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Publication : CD4<sup>+</sup> T-Cell Responses Mediate Progressive Neurodegeneration in Experimental Ischemic Retinopathy.

First Author  Khanh Vu TH Year  2020
Journal  Am J Pathol Volume  190
Issue  8 Pages  1723-1734
PubMed ID  32389572 Mgi Jnum  J:293953
Mgi Id  MGI:6452533 Doi  10.1016/j.ajpath.2020.04.011
Citation  Khanh Vu TH, et al. (2020) CD4(+) T-Cell Responses Mediate Progressive Neurodegeneration in Experimental Ischemic Retinopathy. Am J Pathol 190(8):1723-1734
abstractText  Retinal ischemic events, which result from occlusion of the ocular vasculature share similar causes as those for central nervous system stroke and are among the most common cause of acute and irreversible vision loss in elderly patients. Currently, there is no established treatment, and the condition often leaves patients with seriously impaired vision or blindness. The immune system, particularly T-cell-mediated responses, is thought to be intricately involved, but the exact roles remain elusive. We found that acute ischemia-reperfusion injury to the retina induced a prolonged phase of retinal ganglion cell loss that continued to progress during 8 weeks after the procedure. This phase was accompanied by microglial activation and CD4(+) T-cell infiltration into the retina. Adoptive transfer of CD4(+) T cells isolated from diseased mice exacerbated retinal ganglion cell loss in mice with retinal reperfusion damage. On the other hand, T-cell deficiency or administration of T-cell or interferon-gamma-neutralizing antibody attenuated retinal ganglion cell degeneration and retinal function loss after injury. These findings demonstrate a crucial role for T-cell-mediated responses in the pathogenesis of neural ischemia. These findings point to novel therapeutic targets of limiting or preventing neuron and function loss for currently untreatable conditions of optic neuropathy and/or central nervous system ischemic stroke.
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