Aims/Purpose: Diabetic retinopathy (DR) is usually diagnosed many years after diabetes onset. The early diagnosis of DR remains challenging, and identifying novel biomarkers is crucial. We aim to identify novel early biomarkers for DR, based on texture analysis of optical coherence tomography (OCT) retinal images.Methods: A type 1 diabetes (T1D) rat (Wistar) model (streptozotocin‐induced) was used. Volume OCT scans (N = 40‐44) and electroretinograms (N = 25) were acquired before and after 1, 2 and 4 weeks of diabetes. Automated OCT image segmentation was performed, followed by retinal thickness and texture analysis. Changes in blood‐retinal barrier (tight junctions and permeability), glial reactivity and nitrosative stress were assessed.Results: Early T1D induced significant changes in retinal texture. Several texture metrics, autocorrelation, correlation, homogeneity, information measure of correlation II (IMCII), inverse difference moment normalized (IDMN), inverse difference normalized (IDN), and sum average, decreased in all retinal layers at week 4. Correlation, homogeneity, IMCII, IDMN, and IDN decreased at week 2. T1D induced a progressive weekly reduction in the texture metrics. T1D also induced significant thinning of the inner plexiform and inner nuclear layers, inner/outer photoreceptor segments, and total retina, at weeks 1, 2 and 4. Impaired retinal function was also observed (increased latencies in a‐wave and oscillatory potentials at weeks 1, 2 and 4), as well as decreased tight junction proteins immunoreactivity and increased microglial cell number and nitrosative stress, but vascular permeability was unchanged.Conclusions: Early T1D impacts retinal texture, concomitant with molecular, cellular and physiological retinal changes, thus unlocking the potential of texture analysis for DR early diagnosis, but this needs further proof in clinical studies.Support: FCT, Portugal: 2020.07432.BD, PEst UIDB/04539/Base/2020 and UIDP/04539/Programatico/2020, and PEst UIDB/04950/Base/2020 and UIDP/04950/Programatico/2020.
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