Skip to main content

The Role of Microbiota in Retinal Disease

  • Conference paper
  • First Online:

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1074))

Abstract

The ten years since the first publications on the human microbiome project have brought enormous attention and insight into the role of the human microbiome in health and disease. Connections between populations of microbiota and ocular disease are now being established, and increased accessibility to microbiome research and insights into other diseases is expected to yield enormous information in the coming years. With the characterization of the ocular microbiome, important insights have already been made regarding corneal and conjunctival tissues. Roles for non-ocular microbiomes in complex retinal diseases are now being evaluated. For example, the gut microbiome has been implicated in the pathogenesis of uveitis. This short review will summarize the few studies linking gut or oral microbiota to diabetic retinopathy (DR), glaucoma, and age-related macular degeneration (AMD). We will also conjecture where the most significant findings still remain to be elucidated. Finally, we will propose the gut-retina axis, related but distinct from the gut-brain axis.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Allin KH, Nielsen T, Pedersen O (2015) Mechanisms in endocrinology: gut microbiota in patients with type 2 diabetes mellitus. Eur J Endocrinol 172:R167–R177

    Article  CAS  Google Scholar 

  • Arora T, Backhed F (2016) The gut microbiota and metabolic disease: current understanding and future perspectives. J Intern Med 280:339–349

    Article  CAS  Google Scholar 

  • Astafurov K, Elhawy E, Ren L et al (2014) Oral microbiome link to neurodegeneration in glaucoma. PLoS One 9:e104416

    Article  Google Scholar 

  • Clemente JC, Ursell LK, Parfrey LW et al (2012) The impact of the gut microbiota on human health: an integrative view. Cell 148:1258–1270

    Article  CAS  Google Scholar 

  • Forslund K, Hildebrand F, Nielsen T et al (2015) Disentangling type 2 diabetes and metformin treatment signatures in the human gut microbiota. Nature 528:262–266

    Article  CAS  Google Scholar 

  • Ghaisas S, Maher J, Kanthasamy A (2016) Gut microbiome in health and disease: linking the microbiome-gut-brain axis and environmental factors in the pathogenesis of systemic and neurodegenerative diseases. Pharmacol Ther 158:52–62

    Article  CAS  Google Scholar 

  • Horai R, Zarate-Blades CR, Dillenburg-Pilla P et al (2015) Microbiota-dependent activation of an autoreactive T cell receptor provokes autoimmunity in an immunologically privileged site. Immunity 43:343–353

    Article  CAS  Google Scholar 

  • Kaarniranta K, Salminen A, Haapasalo A et al (2011) Age-related macular degeneration (AMD): Alzheimer’s disease in the eye? J Alzheimers Dis 24:615–631

    CAS  PubMed  Google Scholar 

  • Karlsson FH, Tremaroli V, Nookaew I et al (2013) Gut metagenome in European women with normal, impaired and diabetic glucose control. Nature 498:99–103

    Article  CAS  Google Scholar 

  • Kim JM, Kim SH, Park KH et al (2011) Investigation of the association between Helicobacter pylori infection and normal tension glaucoma. Invest Ophthalmol Vis Sci 52:665–668

    Article  Google Scholar 

  • Kountouras J, Mylopoulos N, Konstas AG et al (2003) Increased levels of Helicobacter pylori IgG antibodies in aqueous humor of patients with primary open-angle and exfoliation glaucoma. Graefes Arch Clin Exp Ophthalmol 241:884–890

    Article  Google Scholar 

  • Kugadas A, Gadjeva M (2016) Impact of microbiome on ocular health. Ocul Surf 14:342–349

    Article  Google Scholar 

  • Lee H, Ko G (2014) Effect of metformin on metabolic improvement and gut microbiota. Appl Environ Microbiol 80:5935–5943

    Article  Google Scholar 

  • Lu LJ, Liu J (2016) Human microbiota and ophthalmic disease. Yale J Biol Med 89:325–330

    PubMed  PubMed Central  Google Scholar 

  • Mayer EA, Tillisch K, Gupta A (2015) Gut/brain axis and the microbiota. J Clin Invest 125:926–938

    Article  Google Scholar 

  • McCreight LJ, Bailey CJ, Pearson ER (2016) Metformin and the gastrointestinal tract. Diabetologia 59:426–435

    Article  CAS  Google Scholar 

  • Munie M, Ryu C, Noorulla S et al (2014) Effect of metformin on the development and severity of diabetic retinopathy. Invest Ophthalmol Vis Sci 55:ARVO e-abstract 1069

    Google Scholar 

  • Nakamura YK, Metea C, Karstens L et al (2016) Gut microbial alterations associated with protection from autoimmune uveitis. Invest Ophthalmol Vis Sci 57:3747–3758

    Article  CAS  Google Scholar 

  • Neu J (2013) The microbiome and its impact on disease in the preterm patient. Curr Pediatr Rep 1:215–221

    Article  Google Scholar 

  • O’Mahony SM, Clarke G, Borre YE et al (2015) Serotonin, tryptophan metabolism and the brain-gut-microbiome axis. Behav Brain Res 277:32–48

    Article  Google Scholar 

  • Oresic M, Seppanen-Laakso T, Yetukuri L et al (2009) Gut microbiota affects lens and retinal lipid composition. Exp Eye Res 89:604–607

    Article  CAS  Google Scholar 

  • Qin J, Li Y, Cai Z et al (2012) A metagenome-wide association study of gut microbiota in type 2 diabetes. Nature 490:55–60

    Article  CAS  Google Scholar 

  • Rosenbaum JT, Lin P, Asquith M (2016) The microbiome, HLA, and the pathogenesis of uveitis. Jpn J Ophthalmol 60:1–6

    Article  CAS  Google Scholar 

  • Sacca SC, Vagge A, Pulliero A et al (2014) Helicobacter pylori infection and eye diseases: a systematic review. Medicine (Baltimore) 93:e216

    Article  CAS  Google Scholar 

  • Uchiki T, Weikel KA, Jiao W et al (2012) Glycation-altered proteolysis as a pathobiologic mechanism that links dietary glycemic index, aging, and age-related disease (in non diabetics). Aging Cell 11:1–13

    Article  CAS  Google Scholar 

  • Weikel KA, Chiu CJ, Taylor A (2012a) Nutritional modulation of age-related macular degeneration. Mol Asp Med 33:318–375

    Article  CAS  Google Scholar 

  • Weikel KA, Fitzgerald P, Shang F et al (2012b) Natural history of age-related retinal lesions that precede AMD in mice fed high or low glycemic index diets. Invest Ophthalmol Vis Sci 53:622–632

    Article  CAS  Google Scholar 

  • Yang C, Fei Y, Qin Y et al (2015) Bacterial flora changes in conjunctiva of rats with streptozotocin-induced type I diabetes. PLoS One 10:e0133021

    Article  Google Scholar 

  • Yi QY, Deng G, Chen N et al (2016) Metformin inhibits development of diabetic retinopathy through inducing alternative splicing of VEGF-A. Am J Transl Res 8:3947–3954

    PubMed  PubMed Central  Google Scholar 

  • Zeng J, Liu H, Liu X et al (2015) The relationship between Helicobacter pylori infection and open-angle glaucoma: a meta-analysis. Invest Ophthalmol Vis Sci 56:5238–5245

    Article  Google Scholar 

  • Zullo A, Ridola L, Hassan C et al (2012) Glaucoma and Helicobacter pylori: eyes wide shut? Dig Liver Dis 44:627–628

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sheldon Rowan .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Rowan, S., Taylor, A. (2018). The Role of Microbiota in Retinal Disease. In: Ash, J., Anderson, R., LaVail, M., Bowes Rickman, C., Hollyfield, J., Grimm, C. (eds) Retinal Degenerative Diseases. Advances in Experimental Medicine and Biology, vol 1074. Springer, Cham. https://doi.org/10.1007/978-3-319-75402-4_53

Download citation

Publish with us

Policies and ethics