4.8 Article

Pericyte dysfunction and loss of interpericyte tunneling nanotubes promote neurovascular deficits in glaucoma

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NATL ACAD SCIENCES
DOI: 10.1073/pnas.2110329119

关键词

neurovascular coupling; pericytes; retina; glaucoma; calcium homeostasis

资金

  1. Canadian Institutes of Health Research
  2. Glaucoma Foundation
  3. Fonds de recherche Quebec-Sante
  4. Canada Research Chair Tier 1

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Pericytes and their interpericyte tunneling nanotubes are damaged in eyes with high intraocular pressure, disrupting neurovascular coupling and affecting retinal blood flow and neuronal function.
Reduced blood flow and impaired neurovascular coupling are recognized features of glaucoma, the leading cause of irreversible blindness worldwide, but the mechanisms underlying these defects are unknown. Retinal pericytes regulate microcirculatory blood flow and coordinate neurovascular coupling through interpericyte tunneling nanotubes (IP-TNTs). Using two-photon microscope live imaging of the mouse retina, we found reduced capillary diameter and impaired blood flow at pericyte locations in eyes with high intraocular pressure, the most important risk factor to develop glaucoma. We show that IP-TNTs are structurally and functionally damaged by ocular hypertension, a response that disrupted light-evoked neurovascular coupling. Pericyte-specific inhibition of excessive Ca2+ influx rescued hemodynamic responses, protected IP-TNTs and neurovascular coupling, and enhanced retinal neuronal function as well as survival in glaucomatous retinas. Our study identifies pericytes and IP-TNTs as potential therapeutic targets to counter ocular pressure-related microvascular deficits, and provides preclinical proof of concept that strategies aimed to restore intrapericyte calcium homeostasis rescue autoregulatory blood flow and prevent neuronal dysfunction.

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