PMID- 28499984 OWN - NLM STAT- MEDLINE DCOM- 20180522 LR - 20220129 IS - 1872-8278 (Electronic) IS - 1567-7249 (Linking) VI - 36 DP - 2017 Sep TI - Systemic PTEN-Akt1-mTOR pathway activity in patients with normal tension glaucoma and ocular hypertension: A case series. PG - 96-102 LID - S1567-7249(17)30126-5 [pii] LID - 10.1016/j.mito.2017.05.003 [doi] AB - Glaucoma is the most common optic neuropathy in humans and the leading cause of irreversible blindness worldwide. Its prevalence and incidence increase exponentially with ageing and raised intraocular pressure (IOP), while increasing evidence suggests that systemic mitochondrial abnormalities may also be implicated in its pathogenesis. We have recently shown that patients who have not developed glaucoma despite being exposed for many years to high IOP (ocular hypertension - OHT) have more efficient mitochondria, measured in peripheral blood lymphocytes, when compared to age-similar controls and fast progressing normal tension glaucoma (NTG) patients. In this prospective case series we aimed to explore some of the molecular pathways involved in mitochondrial efficiency in glaucoma resistance by measuring the systemic activity (in peripheral blood) of key mitochondrial regulators: the mammalian target of rapamycin (mTOR) and its major upstream regulators and downstream effectors that form the PTEN-Akt1-mTOR signalling pathway. We found no statistically significant difference in the systemic mTOR activity between the three groups (control, NTG and OHT). In line with the mTOR results, there was no significant difference in the activity of both the two major upstream mTOR regulators (PTEN and Akt1) and its two main downstream effectors (S6K and 4EBP1). In a single NTG patient, with history of Raynaud's, significantly higher mTOR activity was noted. We conclude that the PTEN-Akt1-mTOR pathway does not appear to play a central role in mitochondrial efficiency in OHT. CI - Copyright (c) 2017 Elsevier B.V. and Mitochondria Research Society. All rights reserved. FAU - Lascaratos, Gerassimos AU - Lascaratos G AD - NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK. Electronic address: glascaratos@gmail.com. FAU - Chau, Kai-Yin AU - Chau KY AD - Department of Clinical Neurosciences, UCL Institute of Neurology, Royal Free Hospital, London, UK. FAU - Zhu, Haogang AU - Zhu H AD - Department of Optometry and Visual Science, City University, London, UK. FAU - Gkotsi, Despoina AU - Gkotsi D AD - NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK. FAU - Kamal, Deborah AU - Kamal D AD - NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK. FAU - Gout, Ivan AU - Gout I AD - UCL Institute of Structural and Molecular Biology, London, UK. FAU - Luthert, Philip J AU - Luthert PJ AD - Department of Pathology, UCL Institute of Ophthalmology, London, UK. FAU - Schapira, Anthony H V AU - Schapira AHV AD - Department of Clinical Neurosciences, UCL Institute of Neurology, Royal Free Hospital, London, UK. FAU - Garway-Heath, David F AU - Garway-Heath DF AD - NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK. LA - eng GR - 09-0787/AICR_/Worldwide Cancer Research/United Kingdom PT - Journal Article DEP - 20170509 PL - Netherlands TA - Mitochondrion JT - Mitochondrion JID - 100968751 RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (AKT1 protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) SB - IM MH - Aged MH - Aged, 80 and over MH - Humans MH - Low Tension Glaucoma/*pathology MH - Middle Aged MH - Ocular Hypertension/*pathology MH - PTEN Phosphohydrolase/*analysis MH - Prospective Studies MH - Proto-Oncogene Proteins c-akt/*analysis MH - Signal Transduction MH - TOR Serine-Threonine Kinases/*analysis OTO - NOTNLM OT - 4EBP1 OT - Akt1 OT - Mitochondria OT - Normal tension glaucoma OT - Ocular hypertension OT - PTEN OT - S6K OT - mTOR EDAT- 2017/05/14 06:00 MHDA- 2018/05/23 06:00 CRDT- 2017/05/14 06:00 PHST- 2016/07/29 00:00 [received] PHST- 2017/03/07 00:00 [revised] PHST- 2017/05/08 00:00 [accepted] PHST- 2017/05/14 06:00 [pubmed] PHST- 2018/05/23 06:00 [medline] PHST- 2017/05/14 06:00 [entrez] AID - S1567-7249(17)30126-5 [pii] AID - 10.1016/j.mito.2017.05.003 [doi] PST - ppublish SO - Mitochondrion. 2017 Sep;36:96-102. doi: 10.1016/j.mito.2017.05.003. Epub 2017 May 9.