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Tissue-Specific Antioxidant Capacity in Primary Open-Angle Glaucoma Patients.
Ying Liu1, Carla J Siegfried1, Hongli Wu2,3
1Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, United States.
Investigative Ophthalmology & Visual Science
|March 27, 2026
Summary
Antioxidant levels in aqueous humor showed minor race differences, but trabecular meshwork and lens epithelium gene expression differed significantly in Black patients with glaucoma and cataract.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Cell Biology
Background:
- Primary open-angle glaucoma (POAG) and cataract are leading causes of vision loss.
- Understanding the role of antioxidants in ocular tissues is crucial for disease management.
- Previous studies have not fully elucidated race-associated differences in antioxidant capacity within specific ocular compartments.
Purpose of the Study:
- To evaluate antioxidant capacity in aqueous humor (AH), trabecular meshwork (TM), and lens epithelium (LE) in patients with POAG and cataract.
- To assess potential associations between antioxidant levels, race, and disease severity.
- To investigate race-specific gene expression patterns of key antioxidant markers in TM and LE.
Main Methods:
- Prospective cross-sectional study of surgical cohorts undergoing cataract and glaucoma surgery.
- Measurement of total reactive antioxidant potential and ascorbic acid in AH.
- Quantitative PCR (qPCR) analysis of NRF2, CAT, and SOD2 gene expression in paired TM and LE tissues.
- Statistical analysis including Welch's t tests, Mann-Whitney tests, and two-way ANOVA with Šídák correction for race and severity stratification.
Main Results:
- Aqueous humor antioxidant measures revealed limited race-associated differences after accounting for disease severity.
- In Black patients, nuclear factor erythroid 2-related factor 2 (NRF2) and catalase (CAT) gene expression was significantly lower in TM compared to LE.
- No such paired tissue differences were observed in White patients, indicating race-specific expression patterns for NRF2 and CAT in TM/LE.
Conclusions:
- Ocular tissue antioxidant profiles exhibit significant race- and compartment-specific differences, particularly in Black patients.
- These findings highlight the need for further investigation into the role of antioxidants in glaucoma pathogenesis across different racial groups.
- Validation in larger prospective cohorts is recommended to confirm these compartment-specific antioxidant signatures.
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