O-GlcNAc修饰是糖尿病视网膜病变的有前途的治疗标
Wenkang Dong1, Laraib Imdad1, Shengnan Xu1
1Department of Histology and Embryology, College of Basic Medicine, Dalian Medical University, Dalian 116044, China.
International journal of molecular sciences
|June 19, 2024
概括
与O相关的N-乙糖胺 (O-GlcNAc) 修饰增加了糖尿病视网膜病变 (DR),导致细胞损伤和新血管化. 激活AMP激活蛋白激酶 (AMPK) 可逆转这些效应,为DR提供了潜在的治疗策略.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 分子生物学分子生物学
背景情况:
- 糖尿病视网膜病变 (DR) 是糖尿病的严重并发症,以视网膜损伤为特征.
- 与O相关的N-乙糖胺 (O-GlcNAc) 修饰与各种疾病有关,但其在DR病原发生中的作用尚不清楚.
研究的目的:
- 调查O-GlcNAc修饰在DR中的作用.
- 探索通过AMP激活蛋白激酶 (AMPK) 激活DR中调节O-GlcNAc修饰的治疗潜力.
主要方法:
- 用DR患者血清样本验证的生物信息预测.
- 在体内研究中,使用因斯特佐托辛诱导的糖尿病小鼠接受了甲福明 (AMPK激动剂) 或化合物C (AMPK抑制剂) 的治疗.
- 在高葡萄糖条件下使用661w细胞进行体外研究,评估细胞亡,蛋白质表达 (西方斑,免疫光) 和血管生成.
主要成果:
- 在DR患者和糖尿病小鼠中,O-GlcNAc修饰水平升高,与视网膜功能障碍和退行相关.
- 高葡萄糖增加了O-GlcNAc修饰,细胞亡和新血管化在体外,由GFAT/TXNIP-O-GlcNAc轴介导.
- AMPK激活 (甲胺) 改善了与DR相关的变化,而AMPK抑制使它们变得更糟;AMPKα1亚单元沉默逆转了保护作用.
结论:
- 增加的O-GlcNAc修饰有助于光受体细胞退化和DR中的新血管化.
- 通过向GFAT/TXNIP-O-GlcNAc信号通路,AMPK激活可以减轻DR的进展.
- 在这种保护机制中,AMPKα1亚单元至关重要,这表明AMPK激活是DR的潜在治疗策略.
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