Figure 1.
Neurovascular dysfunction in the mechanism of NTG.
Notes: Neurovascular unit is a collection of different cells around blood vessels – including neurons, glia cells, and vascular cells – forming a structural and functional integrated unit to maintain the normal balance of microenvironments. Neurovascular dysfunction includes the damage of BRBs, leading to the mal-transmission between blood vessels and the microenvironment around neurons. The damaging effects include extravasation, internal transportation of circulating toxin (ET-1, Aβ), release of inflammatory cytokines or antigens, etc, which will trigger retinal gliosis and lead to neural degeneration.
Abbreviations: ET-1, endothelin-1; Aβ, amyloid-β; RGC, retinal ganglion cell; BRB, blood–retinal barrier; OBF, ocular blood flow; NTG, normal tension glaucoma.
