Here, we found that anti-aging molecule Sirt6 was highly expressed in RGCs. Deleting Sirt6 globally or specifically in RGCs led to progressive RGC loss and optic nerve degeneration during aging, despite normal intraocular pressure (IOP), resembling a phenotype of normal-tension glaucoma. These detrimental effects were potentially mediated by accelerated RGC senescence through Caveolin-1 upregulation and by the induction of mitochondrial dysfunction. In mouse models of high-tension glaucoma, Sirt6 level was decreased after IOP elevation. Genetic overexpression of Sirt6 globally or specifically in RGCs significantly attenuated high tension-induced degeneration of RGCs and their axons, whereas partial or RGC-specific Sirt6 deletion accelerated RGC loss. Importantly, therapeutically targeting Sirt6 with pharmacological activator or AAV2-mediated gene delivery ameliorated high IOP-induced RGC degeneration. Together, our studies reveal a critical role of Sirt6 in preventing RGC and optic nerve degeneration during aging and glaucoma, setting the stage for further exploration of Sirt6 activation as a potential therapy for glaucoma.

摘要

青光眼的特征是视网膜神经节细胞(RGCs)及其轴突的进行性退化,其风险随着年龄的增长而增加。然而,对其复杂机制的全面了解在很大程度上仍是未知的。在这里,我们发现抗衰老分子 Sirt6 在 RGCs 中高度表达。Sirt6 全局或特异性敲除会导致衰老过程中 RGC 逐渐丢失和视神经变性,尽管眼内压(IOP)正常,类似于正常眼压性青光眼的表型。这些不利影响可能是通过 Caveolin-1 上调加速 RGC 衰老以及诱导线粒体功能障碍来介导的。在高眼压性青光眼的小鼠模型中,IOP 升高后 Sirt6 水平降低。Sirt6 在全局或特异性 RGC 中的遗传过表达显著减轻了高张力诱导的 RGC 和其轴突变性,而部分或 RGC 特异性 Sirt6 缺失则加速了 RGC 的丢失。重要的是,用药理学激活剂或 AAV2 介导的基因传递来靶向 Sirt6 的治疗方法改善了高 IOP 诱导的 RGC 变性。总之,我们的研究揭示了 Sirt6 在预防衰老和青光眼过程中 RGC 和视神经变性中的关键作用,为进一步探索 Sirt6 激活作为青光眼潜在治疗方法奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f13/11184404/9a70ecb9d8e7/fx1.jpg

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