PMID- 36421684 OWN - NLM STAT- MEDLINE DCOM- 20221128 LR - 20221201 IS - 2218-273X (Electronic) IS - 2218-273X (Linking) VI - 12 IP - 11 DP - 2022 Nov 11 TI - cGMP Signaling in the Neurovascular Unit-Implications for Retinal Ganglion Cell Survival in Glaucoma. LID - 10.3390/biom12111671 [doi] LID - 1671 AB - Glaucoma is a progressive age-related disease of the visual system and the leading cause of irreversible blindness worldwide. Currently, intraocular pressure (IOP) is the only modifiable risk factor for the disease, but even as IOP is lowered, the pathology of the disease often progresses. Hence, effective clinical targets for the treatment of glaucoma remain elusive. Glaucoma shares comorbidities with a multitude of vascular diseases, and evidence in humans and animal models demonstrates an association between vascular dysfunction of the retina and glaucoma pathology. Integral to the survival of retinal ganglion cells (RGCs) is functional neurovascular coupling (NVC), providing RGCs with metabolic support in response to neuronal activity. NVC is mediated by cells of the neurovascular unit (NVU), which include vascular cells, glial cells, and neurons. Nitric oxide-cyclic guanosine monophosphate (NO-cGMP) signaling is a prime mediator of NVC between endothelial cells and neurons, but emerging evidence suggests that cGMP signaling is also important in the physiology of other cells of the NVU. NO-cGMP signaling has been implicated in glaucomatous neurodegeneration in humans and mice. In this review, we explore the role of cGMP signaling in the different cell types of the NVU and investigate the potential links between cGMP signaling, breakdown of neurovascular function, and glaucoma pathology. FAU - Haider, Ameer A AU - Haider AA AD - Vanderbilt Eye Institute, Department of Ophthalmology and Visual Sciences, Vanderbilt University Medical Center, Nashville, TN 37212, USA. FAU - Rex, Tonia S AU - Rex TS AUID- ORCID: 0000-0002-2566-8723 AD - Vanderbilt Eye Institute, Department of Ophthalmology and Visual Sciences, Vanderbilt University Medical Center, Nashville, TN 37212, USA. FAU - Wareham, Lauren K AU - Wareham LK AUID- ORCID: 0000-0003-4512-6355 AD - Vanderbilt Eye Institute, Department of Ophthalmology and Visual Sciences, Vanderbilt University Medical Center, Nashville, TN 37212, USA. LA - eng PT - Journal Article PT - Review DEP - 20221111 PL - Switzerland TA - Biomolecules JT - Biomolecules JID - 101596414 RN - H2D2X058MU (Cyclic GMP) SB - IM MH - Humans MH - Mice MH - Animals MH - *Retinal Ganglion Cells/metabolism MH - Endothelial Cells/metabolism MH - *Glaucoma/metabolism MH - Cyclic GMP/metabolism MH - Intraocular Pressure PMC - PMC9687235 OTO - NOTNLM OT - endothelial cell OT - glaucoma OT - glia OT - neurodegeneration OT - neurovascular coupling OT - neurovascular unit OT - retina COIS- The authors declare no conflict of interest. EDAT- 2022/11/25 06:00 MHDA- 2022/11/29 06:00 PMCR- 2022/11/11 CRDT- 2022/11/24 09:57 PHST- 2022/10/03 00:00 [received] PHST- 2022/11/07 00:00 [revised] PHST- 2022/11/09 00:00 [accepted] PHST- 2022/11/24 09:57 [entrez] PHST- 2022/11/25 06:00 [pubmed] PHST- 2022/11/29 06:00 [medline] PHST- 2022/11/11 00:00 [pmc-release] AID - biom12111671 [pii] AID - biomolecules-12-01671 [pii] AID - 10.3390/biom12111671 [doi] PST - epublish SO - Biomolecules. 2022 Nov 11;12(11):1671. doi: 10.3390/biom12111671.