|
维生素C对糖尿病小鼠视网膜的保护作用
|
Abstract:
糖尿病视网膜病变(Diabetic Retinopathy, DR)是糖尿病的主要微血管并发症,慢性炎症和细胞凋亡在其发生发展中起关键作用。研究表明,维生素C具有抗氧化和抗炎特性,可能有助于缓解DR相关的视网膜损伤。然而,其在DR体内模型中的保护作用仍不明确。本研究采用链脲佐菌素(Streptozotocin, STZ)诱导糖尿病小鼠模型,检测维生素C干预对视网膜组织结构及炎症因子表达的影响。结果表明,维生素C通过减少TNF-α、IL-1β、IL-6和MCP-1的表达水平,减轻炎症反应,同时抑制视网膜神经细胞凋亡并改善视网膜厚度。研究揭示了维生素C可能通过抗炎和抗凋亡机制对DR产生保护作用,为其作为辅助治疗提供了实验依据。
Diabetic retinopathy (DR) is a major microvascular complication of diabetes, with chronic inflammation and cell apoptosis playing key roles in its pathogenesis. Vitamin C has antioxidant and anti-inflammatory properties, and may help alleviate retinal damage associated with DR. However, its protective effects in DR animal models are still unclear. In this study, a STZ-induced diabetic mouse model was used to examine the impact of vitamin C intervention on retinal tissue structure and inflammatory cytokine expression. The results showed that vitamin C significantly reduced the expression levels of TNF-α, IL-1β, IL-6, and MCP-1, alleviating inflammation, while inhibiting retinal neuronal cell apoptosis and improving retinal thickness. The study suggests that vitamin C may exert protective effects on DR through anti-inflammatory and anti-apoptotic mechanisms, providing experimental support for its use as an adjunctive therapy.
[1] | Ong, K.L., Stafford, L.K., McLaughlin, S.A., Boyko, E.J., Vollset, S.E., Smith, A.E., et al. (2023) Global, Regional, and National Burden of Diabetes from 1990 to 2021, with Projections of Prevalence to 2050: A Systematic Analysis for the Global Burden of Disease Study 2021. The Lancet, 402, 203-234. https://doi.org/10.1016/s0140-6736(23)01301-6 |
[2] | Teo, Z.L., Tham, Y., Yu, M., Chee, M.L., Rim, T.H., Cheung, N., et al. (2021) Global Prevalence of Diabetic Retinopathy and Projection of Burden through 2045: Systematic Review and Meta-Analysis. Ophthalmology, 128, 1580-1591. https://doi.org/10.1016/j.ophtha.2021.04.027 |
[3] | Xu, G., Zhang, J. and Tang, L. (2023) Inflammation in Diabetic Retinopathy: Possible Roles in Pathogenesis and Potential Implications for Therapy. Neural Regeneration Research, 18, 976-982. https://doi.org/10.4103/1673-5374.355743 |
[4] | Ruamviboonsuk, V. and Grzybowski, A. (2022) The Roles of Vitamins in Diabetic Retinopathy: A Narrative Review. Journal of Clinical Medicine, 11, Article No. 6490. https://doi.org/10.3390/jcm11216490 |
[5] | Ren, C., Liu, W., Li, J., Cao, Y., Xu, J. and Lu, P. (2019) Physical Activity and Risk of Diabetic Retinopathy: A Systematic Review and Meta-Analysis. Acta Diabetologica, 56, 823-837. https://doi.org/10.1007/s00592-019-01319-4 |
[6] | Shah, J., Cheong, Z., Tan, B., Wong, D., Liu, X. and Chua, J. (2022) Dietary Intake and Diabetic Retinopathy: A Systematic Review of the Literature. Nutrients, 14, Article No. 5021. https://doi.org/10.3390/nu14235021 |
[7] | Eshak, E.S., Iso, H., Muraki, I. and Tamakoshi, A. (2019) Among the Water-Soluble Vitamins, Dietary Intakes of Vitamins C, B2 and Folate Are Associated with the Reduced Risk of Diabetes in Japanese Women but Not Men. British Journal of Nutrition, 121, 1357-1364. https://doi.org/10.1017/s000711451900062x |
[8] | Xiong, R., Yuan, Y., Zhu, Z., Wu, Y., Ha, J., Han, X., et al. (2022) Micronutrients and Diabetic Retinopathy: Evidence from the National Health and Nutrition Examination Survey and a Meta-Analysis. American Journal of Ophthalmology, 238, 141-156. https://doi.org/10.1016/j.ajo.2022.01.005 |
[9] | Kowluru, R.A. (2023) Cross Talks between Oxidative Stress, Inflammation and Epigenetics in Diabetic Retinopathy. Cells, 12, Article No. 300. https://doi.org/10.3390/cells12020300 |
[10] | Chang, K. and Petrash, J.M. (2018) Aldo-Keto Reductases: Multifunctional Proteins as Therapeutic Targets in Diabetes and Inflammatory Disease. In: Vasiliou, V., et al., Eds., Advances in Experimental Medicine and Biology, Springer International Publishing, 173-202. https://doi.org/10.1007/978-3-319-98788-0_13 |
[11] | Ng, D.S., Chiang, P.P., Tan, G., Cheung, C.G., Cheng, C., Cheung, C.Y., et al. (2016) Retinal Ganglion Cell Neuronal Damage in Diabetes and Diabetic Retinopathy. Clinical & Experimental Ophthalmology, 44, 243-250. https://doi.org/10.1111/ceo.12724 |
[12] | Vujosevic, S. and Midena, E. (2013) Retinal Layers Changes in Human Preclinical and Early Clinical Diabetic Retinopathy Support Early Retinal Neuronal and Müller Cells Alterations. Journal of Diabetes Research, 2013, Article ID: 905058. https://doi.org/10.1155/2013/905058 |
[13] | Huang, H., Gandhi, J.K., Zhong, X., Wei, Y., Gong, J., Duh, E.J., et al. (2011) TNFα Is Required for Late BRB Breakdown in Diabetic Retinopathy, and Its Inhibition Prevents Leukostasis and Protects Vessels and Neurons from Apoptosis. Investigative Opthalmology & Visual Science, 52, 1336-1344. https://doi.org/10.1167/iovs.10-5768 |
[14] | Kowluru, R.A., Mohammad, G., Santos, J.M., Tewari, S. and Zhong, Q. (2011) Interleukin-1β and Mitochondria Damage, and the Development of Diabetic Retinopathy. Journal of Ocular Biology, Diseases, and Informatics, 4, 3-9. https://doi.org/10.1007/s12177-011-9074-6 |
[15] | Sharma, S. (2021) Interleukin-6 Trans-Signaling: A Pathway with Therapeutic Potential for Diabetic Retinopathy. Frontiers in Physiology, 12, Article ID: 689429. https://doi.org/10.3389/fphys.2021.689429 |
[16] | Taghavi, Y., Hassanshahi, G., Kounis, N.G., Koniari, I. and Khorramdelazad, H. (2019) Monocyte Chemoattractant Protein-1 (MCP-1/CCL2) in Diabetic Retinopathy: Latest Evidence and Clinical Considerations. Journal of Cell Communication and Signaling, 13, 451-462. https://doi.org/10.1007/s12079-018-00500-8 |