To confirm the protective effects of
trans-RSV on diabetes-induced RGC degeneration, a mouse model was established by STZ intraperitoneal injection and
trans-RSV intragastric administration (
Supplementary Fig. S1A). No statistically significant difference was found in body weight (
Supplementary Fig. S1B) or blood glucose (
Supplementary Fig. S1C) between the DM and the DM + RSV groups. As OPs of ERG arise from the neural activity of the inner retina, it was performed to represent the electrophysiological function of RGCs. The amplitude of OPs in diabetic mice was obviously lower than that in control mice, whereas
trans-RSV treatment alleviated this impairment (
Fig. 1A). This trend was also observed in the a and b waves of ERG, which arise from the neural activity of the outer and middle retina (
Supplementary Fig. S2). These results suggested that
trans-RSV may have a protective effect on all retinal layers. Meanwhile,
trans-RSV significantly increased the density of retinal ganglion cells (
Fig. 1B) and reduced the number of TUNEL-positive cells in the ganglion cell layer compared to the DM group (
Fig. 1C). Fluoro-Jade C staining, which labeled denatured neurons, showed relieved neurologic impairment after
trans-RSV treatment (
Fig. 1D). Synaptophysin has been regarded to reflect the density of synapses.
Trans-RSV treatment increased the level of synaptophysin in diabetic mouse retina (
Figs. 1E,
1G). Scanning electron microscopy images showed that the myelin sheath of the normal optic nerve was complete, clear and closely arranged (
Fig. 1F). In the DM group, the inner cell body of the myelin sheath was atrophic, the organelles were swollen, and some myelin sheath was disintegrated or thin, whereas the structure of the inner cell body was comparatively complete in the DM + RSV group. Western blot analysis of whole retinal proteins also showed significant reductions in the apoptosis markers cleaved-PARP and cleaved-caspase-3 in the DM + RSV group compared to the DM group, and the level of the ganglion cell marker Thy-1 were increased in the DM + RSV group compared to the DM group (
Fig. 1H). None of the above results showed significant differences between the control and control + RSV groups, suggesting that oral
trans-RSV did not cause damage to RGCs.