Special Issue "Diabetic Retinopathy: From Molecular Mechanisms to Therapeutic Opportunities"

A special issue of Cells (ISSN 2073-4409). This special issue belongs to the section "Cellular Pathology".

Deadline for manuscript submissions: 30 April 2024 | Viewed by 1819

Special Issue Editors

Department of Biology, University of Pisa, Pisa, Italy
Interests: animal models; retinal diseases; retinal function; angiogenesis; inflammation; hypoxia-inducible factor 1; vascular endothelial growth factor; β2 adrenoceptor signaling; β3 adrenoceptor function
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Special Issue Information

Dear Colleagues,

Diabetic retinopathy (DR) is a multifactorial progressive disease characterized by an extremely complex pathogenesis. It involves different factors and a variety of pathophysiologic mechanisms, which cause the dysregulation of a number of mediators, including growth factors, cytokines/chemokines, vasoactive agents, and inflammatory and adhesion molecules. Neurodegeneration, oxidative stress, inflammation, and vascular changes have been found to play key roles in DR; however, further studies are needed to decipher the exact mechanisms leading to retinal dysfunction. The available therapies treat only the advanced stages of DR; therefore, current investigations focus on the development of new treatments, including antioxidants, neuroprotectants, anti-inflammatory, and vasculoprotective agents, that may prevent disease progression. Further technological advances in retinal imaging for screening the early pathology and its progression, together with new therapeutics, are essential in improving patient life quality and the burden on public health. The main goal of the present Special Issue is to attract contributions with state-of-the art findings related to the pathophysiology and therapeutics of DR. Potential topics may include, but are not limited to, an understanding of the mechanisms leading to neovascularization and cell death in DR, role of oxidative stress and inflammation, animal models of DR, therapeutic potential of nutraceuticals, new methods for drug delivery to the retina, retinal imaging for screening and early identification of the disease, proteomic and metabolomic approaches and gene therapy.

We warmly invite you and your colleagues to provide both original research and review articles, which will be peer-reviewed for publication in the open access journal Cells. We look forward to your contributions.

Prof. Dr. Paola Bagnoli
Prof. Dr. Giovanni Casini
Guest Editors

Manuscript Submission Information

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Keywords

  • neurodegeneration
  • oxidative stress
  • inflammation
  • vasculopathy
  • nutraceuticals
  • drug delivery
  • retinal imaging
  • proteomics
  • metabolomics
  • gene therapy

Published Papers (3 papers)

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Research

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18 pages, 10175 KiB  
Article
Liposome-Mediated Delivery Improves the Efficacy of Lisosan G against Retinopathy in Diabetic Mice
Cells 2023, 12(20), 2448; https://doi.org/10.3390/cells12202448 - 13 Oct 2023
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Abstract
Nutraceuticals are natural substances whose anti-oxidant and anti-inflammatory properties may be used to treat retinal pathologies. Their efficacy is limited by poor bioavailability, which could be improved using nanocarriers. Lisosan G (LG), a fermented powder from whole grains, protects the retina from diabetic [...] Read more.
Nutraceuticals are natural substances whose anti-oxidant and anti-inflammatory properties may be used to treat retinal pathologies. Their efficacy is limited by poor bioavailability, which could be improved using nanocarriers. Lisosan G (LG), a fermented powder from whole grains, protects the retina from diabetic retinopathy (DR)-induced damage. For this study, we tested whether the encapsulation of LG in liposomes (LipoLG) may increase its protective effects. Diabetes was induced in mice via streptozotocin administration, and the mice were allowed to freely drink water or a water dispersion of two different doses of LG or of LipoLG. Electroretinographic recordings after 6 weeks showed that only the highest dose of LG could partially protect the retina from diabetes-induced functional deficits, while both doses of LipoLG were effective. An evaluation of molecular markers of oxidative stress, inflammation, apoptosis, vascular endothelial growth factor, and the blood–retinal barrier confirmed that the highest dose of LG only partially protected the retina from DR-induced changes, while virtually complete prevention was obtained with either dose of LipoLG. These data indicate that the efficacy of LG in contrasting DR is greatly enhanced by its encapsulation in liposomes and may lay the ground for new dietary supplements with improved therapeutic effects against DR. Full article
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15 pages, 3303 KiB  
Article
Retinoid X Receptor Activation Prevents Diabetic Retinopathy in Murine Models
Cells 2023, 12(19), 2361; https://doi.org/10.3390/cells12192361 - 26 Sep 2023
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Abstract
Previously, the RXR agonist UAB126 demonstrated therapeutic potential to treat obese mice by controlling blood glucose levels (BGL) and altering the expression of genes associated with lipid metabolism and inflammatory response. The purpose of the study was to assess the effects of UAB126 [...] Read more.
Previously, the RXR agonist UAB126 demonstrated therapeutic potential to treat obese mice by controlling blood glucose levels (BGL) and altering the expression of genes associated with lipid metabolism and inflammatory response. The purpose of the study was to assess the effects of UAB126 on the progression of diabetic retinopathy (DR) in rodent models of type 1 diabetes (T1D), streptozotocin-induced, and type 2 diabetes (T2D), in db/db mice. UAB126 treatment was delivered either by oral gavage for 6 weeks or by topical application of eye drops for 2 weeks. At the end of the treatment, the retinal function of diabetic mice was assessed by electroretinography (ERG), and their retinal tissue was harvested for protein and gene expression analyses. Bone-marrow cells were isolated and differentiated into bone marrow-derived macrophages (BMDMs). The glycolysis stress test and the 2-DG glucose uptake analysis were performed. Our results demonstrated that in the UAB126-treated diabetic BMDMs, the ECAR rate and the 2-DG uptake were improved as compared to untreated diabetic BMDMs. In UAB126-treated diabetic mice, hyperglycemia was reduced and associated with the preservation of ERG amplitudes and enhanced AMPK activity. Retinas from diabetic mice treated with topical UAB126 demonstrated an increase in Rxr and Ppar and the expression of genes associated with lipid metabolism. Altogether, our data indicate that RXR activation is beneficial to preclinical models of DR. Full article
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Review

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23 pages, 2547 KiB  
Review
Complementary Approaches to Retinal Health Focusing on Diabetic Retinopathy
Cells 2023, 12(23), 2699; https://doi.org/10.3390/cells12232699 - 24 Nov 2023
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Abstract
Diabetes mellitus affects carbohydrate homeostasis but also influences fat and protein metabolism. Due to ophthalmic complications, it is a leading cause of blindness worldwide. The molecular pathology reveals that nuclear factor kappa B (NFκB) has a central role in the progression of diabetic [...] Read more.
Diabetes mellitus affects carbohydrate homeostasis but also influences fat and protein metabolism. Due to ophthalmic complications, it is a leading cause of blindness worldwide. The molecular pathology reveals that nuclear factor kappa B (NFκB) has a central role in the progression of diabetic retinopathy, sharing this signaling pathway with another major retinal disorder, glaucoma. Therefore, new therapeutic approaches can be elaborated to decelerate the ever-emerging “epidemics” of diabetic retinopathy and glaucoma targeting this critical node. In our review, we emphasize the role of an improvement of lifestyle in its prevention as well as the use of phytomedicals associated with evidence-based protocols. A balanced personalized therapy requires an integrative approach to be more successful for prevention and early treatment. Full article
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