The protective effects and mechanism of intravitreal injection with cyclosporin-A on blood-retinal barrier in diabetic rats

Abstract

Objective To investigate the protective effect and mechanism of intravitreal injection with cyclosporin-A(CsA) on blood-retinal barrier (BRB) in diabetic rats.Methods A total of 48 SpragueDawley male mice at the age of 8-10 weeks were divided into normal group,diabetes mellitus (DM) group,CsA group and DMSO group,with 12 rats in each group.The rats in DM,CsA group and DMSO group were induced with streptozotocin (STZ) injection creating a diabetic retinopathy model.The same volume of citric sodium citrate buffer was injected into the rats in the normal group.Immunohistochemical staining was used to detect the BRB permeability,Western blot was used to measure the protein expression of intercellular adhesion molecule (ICAM-1).Enzyme-linked immunosorbent assay (ELISA) was used to measure the expression of vascular endothelial growth factor 72 hours after injection.Results Compared with the normal group,the BRB permeability,ICAM-1 and VEGF expression were significantly increased in DM group (F=29.350,29.240,9.658; P＜0.01).Compared with the DM group,the BRB permeability,ICAM-1 and VEGF expression were significantly decreased in CsA group (t=3.174,5.000,3.352; P＜0.05) ; but there was no obvious change of above indexes in DMSO group (t =0.420,0.561,0.312 ; P＞0.05).Conclusion Intravitreal injection of CsA has protective effects on BRB in diabetic rats.Downregulated expression of ICAM-1 and VEGF may be the mechanism. Key words: Diabetic retinopathy/prevention & control; Blood-retinal barrier/pathology; Cyclosporine/therapeutic use; Disease models, animal