Weird 'gut-eye axis' links the retina and intestines, and may help explain glaucoma

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A type of immune cell that travels from the gut to the eyeballs may help to explain why some people with glaucoma continue to lose their vision after treatment.

Glaucoma, an eye disease that gradually causes blindness by damaging the optic nerve, is often triggered by excess pressure from fluid in the eye — but some people still lose vision even after that pressure is relieved.

Previous studies had shown that, in both mice and humans, glaucoma is marked by an infiltration of T cells into the retina. When these specific T cells are transferred into a healthy mouse retina, they cause glaucoma-like damage. The study's researchers also previously found that these T cells express a receptor that lets them travel from the gut to the retina.

The researchers identified a protein within the retina that the gut-exposed T cells can bind to, allowing them to sneak into the eye tissue; normal T cells cannot latch onto this protein. When the researchers blocked this protein and T cell interaction, they saw significantly less glaucoma damage.

 

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