“…40,41 In spite of the myriad signs of vascular disease we see in the Ins2 Akita mice, it is important to recognize that we do not detect signs of preretinal neovascularization (a common phenotype of proliferative DR), in these mice, and studies targeting this particular phenotype may need to consider other models such as the opticin knockout mouse 42 or the oxygeninduced retinopathy model. 43,44 The retinal microangiopathy caused by diabetes is a complex disease that is strictly controlled by a spectrum of pro-and anti-inflammatory factors, pro-and antiangiogenic factors, as well as other factors such as proteases, extracellular matrix proteins, chemokines, vasoactive hormones, immune cells, and adhesion molecules. [45][46][47] Changes in other pathways such as the oxidative stress pathway, 48 the nonspecific inflammation pathway, 49 and the endoplasmic reticulum stress pathway 50 have also been reported in DR.…”