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[The role of metalloproteinases in the development of primary open-angle glaucoma]
D I Svinareva1, M I Churnosov1
1Belgorod State National Research University, Belgorod, Russia.
Abstract:
The article reviews literature on the role of matrix metalloproteinases (MMP) in the development of eye pathologies, specifically primary open-angle glaucoma (POAG). Regulation of the extracellular matrix is carried out by proteolytic enzymes - metalloproteinases in particular - as well as specific inhibitors of their activity (tissue metalloproteinases inhibitors). The review also reveals its involvement in the pathogenesis of various types of glaucoma, decrease in stability of the intraocular liquid outflow, proves the role of MMR in the ganglionic apoptosis, remodeling of the optic disk and change of lamina cribrosa in primary open-angle glaucoma. There is research devoted to studying the interrelations of MMP genes with POAG development. Associations of single nucleotide polymorphic loci of MMP-1, MMP-2, MMP-9 genes with POAG are shown.
Insights
Matrix metalloproteinases (MMP) play a key role in primary open-angle glaucoma (POAG) pathogenesis. MMP gene variations are linked to POAG development, affecting extracellular matrix regulation and optic nerve damage.
Area of Science:
- Ophthalmology
- Molecular Biology
- Genetics
Background:
- Extracellular matrix regulation is crucial for ocular health.
- Matrix metalloproteinases (MMP) are key enzymes involved in matrix remodeling.
- Dysregulation of MMPs is implicated in various eye pathologies.
Purpose of the Study:
- To review the role of MMPs in the pathogenesis of primary open-angle glaucoma (POAG).
- To explore the association between MMP gene polymorphisms and POAG.
- To understand MMP involvement in ocular tissue changes relevant to glaucoma.
Main Methods:
- Literature review of studies on MMPs and glaucoma.
- Analysis of research on MMPs in extracellular matrix regulation.
- Examination of genetic studies investigating MMP gene polymorphisms in POAG.
Main Results:
- MMPs are involved in the pathogenesis of various glaucoma types.
- MMPs contribute to decreased intraocular fluid outflow stability.
- MMPs play a role in ganglionic apoptosis, optic disc remodeling, and lamina cribrosa changes in POAG.
- Polymorphisms in MMP-1, MMP-2, and MMP-9 genes are associated with POAG.
Conclusions:
- Matrix metalloproteinases are significantly implicated in the development and progression of primary open-angle glaucoma.
- Genetic variations in MMP genes represent potential risk factors for POAG.
- Targeting MMP activity could offer therapeutic strategies for glaucoma management.
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