Language

English

Publication Date

6-5-2024

Journal

Molecular Therapy

DOI

10.1016/j.ymthe.2024.04.030

PMID

38659223

PMCID

PMC11184404

PubMedCentral® Posted Date

4-24-2024

PubMedCentral® Full Text Version

Post-print

Abstract

Glaucoma is characterized by the progressive degeneration of retinal ganglion cells (RGCs) and their axons, and its risk increases with aging. Yet comprehensive insights into the complex mechanisms are largely unknown. Here, we found that anti-aging molecule Sirt6 was highly expressed in RGCs. Deleting Sirt6 globally or specifically in RGCs led to progressive RGC loss and optic nerve degeneration during aging, despite normal intraocular pressure (IOP), resembling a phenotype of normal-tension glaucoma. These detrimental effects were potentially mediated by accelerated RGC senescence through Caveolin-1 upregulation and by the induction of mitochondrial dysfunction. In mouse models of high-tension glaucoma, Sirt6 level was decreased after IOP elevation. Genetic overexpression of Sirt6 globally or specifically in RGCs significantly attenuated high tension-induced degeneration of RGCs and their axons, whereas partial or RGC-specific Sirt6 deletion accelerated RGC loss. Importantly, therapeutically targeting Sirt6 with pharmacological activator or AAV2-mediated gene delivery ameliorated high IOP-induced RGC degeneration. Together, our studies reveal a critical role of Sirt6 in preventing RGC and optic nerve degeneration during aging and glaucoma, setting the stage for further exploration of Sirt6 activation as a potential therapy for glaucoma.

Keywords

Animals, Retinal Ganglion Cells, Mice, Sirtuins, Glaucoma, Optic Nerve, Aging, Disease Models, Animal, Intraocular Pressure, Humans, Axons, Mice, Knockout, Nerve Degeneration, glaucoma, aging, Sirt6, retinal ganglion cells, optic nerve, neurodegeneration, AAV2, Sirt6 activator

Published Open-Access

yes

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