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Publication : DAMPs Drive Fibroinflammatory Changes in the Glaucomatous ONH.

First Author  Geiduschek EK Year  2024
Journal  Invest Ophthalmol Vis Sci Volume  65
Issue  12 Pages  13
PubMed ID  39382882 Mgi Jnum  J:355462
Mgi Id  MGI:7748843 Doi  10.1167/iovs.65.12.13
Citation  Geiduschek EK, et al. (2024) DAMPs Drive Fibroinflammatory Changes in the Glaucomatous ONH. Invest Ophthalmol Vis Sci 65(12):13
abstractText  PURPOSE: The optic nerve head (ONH) is well known to be the initial site of glaucomatous damage; however, the molecular mechanisms initiating this pathology are not fully understood. To further understand the initiating factors in glaucomatous damage we utilized a novel mouse model of glaucoma, B6.EDA+/+ mice, which constitutively express fibronectin containing the extra domain A (FN+EDA). FN+EDA is a known damage-associated molecular pattern (DAMP) that activates Toll-like receptor 4 and elicits a fibro-inflammatory response. METHODS: Eyes from B6.EDA+/+ and C57BL/6J mice were evaluated for retinal ganglion cell (RGC) death, retinal nerve fiber layer (RNFL) thickness, and optic nerve (ON) damage at 12 months and 22 months of age. ONH sections were isolated using laser capture microdissection for subsequent RNA-sequencing and Gene Set Enrichment Analysis (GSEA). GSEA results were confirmed using immunohistochemical (IHC) staining. RESULTS: B6.EDA+/+ mice exhibit significantly higher intraocular pressure, loss of RGCs, thinning of the RNFL, and progressive levels of ON damage at 12 months and 22 months of age compared to C57BL/6J controls. Protein expression of DAMPs FN+EDA and biglycan was significantly increased in B6.EDA+/+ mice compared to C57BL/6J controls. GSEA analysis identified significantly up- and downregulated gene groupings at both 12 months and 22 months of age, and IHC staining at 12 and 18 months of age demonstrated significant increases of IFNalpha, IFNbeta, and pSTAT1 expression in B6.EDA+/+ mice compared to C57BL/6J controls. CONCLUSIONS: Our study characterizes glaucomatous changes to the retina, ON, and ONH over the course of 2 years and identifies novel molecular pathways associated with these pathophysiological changes. These data illustrate the effects of FN+EDA on the fibro-inflammatory response in the aging ONH in a novel mouse model of glaucoma.
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