Losartan treatment protects retinal ganglion cells and alters scleral remodeling in experimental glaucoma

Harry A. Quigley, Ian F. Pitha, Derek S. Welsbie, Cathy Nguyen, Matthew R. Steinhart, Thao D. Nguyen, Mary Ellen Pease, Ericka N. Oglesby, Cynthia A. Berlinicke, Katherine L. Mitchell, Jessica Kim, Joan J. Jefferys, Elizabeth C. Kimball

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


Purpose: To determine if oral losartan treatment decreases the retinal ganglion cell (RGC) deathcaused by experimental intraocular pressure (IOP) elevation in mice. Methods: We produced IOP increase in CD1 mice and performed unilateral optic nerve crush. Mice received oral losartan, spironolactone, enalapril, or no drug to test effects of inhibiting angiotensinreceptors. IOP was monitored by Tonolab, and blood pressure was monitored by tail cuff device. RGC loss was measured in masked axon counts and RGC bodies by β-tubulinlabeling. Scleral changes that could modulate RGC injury were measured including axial length, scleral thickness, and retinal layer thicknesses, pressure-strain behavior in inflationtesting, and study of angiotensin receptors and pathways by reverse transcription polymerase chain reaction, Western blot, and immunohistochemistry. Results: Losartan treatment prevented significant RGC loss (median loss = 2.5%, p = 0.13), whilemedian loss with water, spironolactone, and enalapril treatments were 26%, 28% and 43%; p < 0.0001). The lower RGC loss with losartan was significantly less than the loss with spironolactoneor enalapril (regression model p = 0.001; drug treatment group term p = 0.01). Both losartan and enalapril significantly lowered blood pressure (p< 0.001), but losartanwas protective, while enalapril led to worse than water-treated RGC loss. RGC loss after crush injury was unaffected by losartan treatment (difference from control p = 0.9). Survivalof RGC in cell culture was not prolonged by sartan treatment. Axonal transport blockade after 3 day IOP elevations was less in losartan-treated than in control glaucoma eyes (p =0.007). Losartan inhibited effects of glaucoma, including reduction in extracellular signalrelated kinase activity and modification of glaucoma-related changes in scleral thicknessand creep under controlled IOP. Conclusions: The neuroprotective effect of losartan in mouse glaucoma is associated with adaptive changes in the sclera expressed at the optic nerve head.

Original languageEnglish (US)
Article number0141137
JournalPloS one
Issue number10
StatePublished - Oct 27 2015

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)
  • General


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