The Daily Telegraph

Prozac may help cut risk of eyesight fading when you get older

- By Joe Pinkstone Science correspond­ent

PROZAC may help protect people from eye problems in old age, a study suggests.

The antidepres­sant, also known as fluoxetine, is often taken once a day to help people suffering with depression but researcher­s at the University of Virginia in the US believe it may have an added bonus in that it staves off agerelated macular degenerati­on.

The condition commonly occurs after a person turns 50 and leads to worsening sight. One in 20 over-65s in the UK is believed to suffer with the affliction, which is irreversib­le and has no cure.

It is caused when chunks of rogue DNA awaken and activate a destructiv­e part of the immune system which then degrades cells in the retina.

Lab tests done by Dr Bradley Gelfand found Prozac stops this process from occurring, and analysis of more than 100million Americans aged over 50 found people taking Prozac as a mental health treatment were 15 per cent less likely to develop the condition.

“These findings are an exciting example of the promise of drug repurposin­g, using existing medicines in new and unexpected ways,” said Dr Gelfand, of UVA’S Centre for Advanced Vision Science. “Ultimately, the best way to test whether fluoxetine benefits macular degenerati­on is to run a prospectiv­e clinical trial.

“While we have had a great deal of success with the approach of using realworld patient data, we may have only

‘These findings are an exciting example of the promise of drug repurposin­g, using existing medicines in new and unexpected ways’

begun to scratch the surface of finding new uses for old drugs,” said Dr Gelfand.

“It is tempting to think about all the untapped therapeuti­c potential of medicines sitting on pharmacy shelves.”

Scientists across the spectrum of discipline­s are trying to find effective ways of repurposin­g drugs, as developing a treatment from scratch is not guaranteed to work, takes several years and is often prohibitiv­ely expensive.

“On average, a new Fda-approved drug takes 10 to 12 years and costs $2.8billion (£2billion) to develop,” the researcher­s write in their paper, published in PNAS. “Our identifica­tion of the unrecognis­ed therapeuti­c activity of an existing Fda-approved drug using Big Data mining, coupled with demonstrat­ing its efficacy in a disease-relevant model could greatly accelerate and reduce the cost of drug developmen­t.”

Data stemmed from the databases of medical insurance companies, and included details on a person’s medication schedule as well as any health concerns. Researcher­s looked at the anonymised data of US citizens between 2010 and 2018 and accounted for factors such as race, age, gender, smoking an weight.

One database, which featured 15million records, showed the antidepres­sant made people 22 per cent less likely to develop age-related macular degenerati­on. However, in the database of 90million individual­s, the protective effect was just a 9 per cent drop in risk.

After combining the two, the team found Prozac had a 15 per cent protective effect against the disease.

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