cris.boxmetadata.label.title
The glial cell modulator ibudilast attenuates neuroinflammation and enhances retinal ganglion cell viability in glaucoma through protein kinase A signaling
cris.boxmetadata.label.dateissued
01 browse.startsWith.months.september 2016
cris.boxmetadata.label.accesslevel
metadata only access
cris.boxmetadata.label.resourcetype
journal article
cris.boxmetadata.label.authors
Belforte N.
Di Polo A.
University of Montreal
cris.boxmetadata.label.publisher
Academic Press Inc.
cris.boxmetadata.label.abstract
Glaucoma is a neurodegenerative disease and the leading cause of irreversible blindness worldwide. Vision deficits in glaucoma result from the selective loss of retinal ganglion cells (RGC). Glial cell-mediated neuroinflammation has been proposed to contribute to disease pathophysiology, but whether this response is harmful or beneficial for RGC survival is not well understood. To test this, we characterized the role of ibudilast, a clinically approved cAMP phosphodiesterase (PDE) inhibitor with preferential affinity for PDE type 4 (PDE4). Here, we demonstrate that intraocular administration of ibudilast dampened macroglia and microglia reactivity in the retina and optic nerve hence decreasing production of proinflammatory cytokines in a rat model of ocular hypertension. Importantly, ibudilast promoted robust RGC soma survival, prevented axonal degeneration, and improved anterograde axonal transport in glaucomatous eyes without altering intraocular pressure. Intriguingly, ocular hypertension triggered upregulation of PDE4 subtype A in Müller glia, and ibudilast stimulated cAMP accumulation in these cells. Co-administration of ibudilast with Rp-cAMPS, a cell-permeable and non-hydrolysable cAMP analog that inhibits protein kinase A (PKA), completely blocked ibudilast-induced neuroprotection. Collectively, these data demonstrate that ibudilast, a safe and well-tolerated glial cell modulator, attenuates gliosis, decreases levels of proinflammatory mediators, and enhances neuronal viability in glaucoma through activation of the cAMP/PKA pathway. This study provides insight into PDE4 signaling as a potential target to counter the harmful effects associated with chronic gliosis and neuroinflammation in glaucoma.
cris.boxmetadata.label.citationstartpage
156
cris.boxmetadata.label.citationendpage
171
cris.boxmetadata.label.volume
93
cris.boxmetadata.label.language
English
cris.boxmetadata.label.ocdeknowledgeArea
Oftalmología Biología celular, Microbiología
cris.boxmetadata.label.doi
cris.boxmetadata.label.scopusidentifier
2-s2.0-84969627657
cris.boxmetadata.label.pubmedidentifier
cris.boxmetadata.label.source
Neurobiology of Disease
cris.boxmetadata.label.containerissn
09699961
cris.boxmetadata.label.sponsor
We thank Dr. Timothy Kennedy (McGill University) for helpful comments on the manuscript. This work was supported by a grant from the Canadian Institutes of Health Research ( CIHR-VIH-105439 ). N.B. is the recipient of a H. H. Jasper Postdoctoral Research Fellowship in Neurosciences from the Groupe de recherche sur le système nerveux central at the Université de Montreal, and a Postdoctoral Fellowship from the Fonds de recherche Québec-Santé (FRQS) A.D.P. is a Chercheur National of FRQS.
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