Alzheimer’s Disease and Glaucoma: Mechanistic Similarities and Differences
Open accessAbstract
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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The major pathology related to AD is extracellular deposit of Aβ in the form of parenchymal plaques and cerebral amyloid angiopathy co-existing with intraneuronal accumulations of hyperphosphorylated tau (neurofibrillary tangles).
“The major pathology related to AD is the extracellular deposit of β-amyloid (Aβ) in the form of parenchymal plaques and cerebral amyloid angiopathy co-existing with intraneuronal accumulations of hyperphosphorylated tau (pTau) (neurofribillary tangles) (Ghiso et al., 2013).”
From The role of microglia in retinal neurodegeneration: Alzheimer’s disease, parkinson, and glaucoma. (2017) · cites this paper as Ghiso et al., 2013
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 Ghiso et al., 2013
These common pathogenic mechanisms could act individually or synergistically.
“These mechanisms could act individually or synergistically (Ghiso et al., 2013).”
From The role of microglia in retinal neurodegeneration: Alzheimer’s disease, parkinson, and glaucoma. (2017) · cites this paper as Ghiso et al., 2013
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- Authors
- Ghiso, J. A.
- Affiliations
- NYU Langone Health (US)
- Corresponding author
- Ghiso, Jorge A.
- ORCID
- Ghiso, Jorge A.
- Venue
- Journal of Glaucoma
- Published
- 2013
- Volume
- 22
- Pages
- S36-S38
- ISSN
- 1057-0829 (ISSN-L)
- PMC
- PMC3955061
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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