PMID- 36079162 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230308 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 11 IP - 17 DP - 2022 Sep 5 TI - Factors Associated with Elevated Tumor Necrosis Factor-alpha in Aqueous Humor of Patients with Open-Angle Glaucoma. LID - 10.3390/jcm11175232 [doi] LID - 5232 AB - Tumor necrosis factor-alpha (TNF-alpha) is an important modulator of neuroinflammation, secreted from activated glial cells in response to intraocular stress. The purpose of this study was to investigate the clinical factors associated with elevated TNF-alpha and its level in aqueous humor of patients with open-angle glaucoma (OAG). Aqueous humor was collected from 73 OAG eyes, and TNF-alpha level was analyzed using the singleplex bead immunoassay method. Patients were divided into TNF-alpha-positive and TNF-alpha-negative groups according to the TNF-alpha level of 10 pg/mL, and baseline clinical characteristics were compared. The TNF-alpha-positive group showed higher baseline IOP, greater IOP fluctuation, and higher systolic blood pressure than the TNF-alpha-negative group (p = 0.007, p < 0.001, and p = 0.009, respectively). In the multivariate logistic regression analysis, IOP fluctuation (p = 0.037) and systolic blood pressure (p = 0.016) were all independently associated with positive TNF-alpha level. In normal-tension glaucoma (NTG) patients, presence of central scotoma (p = 0.029) was significantly associated with positive TNF-alpha level. In conclusion, positive TNF-alpha level in OAG patients was associated with greater IOP fluctuation and higher systolic blood pressure. In NTG patients, positive TNF-alpha level was associated with the presence of central scotoma. IOP factors and vascular factors, including blood pressure and presence of central scotoma, may indicate glaucoma pathogenesis related to TNF-alpha elevation in OAG patients. FAU - Jung, Younhea AU - Jung Y AD - Department of Ophthalmology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 07345, Korea. FAU - Ohn, Kyoung AU - Ohn K AD - Department of Ophthalmology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 07345, Korea. FAU - Shin, Heejong AU - Shin H AD - Department of Ophthalmology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea. FAU - Oh, Si Eun AU - Oh SE AD - Department of Ophthalmology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea. FAU - Park, Chan Kee AU - Park CK AD - Department of Ophthalmology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea. FAU - Park, Hae-Young Lopilly AU - Park HL AUID- ORCID: 0000-0002-4536-5332 AD - Department of Ophthalmology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea. LA - eng GR - 2021R1H1A2095534/National Research Foundation of Korea/ PT - Journal Article DEP - 20220905 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC9457301 OTO - NOTNLM OT - blood pressure OT - intraocular pressure OT - normal tension glaucoma OT - open angle glaucoma OT - tumor necrosis factor-alpha OT - vascular factor COIS- The authors declare no conflict of interest. EDAT- 2022/09/10 06:00 MHDA- 2022/09/10 06:01 PMCR- 2022/09/05 CRDT- 2022/09/09 01:20 PHST- 2022/07/28 00:00 [received] PHST- 2022/08/31 00:00 [revised] PHST- 2022/09/03 00:00 [accepted] PHST- 2022/09/09 01:20 [entrez] PHST- 2022/09/10 06:00 [pubmed] PHST- 2022/09/10 06:01 [medline] PHST- 2022/09/05 00:00 [pmc-release] AID - jcm11175232 [pii] AID - jcm-11-05232 [pii] AID - 10.3390/jcm11175232 [doi] PST - epublish SO - J Clin Med. 2022 Sep 5;11(17):5232. doi: 10.3390/jcm11175232.