RT Journal Article T1 Cilastatin as a Potential Anti-Inflammatory and Neuroprotective Treatment in the Management of Glaucoma A1 Martínez López, Miguel Ángel A1 Rubio Casado, Sara A1 San Felipe Riba, Diego A1 Martín Sánchez, Beatriz A1 Fernández Albarral, José A1 García Martín, Elena Salobrar A1 Matamoros, José Antonio A1 Ramírez Sebastián, José Manuel A1 Hoz Montañana, María Rosa De A1 Salazar Corral, Juan José A1 Marco López, Eva María A1 Lázaro Fernández, Alberto A1 López Gallardo, Meritxell A1 Ramírez Sebastián, Ana Isabel AB Glaucoma is a neurodegenerative disease that causes blindness. In this study, we aimed to evaluate the protective role of cilastatin (CIL), generally used in the treatment of nephropathologies associated with inflammation, in an experimental mouse model based on unilateral (left) laser-induced ocular hypertension (OHT). Male Swiss mice were administered CIL daily (300 mg/kg, i.p.) two days before OHT surgery until sacrifice 3 or 7 days later. Intraocular Pressure (IOP), as well as retinal ganglion cell (RGC) survival, was registered, and the inflammatory responses of macroglial and microglial cells were studied via immunohistochemical techniques. Results from OHT eyes were compared to normotensive contralateral (CONTRA) and naïve control eyes considering nine retinal areas and all retinal layers. OHT successfully increased IOP values in OHT eyes but not in CONTRA eyes; CIL did not affect IOP values. Surgery induced a higher loss of RGCs in OHT eyes than in CONTRA eyes, while CIL attenuated this loss. Similarly, surgery increased macroglial and microglial activation in OHT eyes and to a lesser extent in CONTRA eyes; CIL prevented both macroglial and microglial activation in OHT and CONTRA eyes. Therefore, CIL arises as a potential effective strategy to reduce OHT-associated damage in the retina of experimental mice. PB MDPI YR 2024 FD 2024-03-07 LK https://hdl.handle.net/20.500.14352/102168 UL https://hdl.handle.net/20.500.14352/102168 LA eng NO Martínez-López, M.A.; Rubio-Casado, S.; San Felipe, D.; Martín-Sánchez, B.; Fernández-Albarral, J.A.; Salobrar-García, E.; Matamoros, J.A.; Ramírez, J.M.; de Hoz, R.; Salazar, J.J.; et al. Cilastatin as a Potential Anti-Inflammatory and Neuroprotective Treatment in the Management of Glaucoma. Int. J. Mol. Sci. 2024, 25, 3115. https://doi.org/10.3390/ijms25063115 NO Submission received: 10 January 2024 / Revised: 26 February 2024 / Accepted: 5 March 2024 / Published: 7 March 2024(This article belongs to the Special Issue Advanced Research in Retina 2.0) NO Universidad Complutense deMadrid (España) NO Ministerio de Ciencia, Innovación y Universidades de España NO Instituto de Salud Carlos III (España) NO Fondo Europeo de Desarrollo Regional (FEDER) NO Comisión Europea NO Comunidad de Madrid (España) DS Docta Complutense RD 21 abr 2025