Aim
Reactive oxygen species (ROS) are elevated in the retina, and mitochondria are damaged, resulting in capillary cell apoptosis and the development of retinopathy. Dyslipidemia is also considered as one of the major factors in its development, and our aim is to investigate the compounding effect of hyperlipidemia in retinopathy.
Methods
Retinal ROS, mitochondrial damage and vascular pathology were investigated in Zucker diabetic fatty rats (ZDF, type 2 diabetes model), during the age that spans from hyperlipidemia/pre-hyperglycemia (6 weeks), to severe hyperglycemia/moderate hyperlipidemia (~12 weeks), and ultimately to severe hyperglycemia/hyperlipidemia (20–40 weeks). For comparison, retina from streptozotocin-induced Wistar rats (type 1 diabetic for 10–40 weeks) was analyzed.
Results
Compared to age-matched lean rats, despite increased retinal cytosolic ROS in 6 weeks old ZDF rats, mitochondrial dysfunction and DNA damage were not detected, and in 12 weeks old ZDF rats, retinal mitochondria were dysfunctional, but mtDNA damage and vascular pathology (cell apoptosis and degenerative capillaries) were not detectable. Retina from 20 weeks old ZDF rats (hyperglycemic for 14 weeks or less) had significant mitochondrial dysfunction, mtDNA damage and vascular pathology, and similar abnormalities were observed in 40 weeks old ZDF rats. Although retinal mitochondrial dysfunction was observed in Wistar rats diabetic for 20 weeks, mtDNA damage and vascular pathology were not detectable till the duration of diabetes was further extended.
Conclusions
Hyperlipidemia, in a hyperglycemic milieu, potentiates mitochondrial damage and augments the development of retinopathy. Control of dyslipidemia in pre-diabetic patients may prevent/delay the development and the progression of this devastating disease.