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Updated: Jun 7, 2026

An Assay to Detect Protection of the Retinal Vasculature from Diabetes-Related Death in Mice
Published on: January 12, 2024
Insulin and β-adrenergic receptors inhibit retinal endothelial cell apoptosis through independent pathways
Surekha Rani Panjala1, Jena J Steinle
1Department of Ophthalmology, Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Abstract:
Diabetic retinopathy results from altered insulin receptor signaling. Based on previous studies demonstrating an interaction between β-adrenergic receptors and insulin signaling in hyperglycemic conditions, we hypothesized that β-adrenergic receptor stimulation and insulin stimulation would act synergistically to inhibit one of the hallmarks of diabetic retinopathy, namely retinal endothelial cell apoptosis. To test this hypothesis, human retinal endothelial cells were grown in high glucose (25 mM) medium and treated with a β-1-adrenergic receptor agonist (xamoterol, 10 μM) alone, insulin alone (10 nM) or xamoterol + insulin. We then assessed changes in the levels of insulin receptor, insulin-like growth factor (IGF-1) receptor, and Akt phosphorylation, as well as cleaved caspase 3. Xamoterol alone significantly decreased insulin receptor, IGF-1 receptor and Akt phosphorylation, whereas insulin alone increased insulin receptor, IGF-1 receptor, and Akt phosphorylation. Xamoterol significantly decreased apoptosis of retinal endothelial cells. This data suggests that both β-adrenergic receptors and insulin can inhibit retinal endothelial cell apoptosis in hyperglycemic conditions, but inhibition occurs through independent pathways. These findings have implications for treatments of diabetic retinopathy.
Insights
Beta-adrenergic receptors and insulin independently inhibit retinal endothelial cell apoptosis in high glucose conditions, offering new insights for diabetic retinopathy treatments.
Area of Science:
- Ophthalmology
- Endocrinology
- Cell Biology
Background:
- Diabetic retinopathy is linked to abnormal insulin receptor signaling.
- Hyperglycemia impacts insulin signaling and β-adrenergic receptor interactions.
- Retinal endothelial cell apoptosis is a key feature of diabetic retinopathy.
Purpose of the Study:
- To investigate the synergistic effects of β-adrenergic receptor stimulation and insulin on retinal endothelial cell apoptosis under hyperglycemic conditions.
- To determine the signaling pathways involved in these interactions.
Main Methods:
- Human retinal endothelial cells were cultured in high glucose (25 mM) medium.
- Cells were treated with a β-1-adrenergic receptor agonist (xamoterol) and/or insulin.
- Levels of insulin receptor, IGF-1 receptor, Akt phosphorylation, and cleaved caspase 3 were assessed.
Main Results:
- Xamoterol alone decreased insulin receptor, IGF-1 receptor, and Akt phosphorylation.
- Insulin alone increased insulin receptor, IGF-1 receptor, and Akt phosphorylation.
- Both xamoterol and insulin significantly inhibited retinal endothelial cell apoptosis, but via independent pathways.
Conclusions:
- β-adrenergic receptors and insulin independently inhibit retinal endothelial cell apoptosis in hyperglycemia.
- These findings suggest distinct molecular mechanisms for each pathway.
- The results have potential implications for novel therapeutic strategies for diabetic retinopathy.
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