학술논문

Solutions to a Radical Problem: Overview of Current and Future Treatment Strategies in Lebers Hereditary Opic Neuropathy.
Document Type
article
Source
International Journal of Molecular Sciences. 23(21)
Subject
hereditary optic neuropathy
idebenone
leber’s hereditary optic neuropathy
mitochondrial disorder
mitochondrial optic neuropathy
neuro-ophthalmology
optic neuropathy
Humans
Optic Atrophy
Hereditary
Leber
DNA
Mitochondrial
Retinal Ganglion Cells
Mitochondria
Forecasting
Language
Abstract
Lebers Hereditary Optic Neuropathy (LHON) is the most common primary mitochondrial DNA disorder. It is characterized by bilateral severe central subacute vision loss due to specific loss of Retinal Ganglion Cells and their axons. Historically, treatment options have been quite limited, but ongoing clinical trials show promise, with significant advances being made in the testing of free radical scavengers and gene therapy. In this review, we summarize management strategies and rational of treatment based on current insights from molecular research. This includes preventative recommendations for unaffected genetic carriers, current medical and supportive treatments for those affected, and emerging evidence for future potential therapeutics.