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Updated: Aug 4, 2025

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Microbiome and Inherited Retinal Degenerations
Vivian P Douglas1, Konstantinos A A Douglas2, Alessandro Iannaccone3
1Department of Ophthalmology, Athens Naval Hospital, Athens, Greece.
Investigating the gut microbiome
Area of Science:
- Ophthalmology
- Microbiology
- Genetics
Background:
- Inherited retinal degenerations (IRDs) are progressive, genetically diverse eye diseases causing irreversible vision loss.
- While IRD genetics are increasingly understood, exact pathogenic mechanisms remain unclear.
- Gut microbiome alterations are implicated in various ocular and systemic diseases, including autoimmune conditions.
Purpose of the Study:
- To review the current understanding of the gut microbiome's role in inherited retinal degenerations.
- To explore the association between gut microbiome changes and IRD pathogenesis.
- To examine the contribution of the gut microbiome to the inflammatory aspects of IRDs.
Main Methods:
- Literature review of studies on gut microbiome and inherited retinal degenerations.
- Analysis of evidence linking gut dysbiosis to ocular inflammation and autoimmune processes.
- Synthesis of current knowledge on the pathophysiology of IRDs.
Main Results:
- The gut microbiome influences susceptibility to autoimmune eye diseases like experimental autoimmune uveitis.
- Evidence suggests inflammatory and autoimmune components are involved in IRD pathogenesis.
- Gut microbiome alterations may contribute to the inflammatory underpinnings of IRDs.
Conclusions:
- The gut microbiome is a potential factor in the development and progression of inherited retinal degenerations.
- Further research into the gut-retina axis may reveal novel therapeutic targets for IRDs.
- Understanding the gut microbiome's influence is crucial for unraveling IRD pathophysiology.
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