Aquaporins (AQPs) are involved in hypoxia-induced angiogenesis and retinal damage. Bumetanide is a diuretic agent, Na+/K+/Cl- cotransporter (NKCC1), and AQP 1-4 inhibitor. We tested the hypothesis that early postnatal treatment with bumetanide suppresses biomarkers of angiogenesis and decreases severe retinopathy oxygen-induced retinopathy (OIR). Neonatal rats were exposed at birth (P0) to either (1) room air (RA); (2) hyperoxia (50% O2); or (3) intermittent hypoxia (IH) consisting of 50% O2 with brief, clustered episodes of 12% O2 from P0 to postnatal day 14 (P14), during which they were treated intraperitoneally (IP) with bumetanide (0.1 mg/kg/day) or an equivalent volume of saline, on P0-P2. Pups were examined at P14 or allowed to recover in RA from P14-P21. Retinal angiogenesis, morphometry, pathology, AQPs, and angiogenesis biomarkers were determined at P14 and P21. Bumetanide reduced vascular abnormalities associated with severe OIR. This was associated with reductions in AQP-4 and VEGF. Bumetanide suppressed sVEGFR-1 in the serum and vitreous fluid, but levels were increased in the ocular tissues during recovery. Similar responses were noted for IGF-I. In this model, early systemic bumetanide administration reduces severe OIR, the benefits of which appear to be mediated via suppression of AQP-4 and VEGF. Further studies are needed to determine whether bumetanide at the right doses may be considered a potential pharmacologic agent to treat retinal neovascularization.

译文

水通道蛋白 (AQPs) 参与缺氧诱导的血管生成和视网膜损伤。布美他尼是一种利尿剂,Na/K/Cl-共转运蛋白 (NKCC1) 和AQP 1-4抑制剂。我们检验了以下假设: 布美他尼的早期产后治疗可抑制血管生成的生物标志物并减少严重的视网膜病变氧诱导的视网膜病变 (OIR)。新生大鼠在出生时 (P0) 暴露于 (1) 室内空气 (RA); (2) 高氧 (50% O2); 或 (3) 由50% O2组成的间歇性缺氧 (IH),从P0到出生后第14天 (P14) 短暂的12% O2聚集发作,在此期间,他们P0-P2用布美他尼 (0.1 mg/kg/天) 或等效体积的盐水腹膜内 (IP) 治疗。在P14检查幼崽或使其从P14-P21中恢复RA。在P14和p21测定视网膜血管生成,形态计量学,病理学,AQPs和血管生成生物标志物。布美他尼减少了与严重OIR相关的血管异常。这与AQP-4和VEGF的减少有关。布美他尼抑制了血清和玻璃体液中的sVEGFR-1,但在恢复过程中眼组织中的水平增加。Igf-i也有类似的反应。在该模型中,早期全身性布美他尼给药减少了严重的OIR,其益处似乎是通过抑制AQP-4和VEGF介导的。需要进一步的研究来确定正确剂量的布美他尼是否可以被认为是治疗视网膜新生血管的潜在药物。

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