Etanercept restores normal insulin signal transduction in β2-adrenergic receptor knockout mice

Youde Jiang, Qiuhua Zhang, Eun-Ah Ye

  • 1Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, TN, USA. jsteinl1@uthsc.edu.

Abstract

Insights

Inhibition of tumor necrosis factor-alpha (TNFα) with etanercept improved retinal function in mice lacking β2-adrenergic receptors. This treatment reduced insulin resistance and apoptosis, protecting the retina.

Area of Science:

  • Ophthalmology
  • Immunology
  • Endocrinology

Background:

  • Tumor necrosis factor-alpha (TNFα) contributes to diabetic retinopathy in rodent models.
  • TNFα impairs insulin signaling and promotes apoptosis in retinal cells.
  • β2-adrenergic receptor knockout (β2KO) mice exhibit elevated TNFα and reduced insulin receptor activity.

Purpose of the Study:

  • To investigate if inhibiting TNFα in β2KO mice improves insulin signaling and retinal function.
  • To determine the effects of etanercept on retinal TNFα levels, insulin receptor activity, and apoptosis in β2KO mice.

Main Methods:

  • C57BL6 and β2KO mice were treated with etanercept or left untreated for 2 months.
  • Electroretinograms (ERGs) assessed retinal function before and after treatment.
  • Western blot and ELISA analyzed TNFα, SOCS3, insulin receptor, and apoptotic protein levels.

Main Results:

  • Etanercept significantly decreased TNFα levels in β2KO mice.
  • Insulin receptor phosphorylation and insulin signaling were increased post-etanercept treatment.
  • SOCS3 and pro-apoptotic protein levels decreased, while ERG amplitudes improved in treated β2KO mice.

Conclusions:

  • Etanercept protects the retina in β2KO mice by mitigating TNFα-induced insulin resistance.
  • Reduced apoptosis and improved retinal function are key outcomes of TNFα inhibition.

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