NHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Metabolic Diseases Hospital & Institute of Endocrinology, Tianjin Medical University, Tianjin, 300070, China.
The Second Hospital of Tianjin Medical University, Tianjin, China.
Diabetologia. 2019 Jun;62(6):1074-1086. doi: 10.1007/s00125-019-4838-9. Epub 2019 Mar 5.
AIMS/HYPOTHESIS: Many studies have shown that tissue kallikrein has effects on diabetic vascular complications such as nephropathy, cardiomyopathy and neuropathy, but its effects on diabetic retinopathy are not fully understood. Here, we investigated the retinoprotective role of exogenous pancreatic kallikrein and studied potential mechanisms of action. METHODS: We used KK Cg-A/J (KKAy) mice (a mouse model of spontaneous type 2 diabetes) and mice with high-fat diet/streptozotocin (STZ)-induced type 2 diabetes as our models. After the onset of diabetes, both types of mice were injected intraperitoneally with either pancreatic kallikrein (KKAy + pancreatic kallikrein and STZ + pancreatic kallikrein groups) or saline (KKAy + saline and STZ + saline groups) for 12 weeks. C57BL/6J mice were used as non-diabetic controls for both models. We analysed pathological changes in the retina; evaluated the effects of pancreatic kallikrein on retinal oxidative stress, inflammation and apoptosis; and measured the levels of bradykinin and B1 and B2 receptors in both models. RESULTS: In both models, pancreatic kallikrein improved pathological structural features of the retina, increasing the thickness of retinal layers, and attenuated retinal acellular capillary formation and vascular leakage (p < 0.05). Furthermore, pancreatic kallikrein ameliorated retinal oxidative stress, inflammation and apoptosis in both models (p < 0.05). We also found that the levels of bradykinin and B1 and B2 receptors were increased after pancreatic kallikrein in both models (p < 0.05). CONCLUSIONS/INTERPRETATION: Pancreatic kallikrein can protect against diabetic retinopathy by activating B1 and B2 receptors and inhibiting oxidative stress, inflammation and apoptosis. Thus, pancreatic kallikrein may represent a new therapeutic agent for diabetic retinopathy.
目的/假说:许多研究表明组织激肽释放酶对糖尿病血管并发症如肾病、心肌病和神经病有影响,但它对糖尿病视网膜病变的影响尚未完全阐明。在这里,我们研究了外源性胰激肽对糖尿病视网膜病变的保护作用,并研究了其潜在的作用机制。
方法:我们使用 KK Cg-A/J(KKAy)小鼠(自发性 2 型糖尿病小鼠模型)和高脂肪饮食/链脲佐菌素(STZ)诱导的 2 型糖尿病小鼠作为我们的模型。糖尿病发病后,两种类型的小鼠均腹腔注射胰激肽(KKAy+胰激肽组和 STZ+胰激肽组)或生理盐水(KKAy+生理盐水组和 STZ+生理盐水组),持续 12 周。C57BL/6J 小鼠被用作两种模型的非糖尿病对照。我们分析了视网膜的病理变化;评估了胰激肽对视网膜氧化应激、炎症和细胞凋亡的影响;并测量了两种模型中缓激肽和 B1、B2 受体的水平。
结果:在两种模型中,胰激肽改善了视网膜的病理结构特征,增加了视网膜各层的厚度,并减轻了视网膜无细胞毛细血管形成和血管渗漏(p<0.05)。此外,胰激肽在两种模型中均改善了视网膜氧化应激、炎症和细胞凋亡(p<0.05)。我们还发现,两种模型中胰激肽处理后缓激肽和 B1、B2 受体的水平增加(p<0.05)。
结论/解释:胰激肽通过激活 B1 和 B2 受体以及抑制氧化应激、炎症和细胞凋亡,可预防糖尿病视网膜病变。因此,胰激肽可能成为糖尿病视网膜病变的一种新的治疗药物。
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