The Daily Telegraph

Antidepres­sant drug could help save sight of millions

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AN ANTIDEPRES­SANT drug could help stop millions of people losing their sight from one of the biggest causes of blindness in the world.

Scientists believe they have found a new treatment that could help prevent vision loss from macular degenerati­on.

The discovery was made when researcher­s found a way to stop abnormalit­ies that cause the degenerati­on of the macular, the light-sensitive area at the back of eye. In tests on mice using drugs that are already on the market, experts discovered they could prevent damage to the cells.

Macular degenerati­on is the fourth most common cause of blindness behind glaucoma, cataracts and preterm birth and is divided into “dry” and “wet” forms, with the dry form making up 90 per cent of cases.

The condition has affected about 600,000 Britons and more than 13 million people worldwide, mainly among the elderly, and is largely untreatabl­e.

Prof Aparna Lakkaraju, from the University of Wisconsin-Madison in America said: “These studies raise the possibilit­y of treatments that could slow or prevent macular degenerati­on.”

In the study, published in the Pro- ceedings of the National Academy of Sciences, researcher­s pinpointed how immune abnormalit­ies beneath the retina result in macular degenerati­on.

Prof Lakkaraju focused on two protective mechanisms during the gradual onset of macular degenerati­on.

The more common dry form, which can take years to develop, is caused by a build-up of deposits on the macular. The wet form, which affects around 40,000 people, develops when abnormal blood vessels form underneath the macular and damage cells.

Prof Lakkaraju said the process starts with injury to the retinal pigment epithelium (RPE), which is protected by the protein CD59,

The researcher­s used cells from pig eyes and mice that lack CD59 to identify an enzyme that neutralise­s the attack on the eye cells. The enzymes are commonly found in drugs used to treat depression and osteoporos­is.

Prof Lakkaraju said: “We found that the antidepres­sant desipramin­e, administer­ed to mice in their drinking water, restored CD59 on the cell surface, decreased reactive oxygen species, and prevented mitochondr­ial fragmentat­ion.”

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