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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Invest+Ophthalmol+Vis+Sci
2015 ; 56
(5
): 2985-92
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Lipotoxicity augments glucotoxicity-induced mitochondrial damage in the
development of diabetic retinopathy
#MMPMID26024084
Kumar B
; Kowluru A
; Kowluru RA
Invest Ophthalmol Vis Sci
2015[May]; 56
(5
): 2985-92
PMID26024084
show ga
PURPOSE: Although hyperglycemia is the main instigator in the development of
diabetic retinopathy, dyslipidemia is also considered to play an important role.
In the pathogenesis of diabetic retinopathy, cytosolic NADPH oxidase 2 (Nox2) is
activated before retinal mitochondria are damaged. Our aim was to investigate the
effect of lipids in the development of diabetic retinopathy. METHODS: Reactive
oxygen species (ROS, by 2',7'-dichlorofluorescein diacetate) and activities of
Nox2 (by a lucigenin-based method) and Rac1 (by G-LISA) were quantified in
retinal endothelial cells incubated with 50 ?M palmitate in 5 mM glucose
(lipotoxicity) or 20 mM glucose (glucolipotoxicity) for 6 to 96 hours.
Mitochondrial DNA (mtDNA) damage was evaluated by extended-length PCR and its
transcription by quantifying cytochrome b transcripts. RESULTS: Within 6 hours of
exposure of endothelial cells to lipotoxicity, or glucotoxicity (20 mM glucose,
without palmitate), significant increase in ROS, Nox2, and Rac1 was observed,
which was exacerbated by glucolipotoxic insult. At 48 hours, neither lipotoxicity
nor glucotoxicity had any effect on mtDNA and its transcription, but
glucolipotoxicity significantly damaged mtDNA and decreased cytochrome b
transcripts, and at 96 hours, glucotoxicity and glucolipotoxicity produced
similar detrimental effects on mitochondrial damage. CONCLUSIONS: Although during
initial exposure, lipotoxic or glucotoxic insult produces similar increase in
ROS, addition of lipotoxicity in a glucotoxic environment further exacerbates ROS
production, and also accelerates their damaging effects on mitochondrial
homeostasis. Thus, modulation of Nox2 by pharmacological agents in prediabetic
patients with dyslipidemia could retard the development of retinopathy before
their hyperglycemia is observable.