Wong H C, Elts S M, Phillips J W, Williams K A
Department of Ophthalmology, Flinders Medical Centre, Bedford Park, South Australia.
Diabetologia. 1992 Sep;35(9):818-27. doi: 10.1007/BF00399927.
Within the central nervous system, pericyte degeneration in diabetes mellitus occurs only in the retinal microcirculation and is not seen in the brain. This study sought to elucidate differences between bovine retinal and brain pericytes. When pairs of retinal and brain pericytes from individual calves were cultured in vitro, the morphological organisation of early post-confluent retinal pericyte cultures was consistently different from that of brain pericyte cultures. When retinal and brain pericyte cultures were grown to second passage in high or normal glucose medium supplemented with fetal calf serum, brain pericyte cultures grew significantly faster than retinal pericytes in either medium (p less than 0.0001). Brain pericytes thus appeared to grow intrinsically faster than retinal pericytes and this effect was largely independent of glucose concentration. Brain pericytes also grew faster than retinal pericytes in high glucose medium containing human diabetic or control serum (p less than 0.002). The proliferative effect of serum from diabetic patients with non-proliferative diabetic retinopathy on pericytes grown in high glucose medium was not significantly different from that of control serum. Both brain and retinal pericytes showed variation in their ability to replicate in high concentrations of glucose. The selectivity of pericyte degeneration to the retinal circulation does not appear to be due to changes in the mitogenic activity of diabetic serum for retinal pericytes, but may relate to the intrinsic relative inability of the retinal pericyte to reproliferate in response to the metabolic injury of diabetes mellitus.
在中枢神经系统中,糖尿病时周细胞变性仅发生于视网膜微循环,而在脑内未见。本研究旨在阐明牛视网膜周细胞和脑周细胞之间的差异。当将来自单个小牛的视网膜周细胞和脑周细胞成对进行体外培养时,汇合后早期的视网膜周细胞培养物的形态结构始终与脑周细胞培养物不同。当视网膜周细胞和脑周细胞培养物在添加胎牛血清的高糖或正常葡萄糖培养基中传至第二代时,在任何一种培养基中,脑周细胞培养物的生长均显著快于视网膜周细胞(p<0.0001)。因此,脑周细胞似乎在本质上比视网膜周细胞生长得更快,且这种效应在很大程度上与葡萄糖浓度无关。在含有人糖尿病患者血清或对照血清的高糖培养基中,脑周细胞也比视网膜周细胞生长得快(p<0.002)。非增殖性糖尿病视网膜病变糖尿病患者的血清对在高糖培养基中生长的周细胞的增殖作用与对照血清无显著差异。脑周细胞和视网膜周细胞在高浓度葡萄糖中的复制能力均表现出差异。周细胞变性对视网膜循环的选择性似乎并非由于糖尿病血清对视网膜周细胞有丝分裂活性的改变,而可能与视网膜周细胞在面对糖尿病代谢损伤时内在的相对增殖无能有关。