We investigated whether endoplasmic reticulum (ER) stress was involved in the pathophysiological mechanisms underlying neuronal death of the lateral geniculate nucleus (LGN) after intraocular pressure (IOP) elevation. Five cynomolgus monkeys, four with a glaucomatous left eye after
laser photocoagulation treatment and one normal monkey, were studied. At 4, 11, 15 and 24 weeks after the
laser photocoagulation treatment, the numbers of LGN neurons and
atrophy were immunohistochemically evaluated using anti-
parvalbumin-antibody, which was used to specifically label relay neurons connecting to the visual cortex. In addition,
terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL)-positive cells,
polyubiquitin, and production of ER stress-related
proteins, such as the phosphorylation of eukaryotic
initiation factor 2α (p-eIF2α) and
C/EBP-homologous protein (CHOP), were also measured using in situ hybridization and immunostaining. Loss of neurons and/or neuronal
atrophy in layers 1, 4 and 6 of the LGN on the contralateral side were observed at 4-24 weeks after the
laser photocoagulation treatment. Furthermore, the
retinal input from the high IOP eye projected to layers 2 (magnocellular layer), 3 and 5 (parvocellular layer) on the ipsilateral side. Neuronal damage was also confirmed in these layers. In the LGN region, TUNEL-positive cells,
polyubiquitin, p-eIF2α and CHOP were also detected at 11-24 weeks after the
laser photocoagulation treatment. These findings indicate that ER stress may play a pivotal role in neuronal death of the LGN after IOP elevation.