Retinal Damage in Amyotrophic Lateral Sclerosis: Underlying Mechanisms

• Main Authors: Soldatov VO, Kukharsky MS, Belykh AE, Sobolev AM, Deykin AV
• Format: Article
• Language: English
• Published: Dove Medical Press 2021-05-01
• Series: Eye and Brain
• Subjects: als; retina; retinal involvement; neuro-ophthalmology; mitochondrial dysfunction; excitotoxicity.
• Online Access: https://www.dovepress.com/retinal-damage-in-amyotrophic-lateral-sclerosis-underlying-mechanisms-peer-reviewed-fulltext-article-EB

Vladislav O Soldatov,1,2 Michail S Kukharsky,3,4 Andrey E Belykh,5 Andrey M Sobolev,4 Alexey V Deykin2,6 1Core Facility Centre, Institute of Gene Biology, Russian Academy of Sciences, Moscow, Russia; 2Department of Pharmacology and Clinical Pharmacology, Belgorod State National Research University, Belgorod, Russia; 3Department of General and Cell Biology, Faculty of Medical Biology, Pirogov Russian National Research Medical University, Moscow, Russia; 4Laboratory of Genetic Modelling of Neurodegenerative Processes, Institute of Physiologically Active Compounds, Russian Academy of Sciences, Chernogolovka, Russia; 5Department of Pathophysiology, Kursk State Medical University, Kursk, Russia; 6Center for Precision Genome Editing and Genetic Technologies for Biomedicine, Institute of Gene Biology, Russian Academy of Sciences, Moscow, RussiaCorrespondence: Vladislav O SoldatovBelgorod State National Research University, 85 Pobedy St., Belgorod, Belgorod Region, 308015, Russian FederationTel [phone]Fax [phone]Email [e-mail]: Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease resulting in a gradual loss of motor neuron function. Although ophthalmic complaints are not presently considered a classic symptom of ALS, retinal changes such as thinning, axonal degeneration and inclusion bodies have been found in many patients. Retinal abnormalities observed in postmortem human tissues and animal models are similar to spinal cord changes in ALS. These findings are not dramatically unexpected because retina shares an ontogenetic relationship with the brain, and many genes are associated both with neurodegeneration and retinal diseases. Experimental studies have demonstrated that ALS affects many “vulnerable points” of the retina. Aggregate deposition, impaired nuclear protein import, endoplasmic reticulum stress, glutamate excitotoxicity, vascular regression, and mitochondrial dysfunction are factors suspected as being the main cause of motor neuron damage in ALS. Herein, we show that all of these pathways can affect retinal cells in the same way as motor neurons. Furthermore, we suppose that understanding the patterns of neuro-ophthalmic interaction in ALS can help in the diagnosis and treatment of this disease.Keywords: ALS, retina, retinal involvement, neuro-ophthalmology, mitochondrial dysfunction, excitotoxicity