Silymarin prevents diabetes-induced hyperpermeability in human retinal endothelial cells

Marta García-Ramírez1, Mireia Turch2, Olga Simó-Servat1

  • 1Diabetes and Metabolism Research Unit. Vall d'Hebron Research Institute. Universitat Autònoma de Barcelona, Spain; Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Spain.

Abstract

Insights

Silymarin effectively prevents increased blood-retinal barrier permeability in human retinal endothelial cells under diabetic conditions. Further research is needed to explore its potential for treating diabetic macular edema (DME).

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Pharmacology

Background:

  • Diabetic macular edema (DME) is linked to vascular endothelial growth factor (VEGF).
  • Silymarin, a flavonoid from Silybum marianum, shows potential for diabetic nephropathy but lacks study in diabetic retinopathy (DR).
  • This study investigates silymarin's effect on the inner blood-retinal barrier (BRB) disruption in DME.

Purpose of the Study:

  • To assess silymarin's impact on the inner blood-retinal barrier (BRB) in human retinal endothelial cells (HRECs) under diabetic conditions.
  • To determine the efficacy of silymarin in preventing VEGF-induced hyperpermeability in HRECs.

Main Methods:

  • HRECs were cultured in standard (5.5mM D-glucose) and diabetic (25mM D-glucose) conditions, with or without recombinant VEGF.
  • Cell viability was tested with silymarin concentrations of 2, 4, and 10μg/mL.
  • Dextran permeability assay measured HREC disruption, with 4μg/mL silymarin selected based on viability results.

Main Results:

  • Silymarin at 4μg/mL did not affect HREC viability.
  • Silymarin significantly reduced VEGF-induced permeability in both standard and diabetic conditions.
  • The reduction in permeability was observed in both 5.5nM and 25nM D-glucose media.

Conclusions:

  • Silymarin demonstrates effectiveness in preventing diabetic-induced hyperpermeability in HRECs.
  • These findings suggest silymarin's potential therapeutic value for DME.
  • Further clinical studies are warranted to confirm silymarin's efficacy in treating DME.

Related Concept Videos

Induced Pluripotent Stem Cells01:13

Induced Pluripotent Stem Cells

Stem cells are undifferentiated cells that divide and produce different types of cells. Ordinarily, cells that have differentiated into a specific cell type are post-mitotic—that is, they no longer divide. However, scientists have found a way to reprogram these mature cells so that they “de-differentiate” and return to an unspecialized, proliferative state. These cells are also pluripotent like embryonic stem cells—able to produce all cell types—and are therefore...
28.2K
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.7K
Cancer Prevention02:59

Cancer Prevention

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
8.2K
Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
1.3K
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
2.2K
Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
1.1K