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당뇨 쥐에서 Vitamin B6 (PLP)의 망막혈관누출 감소와 혈관내피성장인자의 억제 효과

Suppression of VEGF and Decrease in Vascular Leakage by Pyridoxal 5’-Phosphate in Diabetic Rats

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목적: STZ로 유발된 당뇨 쥐에서 Pyridoxal 5ʼ phosphate (PLP)가 당뇨망막병증에 미치는 영향을 알아보고자 했다. 대상과 방법: Sprague-Dawley 흰쥐(n=20)를 대상으로 하여 정상군 2마리를 제외한 18마리에서 당뇨를 유발시키고, 그 중 10마리에PLP를 투여하였다. PLP를 투여한 군 중 5마리에는 PLP 5 μg을, 5마리에는 50 μg를 각각 나누어서 투여하였다. PLP투여 3주 후혈액 내 호모시스테인 농도와 유리체 내 플루레신 농도를 측정한 후 안구를 적출하였다. 적출된 안구로 절편을 제작하여 혈관내피성장인자에 대한 면역조직화학염색을 시행하였고, 발현 양상을 비교하였다. 결과: 실험군에서의 호모시스테인과 플루레신 농도가 대조군에 비해서 유의하게 낮은 것으로 나타났다(p<0.01). 혈관내피성장인자의발현도 실험군의 망막에서 발현이 감소되어 있는 것을 확인할 수 있었다. PLP의 투여 농도 변화에 대한 실험 결과에서는 유의한 상관관계를 보이지 않았다(p>0.05). 결론: STZ로 유발된 당뇨 쥐에서 PLP의 투여는 망막 혈관 누출과 혈관내피성장인자의 발현을 억제하는 효과가 있다.

Abstract

Purpose: The authors of the present study investigated whether pyridoxal 5’-phosphate (PLP), an active coenzyme of vitamin B6, could inhibit the development of diabetic retinopathy in streptozotocin (STZ)-induced diabetic rats. Methods: Seven-week-old Spraque-Dawley rats (n = 20) were used in the present study. STZ (70 mg/kg) was injected intraperitoneally to induce diabetes. Blood glucose and body weight were monitored. Intraperitoneal injections of 5 μg and 50μg PLP were administered every two days from the second week of induced diabetes. During the third week of PLP injections,the concentration level of plasma homocysteine was measured. In addition, functional status was examined by vitreous fluorophotometer and anatomical status by vascular endothelial growth factor (VEGF) staining in the retina. Results: Based on vitreous fluorophotometry examination, the PLP injection group proved to have a lower level of fluorescein concentration in the vitreous. Additionally, immunohistochemical staining revealed down-regulation of VEGF expression in the PLP group. In addition, the PLP group had a lower plasma homocysteine concentration. However, an over-dosage injection of PLP did not appear to have any noticeable impact on the treatment of diabetes. Conclusions: PLP, an active coenzyme of vitamin B6, proved to have inhibitory effects on VEGF expression and vascular leakage in the diabetic rat retina.

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