Topical Administration of GLP-1 Receptor Agonists Prevents Retinal Neurodegeneration in Experimental Diabetes

Autor: Ángela M. Valverde, Marta García-Ramírez, José A. Arranz, Lidia Corraliza, Rafael Simó, Ana I. Arroba, Cristina Hernández, Cristina Solà-Adell, Patricia Bogdanov
Rok vydání: 2015
Předmět:
Agonist
Male
endocrine system
medicine.medical_specialty
medicine.drug_class
Endocrinology
Diabetes and Metabolism

Blotting
Western

Administration
Ophthalmic

Apoptosis
Biology
Real-Time Polymerase Chain Reaction
Neuroprotection
Glucagon-Like Peptide-1 Receptor
Retina
Diabetes Mellitus
Experimental

chemistry.chemical_compound
Mice
Glucagon-Like Peptide 1
Internal medicine
Glial Fibrillary Acidic Protein
Internal Medicine
medicine
Electroretinography
Animals
Humans
Glucagon-like peptide 1 receptor
Aged
Diabetic Retinopathy
Liraglutide
Venoms
digestive
oral
and skin physiology

Neurodegeneration
Retinal
Middle Aged
medicine.disease
Immunohistochemistry
medicine.anatomical_structure
Endocrinology
Neuroprotective Agents
chemistry
Diabetes Mellitus
Type 2

Systemic administration
Exenatide
Female
Peptides
medicine.drug
Retinal Neurons
Zdroj: Diabetes. 65(1)
ISSN: 1939-327X
Popis: Retinal neurodegeneration is an early event in the pathogenesis of diabetic retinopathy (DR). Since glucagon-like peptide 1 (GLP-1) exerts neuroprotective effects in the central nervous system and the retina is ontogenically a brain-derived tissue, the aims of the current study were as follows: 1) to examine the expression and content of GLP-1 receptor (GLP-1R) in human and db/db mice retinas; 2) to determine the retinal neuroprotective effects of systemic and topical administration (eye drops) of GLP-1R agonists in db/db mice; and 3) to examine the underlying neuroprotective mechanisms. We have found abundant expression of GLP-1R in the human retina and retinas from db/db mice. Moreover, we have demonstrated that systemic administration of a GLP-1R agonist (liraglutide) prevents retinal neurodegeneration (glial activation, neural apoptosis, and electroretinographical abnormalities). This effect can be attributed to a significant reduction of extracellular glutamate and an increase of prosurvival signaling pathways. We have found a similar neuroprotective effect using topical administration of native GLP-1 and several GLP-1R agonists (liraglutide, lixisenatide, and exenatide). Notably, this neuroprotective action was observed without any reduction in blood glucose levels. These results suggest that GLP-1R activation itself prevents retinal neurodegeneration. Our results should open up a new approach in the treatment of the early stages of DR.
Databáze: OpenAIRE