Mechanisms Contributing to Inhibition of Retinal Ganglion Cell Apoptosis by AMPK in Experimental Glaucoma

Zhaolin Gao1,2,3,4, Haiyang Yu2,5, Tianqi Duan2,5

  • 1Eye Center of Xiangya Hospital, Central South University, Changsha, Hunan, China.

Insights

Activating AMP-activated protein kinase (AMPK) protects against glaucoma by reducing retinal ganglion cell apoptosis. This suggests AMPK is a promising therapeutic target for treating glaucoma.

Area of Science:

  • Ophthalmology
  • Neuroscience
  • Cell Biology

Background:

  • AMP-activated protein kinase (AMPK) regulates energy metabolism and is a potential therapeutic target for neurodegenerative diseases.
  • The role of AMPK in glaucoma, a leading cause of irreversible blindness, is not well understood.

Purpose of the Study:

  • To investigate the effects of AMPK activation and inhibition on retinal ganglion cell (RGC) apoptosis in experimental glaucoma models.
  • To explore the potential of AMPK as a therapeutic target for glaucoma treatment.

Main Methods:

  • Established oxygen-glucose deprivation/recovery (OGD/R) and retinal ischemia-reperfusion (I/R) injury models to simulate glaucomatous injury.
  • Utilized H-E staining, TUNEL staining, and immunofluorescence to assess RGC apoptosis and retinal damage.
  • Administered AMPK activators and inhibitors (Compound C) to evaluate their effects on cellular pathways and RGC survival.

Main Results:

  • OGD/R and I/R models induced significant RGC apoptosis, thinner retinas, and RGC loss.
  • Experimental glaucoma models showed increased phosphorylated-AMPK (p-AMPK) and phosphorylated-mTOR (p-mTOR) levels.
  • AMPK activation inhibited mTOR signaling, reduced pro-apoptotic proteins (Bax, cleaved-caspase 3), increased anti-apoptotic protein (Bcl-2), and protected RGCs from apoptosis.
  • AMPK inhibition exacerbated RGC apoptosis and increased p-mTOR levels.

Conclusions:

  • AMPK activation attenuates RGC apoptosis in glaucoma models, primarily through the inhibition of mTOR signaling.
  • AMPK represents a novel and promising therapeutic target for glaucoma treatment, offering neuroprotection to RGCs.