Xu Xun, Li Zhiping, Luo Dawei, Huang Yufeng, Zhu Jianfeng, Wang Xiaojue, Hu Honghui, Patrick C P
Department of Ophthalmology, Shanghai First People's Hospital, Shanghai, China 200080.
Graefes Arch Clin Exp Ophthalmol. 2003 Jan;241(1):56-62. doi: 10.1007/s00417-002-0575-7. Epub 2002 Dec 4.
Diabetic retinopathy has been shown to be directly associated with the degree and duration of hyperglycemia, and advanced glycosylation end products (AGEs) have been implicated in this pathological process. The purpose of the experiments reported here was to study the effect of AGE deposition on retinal vascular damage which leads to diabetic retinopathy.
Intravenous injection of exogenous AGEs was used to treat wild-type non-diabetic Sprague-Dawley rats. One of the two retinal slides from each animal was treated using immunohistochemical staining to label retinal vascular AGE deposition, the other H&E staining for counting of capillary pericytes. The results were compared with the findings in untreated wild-type and diabetic controls and in rats treated with unmodified rat serum albumin (RSA).
After 2 weeks of continuous treatment, AGEs were identified in the retinal vascular tissue of the AGE-RSA-injected group. The average number of retinal capillary pericytes per 10x100 microscope power field was 4.313+/-0.34 (mean +/- SD) in the AGE-RSA-injected group, compared with 5.798+/-0.481 in the control group ( P<0.01).
These experiments demonstrate that AGEs, independent of other metabolic factors, can induce vascular change resembling that of diabetic retinopathy.
糖尿病视网膜病变已被证明与高血糖的程度和持续时间直接相关,晚期糖基化终产物(AGEs)也参与了这一病理过程。本文报道的实验目的是研究AGE沉积对导致糖尿病视网膜病变的视网膜血管损伤的影响。
通过静脉注射外源性AGEs来处理野生型非糖尿病Sprague-Dawley大鼠。对每只动物的两张视网膜玻片之一进行免疫组织化学染色以标记视网膜血管AGE沉积,另一张进行苏木精-伊红(H&E)染色以计数毛细血管周细胞。将结果与未处理的野生型和糖尿病对照组以及用未修饰的大鼠血清白蛋白(RSA)处理的大鼠的结果进行比较。
连续治疗2周后,在注射AGE-RSA的组的视网膜血管组织中鉴定出AGEs。注射AGE-RSA的组中,每10×100显微镜视野下视网膜毛细血管周细胞的平均数量为4.313±0.34(平均值±标准差),而对照组为5.798±0.481(P<0.01)。
这些实验表明,AGEs可独立于其他代谢因素诱导类似于糖尿病视网膜病变的血管变化。