Publications by authors named "Stuart L Graham"

Article Synopsis
  • * Recent research indicates that demyelination—the loss of protective myelin around nerve fibers—may contribute to the progression of glaucoma, with previous studies showing evidence in animal models and patients.
  • * This study is significant as it provides the first quantifiable evidence of reduced myelin proteins in the optic nerves of glaucoma patients, linking demyelination to nerve degeneration and increased glial activity, which supports theories about glaucoma's progression.
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  • - Glaucoma is a serious neurodegenerative disease that leads to the degeneration of retinal ganglion cells, potentially resulting in blindness, but the exact causes are still unclear.
  • - Previous research suggests that demyelination, or the loss of the protective myelin sheath around nerve axons, could be involved in glaucoma, although this hasn't been thoroughly documented in patients.
  • - This study utilized postmortem samples to confirm that glaucoma patients have significantly reduced myelin proteins and associated degenerative changes in the optic nerve, establishing a tangible link between demyelination and the progression of glaucoma.
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Neurodegenerative and demyelinating disease, such as multiple sclerosis (MS) are at the forefront of medical research and the discovery of new drugs and therapeutics. One phenomenon of degeneration seen in these diseases is transsynaptic degeneration (TSD), where damage from one axon spreads to the other axons that are connected to it synaptically. It has previously been found that demyelination occurs prior to neuronal loss in an experimental form of induced TSD.

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Neuropeptide Y (NPY), an endogenous peptide composed of 36 amino acids, has been investigated as a potential therapeutic agent for neurodegenerative diseases due to its neuroprotective attributes. This study investigated the neuroprotective effects of NPY in a mouse model of glaucoma characterized by elevated intraocular pressure (IOP) and progressive retinal ganglion cell degeneration. Elevated IOP in mice was induced through intracameral microbead injections, accompanied by intravitreal administration of NPY peptide.

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  • * Researchers analyzed data from 108 older individuals without dementia, finding that those with the Met allele had significantly lower volumes in key brain areas related to memory and cognition compared to those with the Val/Val genotype.
  • * While the study found some correlations between visual and cognitive metrics, it concluded that the BDNF polymorphism specifically influences certain brain regions linked to aging but did not significantly affect overall cognitive performance or other brain measures.
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  • * Using gene therapy techniques, researchers found that both increasing and decreasing Tau levels negatively affected the health and function of retinal neurons.
  • * The results suggest that higher Tau levels can worsen retinal degeneration in glaucoma, while reducing Tau levels may offer protective benefits, highlighting Tau as a potential therapeutic target for the disease.
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  • The retina is being studied as a promising, noninvasive way to diagnose and track Alzheimer's disease (AD) because it shows similar pathological features to those found in the brain, like amyloid and tau protein abnormalities.
  • Research has found that structural and functional issues in the retina, including reduced blood flow and inflammation, correlate with the severity of AD symptoms in patients.
  • Advanced imaging technologies are now capable of detecting AD-related changes in the retina, which could help in early diagnosis and monitoring of the disease, but more studies are needed with larger, diverse groups to confirm these findings and improve screening methods.
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Neural regeneration and neuroprotection represent strategies for future management of neurodegenerative disorders such as Alzheimer's disease (AD) or glaucoma. However, the complex molecular mechanisms that are involved in neuroprotection are not clearly understood. A promising candidate that maintains neuroprotective signaling networks is neuroserpin (Serpini1), a serine protease inhibitor expressed in neurons which selectively inhibits extracellular tissue-type plasminogen activator (tPA)/plasmin and plays a neuroprotective role during ischemic brain injury.

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Myelination of axons in the central nervous system offers numerous advantages, including decreased energy expenditure for signal transmission and enhanced signal speed. The myelin sheaths surrounding an axon consist of a multi-layered membrane that is formed by oligodendrocytes, while specific glycoproteins and lipids play various roles in this formation process. As beneficial as myelin can be, its dysregulation and degeneration can prove detrimental.

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  • Glaucoma is a serious eye condition that damages the optic nerve, leading to vision loss, often linked to high eye pressure but can progress even with treatment.
  • Genetic studies have identified the CAV-1/2 gene loci as key factors associated with an increased risk of developing glaucoma.
  • Cav-1 plays a vital role in retinal cell health by affecting the BDNF/TrkB signaling pathway, suggesting that targeting these interactions could lead to new treatments for glaucoma.
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The aggregation of amyloid-beta peptide and tau protein dysregulation are implicated to play key roles in Alzheimer's disease pathogenesis and are considered the main pathological hallmarks of this devastating disease. Physiologically, these two proteins are produced and expressed within the normal human body. However, under pathological conditions, abnormal expression, post-translational modifications, conformational changes, and truncation can make these proteins prone to aggregation, triggering specific disease-related cascades.

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Glaucoma is a complex multifactorial eye disease manifesting in retinal ganglion cell (RGC) death and optic nerve degeneration, ultimately causing irreversible vision loss. Research in recent years has significantly enhanced our understanding of RGC degenerative mechanisms in glaucoma. It is evident that high intraocular pressure (IOP) is not the only contributing factor to glaucoma pathogenesis.

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Purpose: To investigate the relationship between the apolipoprotein E (APOE) ε4 allele and retinal structural and vascular characteristics in older adult participants from several research studies. We also studied the relationship between these structural and vascular characteristics with multifocal visual evoked potential (mfVEP) indices, neuropsychological parameters and MRI brain volumes in these participants.

Methods: In this study, 109 participants with a mean (SD) age of 67.

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  • The study aimed to assess how genetic risk factors for glaucoma and cardiovascular disease are linked to localised vascular and retinal nerve fibre layer (RNFL) loss in individuals with early stages of glaucoma.
  • A total of 858 eyes from 455 patients were analyzed using advanced imaging techniques, revealing significant associations between higher glaucoma genetic risk scores and the presence of vascular and RNFL defects.
  • The findings suggest that individuals with a higher genetic risk for glaucoma are likely to have retinal vascular issues without a corresponding link to cardiovascular risk, indicating that these vascular defects may have independent local pathophysiological causes relevant to glaucoma's early diagnosis and management.*
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Glaucoma is a leading cause of permanent blindness worldwide and is characterized by neurodegeneration linked to progressive retinal ganglion cell (RGC) death, axonal damage, and neuroinflammation. Glutamate excitotoxicity mediated through N-methyl-D-aspartate (NMDA) receptors plays a crucial role in glaucomatous RGC loss. Sphingosine 1-phosphate receptors (S1PRs) are important mediators of neurodegeneration and neuroinflammation in the brain and the retina.

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Examining the retinal tissue has the potential to provide a unique method and technique to quantify Alzheimer's disease-related changes in participants at various stages of the disease. In this meta-analysis, we aimed to investigate the association of various optical coherence tomography parameters with Alzheimer's disease and whether retinal measurements can be used to differentiate between Alzheimer's disease and control subjects. Scientific databases including Google Scholar, Web of Science, and PubMed were systematically searched for published articles that evaluated retinal nerve fiber layer thickness and retinal microvascular network in Alzheimer's disease and control subjects.

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Alzheimer's disease (AD) is the most common form of dementia that remains incurable and has become a major medical, social, and economic challenge worldwide. AD is characterized by pathological hallmarks of senile plaques (SP) and neurofibrillary tangles (NFTs) that damage the brain up to twenty years before a clinical diagnosis is made. Interestingly these pathological features have also been observed in retinal neurodegenerative diseases including age related macular degeneration (ARMD), glaucoma and diabetic retinopathy (DR).

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Introduction: Vascular amyloid beta (Aβ) protein deposits were detected in retinas of mild cognitively impaired (MCI) and Alzheimer's disease (AD) patients. We tested the hypothesis that the retinal vascular tight junctions (TJs) were compromised and linked to disease status.

Methods: TJ components and Aβ expression in capillaries and larger blood vessels were determined in post mortem retinas from 34 MCI or AD patients and 27 cognitively normal controls and correlated with neuropathology.

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Photoreceptor cells are highly susceptible to oxidative-stress-induced damage due to their high metabolic rate. Oxidative stress plays a key role in driving pathological events in several different ocular diseases, which lead to retinal degeneration and ultimately blindness. A growing number of studies have been performed to understand downstream events caused by ROS induced oxidative stress in photoreceptor cells; however, the underlying mechanisms of ROS toxicity are not fully understood.

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Article Synopsis
  • * Conducted as a prospective cohort study, it involved 1,107 participants with varying degrees of glaucoma severity, who were either treatment naive or already receiving treatment at enrollment.
  • * Results indicated that a higher PRS significantly increased the likelihood of starting IOP-lowering therapy within 5 years and also led to a higher chance of treatment escalation for those already undergoing therapy.
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  • Many individuals around the world experience visual impairment, with current treatments often only preventing the progression of eye disorders rather than offering cures.
  • There is a growing interest in regenerative therapies using extracellular vesicles (EVs), which are tiny particles released by cells that may aid in regeneration, especially in eye health.
  • The review discusses the biogenesis of EVs, their role in eye communication, potential therapeutic applications, the enhancement of their effectiveness through drug loading or engineering, and the challenges in translating these therapies into clinical use for eye diseases.
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To examine the relationships of retinal structural (optical coherence tomography) and visual functional (multifocal visual evoked potentials, mfVEP) indices with neuropsychological and brain structural measurements in healthy older subjects. 95 participants (mean (SD) age 68.1 (9.

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  • Our research indicates that neuroserpin (NS), a serine protease inhibitor, loses its effectiveness due to oxidation in glaucoma, negatively impacting retinal health.
  • By using genetic models and antibody techniques, we found that reduced NS leads to structural and functional impairments in the retina, as it affects key markers related to cell maintenance and inflammation.
  • Introducing a new variant of NS resistant to oxidation showed promising results in protecting retinal cells and restoring normal functions in glaucoma-affected models, highlighting NS's potential as a therapeutic target.
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Purpose: To assess the association between physical activity and spectral-domain optical coherence tomography (SD-OCT)-measured rates of macular thinning in an adult population with primary open-angle glaucoma.

Methods: The correlation between accelerometer-measured physical activity and rates of macular ganglion cell-inner plexiform layer (GCIPL) thinning was measured in 735 eyes from 388 participants of the Progression Risk of Glaucoma: RElevant SNPs with Significant Association (PROGRESSA) study. The association between accelerometer-measured physical activity and cross-sectional SD-OCT macular thickness was then assessed in 8862 eyes from 6152 participants available for analysis in the UK Biobank who had SD-OCT, ophthalmic, comorbidity, and demographic data.

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To assess the transcriptomic profile of disease-specific cell populations, fibroblasts from patients with primary open-angle glaucoma (POAG) were reprogrammed into induced pluripotent stem cells (iPSCs) before being differentiated into retinal organoids and compared with those from healthy individuals. We performed single-cell RNA sequencing of a total of 247,520 cells and identified cluster-specific molecular signatures. Comparing the gene expression profile between cases and controls, we identified novel genetic associations for this blinding disease.

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