Alzheimer's disease: cerebral glaucoma?
Abstract
In a 1994 Medical Hypotheses paper, it was speculated that high intracranial pressure (ICP) might increase the probability of developing Alzheimer's disease (AD). A study of cerebrospinal fluid pressure (CSFP) in normal volunteers showed interindividual variations in CSFP. Some normals had what would normally be considered elevated CSFP. The hypothesis postulated that this subgroup with a high characteristic individual ICP level might be more susceptible to developing AD. The Medical Hypotheses paper further speculated that in more advanced stages of AD, such pressure factor could already be missing due to the disease process. The present article discusses recent research findings regarding CSFP distribution in AD patients that could be interpreted as support for this hypothesis. Exposure of central nervous system tissue to high pressure stress is not unique to the ICP space. Indeed, a similar situation occurs in the intraocular pressure (IOP) space in eyes with glaucoma. Interestingly, recent research has revealed similarities in the process leading to retinal ganglion cell death in glaucoma and neuronal cell death in AD. In the present paper, we raise the question of whether AD could be a cerebral form of glaucoma. Indeed, the linking of glaucoma to mechanisms of AD could reflect the anatomical and functional similarities between the IOP space and the ICP space. Further studies are warranted, however, especially to determine the possible role of high ICP in at least some cases of AD.
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AD has a multifactorial origin and seems to result from a complex interaction of multiple environmental and genetic factors.
“However, it is now known to have a multifactorial origin and it seems to result from a complex interaction of multiple environmental and genetic factors (Wostyn et al., 2010).”
From The role of microglia in retinal neurodegeneration: Alzheimer’s disease, parkinson, and glaucoma. (2017) · cites this paper as Wostyn et al., 2010
AD, PD, and glaucoma have similar mechanisms of cell injury and deposition of protein aggregates in specific anatomical areas.
“they have similar mechanisms of cell injury and deposition of protein aggregates in specific anatomical areas (Wostyn et al., 2010; Kaarniranta et al., 2011; Ghiso et al., 2013)”
From The role of microglia in retinal neurodegeneration: Alzheimer’s disease, parkinson, and glaucoma. (2017) · cites this paper as Wostyn et al., 2010
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Ocular and systemic vascular dysfunction in neurodegenerative disease
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- Authors
- Wostyn, P., Audenaert, K., & De Deyn, P. P.
- Affiliations
- Ghent University Hospital (BE)
- Corresponding author
- Wostyn, Peter
- Venue
- Medical Hypotheses
- Publisher
- Elsevier BV
- Published
- 2010-06
- Volume
- 74
- Issue
- 6
- Pages
- 973-977
- ISSN
- 0306-9877 (ISSN-L)
- OpenAlex
- W2048424771
- Cited by
- 51
- References
- 50
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 5 · 2017: 7 · 2016: 4 · 2015: 7 · 2014: 3 · 2013: 1 · 2012: 5
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Hypotheses (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- School of Medicine, Stanford University
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Ophthalmology › Glaucoma and retinal disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Alzheimer's disease, intracranial pressure, cerebrospinal fluid pressure, intraocular pressure, glaucoma, retinal ganglion cell death, neuronal cell death, pressure stress, disease susceptibility
- MeSH terms
- Alzheimer Disease, Glaucoma, Humans, Models, Neurological, Ocular Hypertension, Retinal Ganglion Cells, Cerebrospinal Fluid Pressure, Cell Death, Intracranial Hypertension
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