In theory, stimulation of glutamate transport could provide some protection against excessive activation by glutamate. Experimental evidence points to a role for glutamate in apoptosis after nerve crush
62 and in mutant quails, an animal model for glaucoma, glutamate concentrations increase immediately before cell death.
38 External application of glutamate is known to trigger retinal ganglion cell death,
63 64 65 66 67 at least partially, by increase of cytosolic Ca
2+ activity,
68 activation of caspases,
69 70 and subsequent apoptosis.
71 Conversely, PKB activity has been shown to correlate with retinal cell survival.
24 62 Accordingly, dephosphorylation and thus deactivation of PKB by inhibition of PI3 kinase triggers apoptosis of retinal cells.
24 Notably, this maneuver not only disrupts PKB activity but similarly downregulates SGK1 activity. The effect is not reversed by activation of PKA and subsequent phosphorylation of Bad. Thus, the authors concluded that the antiapoptotic effect of PKB was not due to phosphorylation of Bad.
24 In theory, the mechanism could involve regulation of glutamate uptake by PKB and SGK1. Nothing is known, however, about the specific role of EAAT3 in the survival of retinal ganglion cells. Antisense knockdown of EAAT3 in mice did not lead to severe neurodegeneration but, besides dicarboxylic amino aciduria, caused some subtle behavioral abnormalities and seizures.
72 Dicarboxylic amino aciduria in humans may be similarly paralleled by neurologic abnormalities.
73 The lack of severe neurodegeneration could be due to glutamate uptake through other glutamate transporters which may be similarly sensitive to SGK1 and PKB.
58 Taken together, presently available evidence does not allow the speculation that SGK1- or PKB-dependent regulation of EAAT3 participates in the regulation of retinal cell survival.