Cited by 130Glaucoma and retinal disordersNeuroinflammation and Neurodegeneration MechanismsRetinal Diseases and Treatments

The DOI matches its Crossref record; 103 of the 104 references it cites were found in a registry or an index.

Apolipoprotein E4 impairs the response of neurodegenerative retinal microglia and prevents neuronal loss in glaucoma

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Abstract

The apolipoprotein E4 (APOE4) allele is associated with an increased risk of Alzheimer disease and a decreased risk of glaucoma, but the underlying mechanisms remain poorly understood. Here, we found that in two mouse glaucoma models, microglia transitioned to a neurodegenerative phenotype characterized by upregulation of Apoe and Lgals3 (Galectin-3), which were also upregulated in human glaucomatous retinas. Mice with targeted deletion of Apoe in microglia or carrying the human APOE4 allele were protected from retinal ganglion cell (RGC) loss, despite elevated intraocular pressure (IOP). Similarly to Apoe-/- retinal microglia, APOE4-expressing microglia did not upregulate neurodegeneration-associated genes, including Lgals3, following IOP elevation. Genetic and pharmacologic targeting of Galectin-3 ameliorated RGC degeneration, and Galectin-3 expression was attenuated in human APOE4 glaucoma samples. These results demonstrate that impaired activation of APOE4 microglia is protective in glaucoma and that the APOE-Galectin-3 signaling can be targeted to treat this blinding disease.

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Crossref · 10.1016/j.immuni.2022.07.014

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Metadata

Authors
Margeta, M. A., Yin, Z., Madore, C., Pitts, K. M., Letcher, S. M., Tang, J., Jiang, S., Gauthier, C. D., Silveira, S. R., Schroeder, C. M., Lad, E. M., Proia, A. D., Tanzi, R. E., Holtzman, D. M., Krasemann, S., Chen, D. F., & Butovsky, O.
Affiliations
  • Brigham and Women's Hospital (US)
  • Massachusetts Eye and Ear Infirmary (US)
  • Duke Medical Center (US)
  • Campbell University (US)
  • Harvard University (US)
  • Washington University in St. Louis (US)
  • University Medical Center Hamburg-Eppendorf (DE)
Corresponding author
Butovsky, Oleg
Venue
Immunity
Publisher
Elsevier BV
Published
2022-09
Volume
55
Issue
9
Pages
1627-1644.e7
ISSN
1074-7613 (ISSN-L)
OpenAlex
W4292055662
Cited by
130
References
104
Citations by year
2026: 33 · 2025: 32 · 2024: 27 · 2023: 31 · 2022: 6
FWCI
21.48
Type
journal article
Language
en
Open access
Locations
  • Immunity (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • HAL (submittedVersion)
  • Oskar-Bordeaux (Universite de Bordeaux) (submittedVersion)
Funders
  • BrightFocus Foundation (2020A016806)
  • National Multiple Sclerosis Society (5092A1)
  • National Institute of Neurological Disorders and Stroke (R01 NS088137)
  • National Institute on Aging (R01 AG054672, R01 AG051812)
  • American Glaucoma Society
  • ALS Association (EY025913, EY025259)
  • Cure Alzheimer's Fund
  • NIH
  • National Eye Institute (K08 EY030160, R01 EY027921, K12 EY016335)
  • Research to Prevent Blindness
  • National Health and Medical Research Council (RG180378)
Topics
  • Health Sciences › Medicine › Ophthalmology › Glaucoma and retinal disorders
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
Keywords
APOE ε4, glaucoma, retinal microglia, neurodegeneration, retinal ganglion cell death, galectin-3, intraocular pressure, microglial activation, neuroprotection, ApoE-deficient mice, glaucoma treatment
MeSH terms
Animals, Apolipoproteins E, Disease Models, Animal, Glaucoma, Humans, Microglia, Galectin 3, Mice, Apolipoprotein E4

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