Purpose
To evaluate the ultrastructural features of retinal capillary basement membranes (BMs) in a swine model of type 1 diabetes.
Materials and Methods
Yorkshire pigs were rendered diabetic with streptozotocin and dyslipidemic with a high fat and cholesterol diet. At 18, 26 and 32 weeks of diabetes, the retina sections within 3 disc diameters from the optic disc were examined under transmission electron microscope to evaluate the ultrastructural features of retinal capillary BM. For measurement of the thickness of these capillary BMs, digital morphometric analysis was adapted.
Results
Diabetic swine had significantly thicker retinal capillary BMs compared to controls. Pigs that sustained diabetes for longer periods or experienced severe diabetes tended to have thicker BMs. Those pigs which did not maintain glucose levels above 200 mg/dL did not demonstrate thicker retinal capillary BMs. Characteristic ultrastructural features of diabetic vasculopathy were observed including rarefaction as an early stage of Swiss cheese cavitation, lamellation with multiplication of electron dense layers, and fibrillar materials within capillary BM.
Conclusions
Diabetic Yorkshire pigs develop characteristic features of an early retinal microangiopathy fairly rapidly and may serve as a higher order animal model for basement membrane studies of type 1 diabetes.