Systemic Treatment with Nicotinamide Riboside Is Protective in Two Mouse Models of Retinal Ganglion Cell Damage

Xian Zhang1,2,3, Nan Zhang1,2,3, Micah A Chrenek3

  • 1Atlanta VA Center for Visual and Neurocognitive Rehabilitation, Decatur, GA 30033, USA.

Pharmaceutics
|July 2, 2021
PubMed

Insights

Nicotinamide riboside (NR), a NAD+ precursor, protected retinal ganglion cells (RGCs) from damage in glaucoma models. This systemic treatment offers a potential neuroprotective strategy for glaucoma patients.

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Cell Biology

Background:

  • Glaucoma involves retinal ganglion cell (RGC) death, often linked to elevated intraocular pressure (IOP).
  • Disease progression can occur despite controlled IOP, necessitating IOP-independent neuroprotective strategies.
  • Impaired nicotinamide adenine dinucleotide (NAD+) metabolism is implicated in neurodegenerative conditions like glaucoma.

Purpose of the Study:

  • To investigate the neuroprotective effects of systemically administered nicotinamide riboside (NR), a NAD+ precursor.
  • To evaluate NR's efficacy in both acute and chronic mouse models of RGC damage.

Main Methods:

  • Testing NR in optic nerve crush (ONC) and microbead-induced ocular hypertension mouse models.
  • Assessing RGC survival via Brn3a+ immunostaining in retinal flatmounts.
  • Evaluating RGC function using pattern electroretinogram and retinal inflammation via GFAP staining.

Main Results:

  • Systemic NR treatment significantly enhanced RGC survival in both acute (ONC) and chronic (ocular hypertension) models.
  • NR treatment preserved RGC function and suppressed retinal inflammation in the ONC model.
  • NR demonstrated significant neuroprotective effects in established models of RGC damage.

Conclusions:

  • Systemic NR administration provides significant neuroprotection against RGC damage in acute and chronic glaucoma models.
  • NR's high bioavailability and tolerability in humans support its potential for clinical application in glaucoma.
  • NR represents a promising therapeutic avenue for protecting RGCs in an IOP-independent manner.

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