Cited by 107Glaucoma and retinal disordersAlzheimer's disease research and treatmentsDementia and Cognitive Impairment Research

Alzheimer’s Disease and Glaucoma: Mechanistic Similarities and Differences

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Ghiso, Jorge A.·2013·Journal of Glaucoma

Abstract

Alzheimer's disease (AD) is the most common form of dementia. Intraneuronal neurofibrillary tangles, extracellular Aβ amyloid deposits in the form of amyloid plaques and cerebral amyloid angiopathy, and synaptic and neuronal loss co-exist in the brain parenchyma, with the limbic areas being the most severely affected. The classic clinical findings are personality changes, progressive cognitive dysfunction, and loss of ability to perform activities of daily living. Visual impairment is common and appears related to disease severity, suggesting that visual testing may provide a method of screening and tracking AD changes. Although still not fully understood, research and clinical findings point to a possible common causal relationship between AD and glaucoma. These two chronic neurodegenerative disorders share biological and mechanistic features, among them (1) a strong age-related incidence, (2) retinal ganglion cell degeneration, and (3) extracellular fibrillar deposits in exfoliation syndrome, the most common recognizable cause of glaucoma, suggesting that both diseases may originate from similar misfolding mechanisms. A presentation of common pathogenetic pathways associated with these disorders, including cell death mechanisms, reactive oxygen species (ROS) production, mitochondrial dysfunction and vascular abnormalities, will serve as an initiation point for further exploration.

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  1. [1]Shields MB Ritch R Krupin T Ritch R Shields MB Krupin T Classification and mechanisms of the glaucomas. Chapter 40 The Glaucomas 1989 St. Louis CV Mosby Co
  2. [5]Rostagno A Lal R Ghiso J Dawbarn D Allen S Protein misfolding, aggregation, and fibril formation: Common features of cerebral and noncerebral amyloid diseases The Neurobiology of Alzheimer’s disease 2007 Oxford, United Kingdom Oxford University Press 133 160

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Authors
Ghiso, J. A.
Affiliations
NYU Langone Health (US)
Corresponding author
Ghiso, Jorge A.
Venue
Journal of Glaucoma
Published
2013
Volume
22
Pages
S36-S38
ISSN
1057-0829 (ISSN-L)
OpenAlex
W2031258035
Cited by
107
References
18
Citations by year
2026: 2 · 2025: 4 · 2024: 6 · 2023: 8 · 2022: 10 · 2021: 9 · 2020: 13 · 2019: 11 · 2018: 7 · 2017: 11 · 2016: 14 · 2015: 3 · 2014: 6 · 2013: 2
FWCI
8.21
Type
journal article
Language
en
Open access
Locations
  • Journal of Glaucoma (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Touro Scholar (Touro College) (submittedVersion)
Funders
  • National Institute on Aging (R01AG030539, AG030539)
  • National Eye Institute (R21EY019129)
Topics
  • Health Sciences › Medicine › Ophthalmology › Glaucoma and retinal disorders
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
Alzheimer's disease, glaucoma, neurodegeneration, neurofibrillary tangles, amyloid plaques, cerebral amyloid angiopathy, retinal ganglion cell death, pseudoexfoliation syndrome, visual impairment, vision screening, retinal biomarkers, reactive oxygen species, mitochondrial dysfunction, vascular anomalies, protein misfolding, shared pathogenesis
MeSH terms
Alzheimer Disease, Glaucoma, Humans, Retinal Ganglion Cells, Oxidative Stress, Disease Progression

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