新型心肾保护药物FT011可减轻糖尿病视网膜病变大鼠的炎症、胶质增生和血管损伤。
FT011, a Novel Cardiorenal Protective Drug, Reduces Inflammation, Gliosis and Vascular Injury in Rats with Diabetic Retinopathy.
作者信息
Deliyanti Devy, Zhang Yuan, Khong Fay, Berka David R, Stapleton David I, Kelly Darren J, Wilkinson-Berka Jennifer L
机构信息
Department of Immunology and Pathology, Monash University, Melbourne, Victoria, Australia, 3004.
Department of Medicine, St Vincent's Hospital, The University of Melbourne, Fitzroy, Victoria, Australia, 3065.
出版信息
PLoS One. 2015 Jul 29;10(7):e0134392. doi: 10.1371/journal.pone.0134392. eCollection 2015.
Diabetic retinopathy features inflammation as well as injury to glial cells and the microvasculature, which are influenced by hypertension and overactivity of the renin-angiotensin system. FT011 is an anti-inflammatory and anti-fibrotic agent that has been reported to attenuate organ damage in diabetic rats with cardiomyopathy and nephropathy. However, the potential therapeutic utility of FT011 for diabetic retinopathy has not been evaluated. We hypothesized that FT011 would attenuate retinopathy in diabetic Ren-2 rats, which exhibit hypertension due to an overactive extra-renal renin-angiotensin system. Diabetic rats were studied for 8 and 32 weeks and received intravitreal injections of FT011 (50 μM) or vehicle (0.9% NaCl). Comparisons were to age-matched controls. In the 8-week study, retinal inflammation was examined by quantitating vascular leukocyte adherence, microglial/macrophage density and the expression of inflammatory mediators. Macroglial Müller cells, which exhibit a pro-inflammatory and pro-angiogenic phenotype in diabetes, were evaluated in the 8-week study as well as in culture following exposure to hyperglycaemia and FT011 (10, 30, 100 μM) for 72 hours. In the 32-week study, severe retinal vasculopathy was examined by quantitating acellular capillaries and extracellular matrix proteins. In diabetic rats, FT011 reduced retinal leukostasis, microglial density and mRNA levels of intercellular adhesion molecule-1 (ICAM-1). In Müller cells, FT011 reduced diabetes-induced gliosis and vascular endothelial growth factor (VEGF) immunolabeling and the hyperglycaemic-induced increase in ICAM-1, monocyte chemoattractant protein-1, CCL20, cytokine-induced neutrophil chemoattractant-1, VEGF and IL-6. Late intervention with FT011 reduced acellular capillaries and the elevated mRNA levels of collagen IV and fibronectin in diabetic rats. In conclusion, the protective effects of FT011 in cardiorenal disease extend to key elements of diabetic retinopathy and highlight its potential as a treatment approach.
糖尿病视网膜病变的特征包括炎症以及神经胶质细胞和微血管损伤,这些均受高血压和肾素 - 血管紧张素系统过度激活的影响。FT011是一种抗炎和抗纤维化药物,据报道它能减轻患有心肌病和肾病的糖尿病大鼠的器官损伤。然而,FT011对糖尿病视网膜病变的潜在治疗效用尚未得到评估。我们推测FT011会减轻糖尿病Ren - 2大鼠的视网膜病变,这种大鼠由于肾外肾素 - 血管紧张素系统过度活跃而患有高血压。对糖尿病大鼠进行了8周和32周的研究,并给它们玻璃体内注射FT011(50μM)或赋形剂(0.9%NaCl)。与年龄匹配的对照组进行比较。在8周的研究中通过定量血管白细胞黏附、小胶质细胞/巨噬细胞密度和炎症介质的表达来检测视网膜炎症。在8周的研究中以及在高血糖和FT011(10、30、100μM)作用72小时后的培养中,对在糖尿病中表现出促炎和促血管生成表型的大胶质Müller细胞进行了评估。在32周的研究中,通过定量无细胞毛细血管和细胞外基质蛋白来检测严重的视网膜血管病变。在糖尿病大鼠中,FT011降低了视网膜白细胞淤滞、小胶质细胞密度和细胞间黏附分子 - 1(ICAM - 1)的mRNA水平。在Müller细胞中,FT011减少了糖尿病诱导的神经胶质增生和血管内皮生长因子(VEGF)免疫标记以及高血糖诱导的ICAM - 1、单核细胞趋化蛋白 - 1、CCL20、细胞因子诱导的中性粒细胞趋化因子 - 1、VEGF和IL - 6的增加。FT011的晚期干预减少了糖尿病大鼠的无细胞毛细血管以及IV型胶原和纤连蛋白升高的mRNA水平。总之,FT011在心脏和肾脏疾病中的保护作用扩展到了糖尿病视网膜病变的关键要素,并突出了其作为一种治疗方法的潜力。