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A novel interaction between soluble epoxide hydrolase and the AT1 receptor in retinal microvascular damage
Mong-Heng Wang1, Ahmed S Ibrahim2, George Hsiao3
1Department of Physiology, Augusta University, Augusta, GA, USA.
Abstract:
Clinical studies have suggested that the renin-angiotensin system (RAS) may be a promising therapeutic target in treating diabetic retinopathy (DR). While AT1 receptor blockade decreased the incidence of DR in the DIRECT trial, it did not reduce the DR progression. Lack of understanding of the molecular mechanism of retinal microvascular damage induced by RAS is a critical barrier to the use of RAS blockade in preventing or treating DR. The purpose of this study is to investigate the interaction between soluble epoxide hydrolase (sEH) and the AT1 receptor in Angiotensin II (Ang II)- and diabetes-induced retinal microvascular damage. We demonstrate that Ang II increases retinal sEH levels, which is blunted by an AT1 blocker; administration of 11,12-epoxyeicosatrienoic acid (EET) exacerbates intravitreal Ang II-induced retinal albumin leakage; while sEH knockout (KO) and blockade reduce Ang II-induced retinal vascular remodeling, sEH KO causes retinal vascular leakage in Ang II-sEH KO mice; and sEH KO potentiates diabetes-induced retinal damage via promoting retinal vascular endothelial growth factor (VEGF) but reducing expression of tight junction proteins (ZO-1 and occludin). Our studies hold the promise of providing a new strategy, the use of combined EETs blockade with AT1 blocker, to prevent or reduce DR.
Insights
Soluble epoxide hydrolase (sEH) interacts with the Angiotensin II type 1 (AT1) receptor, influencing diabetic retinopathy (DR). Blocking sEH alongside AT1 receptor blockers may offer a new strategy for treating DR.
Area of Science:
- Ophthalmology
- Vascular Biology
- Endocrinology
Background:
- The renin-angiotensin system (RAS) is a potential therapeutic target for diabetic retinopathy (DR).
- AT1 receptor blockade reduced DR incidence but not progression, indicating a need for better understanding of RAS-induced retinal microvascular damage.
- Molecular mechanisms linking RAS to retinal microvascular damage remain unclear, hindering effective therapeutic strategies.
Purpose of the Study:
- To investigate the interaction between soluble epoxide hydrolase (sEH) and the AT1 receptor in Angiotensin II (Ang II)- and diabetes-induced retinal microvascular damage.
- To elucidate the role of sEH in the pathogenesis of DR.
- To explore novel therapeutic strategies for DR involving sEH and AT1 receptor pathways.
Main Methods:
- Assessed retinal sEH levels in response to Ang II and AT1 receptor blockade.
- Administered 11,12-epoxyeicosatrienoic acid (EET) to evaluate its effect on Ang II-induced retinal albumin leakage.
- Utilized sEH knockout (KO) mice to study Ang II- and diabetes-induced retinal damage, including vascular remodeling, leakage, and expression of VEGF and tight junction proteins (ZO-1, occludin).
Main Results:
- Ang II increased retinal sEH levels, an effect blunted by AT1 receptor blockade.
- EET administration exacerbated Ang II-induced retinal albumin leakage.
- sEH KO and blockade reduced Ang II-induced retinal vascular remodeling, but sEH KO led to vascular leakage in Ang II-treated mice.
- sEH KO potentiated diabetes-induced retinal damage by increasing VEGF and decreasing ZO-1 and occludin expression.
Conclusions:
- sEH plays a significant role in Ang II- and diabetes-induced retinal microvascular damage.
- Combined blockade of EETs and AT1 receptor presents a promising therapeutic strategy for preventing or reducing DR.
- Targeting the sEH-AT1 receptor interaction could offer a novel approach to managing diabetic retinopathy.
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