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Cannabinoids as Multitarget Drugs for the Treatment of Autoimmunity in Glaucoma.

作者信息

Pk Lakshmi, Pawar Rajesh Singh, Katare Yogesh Kumar, Sudheesh M S

机构信息

Dept. of Pharmacognosy, Amrita School of Pharmacy, AIMS Health Sciences Campus, Amrita Vishwa Vidyapeetham, Ponekkara, Kochi - 682041, India.

Faculty of Pharmacy, Jagran Lakecity University, Bhopal 462044, India.

出版信息

ACS Pharmacol Transl Sci. 2025 Mar 26;8(4):932-950. doi: 10.1021/acsptsci.4c00583. eCollection 2025 Apr 11.


DOI:10.1021/acsptsci.4c00583
PMID:40242585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11997897/
Abstract

Diseases of multifactorial origin like neurodegenerative and autoimmune diseases require a multitargeted approach. The discovery of the role of autoimmunity in glaucoma and retinal ganglionic cell (RGC) death has led to a paradigm shift in our understanding of the etiopathology of glaucoma. Glaucoma can cause irreversible vision loss that affects up to an estimated 3% of the population over 40 years of age. The current pharmacotherapy primarily aims to manage only intraocular pressure (IOP), a modifiable risk factor in the glaucomatous neurodegeneration of RGCs. However, neurodegeneration continues to happen in normotensive patients (where the IOP is below a reference value), and the silent nature of the disease can cause significant visual impairment and take a massive toll on the healthcare system. Cannabinoids, although known to reduce IOP since the 1970s, have received renewed interest due to their neuroprotective, anti-inflammatory, and immunosuppressive effects on autoimmunity. Additionally, the role of the gut-retina axis and abnormal Wnt signaling in glaucoma makes cannabinoids even more relevant because of their action on multiple targets, all converging in the pathogenesis of glaucomatous neurodegeneration. Cannabinoids also cause epigenetic changes in immune cells associated with autoimmunity. In this Review, we are proposing the use of cannabinoids as a multitargeted approach for treating autoimmunity associated with glaucomatous neurodegeneration, especially for the silent nature of glaucomatous neurodegeneration in normotensive patients.

摘要

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本文引用的文献

[1]
Cannabis and cannabinoid-microbiome interactions in varied clinical contexts: A comprehensive systematic review.

Biomed Pharmacother. 2025-1

[2]
The gut-retina axis: Uncovering the role of autoimmunity in glaucoma development.

Heliyon. 2024-8-3

[3]
Enantiomeric Agonists of the Type 2 Cannabinoid Receptor Reduce Retinal Damage during Proliferative Vitreoretinopathy and Inhibit Hyperactive Microglia .

ACS Pharmacol Transl Sci. 2024-4-25

[4]
Fecal Microbiota Transplantation from Aged Mice Render Recipient Mice Resistant to MPTP-Induced Nigrostriatal Degeneration Via a Neurogenesis-Dependent but Inflammation-Independent Manner.

Neurotherapeutics. 2023-9

[5]
Gut-licensed β7 CD4 T cells contribute to progressive retinal ganglion cell damage in glaucoma.

Sci Transl Med. 2023-8-2

[6]
The Role of Gut Microbiota in Glaucoma Progression and Other Retinal Diseases.

Am J Pathol. 2023-11

[7]
Role of Gut Microbiota in Cannabinoid-Mediated Suppression of Inflammation.

Adv Drug Alcohol Res. 2022

[8]
The Gut Microbiome-Brain Crosstalk in Neurodegenerative Diseases.

Biomedicines. 2022-6-23

[9]
Genome-wide association meta-analysis of 88,250 individuals highlights pleiotropic mechanisms of five ocular diseases in UK Biobank.

EBioMedicine. 2022-8

[10]
Synthetic cannabinoids reduce the inflammatory activity of microglia and subsequently improve neuronal survival in vitro.

Brain Behav Immun. 2022-10

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