Abstract
purpose. Apoptosis of retinal capillary cells is an early event in the pathogenesis of retinopathy in diabetes, and oxidative stress has been linked to accelerated apoptosis of retinal capillary cells. Mitochondria are the major endogenous source of superoxide, and superoxide is considered to be a causal link between elevated glucose and the major biochemical pathways postulated to be involved in the development of vascular complications in diabetes. The purpose of the present study is to determine the role of mitochondrial superoxide dismutase (MnSOD) in the development of diabetic retinopathy.
methods. The effect of overexpression of MnSOD on glucose-induced endothelial cell oxidative stress, nitrosative stress, and apoptosis was determined by using bovine retinal endothelial cells. Furthermore, the effect of diabetes in rats (11 months’ duration) on the activity and the mRNA expression of retinal MnSOD were also determined.
results. MnSOD activity in the nontransfected control retinal endothelial cells was 20% compared with the total SOD activity and was increased to 60% in the MnSOD-transfected cells. MnSOD overexpression prevented a glucose-induced increase in oxidative stress (8-hydroxy guanosine levels), nitrosative stress (nitrotyrosine formation), and apoptosis of retinal endothelial cells. MnSOD enzyme activity and its mRNA were decreased significantly in the retina obtained from the diabetic rats, and these abnormalities were prevented by long-term lipoic acid therapy.
conclusions. The results of this study suggest a protective role for MnSOD in retinal capillary cell death and, ultimately, in the pathogenesis of retinopathy in diabetes. Understanding the role of MnSOD to modify the course of retinopathy could elucidate important molecular targets for future pharmacological interventions.
Diabetes increases oxidative stress in the retina: the levels of lipid peroxide, thiobarbituric acid substances, and superoxide are increased in the retina.
1 2 This increase in oxidative stress can be the result of several diabetes-induced abnormalities, including auto-oxidation of glucose, the formation of advanced glycation end products, and impairments in the antioxidant defense system.
3 4 5 Reactive oxygen species (ROS) are considered to be a causal link between elevated glucose and the other metabolic abnormalities important in the development of diabetic complications.
6 ROS are closely linked to apoptosis in a variety of cell types. Underlying mechanisms involve increased membrane lipid peroxidation, increased oxidative injury to other macromolecules, or alterations in signal transduction.
7
Mitochondria are the major endogenous source of superoxide, peroxynitrite, and hydroxyl radicals.
8 Mitochondrial superoxide production is considered as a single unifying mechanism for diabetic complications.
9 Release of cytochrome c from the mitochondria is triggered by ROS, and, in addition, increased lipid peroxidation itself damages mitochondrial membrane potential, provoking apoptosis.
10 11 In diabetes, retinal mitochondria experience dysfunction; they become leaky when the duration of diabetes is such that capillary-cell apoptosis can be observed.
12 Superoxide levels are increased in the retina and its capillary cells, and inhibition of superoxide prevents glucose-induced mitochondrial dysfunction and apoptosis in retinal capillary cells.
2 12 The activity of superoxide dismutase (SOD), an enzyme known to scavenge superoxide, is decreased in the retina in diabetes, and its expression is downregulated.
4 5 The therapy that inhibits the development of retinopathy in diabetic rats, including aminoguanidine and antioxidants, prevents a diabetes-induced decrease in superoxide accumulation and SOD activity in the retina.
2 4 Overexpression of SOD is shown to reduce oxidative stress; decrease mitochondrial release of cytochrome c and apoptosis in neurons; and, in mice, prevent diabetes-induced glomerular injury, thus suggesting a major role of SOD in the regulation of apoptosis.
13 14 15
The purpose of the present study is to determine the role of mitochondrial SOD (MnSOD) in the development of diabetic retinopathy. We have investigated the effect of overexpression of MnSOD on glucose-induced retinal endothelial cell oxidative stress, nitrosative stress, and apoptosis. Furthermore, the effect of long-term diabetes and the therapy that is shown to inhibit retinal capillary-cell apoptosis and histopathology in diabetic rats is determined on the activity and the mRNA expression of retinal MnSOD.
8-Hydroxy-2′-deoxyguanosine (8-OHdG) levels were measured by performing an ELISA with a kit from Oxis Research Laboratories (Portland, OR) (Kowluru RA, et al. IOVS 2005;46:ARVO E-Abstract 422). DNA was purified from the cells, digested with DNase, and used for the assay to enhance the accuracy and the reproducibility of the measurements. The 8-OHdG standard (0.5–40 ng/mL) or 15 to 20 μg DNA was incubated for 1 hour with monoclonal antibody against 8-OHdG in a microtiter plate precoated with 8-OHdG. The final color was developed by the addition of 3,3,5,5-tetramethylbenzidine, and absorbance was measured at 450 nm.