Gubitosi-Klug Rose A, Talahalli Ramaprasad, Du Yunpeng, Nadler Jerry L, Kern Timothy S
Department of Pediatrics, Case Western Reserve University/Rainbow Babies and Children's Hospital, Cleveland, Ohio 44106, USA.
Diabetes. 2008 May;57(5):1387-93. doi: 10.2337/db07-1217. Epub 2008 Mar 17.
Lipoxygenases are regulators of chronic inflammation and oxidative stress generation. We evaluated the role of 5- and 12-lipoxygenases in the development of diabetic retinopathy.
Wild-type mice, 5-lipoxygenase-deficient mice, and 12/15-lipoxygenase-deficient mice were assessed 1) after 9 months of diabetes for retinal histopathology and leukotriene receptor expression and 2) after 3 months of diabetes for leukostasis and retinal superoxide generation.
Diabetic wild-type mice developed the expected degeneration of retinal capillaries and pericytes and increases in both leukostasis and superoxide production (P < 0.006). We found no evidence of diabetes-induced degeneration of retinal ganglion cells in these animals. The vascular histopathology was significantly inhibited in 5-lipoxygenase-deficient mice, but not in 12/15-lipoxygenase-deficient mice. Retinas from diabetic 5-lipoxygenase-deficient mice also had significantly less leukostasis, superoxide production, and nuclear factor-kappaB (NF-kappaB) expression (all P < 0.006), whereas retinas from diabetic 12/15-lipoxygenase-deficient mice had significantly less leukostasis (P < 0.005) but not superoxide production or NF- kappaB expression. Retinas from diabetic wild-type mice were enriched with receptors for the 5-lipoxygenase metabolite leukotriene B(4). Diabetes-induced histological and biochemical alterations were significantly reduced in 5-lipoxygenase-deficient mice, but not 12/15-lipoxygenase-deficient mice.
5-Lipoxygenase represents a novel pathway for therapeutic intervention of diabetic retinopathy.
脂氧合酶是慢性炎症和氧化应激产生的调节因子。我们评估了5-脂氧合酶和12-脂氧合酶在糖尿病视网膜病变发生发展中的作用。
对野生型小鼠、5-脂氧合酶缺陷型小鼠和12/15-脂氧合酶缺陷型小鼠进行评估:1)糖尿病9个月后进行视网膜组织病理学检查和白三烯受体表达检测;2)糖尿病3个月后检测白细胞淤滞和视网膜超氧化物生成情况。
糖尿病野生型小鼠出现了预期的视网膜毛细血管和周细胞变性,白细胞淤滞和超氧化物生成均增加(P<0.006)。在这些动物中,未发现糖尿病诱导的视网膜神经节细胞变性的证据。5-脂氧合酶缺陷型小鼠的血管组织病理学变化受到显著抑制,但12/15-脂氧合酶缺陷型小鼠未出现这种情况。糖尿病5-脂氧合酶缺陷型小鼠的视网膜白细胞淤滞、超氧化物生成和核因子κB(NF-κB)表达也显著减少(均P<0.006),而糖尿病12/15-脂氧合酶缺陷型小鼠的视网膜白细胞淤滞显著减少(P<0.005),但超氧化物生成和NF-κB表达未减少。糖尿病野生型小鼠的视网膜富含5-脂氧合酶代谢产物白三烯B4的受体。糖尿病诱导的组织学和生化改变在5-脂氧合酶缺陷型小鼠中显著减轻,但在12/15-脂氧合酶缺陷型小鼠中未减轻。
5-脂氧合酶是糖尿病视网膜病变治疗干预的一条新途径。