The antioxidative capacity of the aqueous humor of individuals with glaucoma is decreased compared with aqueous humor from normal individuals,
1 and this decrease in antioxidative capacity has been experimentally verified in a rabbit model of glaucoma.
2 In addition, increased oxidative stress in calf eyes resulted in a decrease in outflow facility.
3 Reactive oxygen species (ROS) were implicated in studies demonstrating the amount of oxidative DNA damage in the HTM paralleled IOP increases and visual field defects in patients with glaucoma.
4–6 Oxidative stress is present in glaucoma, and certain cytokines, specifically IL-6 and IL-8, have been shown to be increased in porcine trabecular meshwork (TM) cells as a result of oxidative challenge.
7 The concentration of IL-8 is elevated in the aqueous humor of primary open angle glaucoma (POAG) patients.
8,9 There is no direct evidence that IL-6 level is also elevated in POAG patients; however, IL-6 has been reported to be up-regulated in response to experimentally elevated IOP in human donor eyes.
10 In addition, the IL-6 level in the aqueous humor has been reported to be elevated in pseudoexfoliation syndrome
11 and in patients with neovascular glaucoma.
12 It is unclear why these cytokines are elevated, but the mRNAs for these cytokines have an AU-rich element (ARE) on the 3′ untranslated regions (UTRs) that targets the mRNAs for rapid degradation.
13,14 Hu antigen R (HuR) is a member of the Hu family of proteins and binds to AREs.
14–16 HuR has been shown to stabilize mRNAs with AREs. HuR shuttles from the nucleus to the cytoplasm with these mRNAs, thereby protecting the mRNA associated with them from degradation.
14 At least 57 mRNAs, including IL-6, IL-8, and matrix metalloproteinase [MMP]-9, have been reported to be stabilized by HuR.
17–21 The increased levels of certain cytokines in patients with glaucoma suggest the normal mRNA degradation pathway for these cytokines in HTM cells is altered with disease.