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Effects and mechanism of catalpol on retinopathy in mice with diabetes mellitus |
WU Zhen DU Qiu |
Department of Pharmacy, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210022, China |
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Abstract Objective To study the effects and mechanism of catalpol on retinopathy in mice with diabetes mellitus. Methods A total of 28 SPF KK-Ay diabetic mice aged eight weeks were selected. According to random number table method, they were divided into model group [100 mg/(kg·d) normal saline], Aminoguanidine group [100 mg/(kg·d) Aminoguanidine], catalpol low-dose group [50 mg/(kg·d) catalpol] and catalpol high-dose group [100 mg/(kg·d) catalpol]. SPF C57BL/6J male mice aged eight weeks were selected as blank group [100 mg/(kg·d) normal saline], with seven mice in each group. All the five groups were given intragastric gavage for eight weeks continuously, and their blood glucose levels were monitored before, four and eight weeks after intervention. Eight weeks after administration, pathological changes of retina were observed by HE staining and retinal ganglion cells (RGC) were counted. Serum levels of interleukin-1β (IL-1β), tumor necrosis factor-α (TNF-α), vascular endothelial growth factor (VEGF), and advanced glycation end product (AGE) in five groups were determined by enzym-linked immunosorbent assay. The expression levels of vascular endothelial cadherin (VE-cadherin), advanced glycolylation end product receptor (RAGE) and phosphorylated nuclear factor-κB p65 (P-NF-κB p65) in retinal cells were determined by Western blot. Results After eight weeks of intervention, the blood glucose levels in the model group was higher than those before interlention, the blood glucose level in the catalpol low-dose group was lower than before, the blood glucose level in the catalpol high-dose group was lower than before and after four weeks and eight weeks of intervention, the differences were statistically significant (all P < 0.05). The blood glucose levels in the model group before intervention, four weeks after intervention and eight weeks intervention were higher than those at the same time points of the blank group, the blood glucose levels in the catalpol low-dose group after eight weeks of intervention were lower than those at the same time point in the model group, the blood glucose levels of catalpol high-dose group after four weeks and eight weeks of intervention were lower than those in the model group at the same time points, with all statistical significance (all P < 0.05). The retinal surface of blank group was smooth, and the structure was clear and complete. In the model group, the retinal structure was loose and the retinal cells were disordered. The retinal structure of catalpol low-dose group was loose and thin. The retinal structure, cell arrangement and retinal thickness were improved in catalpol high-dose group compared with model group. After eight weeks of intervention, the number of RGC in the model group was less than that in the blank group, the number of RGC in catalpol high-dose group was higher than that in model group, and the differences were highly statistically significant (P < 0.01). The levels of IL-1β, TNF-α, VEGF, and AGE in model group were higher than those in blank group, and the levels of IL-1β, TNF-α, VEGF, and AGE in catalpol low-dose and high-dose groups were lower than those in model group, with statistical significance (P < 0.05 or P < 0.01). The expression of VE-cadherin in model group was lower than that in blank group, and the expression of RAGE and P-NF-κB p65 in model group was higher than that in blank group, with statistical significance (all P < 0.05). The expression of VE-cadherin in catalpol low-dose and high-dose groups was higher than that in model group, and the expression of RAGE and P-NF-κB p65 protein in catalpol low-dose and high-dose groups was lower than that in model group, with highly statistical significance (P < 0.01). Conclusion Catalpol can reduce blood glucose and serum inflammatory factor levels, thereby improving retinopathy in mice with diabetes mellitus, and its mechanism may be related to the inhibition of AGE/RAGE/NF-κB signaling pathway.
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