Dietary Antioxidants in Age-Related Macular Degeneration and Glaucoma

Age-related macular degeneration (AMD) and glaucoma are ophthalmic neurodegenerative diseases responsible for irreversible vision loss in the world population. Only a few therapies can be used to slow down the progression of these diseases and there are no available treatment strategies for reversin...

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Autores principales: Jacek Dziedziak, Kaja Kasarełło, Agnieszka Cudnoch-Jędrzejewska
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/0953274e619c45ccba79738ee76f5549
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spelling oai:doaj.org-article:0953274e619c45ccba79738ee76f55492021-11-25T16:27:37ZDietary Antioxidants in Age-Related Macular Degeneration and Glaucoma10.3390/antiox101117432076-3921https://doaj.org/article/0953274e619c45ccba79738ee76f55492021-10-01T00:00:00Zhttps://www.mdpi.com/2076-3921/10/11/1743https://doaj.org/toc/2076-3921Age-related macular degeneration (AMD) and glaucoma are ophthalmic neurodegenerative diseases responsible for irreversible vision loss in the world population. Only a few therapies can be used to slow down the progression of these diseases and there are no available treatment strategies for reversing the degeneration of the neural retina. In AMD, the pathological process causes the malfunction and damage of the retinal pigmented epithelium and photoreceptors in the macula. In glaucoma, damage of the retinal ganglion cells and their axons is observed and treatment strategies are limited to intraocular pressure lowering. Therefore, other prophylactic and/or therapeutic methods are needed. Oxidative stress is involved in the neurodegenerative process accompanying both AMD and glaucoma; therefore, the use of antioxidant agents would clearly be beneficial, which is supported by the decreased prevalence and progression of AMD in patients adherent to a diet naturally rich in antioxidants. Dietary antioxidants are easily available and their use is based on the natural route of administration. Many preclinical studies both in vitro and using animal models of retinal degeneration showed the efficacy of dietary antioxidants, which was further proved in clinical trials. Resveratrol is beneficial both in AMD and glaucoma animal models, but confirmed only among AMD patients. For AMD, carotenoids and omega-3 fatty acids were also proved to be sufficient in preventing neurodegeneration. For glaucoma, coenzyme Q10 and alpha-lipoic acid showed efficacy for decreasing retinal ganglion cell loss and inhibiting the accompanying destructive processes. Interestingly, the benefits of vitamins, especially vitamin E was not confirmed, neither in preclinical nor in clinical studies.Jacek DziedziakKaja KasarełłoAgnieszka Cudnoch-JędrzejewskaMDPI AGarticleantioxidantsage-related macular degenerationglaucomacarotenoidsresveratrolTherapeutics. PharmacologyRM1-950ENAntioxidants, Vol 10, Iss 1743, p 1743 (2021)
institution DOAJ
collection DOAJ
language EN
topic antioxidants
age-related macular degeneration
glaucoma
carotenoids
resveratrol
Therapeutics. Pharmacology
RM1-950
spellingShingle antioxidants
age-related macular degeneration
glaucoma
carotenoids
resveratrol
Therapeutics. Pharmacology
RM1-950
Jacek Dziedziak
Kaja Kasarełło
Agnieszka Cudnoch-Jędrzejewska
Dietary Antioxidants in Age-Related Macular Degeneration and Glaucoma
description Age-related macular degeneration (AMD) and glaucoma are ophthalmic neurodegenerative diseases responsible for irreversible vision loss in the world population. Only a few therapies can be used to slow down the progression of these diseases and there are no available treatment strategies for reversing the degeneration of the neural retina. In AMD, the pathological process causes the malfunction and damage of the retinal pigmented epithelium and photoreceptors in the macula. In glaucoma, damage of the retinal ganglion cells and their axons is observed and treatment strategies are limited to intraocular pressure lowering. Therefore, other prophylactic and/or therapeutic methods are needed. Oxidative stress is involved in the neurodegenerative process accompanying both AMD and glaucoma; therefore, the use of antioxidant agents would clearly be beneficial, which is supported by the decreased prevalence and progression of AMD in patients adherent to a diet naturally rich in antioxidants. Dietary antioxidants are easily available and their use is based on the natural route of administration. Many preclinical studies both in vitro and using animal models of retinal degeneration showed the efficacy of dietary antioxidants, which was further proved in clinical trials. Resveratrol is beneficial both in AMD and glaucoma animal models, but confirmed only among AMD patients. For AMD, carotenoids and omega-3 fatty acids were also proved to be sufficient in preventing neurodegeneration. For glaucoma, coenzyme Q10 and alpha-lipoic acid showed efficacy for decreasing retinal ganglion cell loss and inhibiting the accompanying destructive processes. Interestingly, the benefits of vitamins, especially vitamin E was not confirmed, neither in preclinical nor in clinical studies.
format article
author Jacek Dziedziak
Kaja Kasarełło
Agnieszka Cudnoch-Jędrzejewska
author_facet Jacek Dziedziak
Kaja Kasarełło
Agnieszka Cudnoch-Jędrzejewska
author_sort Jacek Dziedziak
title Dietary Antioxidants in Age-Related Macular Degeneration and Glaucoma
title_short Dietary Antioxidants in Age-Related Macular Degeneration and Glaucoma
title_full Dietary Antioxidants in Age-Related Macular Degeneration and Glaucoma
title_fullStr Dietary Antioxidants in Age-Related Macular Degeneration and Glaucoma
title_full_unstemmed Dietary Antioxidants in Age-Related Macular Degeneration and Glaucoma
title_sort dietary antioxidants in age-related macular degeneration and glaucoma
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/0953274e619c45ccba79738ee76f5549
work_keys_str_mv AT jacekdziedziak dietaryantioxidantsinagerelatedmaculardegenerationandglaucoma
AT kajakasarełło dietaryantioxidantsinagerelatedmaculardegenerationandglaucoma
AT agnieszkacudnochjedrzejewska dietaryantioxidantsinagerelatedmaculardegenerationandglaucoma
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