How glaucoma damages the optic nerve

Pathogenesis of Glaucomatous Optic Nerve Damage

NIH-funded research Johns Hopkins University · NIH-11131268

Looking at whether calming harmful cell responses in the optic nerve can help people with glaucoma keep their vision.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionJohns Hopkins University NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11131268 on NIH RePORTER

What this research studies

This work studies the cells that support and surround the optic nerve head, especially astrocytes and microglia, using mouse models and donated human glaucoma eyes. Researchers focus on junctions where these support cells meet the sclera and on signaling pathways such as Rho-kinase (ROCK) that translate mechanical stress into cell responses. They will test how altering those pathways, including using a drug (NLY01) that blocks harmful microglial-driven astrocyte changes, affects nerve cell survival. The team combines tissue studies and laboratory experiments to look for ways to protect retinal ganglion cell axons from pressure-related damage.

Who could benefit from this research

Good fit: People with glaucoma, particularly those with early or progressive optic nerve damage, are the most likely candidates to be relevant to this work.

Not a fit: People without glaucoma or those with very advanced, irreversible optic nerve loss are unlikely to receive direct benefit from this research.

Why it matters

Potential benefit: If successful, this could lead to new treatments that protect optic nerve cells and help preserve vision in people with glaucoma beyond lowering eye pressure.

How similar studies have performed: Prior animal and human-tissue studies, including work from this team, suggest that targeting optic nerve head cells and pathways like ROCK can protect retinal ganglion cells, but conclusive clinical proof in people remains limited.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.