Dipeptidyl peptidase-IV inhibition prevents blood-retinal barrier breakdown, inflammation and neuronal cell death in the retina of type 1 diabetic rats

BIOCHIMICA ET BIOPHYSICA ACTA-MOLECULAR BASIS OF DISEASE

卷:1842

Article

Goncalves, Andreia¹  Marques, Catarina¹  Leal, Ermelindo²  Ribeiro, Carlos F.¹  Reis, Flavio¹  Ambrosio, Antonio F.^3,4  Fernandes, Rosa¹ 

[1] Univ Coimbra, Fac Med, IBILI Inst Biomed Imaging & Life Sci, Lab Pharmacol & Expt Therapeut, P-3000 Coimbra, Portugal

[2] Univ Coimbra, Ctr Neurosci & Cell Biol, P-3000 Coimbra, Portugal

[3] Univ Coimbra, Fac Med, IBILI, Ctr Ophthalmol & Vis Sci, P-3000 Coimbra, Portugal

[4] Univ Coimbra, AIBILI, P-3000 Coimbra, Portugal

关键词: Diabetic retinopathy;    Type 1 diabetes;    Sitagliptin;    Blood-retinal barrier;    Inflammation;    Cell death;   

DOI  :  10.1016/j.bbadis.2014.04.013

来源: Elsevier

【 摘 要 】

Diabetic retinopathy, a leading cause of vision loss in working-age population, is often associated with inflammation and apoptosis. We have previously reported that sitagliptin, a DPP-IV inhibitor, exerts beneficial effects in the retina of type 2 diabetic animals. The present study aimed to evaluate whether sitagliptin can exert protective effects in the retina of type 1 diabetic animals by a mechanism independent of insulin secretion and glycemia normalization. Streptozotocin-induced diabetic rats were treated orally with sitagliptin (5 mg/kg/day) for the last two weeks of 4 weeks of diabetes. Sitagliptin treatment did not change the weight and glucose, HbA(1c) or insulin levels. However, it prevented the diabetes-induced increase in DPP-IV/CD26 activity and levels in serum and retina. Sitagliptin also prevented the increase in blood-retinal barrier (BRB) permeability and inhibited the changes in immunoreactivity and endothelial subcellular distribution of occludin, claudin-5 and ZO-1 proteins induced by diabetes. Furthermore, sitagliptin decreased the retinal inflammatory state and neuronal apoptosis. Sitagliptin inhibited the BRB breakdown in a type 1 diabetic animal model, by a mechanism independent of normalization of glycemia, by preventing changes in tight junctions (Tjs) organization. Sitagliptin also exerted protective effects against inflammation and pro-apoptotic state in the retina of diabetic rats. Altogether, these results suggest that sitagliptin might be envisaged to be used to prevent or delay some of the alterations associated with the development of diabetic retinopathy. (C) 2014 Elsevier B.V. All rights reserved.

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