Abstract

We have recently reported that Compound 49b, a novel β-adrenergic receptor agonist, can significantly reduce VEGF levels in retinal endothelial cells (REC) grown in diabetic-like conditions. In this study, we investigated whether Compound 49b could protect the retina under hypoxic conditions using the ischemia-reperfusion (I/R)-induced model in rats, as well REC cultured in hypoxic conditions. Some rats received 1mM topical Compound 49b for the 2 (5 rats each group) or 10 (4 rats in each group) days post-I/R. Analyses for retinal thickness and cell loss in the ganglion cell layer was done at 2 days post-I/R, while numbers of degenerate capillaries and pericyte ghosts were measured at 10 days post-I/R. Additionally, REC were cultured in normal oxygen or hypoxia (5% O2) only or treated with 50 nM Compound 49b for 12 hours. Twelve hours after Compound 49b exposure, cells were collected and analyzed for protein levels of insulin-like growth factor binding protein 3 (IGFBP-3), vascular endothelial cell growth factor (VEGF) and its receptor (KDR), angiopoietin 1 and its receptor Tie2 for Western blotting. Data indicate that exposure to I/R significantly decreased retinal thickness, with increasing numbers of degenerate capillaries and pericyte ghosts. Compound 49b treatment inhibited these retinal changes. In REC cultured in hypoxia, levels of IGFBP-3 were reduced, which were significantly increased by Compound 49b. Hypoxia significantly increased protein levels of VEGF, KDR, Angiopoiein 1, and Tie2, which were reduced following Compound 49b treatment. These data strongly suggested that Compound 49b protected the retina against I/R-induced injury. This provides additional support for a role of β-adrenergic receptor actions in the retina.

Highlights

  • The numbers of people worldwide with diabetes is reaching epidemic levels

  • To support the work in the I/R rat retina, we investigated the effects of hypoxia on retinal endothelial cells (REC), focusing on the role of Compound 49b in the regulation of vascular endothelial cell growth factor (VEGF) and angiopoietin 1 signaling

  • We have previously reported that Compound 49b could reduce the loss of retinal thickness and cell number in the ganglion cell layer (GCL) in the diabetic rat retina [1]

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Summary

Introduction

Within 20 years of diagnosis of diabetes, approximately 30% of patients will have some symptoms of diabetic retinopathy (ADA website). While anti-VEGF therapies are effective in some patients with diabetic macular edema and proliferative diabetic retinopathy, additional treatment modalities are needed. We have reported that our novel β-adrenergic receptor agonist, Compound 49b, can significantly protect the retina against diabetes-induced functional, neuronal, and vascular damage [1]. This protection is mediated, at least in part, through increasing IGFBP-3 levels in the diabetic retina [2]. We recently demonstrated that Compound 49b significantly reduced VEGF levels in REC cultured in high glucose through an IGFBP-3-mediated pathway [3]

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