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Updated: May 17, 2026

Determination of Mitochondrial Respiration and Glycolysis in Ex Vivo Retinal Tissue Samples
Published on: August 4, 2021
Oxidative stress and mitochondrial dysfunction in glaucoma
Vicki Chrysostomou1, Fatemeh Rezania, Ian A Trounce
1Centre for Eye Research Australia, The University of Melbourne, Royal Victorian Eye and Ear Hospital, East Melbourne, VIC 3002, Australia.
Abstract:
Mitochondrial dysfunction increases reactive oxygen species (ROS) production and when this overwhelms the cellular antioxidant defences, oxidative stress ensues. Oxidative stress is recognized as a common pathologic pathway in many neurodegenerative diseases. Recent reports have also demonstrated oxidative stress in ocular tissues derived from experimental glaucoma models and clinical samples. There is also accumulating evidence pointing to mitochondrial dysfunction being present in some glaucoma patients. Thus oxidative stress from mitochondrial dysfunction may also play a causal role in glaucoma. The mechanisms by which oxidative stress may induce retinal ganglion cell loss in glaucoma are not fully understood but could include direct neurotoxic effects from ROS or indirect damage from oxidative stress-induced dysfunction of glial cells. This review will consider the evidence for the presence of oxidative stress in glaucoma; the mechanisms by which oxidative stress may contribute to disease pathogenesis; and also consider therapeutic approaches that target oxidative stress as a means of protecting against optic nerve degeneration.
Insights
Oxidative stress, driven by mitochondrial dysfunction, is increasingly linked to glaucoma pathogenesis. Targeting this oxidative stress may offer new therapeutic strategies for neuroprotection in glaucoma.
Area of Science:
- Ophthalmology
- Neuroscience
- Cell Biology
Background:
- Mitochondrial dysfunction elevates reactive oxygen species (ROS) production, leading to oxidative stress.
- Oxidative stress is a known factor in neurodegenerative diseases and has been observed in ocular tissues relevant to glaucoma.
- Evidence suggests mitochondrial dysfunction is present in some glaucoma patients, implicating it in disease development.
Purpose of the Study:
- To review the evidence for oxidative stress in glaucoma.
- To explore the mechanisms by which oxidative stress contributes to glaucoma pathogenesis, including retinal ganglion cell loss.
- To discuss therapeutic strategies targeting oxidative stress for optic nerve protection.
Main Methods:
- Literature review of studies investigating oxidative stress in glaucoma.
- Analysis of experimental models and clinical samples.
- Examination of cellular and molecular mechanisms of oxidative stress-induced damage.
Main Results:
- Oxidative stress is demonstrably present in glaucoma, linked to mitochondrial dysfunction.
- Potential mechanisms include direct ROS toxicity and indirect damage via glial cell dysfunction.
- Therapeutic interventions targeting oxidative stress show promise for neuroprotection.
Conclusions:
- Oxidative stress, stemming from mitochondrial dysfunction, is a significant factor in glaucoma.
- Understanding these mechanisms is crucial for developing effective treatments.
- Targeting oxidative stress represents a promising therapeutic avenue for glaucoma management.
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