Aging of the Retina: Molecular and Metabolic Turbulences and Potential Interventions

Annu Rev Vis Sci. 2021 Sep 15:7:633-664. doi: 10.1146/annurev-vision-100419-114940. Epub 2021 Jun 1.

Abstract

Multifaceted and divergent manifestations across tissues and cell types have curtailed advances in deciphering the cellular events that accompany advanced age and contribute to morbidities and mortalities. Increase in human lifespan during the past century has heightened awareness of the need to prevent age-associated frailty of neuronal and sensory systems to allow a healthy and productive life. In this review, we discuss molecular and physiological attributes of aging of the retina, with a goal of understanding age-related impairment of visual function. We highlight the epigenome-metabolism nexus and proteostasis as key contributors to retinal aging and discuss lifestyle changes as potential modulators of retinal function. Finally, we deliberate promising intervention strategies for promoting healthy aging of the retina for improved vision.

Keywords: age-related macular degeneration; diet; environment; epigenome; metabolism; mitochondria; vision health.

Publication types

  • Research Support, N.I.H., Intramural
  • Review

MeSH terms

  • Aging* / physiology
  • Humans
  • Retina* / physiology
  • Vision, Ocular