Abstract

PurposeTo investigate the potential neuroprotective effect of glycine supplementation on the retinal ultrastructure of streptozocin (STZ)-induced diabetic rats.MethodsAdult male Wistar rats weighing 200–250 g (n = 40) were randomly divided into four groups of 10 each: normal group (C), glycine + normal group (G), STZ group (D), and glycine + STZ group (DG). The G and DG groups received glycine (130 mM and 1% w/v) freely in their drinking water seven days after the induction of diabetes for up to 16 weeks. Retinal samples for histopathology were examined using light and electron microscopy.ResultsDiabetes-induced histological changes were attenuated in the retinas of rats in the DG group. The ultrastructural alterations produced by experimental diabetes in the inner nuclear layer, outer nuclear layer, and ganglion cell layer were significantly ameliorated by glycine supplementation.ConclusionOur findings suggest that glycine supplementation effectively attenuates retinal neuronal damage in experimental diabetic rats, and thus may be a potential candidate to protect retinal ultrastructure against diabetes.

Highlights

  • Diabetic retinopathy (DR) is a progressive disease which involves more pathology than solely vascular lesions as was previously believed

  • Most previous research has shown that neuronal changes of the retina result secondary to microangiopathy, but a growing body of evidence suggests that neuroretinal abnormalities may develop independently of microvascular insult.[4, 5]

  • Free amino acids play a crucial role in the prevention of diabetic complications, including DR, in several ways: glycemic regulation, competition with tissue proteins for non-enzymatic glycation, and inhibition or reduction of oxidative stress.[9, 10]

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Summary

INTRODUCTION

Diabetic retinopathy (DR) is a progressive disease which involves more pathology than solely vascular lesions as was previously believed. Free amino acids play a crucial role in the prevention of diabetic complications, including DR, in several ways: glycemic regulation, competition with tissue proteins for non-enzymatic glycation, and inhibition or reduction of oxidative stress.[9, 10] The nonessential amino acid glycine is involved in a broad spectrum of biochemical processes related to cytoprotection via binding to its different receptors.[11] There exist a number of in-vivo preclinical and clinical studies regarding the antidiabetic effects of dietary glycine supplementation.[12] There is strong evidence that vessels and neurons of the retina undergo inflammation involving both innate and adaptive immunity in the pathogenesis of DR.[13] Glycine administration modulates immune responses, protecting tissues from injury induced by active proinflammatory cytokines in subjects with type 2 diabetes.[14] In experimentally induced diabetic rats, the vascular complications of diabetes have been ameliorated with glycine treatment.[15] It is thought that glycine acts via the regulation of hyperglycemia, hypercholesterolemia, and glycated hemoglobin (A1C) levels.[16] In two other studies, the effects of glycine on the prevention of cataract progression have been demonstrated.[17, 18]. Our study was designed to evaluate histologically whether glycine supplementation in the drinking water of streptozocin (STZ)-induced diabetic rats has a protective effect on the retinal ultrastructure, with a focus on the ganglion and photoreceptor cell layers

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