Publications by authors named "Mitsuyoshi Azuma"

Loss of retinal ganglion cells (RGCs) is the cause of visual impairment and blindness in glaucoma. Previously, our studies showed that FK962 (N-[1-acetylpiperidin-4-yl]-4-fluorobenzamide) promoted neurite elongation in rat RGCs and trigeminal ganglion (TG) cells. In TG cells, glial cell line-derived neurotrophic factor (GDNF) is known to be involved in the mechanism.

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Purpose: With aging and age-related macular dystrophy (AMD), proteolytic fragments are deposited in extracellular drusen located between the RPE and Bruch's membrane. Localized hypoxia may be a risk factor for AMD. Our hypothesis is that following hypoxia, activation of proteolytic enzymes called calpains may cause proteolysis/degeneration of retinal cells and RPE.

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Purpose: Our recent publication used optical coherence tomography (OCT) to follow thinning of the retinal ganglion cell layer (GCL) in central retinal artery occlusion (CRAO). Thinning of the inner layers also occurs in patients with branch retinal artery occlusion (BRAO). The mechanism for such thinning may be partially due to proteolysis by a calcium-activated protease called calpain.

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Background: microRNAs (miRNAs) are small noncoding RNAs that negatively regulate gene expression. They are found within cells and in body fluids. Extracellular miRNAs have been shown to associate with the surrounding tissues.

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Purpose: Thinning of the inner layers of the retina occurs in patients with central retinal artery occlusion (CRAO). The mechanism for such thinning may be partially due to proteolysis by a calcium-activated protease called calpain. Calpain inhibitor SNJ-1945 ameliorated the proteolysis in a past series of model experiments.

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Article Synopsis
  • The study aimed to investigate the role of calpains and caspases in retinal ganglion cell damage caused by hypoxia/reoxygenation using an enhanced human retinal explant model.
  • Human and monkey retinal explants were cultured in controlled oxygen conditions, with experiments testing the effects of the calpain inhibitor SNJ-1945 on retinal cell responses.
  • Results indicated that calpains were activated and contributed to cell damage, while caspase-3 did not appear to be involved, suggesting that calpain inhibitors may be beneficial for treating ischemic retinal diseases.
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Extra-nigral central nervous system sites have been found to be affected in Parkinson's disease (PD). In addition to substantia nigra, degeneration of spinal cord motor neurons may play a role in the motor symptoms of PD. To this end, hybrid rodent VSC 4.

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Oxidative stress may cause ocular surface damage during the development of dry eye. Mammalian cells have defense systems against oxidative stress. A central regulator of the stress response is nuclear factor-erythroid 2-related factor 2 (NFE2L2).

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Purpose: AMD is the leading cause of human vision loss after 65 years of age. Several mechanisms have been proposed: (1) age-related failure of the choroidal vasculature leads to loss of RPE; (2) RPE dysfunctions due to accumulation of phagocytized, but unreleased A2E (N-retinylidene-N-retinylethanolamine); (3) zinc deficiency activation of calpain and caspase proteases, leading to cell death. The purpose of the present study is to compare activation of calpain and caspase in monkey RPE cells cultured under hypoxia or with A2E.

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Article Synopsis
  • The study aimed to create a computer-based model to understand how the eye drop FK962 behaves in the eye, specifically for treating choroid/retinal diseases.
  • It involved testing FK962 in rabbits and measuring how well it moves through different layers of the eye, as well as its effect on retinal cells.
  • The results showed that the model accurately predicts drug concentrations in the eye and suggests an effective dosing schedule for FK962, which could be beneficial for clinical trials focusing on retinal health.
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Purpose: Fuchs endothelial corneal dystrophy (FECD) might be managed by drug treatment before becoming severe enough to require surgery. For a clinical trial of such a drug, we hypothesize that selecting an adequate number of patients with FECD with only moderately compromised cell densities will be challenging. Thus, the purpose of the present study was to measure the prevalence of patients with FECD exhibiting moderately decreased corneal cell densities.

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Purpose: Corneal sensation, cell proliferation, and wound healing all depend on adequate corneal innervation. Disruption of corneal innervation can lead to dry eye and delayed wound healing. Our studies in rats and rabbits show that the substituted fluorobenzamide drug FK962 accelerates the extension of neuronal processes and recovery of corneal sensitivity.

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Activated microglia release pro-inflammatory factors and calpain into the extracellular milieu, damaging surrounding neurons. However, mechanistic links to progressive neurodegeneration in disease such as multiple sclerosis (MS) remain obscure. We hypothesize that persistent damaged/dying neurons may also release cytotoxic factors and calpain into the media, which then activate microglia again.

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Optic neuritis (ON), inflammation of the optic nerve, is strongly associated with multiple sclerosis. ON pathology is characterized by attack of autoreactive T cells against optic nerve antigens, resulting in demyelination, death of retinal ganglion cells, and cumulative visual impairment. A model of experimental autoimmune encephalomyelitis (EAE) was utilized to study the onset and progression of ON and the neuroprotective efficacy of oral treatment with the calpain inhibitor SNJ 1945.

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Article Synopsis
  • The study examines how decreased blood flow and oxygen levels in the retina lead to nerve damage, focusing on calpain enzyme activation.
  • Under hypoxic conditions, researchers cultured monkey retinal explants to identify where and when calpains are activated, using various assays to measure cell death.
  • Results showed that calpains were first activated in the nerve fiber layer, which correlated with an increase in retinal ganglion cell death, indicating a potential mechanism for retinal damage in low oxygen conditions.
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  • Epithelial wounds in the cornea heal poorly, primarily due to inadequate cell migration, leading to persistent defects and ulceration.
  • Galectin-3, a carbohydrate-binding protein, enhances wound healing by promoting cell adhesion and migration through interactions with extracellular matrices and integrins.
  • Experiments using monkey corneal explants demonstrated that recombinant galectin-3 significantly improved healing rates in wound models and increased adhesion of epithelial cells to the corneal surface.
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Purpose: Activation of calpains (calpain 2 and Lp82) in rodent lenses readily causes proteolysis and cataract formation. In contrast, primate lenses are quite resistant to activation of calpains. The hypothesis is that high levels of human endogenous calpain inhibitor, calpastatin (CS), prevent calpain activation in human lenses.

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  • The study focused on the prevalence of dry eye syndrome (DES) among a young population undergoing LASIK surgery, finding that only 2% had obvious DES before surgery.
  • A surprising 25% of patients labeled as Pre-DES showed low tear flow rates but were not classified as having DES, indicating potential underdiagnosis.
  • The findings suggest that young LASIK patients could be at risk for serious complications due to inadequate tear production and may require tailored dry eye treatments post-surgery.
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Purpose: Inhibitors binding to integrins α5 and αv are antiangiogenic in models of choroidal neovascularization (CNV). However, a comprehensive understanding of the accumulation of integrin α isoform-positive cells, their ligands, and associations is limited. The purpose of the present study was to examine the localization of integrin α chain-positive cells and their extracellular matrix (ECM) ligands in the RPE/choroid after laser injury.

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Purpose: Retinal ischemic diseases primarily lead to damage of the inner retinal neurons. Electrophysiological studies also suggest impairment of the inner retinal neurons. Our recent studies with acute ocular hypertensive rats confirmed damage predominantly in the inner retinal layer along with the ganglion cell layer, changes that are ameliorated by the calpain inhibitor SNJ-1945.

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Multiple sclerosis (MS) pathology is marked by the massive infiltration of myelin-specific T cells into the CNS. Hallmarks of T helper (Th) cells during active disease are pro-inflammatory Th1/Th17 cells that predominate over immunoregulatory Th2/Treg cells. Neurodegeneration, a major factor in progressive MS, is often overlooked when considering drug prescription.

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Complex pathophysiology of Parkinson's disease involves multiple CNS cell types. Degeneration in spinal cord neurons alongside brain has been shown to be involved in Parkinson's disease and evidenced in experimental parkinsonism. However, the mechanisms of these degenerative pathways are not well understood.

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Purpose/aim: Calpain proteases are known to be involved in retinal cell death in animal models. The purpose of the present study was to test for calpain activation in human retinas cultured under hypoxic conditions.

Materials And Methods: Calpain activation was detected by immunoblotting for calpain substrates in human and monkey retinas cultured in gas generating pouches to reduce oxygen.

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  • The study aimed to detect antibodies against lens βH-crystallins in the serum of American Cocker Spaniels, focusing on those with and without cataracts and uveitis.
  • A total of 73 American Cocker Spaniels and 6 normal Beagles were involved, with serum samples analyzed using electrophoresis and immunoblots.
  • Results indicated that while many ACS had antibodies to βH-crystallins, there was no clear link to cataract stages, although specific antibodies to βA1-crystallin were found only in cataract patients, suggesting a potential connection to cataract development.
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  • HIF-1α and HIF-2α are important for inducing VEGF under hypoxia in retinal pigment epithelial (RPE) cells, but the role of HIF-2α is less understood.
  • When RPE cells were exposed to low oxygen, both HIF-1α and HIF-2α increased, which led to higher levels of VEGF mRNA and protein secretion, promoting tube formation in vascular cells.
  • Targeting both HIF-1α and HIF-2α with siRNA significantly reduced VEGF and other angiogenic gene expressions, suggesting that HIF-2α has a compensatory role and that inhibiting these pathways could be a potential treatment for retinal conditions like age-related macular
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