Aldose reductase inhibition alleviates hyperglycemic effects on human retinal pigment epithelial cells

Kun-Che Chang1, Anson Snow2, Daniel V LaBarbera3

  • 1Department of Ophthalmology, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO 80045, USA; Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Anschutz Medical Campus, Aurora, CO 80045, USA.

Insights

Beta-glucogallin (BGG), a novel aldose reductase (AR) inhibitor, protects retinal pigment epithelial cells from high glucose damage. BGG reduces oxidative stress and cell death, offering potential therapeutic benefits for diabetic retinopathy.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Biochemistry

Background:

  • Diabetic retinopathy (DR) is a degenerative eye disease linked to chronic hyperglycemia.
  • Aldose reductase (AR) plays a role in DR pathogenesis by increasing oxidative stress under high glucose conditions.

Purpose of the Study:

  • To evaluate the protective effects of beta-glucogallin (BGG), a novel AR inhibitor, against hyperglycemia-induced damage in human adult retinal pigment epithelial (ARPE-19) cells.

Main Methods:

  • ARPE-19 cells were exposed to high glucose (HG) conditions.
  • Effects of BGG, AR gene knockdown (siRNA), and sorbinil on cell viability, sorbitol accumulation, reactive oxygen species (ROS) production, ER stress, and mitochondrial membrane potential (MMP) were assessed.
  • Apoptosis induced by retinal microglia was also evaluated.

Main Results:

  • High glucose significantly reduced ARPE-19 cell viability, which was restored by AR inhibition (BGG or sorbinil) or AR gene knockdown.
  • BGG treatment decreased sorbitol accumulation, ROS production, and ER stress in HG-exposed cells.
  • BGG also prevented loss of MMP and reduced microglia-induced apoptosis in ARPE-19 cells.

Conclusions:

  • Beta-glucogallin demonstrates significant protective effects against hyperglycemia-induced cellular abnormalities in retinal pigment epithelial cells.
  • BGG's ability to mitigate oxidative stress, ER stress, and apoptosis suggests its potential as a therapeutic agent for preventing RPE cell death and treating diabetic retinopathy.

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