2021
DOI: 10.1007/s00424-021-02556-9
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The role of cGMP-signalling and calcium-signalling in photoreceptor cell death: perspectives for therapy development

Abstract: The second messengers, cGMP and Ca2+, have both been implicated in retinal degeneration; however, it is still unclear which of the two is most relevant for photoreceptor cell death. This problem is exacerbated by the close connections and crosstalk between cGMP-signalling and calcium (Ca2+)-signalling in photoreceptors. In this review, we summarize key aspects of cGMP-signalling and Ca2+-signalling relevant for hereditary photoreceptor degeneration. The topics covered include cGMP-signalling targets, the role … Show more

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Cited by 38 publications
(22 citation statements)
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References 117 publications
(152 reference statements)
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“…Activation of ER stress causes a cascade effect which suppresses anti-apoptotic markers BCL2 and BCL-XL and promotes cell death through mechanisms such as apoptosis and autophagy ( Figure 3 ). In achromatopsia mutations, excessive intracellular calcium (Ca 2+ ) has been observed in cones, with Ca 2+ toxicity being linked to cell death regulation [ 107 , 108 , 109 , 110 ]. This unregulated Ca 2+ influx leads to ER stress indicated by the increase in ER stress markers such as 1,4,5-trisphosphate (IP 3 ), eukaryotic initiation factor 2α (eIF2α), and CCAAT/-enhancer-binding protein homologous protein (CHOP) [ 28 , 29 , 110 ].…”
Section: Cellular Stressmentioning
confidence: 99%
“…Activation of ER stress causes a cascade effect which suppresses anti-apoptotic markers BCL2 and BCL-XL and promotes cell death through mechanisms such as apoptosis and autophagy ( Figure 3 ). In achromatopsia mutations, excessive intracellular calcium (Ca 2+ ) has been observed in cones, with Ca 2+ toxicity being linked to cell death regulation [ 107 , 108 , 109 , 110 ]. This unregulated Ca 2+ influx leads to ER stress indicated by the increase in ER stress markers such as 1,4,5-trisphosphate (IP 3 ), eukaryotic initiation factor 2α (eIF2α), and CCAAT/-enhancer-binding protein homologous protein (CHOP) [ 28 , 29 , 110 ].…”
Section: Cellular Stressmentioning
confidence: 99%
“…While Ca 2+ is extruded from the outer segment by the Na + /Ca 2+ -K + (NCKX) exchanger, Na + is pumped out of the inner segment by the adenosine-5′-triphosphate (ATP) -driven Na + /K + exchanger (NKX). This continuous flow of Na + ions forms the circulating dark current ( Figure 1 ) [ 21 ].…”
Section: Photoreceptor Physiology and Phototransductionmentioning
confidence: 99%
“…Unfortunately, these attempts generally failed to yield tangible success [ 102 , 103 , 104 ], which may indicate that Ca 2+ influx is, in fact, not as relevant for photoreceptor cell death as previously thought [ 96 ]. The lack of therapeutic effect of Ca 2+ channel blockers also suggests that the main drivers of cGMP-dependent photoreceptor cell death are mainly independent of Ca 2+ [ 21 ].…”
Section: Cgmp-dependent Cell Death In Rdmentioning
confidence: 99%
“…Loss of function PDE6 mutation resulted in decreased PDE6α/β activity and a high cytoplasmic cGMP concentration (Tsang et al, 1996). Photoreceptor cell physiology relies on the regulation and interplay of the second messenger signaling molecule cGMP and Ca 2+ levels (Vighi et al, 2018;Das et al, 2021). Classic opsin signaling involves cGMP-gated ion channels; high intracellular cGMP concentrations perpetually open cGMP-gated ion channels, leading to increased Ca 2+ influx and, ultimately, photoreceptor degeneration (Dean et al, 2002).…”
Section: Wnt/β-catenin Signaling Protects Photoreceptors From Degradationmentioning
confidence: 99%