1. ENDOPLASMIC RETICULUM STRESS IN DIABETIC RETINOPATHY AND THE APPROACHES TO ITS CORRECTION.
- Author
-
Shpakov AO and Ryzhov YR
- Subjects
- Activating Transcription Factor 6 metabolism, Animals, Diabetic Retinopathy pathology, Endoribonucleases metabolism, HSP40 Heat-Shock Proteins metabolism, Humans, Protein Serine-Threonine Kinases metabolism, Retina pathology, eIF-2 Kinase metabolism, Diabetic Retinopathy metabolism, Diabetic Retinopathy therapy, Endoplasmic Reticulum Stress, Retina metabolism, Unfolded Protein Response
- Abstract
Diabetic retinopathy (DR) is one of the most common complications of diabetes mellitus (DM). Among the molecular mechanisms leading to the development of DR, the endoplasmic reticulum (ER) stress that is identified in DM in retinal neurons and in pericytes of retinal capillaries plays an important role. Abnormalities in the folding and maturation of proteins in ER trigger the ER specific response, referred as the unfolded protein response (UPR), which induces protein refolding or degradation. Currently, there are three main UPR-pathways that include inositol-requiring enzyme-1 (IRE1), transcription factor-6 (ATF6) and sensory kinase PERK as the sensor components, all of which are involved in the pathological changes in the retina at DR, inducing the inflammation, apoptosis and vascular impairment therein. In the review, the functional changes in IRE1-, ATF6and PERK-dependent UPR-pathways in diabetic retina, as well as factors that contribute to the development of ER stress in retinal cells including pro-inflammatory factors, vascular endothelial growth factor and intercellular adhesion molecules are considered. The approaches to ER stress correction in diabetic retina, which include the use of low-molecular chaperones, such as fenofibric acid, increased activity of chaperone-like p58IPK protein, and the restoration of activity of retinal hormonal signaling systems, whose functions are violated in DR, are discussed.
- Published
- 2016