2008
DOI: 10.2174/187152708784936644
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Neuroprotection in Glaucoma Using Calpain-1 Inhibitors: Regional Differences in Calpain-1 Activity in the Trabecular Meshwork, Optic Nerve and Implications for Therapeutics

Abstract: Glaucoma is a group of irreversible blinding eye diseases affecting over 70 million people worldwide. Systemic delivery of calpain-1 inhibitors was proposed as a neuroprotection strategy for the prevention of progressive optic nerve damage in glaucoma. We present a general review of calpain-1 and an account of vast differences in processing of calpain-1 in the trabecular meshwork (TM) and the optic nerve. Calpain-1 accumulates in the glaucomatous TM tissues in vivo. However, calpain-1 activity is substantially… Show more

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Cited by 10 publications
(9 citation statements)
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“…LGE 2 and their stereo isomers (isoLGE 2 ), as well as structural isomers, including iso[4]LGE 2 , exhibit extremely high reactivity toward proteins. They covalently bind to proteins within seconds [29], and their protein adducts are resistant to proteolytic degradation [30, 31]. Therefore, in contrast with other products of lipid oxidation, e.g., 4-HNE, MDA or isoprostanes, that are rapidly cleared, LG/isoLG-protein adducts accumulate in vivo [13].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…LGE 2 and their stereo isomers (isoLGE 2 ), as well as structural isomers, including iso[4]LGE 2 , exhibit extremely high reactivity toward proteins. They covalently bind to proteins within seconds [29], and their protein adducts are resistant to proteolytic degradation [30, 31]. Therefore, in contrast with other products of lipid oxidation, e.g., 4-HNE, MDA or isoprostanes, that are rapidly cleared, LG/isoLG-protein adducts accumulate in vivo [13].…”
Section: Discussionmentioning
confidence: 99%
“…Disease-related elevations of LG/isoLG-protein adducts are found in the plasma from patients with cardiovascular disease or end-stage renal disease [6, 8], in mouse plasma from a Candida-induced sepsis model of chronic inflammation [13], in the plaques of Alzheimer’s disease patients [32] and in the epicardial border zone and myocardium below the epicardium in the healing canine infracted heart [33, 34]. LG/isoLGs inhibit the activities of cellular proteins, including proteases such as calpain-1 [31, 35] and the proteasome [30, 31], as well as tubulin [36], and ion channels [5, 33]. The irreversible, covalent modification of myocardial ion channel proteins may contribute to ischemia-related conduction abnormalities and arrhythmias.…”
Section: Discussionmentioning
confidence: 99%
“…Upregulation of calpain-1 expression in a futile attempt to ameliorate the problem, exacerbates the pathology owing to efficient inactivation of the newly generated enzyme by adduction of isoLGs. In contrast, higher calpain-1 activity, which appears to be under translational control, was observed in glaucomatous optic nerve compared with control (32). Therapeutic neuroprotection strategies using calpain-1 inhibitors will require consideration of such anatomic differences in its activity and biosynthesis.…”
Section: Inhibition Of Proteolysis: Neurodegeneration and Glaucomamentioning
confidence: 95%
“…Thus, treatment of calpain-1 with iso [4]LGE 2 in vitro results in covalent modification, inactivation, the formation of high-molecular-weight aggregates, and resistance to proteasomal digestion. Iso [4]-LGE 2 -modified calpain-1 undergoes ubiquitination (32), and its loading impairs the cellular proteasome activity (31). Apparently, interference with proteasomal activity, owing to protein modification by isoLGs, contributes to glaucoma pathophysiology by decreasing the ability of the TM to modulate outflow resistance.…”
Section: Inhibition Of Proteolysis: Neurodegeneration and Glaucomamentioning
confidence: 99%
“…Calpeptin, a calpain-specific inhibitor, has been shown in glaucoma experimental models to confer neuroprotection. [92] As other death processes such as autophagy and necrosis may also play a role in RGC death in glaucoma, inhibition of apoptosis alone may not completely prevent glaucoma progression. [76]…”
Section: Pharmacological Approachesmentioning
confidence: 99%